Conditions we treat
PTSD treatment
Evaluation and medication management for PTSD. Treatment starts with understanding what you're experiencing, how it's affecting daily life, and what else may be contributing before deciding what treatment makes sense. Care moves at your pace.
First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.
Book a first visitMeredith personally reviews every appointment request and confirms within one business day.
If this sounds familiar
Nightmares, a heightened startle response, avoidance, or strong reactions to reminders of something that happened may be affecting school, work, relationships, routines, or daily life. Maybe PTSD has already been diagnosed, maybe it has only been suspected, or maybe the word trauma doesn't feel like it fits what happened.
Meredith starts with a careful look at the symptoms, their history, and how they show up across daily life, at your pace.
Common ways PTSD shows up
A few of the patterns we see most, not a complete list and not a checklist you need to match.
Single-event trauma
An accident, an assault, a medical emergency, a sudden loss. Flashbacks, nightmares, heightened alertness, and avoidance of anything associated with what happened can continue long after the event is over.
Complex trauma
Repeated or prolonged exposure: childhood adversity, domestic violence, ongoing abuse, institutional trauma. The symptoms are often broader: difficulty trusting, emotional dysregulation, shame, problems in relationships. Symptoms can overlap with depression, anxiety, or other mental health conditions.
Healthcare worker moral injury
Many healthcare professionals have worked in environments with overwhelming demands, difficult decisions, and experiences that stay with them long after a shift ends.
PTSD with co-occurring conditions
PTSD can occur alongside anxiety, depression, insomnia, substance use, or chronic pain.
How we approach PTSD treatment
Your first visit is 60 minutes. Meredith will ask about what you're experiencing now (sleep, hypervigilance, avoidance, mood, daily functioning), at your pace. You share what you're comfortable sharing. There is no pressure to recount the trauma in detail during a medication management visit.
Medication is often one part of PTSD treatment and may be used alongside trauma-focused therapies such as EMDR or cognitive processing therapy (CPT). Meredith focuses on evaluation and medication management and can coordinate care with your therapist if you'd like. If you don't already have a therapist, she can help you find one.
Follow-up visits are 30 minutes, typically every 4 to 6 weeks. Enough time to talk about what's working, what isn't, and adjust the plan together.
Pricing and logistics
First visit: 60 minutes, $400
Follow-up: 30 minutes, $250
Extended follow-up: 60 minutes, $375 (when you want more time)
Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.
Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.
No referral needed. Book directly.
Questions about PTSD treatment
Do I have to talk about what happened?
Can medication help with nightmares?
Should I be in therapy too?
Is telehealth okay for PTSD treatment?
I'm a healthcare worker. Do you understand what that's like?
Your provider
Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she starts at your pace and considers how trauma, stress, and life circumstances may be affecting daily life.
Care that starts at your pace.
If you want trauma-informed care that starts with understanding what you're going through, we'd like to meet you.
Meredith personally reviews every appointment request and confirms within one business day.