I am here to help with expertise in pain psychology, trauma, cognitively compromised individuals, health psychology, and mood/anxiety disorders.

TELEHEALTH UPDATE:

I am transitioning to telehealth for psychotherapy visits in response to Governor Inslee's stay at home order. I look forward to continuing to serve you during this uncertain time.

Instructions:

• Existing patients, please use www.doxy.me/drwiarda from any computer or smartphone with a camera/microphone
• Enter your name
• Click "Check in"
• Click "Enable camera"
• You will be taken to a virtual "waiting room", I will start your visit at the scheduled time.

Providers

Occupational medicine providers can refer for two forms of psychological services under L&I coverage:

• Psychology Consultation: When you refer for a psychology consultation you will be better equipped to understand your patient through a full psychological evaluation. An evaluation includes an comprehensive interview and objective psychological testing to diagnose psychological problems and recommend treatment plans for authorization from the claim manager. If you notice psychological symptoms or suspect a mental health disorder (e.g. Adjustment Disorder, Major Depressive Disorder, Panic Disorder, Posttraumatic Stress Disorder, etc.) please refer for a psychology consultation. The mental health disorder can be causally related to the injury, related to problems from the injury, or a pre-existing disorder that is exacerbated by the injury and needs treatment as an aid to recovery.
• Psychosocial Counseling: Psychosocial counseling is a way to get immediate help for workers who may not have a mental health condition. It does not require a mental health diagnosis, there is no formal psychological evaluation, no authorization needed from the claim manager, and it increases access to care as unnecessary delays are avoided completely.

Injured Workers

If you are an injured worker, nothing can be more frustrating that not feeling like yourself, functioning like you used to, and struggling to adjust to your work injury.

If you are having emotional, behavioral, interpersonal, thinking or memory problems you can request that your L&I provider refer you to me.