# Telehealth psychiatric care in Spokane, WA > Progressive Pathways Psychiatry now sees patients in Spokane and Spokane Valley by secure video: psychiatric evaluations and medication follow-ups for teens and adults, without a drive across town or a wait in a lobby. **Source:** https://www.pp-psychiatry.com/washington-telehealth-psychiatry/spokane **Practice:** Progressive Pathways Psychiatry, 201 Amanda Ln, Unit 100, Waxahachie, TX 75165 **Phone:** (469) 523-2646 **Medically reviewed by:** Stacy Edosonmwan, PMHNP-BC, Board-Certified Psychiatric Mental Health Nurse Practitioner **Last reviewed:** November 4, 2026 ## Quick answer Spokane residents aged 13 and up can get psychiatric care from Progressive Pathways Psychiatry by secure video. Visits cover evaluation, diagnosis and medication management with a nurse practitioner licensed in Washington. Because the license is a Washington one, you need to be on the Washington side of the state line, not in Idaho, when each visit starts. ## Care for Spokane residents Spokane is the medical center of the Inland Northwest, yet outpatient psychiatric appointments can still be hard to get. The federal government designates several mental health professional shortage areas in Spokane County, including service areas in north and southeast Spokane and a shortage designation for the city's low-income and homeless residents. Many people here also cross into Idaho for work. That matters for telehealth: a Washington license covers you only while you are in Washington, so a visit from a Coeur d'Alene office or a Post Falls job site cannot go ahead. ## Seasonal depression in the Inland Northwest Spokane sits far enough north that December days are short and the light is thin. For some people the dark months bring more than a passing dip: sleeping longer, craving carbohydrates, losing interest in things that usually help. When that pattern returns every winter, it is a form of [depression](https://www.pp-psychiatry.com/depression-treatment) with a seasonal course, and it responds to treatment. An evaluation sorts out whether that is what is happening, and [medication management](https://www.pp-psychiatry.com/psychiatry-practices/medication-management) follow-ups keep the plan adjusted as the seasons turn. ## Spokane Valley, Liberty Lake and Cheney This page covers the whole Spokane area, not only the city. Spokane Valley, Liberty Lake and Cheney are all in Washington, so a visit from home in any of them works the same way as one from the South Hill or downtown. The only line that matters is the state line itself: once you are in Idaho, the visit has to wait. ## Washington care at a glance - **Video visits only.** There is no Washington office. You need to be physically in Washington State at the time of each video visit. - **Ages:** 13 and up. - **Insurance in Washington:** in network with Aetna, Meritain Health and Evernorth. Call (469) 523-2646 to check other plans. - **Prescribing:** controlled substances are not prescribed in Washington (no stimulants, no benzodiazepines). - **Hours:** Friday 2:30 pm – 5:30 pm Central (12:30 pm – 3:30 pm Pacific); Saturday 8:00 am – 5:30 pm Central (6:00 am – 3:30 pm Pacific). - **License:** Stacy Edosonmwan, PMHNP-BC, ARNP, Washington Advanced Registered Nurse Practitioner license ARNP.AP.70174856-NP. Verify: https://doh.wa.gov/licenses-permits-and-certificates/provider-credential-or-facility-search, https://www.nursys.com/ ## If you need help right now Call or text 988, or chat at 988lifeline.org/chat, any time, day or night. Press 1 for the Veterans Crisis Line, 2 for Spanish, or 4 for the Native & Strong Lifeline (or text N8V to 988). TTY users can dial 711, then 988. Spokane BH-ASO crisis line: 1-877-266-1818. Washington 988: https://wa988.org/ ## What care looks like - **Winter mood changes.** Short, grey Spokane winters bring low energy and low mood for many people. Seasonal patterns are assessed and treated like any other depression. - **Anxiety that will not settle.** Constant worry, panic attacks or social anxiety that makes work and school harder, treated with a plan you understand and agree to. - **Teens from 13 up.** Mood, anxiety and attention problems in teenagers aged 13 and older, assessed with the same unhurried care as any adult concern. - **Medication follow-up.** Regular video check-ins to adjust a non-controlled medication, so nothing changes without an explanation first. ## Frequently asked questions ### I live in Spokane but work in Idaho. Can I have my visit from work? Not from Idaho. The Washington license covers care only while you are physically in Washington, so schedule the visit for a time you are at home or anywhere else on the Washington side. Visits during a lunch break in Spokane or Spokane Valley are fine. ### Is there an office in Spokane I can visit? No. Washington care is by secure video only, so there is no Spokane office and no travel. All you need is a private room and a phone, tablet or computer with a camera. ### Who do I call in a mental health crisis in Spokane County? Call or text 988 any time, or call the Spokane regional crisis line at 1-877-266-1818, which answers around the clock. In an emergency, call 911. The practice is open two days a week and is not a crisis service. ## Washington cities - [Seattle, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/seattle) - [Tri-Cities, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/tri-cities) - [Tacoma, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/tacoma) - [Vancouver, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/vancouver) - [Yakima, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/yakima) - [Bellingham, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/bellingham) - [Everett, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/everett) - [Federal Way, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/federal-way) - [Olympia, WA](https://www.pp-psychiatry.com/washington-telehealth-psychiatry/olympia) ## Sources - Find shortage areas (Spokane County mental health designations) (Health Resources and Services Administration). https://data.hrsa.gov/tools/shortage-area/hpsa-find - Mental health crisis lines by county (Washington State Health Care Authority). https://www.hca.wa.gov/free-or-low-cost-health-care/i-need-behavioral-health-support/mental-health-crisis-lines - Advisory opinion on telehealth for advanced practice nursing care (Washington State Board of Nursing). https://nursing.wa.gov/sites/default/files/2025-01/Telehealth-Advanced-Practice-Nursing-Care-Services-2025-01-21_2.pdf ## Related pages - [Depression treatment](https://www.pp-psychiatry.com/depression-treatment) - [Anxiety treatment](https://www.pp-psychiatry.com/anxiety-disorders-treatment) - [Medication management](https://www.pp-psychiatry.com/psychiatry-practices/medication-management) --- This page is general health information, not medical advice. If you are in crisis, call or text 988 (988 Suicide & Crisis Lifeline), or call 911 in an emergency.