Your story isn't over.
You're just entering a new chapter.
Whether you're navigating ADHD, burnout, depression, anxiety, perimenopause, parenthood, grief, or a life transition you never saw coming, you don't need to have it all figured out before you get here. Bring the rough draft. Together, we'll turn the page.
Telehealth across Washington State· In person in West Seattle
Adults 18+
Is This You?
You've already been diagnosed with ADHD, your child got diagnosed and you realize where they might have gotten it from, or you've just suspected it for years. You're tired of white-knuckling your way through work, parenting, relationships, and the endless demands on your attention.
You've built a life you're proud of. You're smart, capable, and driven. But somewhere along the way, achievement turned into exhaustion, and now you're carrying more than anyone realizes.
You're navigating the hormonal, emotional, and cognitive shifts of midlife and wondering why the strategies that always worked suddenly don't.
You've been laid off, burned out, divorced, widowed, retired, or forced into a chapter you never planned to write.
Depression, anxiety, irritability, or mood swings have become unwelcome characters in your story, and you're ready for a different way forward.
You want a provider who listens without judgment, thinks with you rather than at you, and respects that you are the expert on your own lived experience.
You know you're capable of more. Yet you're stuck in work, relationships, or patterns that no longer fit, wondering why life feels harder than it should.
Hi, I'm Cat.
I was the smart kid who talked too much. My parents' friends called me "Chatty Cathy." I asked a lot of questions, had a big imagination and did well enough in school that nobody worried about me. I knew how to fly under the radar.
In my twenties, I drifted. Desk jobs made me feel like I was slowly disappearing, so I stayed in restaurants and behind the bar. There I could move, think on my feet and be the one with the good stories. I was not the friend who texted you back. I was absolutely the friend who showed up in an emergency.
I had a college degree and no idea how to turn it into a life. Everything sounded interesting. Almost nothing sounded awful. I could always tell you what I didn't want. I could never tell you what I did. What I wanted most was for someone to just tell me what to do.
So I picked something concrete. I took one or two classes at a time while I worked, and twelve years later I was a psychiatric nurse practitioner. I spent more than a decade in hospitals and addiction treatment, partly to learn and partly because structure kept me from drowning in options. Then, at midlife, I needed to reinvent myself again. My brain felt more scattered than ever. I felt emotionally raw, less confident and a little thrown by the person in the mirror.
That's when a new provider suggested I had ADHD.
I've worked in psychiatry for years, so I did what a lot of my patients do. I explained why she was wrong:
I did well in school. (It took me way longer than everyone else because I had to find the meaning and purpose in it first )
I wasn't hyperactive. (I was the chatty, distracting kid, or I was completely checked out.)
I'm not impulsive. (I am. My impulsive choices just happened to land okay.)
I can focus for hours. (On things I love. That's hyperfocus.)
I don't have a temper. (No. I get overwhelmed and shut down.)
She was right. And the thing that finally helped wasn't someone telling me what to do. It was someone helping me figure out what I actually wanted.
How I Work
I'm not coming to you from higher up the mountain.
I'm on a mountain of my own, navigating the same weather, the same rough patches, and plenty of wrong turns. I've spent enough time in this terrain to recognize some of the common pitfalls, shortcuts, and dead ends. I also bring the training, experience, and tools to help you find your way, including medication when it's appropriate.
At the core of my approach is motivational interviewing. That's the clinical term. In plain English, it means I won't lecture you, talk down to you, or hand you a life plan you didn't ask for.
Instead, we'll start with the bigger question: What do you want your life to look like?
Not what your parents wanted. Not what your partner wants. Not what Instagram says should make you happy.
You.
From there, we'll work backward, one step at a time, using evidence-based assessment, practical strategies, medication when appropriate, and a healthy dose of curiosity. We'll look at the whole picture: your brain, your hormones, your experiences, your strengths, and the story you've been telling yourself about all of it.
You don't need to show up with a polished narrative.
Bring the rough draft.
Bring the racing thoughts, the half-finished ideas, the self-doubt, the burnout, the grief, the plot twists, and the question you've been asking yourself for years:
"Is this ADHD, perimenopause, anxiety, depression... or simply the cumulative effects of being responsible for everyone and everything all the time?”
Together, we'll sort through the edits, identify what still belongs, let go of what doesn't, and make room for what's next.
And fair warning: there will probably be some laughing along the way.
I provide telehealth appointments throughout Washington State and in-person care in West Seattle.
