Telepsychiatry & Online Medication Management in Vancouver, WA
Vancouver is the largest city in Clark County, with more than 190,000 residents and a county population approaching 500,000 — many of whom relocated from across the Columbia River in Portland, Oregon, drawn by Washington’s lack of a state income tax. That cross-river lifestyle often means long commutes on I-5 or the I-205 bridge, leaving little time for in-person healthcare appointments. Despite sitting next to a major metro area, Clark County has continued to face a shortage of local psychiatric providers relative to its fast-growing population.
Valiant Mental Health provides secure, HIPAA-compliant telepsychiatry and medication management for adults throughout Vancouver and Clark County — from downtown and the Fort Vancouver historic district to Salmon Creek, Camas, and Battle Ground. Our board-certified psychiatric provider delivers evaluations, medication management, and ongoing follow-up care entirely online, so you don’t have to add another bridge crossing or freeway commute to your week just to see a psychiatric provider.
Why Vancouver Residents Are Choosing Telepsychiatry
Between commuting across the river for work and Clark County’s limited number of local psychiatric specialists, many Vancouver residents struggle to find and keep consistent in-person care. Telepsychiatry solves both problems at once — no bridge traffic, no long waitlists, and no need to choose between a Portland-based provider and taking time off work.
Conditions We Treat
Our Vancouver telepsychiatry practice supports adults managing a wide range of mental health conditions, including:
- Depression and mood disorders
- Anxiety and panic disorders
- ADHD
- PTSD and trauma-related symptoms
- Bipolar disorder
- Insomnia and sleep disturbances
- Stress related to commuting, work, or life transitions
What a Telepsychiatry Visit Actually Looks Like
- Book online — choose a time that fits your schedule, no waitlist required.
- Complete a brief intake — share your history and current concerns securely before your visit.
- Meet your provider by video — a real, focused evaluation from wherever you are in the Vancouver area.
- Get a personalized plan — including medication management if appropriate, with prescriptions sent to a local pharmacy and follow-up visits scheduled as needed.
Serving Vancouver and Clark County
We proudly serve clients throughout Vancouver, Camas, Battle Ground, Washougal, Ridgefield, and the rest of Clark County. Learn more about our care across Washington State, or explore our pages for nearby communities such as Seattle, Spokane, and the Tri-Cities.
Meet Your Provider
Your care is led by Randy Goleman, MSN, APRN, PMHNP, a board-certified psychiatric-mental health nurse practitioner dedicated to compassionate, evidence-based care for adults across Washington State.
Insurance & Getting Started
We accept a variety of insurance plans and offer transparent cash-pay pricing for Vancouver-area clients. Visit our Insurance & Pricing page to check your coverage, or book a visit directly to get started.
Ready to Begin?
If you’re in Vancouver or anywhere in Clark County and ready for accessible, consistent psychiatric care, schedule your visit today with Valiant Mental Health.
This content is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
What Our Patients Are Saying
Valiant Mental Health is rated 5.0 stars on Google based on patient reviews.
Posted on Google Kyleigh FarrellTrustindex verifies that the original source of the review is Google. I was able to get in the same day and he was very kind, I would absolutely recommend! :)
Owner's reply
Thank you so much for your kind words! We’re glad you had a positive experience. While we can’t always accommodate same-day appointments, we always do our best to get patients scheduled as quickly as possible. We appreciate your recommendation!Posted on Google A LTrustindex verifies that the original source of the review is Google. I've been seeing Randy for probably a year now. His style of counseling is right up my alley: No bs and no coddling. I can speak directly and openly with no judgement (and sometimes I even get a laugh out of him.) Anyone who thinks he's dismissive or claims he said he can't help them obviously needs to do some introspection. If he said he can't help, I guarantee the entire statement was "I can't help you if you're unwilling to help yourself." Therapy is about wanting to be there and wanting to improve mental health. Anyone unwilling to face the ugly in their lives won't be successful in therapy, *regardless* of the therapist.
Owner's reply
Thank you for taking the time to share this thoughtful review. I truly appreciate your perspective and your encouragement of personal accountability in the therapeutic process. Therapy works best when individuals are willing to engage honestly with themselves, and your insight into that is powerful. I’m grateful for your support and wish you continued growth and success on your journey.Posted on Google Jackson McAllisterTrustindex verifies that the original source of the review is Google. Took to long to write this,, i have never had a problem with randy, he is understanding and encouraging and i am happy to be under his care.
Owner's reply
Thank you so much for taking the time to leave this review. I’m truly grateful for your kind words. I’m glad to hear you’ve felt supported and encouraged during our work together. It’s an honor to be part of your care, and I’m here whenever you need anything.Posted on Google Grace Van EttenTrustindex verifies that the original source of the review is Google. Randy was very patient, addressing all my concerns, and he listens extremely well, clarifying misunderstandings instead of jumping to conclusions. He was also very clear about medications and the negative and positive side effects of each type, and how they interact with my medical history personally. He is a *very* good psychiatrist. Most of all, I appreciate the flexibility he offers in scheduling appointments at nighttimeor daytime, weekdays or weekends, and in person or online. This is incredibly helpful for shift work and unpredictable schedules. I have had bad experiences with psychiatrists in the past, and I recommend him as one of the best options around.
