Services & Treatment Approach | Shannon Tillery, MD PLLC

Treatment Options

Medication Management

Careful evaluation, prescribing, and ongoing monitoring of psychiatric medications. Rather than relying solely on symptom checklists, I contextualize treatment within your broader life history, values, and goals.

Psychotherapy

I offer two complementary, evidence-based therapeutic modalities, tailored to what fits your goals best:

Psychodynamic Psychotherapy: A reflective talk therapy that explores how past experiences, relationships, and unconscious patterns influence present thoughts, feelings, and behavior. This approach is typically open-ended and moves at a pace that best supports your goals.
Acceptance and Commitment Therapy (ACT): A present-focused, values-driven approach that helps you build psychological flexibility, learning to make room for difficult thoughts and feelings while taking meaningful action toward what matters most. ACT is often time-limited (typically 12 to 20 weekly sessions), though longer care is available when helpful.

Integrated Care (Combined Treatment)

For many individuals, medication and psychotherapy work best in tandem. I coordinate both under a single care plan, continually adjusting treatment as your needs evolve.

Conditions & Concerns Addressed

Clinical Conditions: Anxiety and panic disorders, depression and mood disorders, OCD, PTSD and trauma-related disorders, and ADHD.

Life & Stress Support: Relationship struggles, career pressures, grief and loss, and major life transitions.

Getting Started: What to Expect

Step 1 · 10 to 15 Minutes

Brief Phone Screen

Before scheduling, I offer a brief phone call to discuss your current needs and help us determine if my practice is the right fit for you.

Step 2 · 60 to 90 Minutes

Initial Psychiatric Consultation

An in-depth visit where I review your mental health and medical history, explore your concerns, and develop an initial diagnostic assessment and treatment plan with you.

The Consultative Period: The first three visits serve as a mutual evaluation period to ensure my practice is the right fit for your ongoing needs. If specialized care elsewhere would better serve you, I will help connect you with appropriate referrals.

Step 3

Ongoing Follow-Up Care

Once established, follow-up visits are scheduled according to your personalized treatment plan:

Psychotherapy Visit (with or without Medication) · 55 Minutes: Regular psychotherapy sessions (utilizing psychodynamic therapy, ACT, or both) with medication adjustments incorporated along the way, if needed.
Medication Management Visit · 25 Minutes: Focused follow-up visits for patients whose treatment plan calls for medication management alone.

Practice Logistics & Fees

Population: Adults (ages 18+)
Format & Location: Telemedicine care available to patients located in Washington State, with in-person Seattle visits opening soon.
Current Availability: Now screening new patients starting August 2026, with clinical care beginning September 2026.
Insurance & Payment: I am currently offering self-pay/out-of-network services while completing insurance credentialing with Premera and Regence. For self-pay/out-of-network patients, I can provide a detailed superbill after each visit that you may submit to your insurance company for potential out-of-network reimbursement. Contact your insurer to learn about your out-of-network mental health benefits.