Thoughtful psychiatry for women and families
Specialized psychiatric care for women across every hormonal stage, with support for children, teens, partners, and parents along the way. From puberty and development to postpartum, perimenopause, family stress, and beyond. Telehealth throughout Washington State. Longer visits. Nuanced diagnosis. Direct physician care.
Care that considers the whole picture, from hormones to development to family life
Mental health care often overlooks the context that matters most. Dr. Vartak's practice exists to close that gap by caring for women, children, adolescents, and the families who support them.
Psychiatry shouldn't treat hormones, development, physical health and family life as separate conversations.
Women's reproductive and hormonal psychiatry alongside adult and child psychiatry.
Longer appointments designed for thoughtful evaluation rather than rushed medication checks.
Coordination with therapists, OB/GYNs, pediatricians and other clinicians when appropriate.
A psychiatrist who sees the whole person — not just the symptom
"Hormones don't just affect your mood. They shape who you are, how you feel, and how you move through the world."
Dr. Shirin Vartak is a double board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry, with specialized expertise in women's hormonal and reproductive mental health. Her dual training allows her to care across the full family arc - from children and teens navigating development, anxiety, ADHD, mood concerns, or early hormonal changes, to women experiencing PMDD, perinatal mood changes, perimenopause, and other hormone-related mental health concerns.
Her approach is unhurried, evidence-based, and deeply personal. Dr. Vartak believes that hormonal context is not a footnote in women's mental health. It is often central to accurate diagnosis and lasting treatment. With training in both adult and child psychiatry, she also understands how mental health lives within families, supporting not only women, but also children, teens, partners, fathers, sons, daughters, and the relationships that shape daily life.
When not in clinic, she can be found sailing, skiing in the mountains, or hiking with her dogs along the coast.
Every phase deserves expertise
Thoughtful, psychiatrist-led care for women and families through every stage of life, including adolescence, motherhood, perimenopause, and beyond.
Puberty & Adolescence
ADHD & 504/IEP support · Mood & anxiety · Early PMS/PMDD · Development · Family stress
Reproductive Years
PMS/PMDD · OCP effects · Fertility stress · Pregnancy planning · ADHD
Pregnancy & Postpartum
Perinatal anxiety/depression · Med risk/benefit · Lactation · Identity shift
Perimenopause
Mood/sleep surges · Brain fog · HRT coordination · Executive function changes
Menopause & Beyond
HRT transitions · Late-onset anxiety · Cognition · Identity continuity
Thoughtful care for children, teens, parents, and families
Dr. Vartak is double board-certified in Child & Adolescent Psychiatry. The practice cares for young people of every gender — from ADHD and anxiety to mood, development, and the turbulence of puberty — and works hand in hand with the adults who support them.
Whether it's a teenager who needs school accommodations, a child navigating a new diagnosis, or a parent coordinating everyone's care, the goal is the same: one psychiatrist who sees how a family's mental health fits together.
Evaluations, documentation, and letters that support 504 Plans and IEPs — so accommodations match what your child actually needs.
Direct communication with your child's pediatrician to keep medical and psychiatric care aligned.
Collaborative care with therapists and counselors, so medication and therapy reinforce one another.
Steady, developmentally-informed support for adolescents and parents through every stage of growing up.
"The goal isn't to feel less — it's to feel yourself again."
What we treat together
Navia Psychiatry is a cash-pay practice. This means unhurried appointments, no insurance limitations on your care, and direct, meaningful access to your psychiatrist.
Hormonal Mood Disorders
PMDD, perimenopausal depression, postpartum mood disorders — diagnosed and treated with hormonal context at the center.
Perinatal Psychiatry
Expert guidance on psychiatric medication safety in pregnancy, postpartum support, and perinatal mental health continuity.
Anxiety & OCD
Including the specific presentations of perinatal OCD, health anxiety, and hormonal-cycle anxiety patterns.
Trauma & PTSD
Trauma-informed psychiatric care that accounts for the hormonal amplification of trauma symptoms across the reproductive lifespan.
Specialist Consultation
One-time expert consultation for complex cases — including medication review, diagnostic clarity, and second opinions.
Child & Adolescent Psychiatry
ADHD, anxiety, mood, and developmental care for kids and teens — with school (504/IEP), pediatrician, and therapist coordination built in.
ADHD & Executive Function
Evaluation and treatment of attention, focus, and organization difficulties in children, teens, and adults — including presentations that surface or shift with hormonal change.
Depression & Mood Disorders
Careful diagnosis and treatment of depression, persistent low mood, and bipolar spectrum conditions, with attention to how cycles, sleep, and life stage shape symptoms.
Autism
Diagnostic clarification and psychiatric support for children, teens, and adults with autism, including co-occurring anxiety, ADHD, and mood concerns, and coordination with school and therapy teams.
Telehealth across
Washington State
All appointments are conducted securely via telehealth for patients throughout Washington State, including Seattle, Bellevue, Tacoma, and surrounding communities.
Transparent, cash-pay pricing
Navia Psychiatry is a private-pay practice. We do not bill insurance directly, which allows us to provide you with longer appointments, genuine continuity of care, and absolute clinical freedom. We provide a detailed superbill after every visit for potential out-of-network reimbursement.
HSA and FSA cards are accepted.
What is a Superbill?
A superbill is an itemized receipt with the diagnostic and procedure codes your insurance company needs to process an out-of-network claim. We provide one automatically after every appointment — you submit it directly to your insurer.
Common codes we bill:
Initial Evaluation — 90792
Medication Mgmt (25–30 min) — 99213/99214 + 90833
Extended Follow-Up (45–60 min) — 99214 + 90836
Psychotherapy — 90834 / 90837
| Service | Duration | Fee |
|---|---|---|
| Free Fit Consultation Get to know each other before committing | 15 min | Complimentary |
| Initial Psychiatric Evaluation Comprehensive intake and diagnostic assessment | 60 min | $700 |
| Complex / Reproductive Initial Extended evaluation for perinatal or complex hormonal cases | 90 min | $900 |
| Medication Management Follow-Up Ongoing monitoring and medication adjustment | 25–30 min | $350 |
| Extended Follow-Up For complex presentations or major life transitions | 45–60 min | $575 |
| One-Time Specialist Consultation Second opinion, medication review, or diagnostic clarity | 80–90 min | $1,500 |
| Reproductive & Hormonal Package Initial eval + care plan + first follow-up | Bundled | $1,750 |
| Forms, Letters & Care Coordination FMLA, disability, prior auth, letters to other providers | Per hour | $300/hr |
Cancellation Policy
We require 48 hours' notice to cancel or reschedule an appointment. Cancellations with less than 48 hours' notice — and no-shows — are charged the full session fee. We reserve your time specifically for you.
Payment & Insurance
Payment is due at the time of service. We accept all major credit cards, HSA, and FSA. We are not in-network with any insurance plan, but provide a superbill for every appointment so you can seek out-of-network reimbursement.
Telehealth & Technology
All visits are conducted via HIPAA-compliant video. You will need a private space, a reliable internet connection, and a device with a camera. You must be physically located in Washington State at the time of your appointment.
Good Faith Estimate
You have the right to receive a Good Faith Estimate explaining how much your care will cost before you schedule a service. Under the No Surprises Act, we provide an estimate of expected charges for all non-emergency services. For questions, visit cms.gov/nosurprises.
Your first step is a conversation
Schedule a complimentary 15-minute call to determine whether Navia Psychiatry is the right fit for you or your family. No pressure, just clarity.
Or call 425-598-0917