Catherine Webb, PMHNP-BC, ADHD-CCSP
Board-Certified Psychiatric-Mental Health Nurse Practitioner
14+ years in psychiatry and addiction medicine
MSN, Seattle University
NPI 1194061614 • Washington State Licensed ARNP
What to expect
You don't need to arrive with a diagnosis.
You don't need to have your life figured out. You don't need to organize the mess before you get here.
Bring the rough draft.
Bring the racing thoughts, the brain fog, the burnout, the impulsive Amazon purchases, the forgotten passwords, the endless tabs open in your browser and your brain.
Bring the grief, the uncertainty, the frustration, and the nagging feeling that life shouldn't be this hard.
My job isn't to judge your story.
My job is to help you understand it.
The First Chapters: Understanding What's Going On
Our first few visits are about getting the full picture.
We'll talk about what's bringing you in, but we'll also talk about your history, your strengths, your relationships, your work, your goals, and the patterns that have followed you through different chapters of life.
Many of my patients arrive wondering:
Is this ADHD?
Is this anxiety?
Is this depression?
Is this perimenopause?
Is this burnout?
Is this trauma?
Is this just what adulthood feels like?
The answer is often more nuanced than people expect.
We'll take the time to sort through it together.
That may include screening tools, rating scales, a review of previous diagnoses or treatment, collateral information from others about school and childhood and plenty of conversation.
Building a Plan
Once we understand the landscape, we decide what might actually help.
For some people, that includes medication.
For others, it means learning how ADHD shows up differently in adulthood. Or understanding how hormonal changes affect mood, memory, motivation, and focus.
Often, it's a combination of several things.
There's no one-size-fits-all formula.
We're not trying to turn you into someone else.
We're trying to help you function better as the person you already are.
The Second Chapter: Finding What Works
Treatment isn't about perfection.
It's about paying attention.
We'll look at what's helping and what isn't. We'll make adjustments when needed, build on what's working, and learn from what isn't. My goal isn't to help you become a different person. It's to help you work with your brain, body, and circumstances more effectively.
Sometimes progress looks dramatic.
More often, it looks like:
Getting through the workday without feeling completely depleted.
Remembering the thing you usually forget.
Having more patience with your kids.
Sleeping better.
Feeling less overwhelmed.
Finally trusting yourself again.
Small changes add up. Over time, they can change everything.
Ongoing Care
Follow-up appointments are available in both brief (20-25 minute) and extended (45-50 minute) formats. Longer visits allow more time for coaching, problem-solving, and therapeutic work alongside medication management.
While we're evaluating symptoms, gathering information, or adjusting medications, we'll usually meet every 1-4 weeks. Once things are stable, most patients transition to follow-up visits every 2-3 months.
If you're taking a controlled medication for ADHD, more frequent follow-up appointments may be required to meet safety and regulatory guidelines.
Most visits can be completed by telehealth anywhere in Washington State, although occasional in-person visits may be recommended.
I'll prescribe enough medication to last until your next scheduled appointment, typically with a small buffer. Ongoing treatment works best when we stay connected through regular follow-ups rather than relying on refill requests alone.
And because no one exists in a vacuum, I'm happy to collaborate with your therapist, primary care provider, OB-GYN, menopause specialist, or other members of your healthcare team when appropriate.
The goal isn't a perfect final draft. It's becoming the main character in your own story again.
About ADHD Evaluations
You don't need to show up with your elementary school report cards in a folder labeled "Evidence." But ADHD is a diagnosis that deserves a careful look.
Many adults come to me wondering whether ADHD explains the struggles they've had with focus, organization, motivation, emotional regulation, burnout, or reaching their potential. Sometimes ADHD is a big part of the story. Sometimes it's anxiety, depression, trauma, hormonal changes, sleep issues, or a combination of several things.
That's why ADHD evaluations typically take more than one visit. We'll spend time understanding not just what's happening now, but how these patterns showed up across your life. When helpful, I may ask for school records or collateral information from people who knew you during childhood.
Because a thorough assessment comes before treatment, ADHD medications are not prescribed during the initial evaluation appointment. My goal isn't to rush to a diagnosis. It's to get the story right.
Ongoing Care
If you're prescribed a stimulant medication, we'll meet regularly. Not because I enjoy paperwork (I don't), but because ADHD treatment is about more than prescriptions. Medication can help your brain access the tools, but it doesn't create the tools for you. These visits help us fine-tune treatment, navigate challenges, celebrate progress, and make sure you're getting the most benefit from care. Medication can make the words easier to find. It won't write the next chapter for you.