Owner's reply
Thank you so much for taking the time to share this thoughtful review. I’m truly glad to hear that you felt heard, supported, and informed during your visits. Clear communication and collaborative decision-making are very important to me, and I’m happy the medication discussions were helpful for you. I also understand how challenging shift work and unpredictable schedules can be, so I’m grateful to know that the flexible appointment options have made things easier. I’m sorry to hear you’ve had difficult experiences in the past, but I appreciate your trust in me and Valiant Mental Health. It means a lot that you would recommend my care to others. Please don’t hesitate to reach out anytime you need support.Posted on Google Ruth MorganTrustindex verifies that the original source of the review is Google. Randy is very detail oriented and he’ll pay attention to all your concerns. He cares abt his pts and is constantly there for them anytime day or night!
Owner's reply
Thank you so much for your kind words! I truly appreciate you taking the time to share your experience. I’m glad to hear you’ve felt supported and heard—that’s always my goal. Your feedback means a lot, and I’m grateful for the opportunity to be part of your care. If you ever need anything, don’t hesitate to reach out.Posted on Google TransientSapienTrustindex verifies that the original source of the review is Google. Randy is an expert in his field and he walked me through a critical time in my life and helped me quit alcohol use. He goes out of his way to ensure his patients well being
Owner's reply
Thank you so much for sharing this. I’m truly glad to hear you’re doing well and making progress. It takes real strength to step forward during a difficult time, and I’m grateful you trusted me to support you through it. If you ever need anything in the future—whether it’s maintaining progress, managing stress, or navigating new challenges—we're here to help.Posted on Google Natalia TTrustindex verifies that the original source of the review is Google. Absolutely love coming here! My past experiences with other providers has been so-so, but Mr. Goleman actually cares and Im sincerely grateful. look forward to working with him. I appreciate the easy check in and everything else. Thank you for understanding and working with me. I look forward to better days!
Owner's reply
Thank you for your kind words. We are happy to help where we can.Posted on Google Brandon AndrusTrustindex verifies that the original source of the review is Google. I cannot recommend Valiant Mental Health enough! Randy truly cares about his patients and has his heart fully in this field. He is extremely prompt with communication and always gets back to you quickly when you need something. His professionalism, consistency, and compassion stand out, and he is very good at what he does. I highly recommend Randy and Valiant Mental Health to anyone seeking quality mental health care.
Owner's reply
Thank you so much for sharing this thoughtful review! I’m honored to hear that my communication and care have made a difference for you. At Valiant Mental Health, we strive to provide compassionate, consistent, and responsive support for every patient, and it’s wonderful to know that has been your experience. Your recommendation means a great deal — we truly appreciate your trust.Posted on Google Claire HansonTrustindex verifies that the original source of the review is Google. Randy Goleman is the best in the area. He is timely and professional, and it is evident how much of a passion he has for helping others and providing the best possible care.
Owner's reply
Thank you so much for your kind words! It truly means a lot to hear that my passion for helping others shows through in the care I provide. I’m grateful for the opportunity to support you and the community, and I’ll continue striving to offer the best possible care for every patient I serve.Posted on Google Laura FlanneryTrustindex verifies that the original source of the review is Google. Randy at Valiant Mental Health is outstanding. He communicates clearly, is reliable and consistent, and truly cares about his clients. He’s even gone out of his way to fit someone in during a medication emergency, which speaks volumes about his dedication. Highly recommend!
Owner's reply
Valiant Mental Health appreciates your kind words! Randy is dedicated to providing compassionate, reliable care, and we’re grateful for the opportunity to support you and your team.Showing only 4-5 star reviews
Frequently Asked Questions
Is telepsychiatry legal and effective for Vancouver residents?
Yes. Telepsychiatry is a well-established, evidence-based form of care, and Washington State fully permits licensed providers to treat patients via secure video visits.
Do you treat patients throughout Clark County, not just Vancouver proper?
Yes, we treat adults throughout Clark County, including Camas, Battle Ground, Washougal, Ridgefield, and surrounding communities.
Can you prescribe medication, including controlled substances, through telepsychiatry?
In many cases, yes, when clinically appropriate and permitted under current telehealth prescribing regulations. Your provider will review this with you directly during your evaluation.
How soon can I be seen?
Many Vancouver-area clients are seen within days, without the extended waitlists common at in-person psychiatric practices in the region.
What technology do I need for a visit?
Just a smartphone, tablet, or computer with a camera and a stable internet connection. Our platform is secure and HIPAA-compliant.
Does Valiant Mental Health treat patients on the Washington side of the Portland metro area?
Yes. We’re licensed in Washington State, so Vancouver, WA patients can receive full psychiatric care by telehealth without needing to cross into Oregon, where we are not yet able to prescribe.
Can I get ongoing medication management in Vancouver without visiting a local clinic?
Yes. After an initial video evaluation, Vancouver patients move into regular virtual follow-up visits for medication management, with prescriptions sent electronically to a Clark County pharmacy.