A Virtual Psychiatry Practice

A boutique psychiatry practice founded by two board certified psychiatrists with more than 20 years’ collective experience. We specialize in anxiety, bipolar disorder, depression, OCD, insomnia, PTSD, ADHD, and addiction. Our goal is to provide high quality, easily accessible mental health treatment for adults in Washington state.

Accepting New Patients · Evening Availability · Next Day Appointments

About Us

Neal & Garrard, PLLC is a fully virtual psychiatry practice. We recognize the challenges that patients and their families face navigating the mental health system. Our goal is to deliver quality treatment to adults (ages 18 to 65) living in Washington state with mental illness. We treat a wide range of conditions—anxiety, depression, ADHD, and addiction—and specialize in severe mental illness, including bipolar spectrum illnesses and psychotic disorders. We will work with you to customize a treatment plan designed to help you reach your goals from the convenience of your home.

Conditions We Treat

  • Anxiety treatment is something many people search for, but few understand. We all feel nervous at times. A big test, a job interview, or even waiting for important news can cause sweaty palms and racing thoughts. However, when that feeling persists, it can become a problem that affects daily life.

  • ADHD treatment isn’t just about managing symptoms; it’s about creating a life that feels balanced and productive. Millions of people live with ADHD, and many feel stuck between frustration and hope. The good news? Effective treatment exists, and when it’s personalized, it can change everything.

  • What comes to your mind when you hear the phrase addiction treatment? For many, it sparks images of hospitals, group meetings, or long, difficult struggles. But here’s the truth: addiction treatment isn’t about punishment. It’s about healing.

  • Bipolar disorder treatment isn’t about finding a one-size-fits-all cure. It’s about building a plan that helps someone live a stable, fulfilling life. People living with bipolar disorder often face extreme highs called mania and deep lows called depression. These shifts can shake careers, relationships, and even self-worth. That’s why early recognition and consistent care matter.

  • Depression treatment isn’t just about feeling better. It’s about reclaiming your life. Millions of people experience depression every year, yet many still hesitate to seek help. Why? Some believe it’s a weakness. Others assume it will just go away. But here’s the truth: untreated depression can make even the simplest tasks, like getting out of bed or calling a friend, feel impossible.

  • Sleep feels like a natural gift, yet for many, it becomes a nightly struggle. Insomnia treatment matters because restless nights often spill into stressful days. But what exactly is insomnia?

  • When people hear the word OCD, they often picture someone washing their hands too many times or checking the door locks repeatedly. But obsessive-compulsive disorder runs deeper than that. It’s a cycle of unwanted thoughts paired with compulsive behaviors that can take over someone’s daily life.

  • Post-traumatic stress disorder, often called PTSD, affects millions of people worldwide. It doesn’t just touch veterans or first responders; it can impact anyone who’s gone through trauma. The good news? PTSD treatment works, and it’s more accessible today than ever before.

See Our Reviews

“Dr. Gerard is an exceptional psychiatrist who combines empathy, expertise, and a strong commitment to his patients' well-being.”

— Daniel L