Do you prescribe stimulants? Yes, when they're the right fit, after a full evaluation. I don't prescribe new medications at the first visit, and anyone taking a controlled ADHD medication meets with me monthly.
Do I need an ADHD diagnosis before I come in? No. Many of my patients come in wondering. We'll find out together.
Can I get a second opinion? Yes. A Fresh Perspective Consultation is a one-time review of your diagnosis and medications, with written recommendations for you and your current prescriber. It's billed as an initial evaluation.
Do you prescribe hormones? Not at this time. I bring a hormone-aware lens to every evaluation and work alongside your gynecologist or menopause specialist.
Is it all telehealth? No. I see people by telehealth anywhere in Washington and in person at my office in West Seattle.
Do you take insurance? Not yet. The credentialing process is currently somewhere around Chapter 17 and showing no signs of wrapping up soon. In the meantime, I can provide a superbill for out-of-network reimbursement.
What if I'm in crisis? I'm not a crisis service, and I respond to messages within 1–2 business days. If you're in crisis, call or text 988, or go to the nearest emergency room.
Do you complete FMLA, disability or accommodation paperwork? For established patients, when it's clinically appropriate. I complete forms only after we've worked together for at least 3 months (or three visits), because I can only document what I've observed over time. I don't provide evaluations for the sole purpose of leave, disability or accommodations, and I don't complete long-term or Social Security disability evaluations. Form fees: $75 per form, $150 for disability forms, $50 for a workplace or school accommodation letter.
How should I prepare for our first appointment?
Bring yourself. A list of medications, previous records, or old report cards can be helpful, but they're not required.
You don't need to arrive with a perfectly organized narrative. Most people don't.
I'll likely show up with a cup of coffee and one or two cats wandering through the background. We'll both do our best.
Investment
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This first visit is where we start gathering the pieces of the puzzle. We'll review your symptoms, history, goals, and complete screening measures as appropriate. I'll share my initial impressions and explain what I think may be contributing to what you're experiencing.
Sometimes one visit gives us enough information to make a diagnosis and develop a treatment plan. Often, especially when ADHD, depression, anxiety, burnout, trauma, sleep issues, or hormonal changes overlap, the story takes longer to unfold.
I'd rather get the story right than rush to an answer.
Additional evaluation time is billed at $55 per 15-minute increment. Labs, EKGs, or other testing may be recommended when appropriate. New prescriptions during the initial evaluation are uncommon and depend on clinical findings, available records, and overall safety considerations.
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Stable patients, every 1–3 months. Monthly if on a controlled ADHD medication.
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Extended follow-up for complex presentations, significant medication changes, or patients who want more therapy.
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My goal is to keep your treatment plan running smoothly. You'll typically receive enough medication to last until your next appointment, plus a buffer so you're not scrambling at the pharmacy the week before.
If you run out of medication because a follow-up appointment was missed, canceled, or delayed, refill requests between visits require clinical review and a $30 refill fee.
Medication management works best when we stay connected through regular follow-up appointments rather than relying on refill requests alone. These visits allow us to make sure your medications are still helping you meet your goals and that nothing important is slipping through the cracks.
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$150/hour, prorateddescription
Superbills are available for out-of-network reimbursement — many PPO plans reimburse a meaningful portion. Insurance credentialing is currently somewhere between a short story and a Russian novel. Until that saga reaches its conclusion, Second Chapter Psychiatry remains a self-pay practice. Payment due at service. Insurance credentialing is currently somewhere between a short story and a Russian novel. Until that saga reaches its conclusion, Second Chapter Psychiatry remains a self-pay practice. Payment due at service.
Ready to Start Your Second Chapter?
Tell me a little about what's going on. You don't need to have it perfectly organized. In fact, I'd be suspicious if you did.
I personally respond to all inquiries and typically reply within one week.
If you need an immediate response, immediate medication changes, or the ability to message your provider multiple times a week, I'm probably not the right fit. I work best with people looking for thoughtful, collaborative care over time rather than constant access.
If you're not sure whether we're a good match, ask. I'll tell you honestly.
✉️ cat@secondchapterpsychiatry.com
📍 Telehealth · Washington State Only · Adults 18+
Note: This form is not HIPAA-secure. Please do not include protected health information. For sensitive inquiries, call or text 206-203-3901 (HIPAA-compliant Spruce line).
