Virtual Counseling & Therapy Services

Online Mental Health Support With a Board-Certified PMHNP

Virtual Counseling Provided by a Psychiatric Mental Health Nurse Practitioner (PMHNP)

At Valiant Mental Health, virtual counseling and therapy services are provided by a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP). We approach integrates clinical counseling, psychiatric assessment, and medication management when appropriate — all delivered through secure, HIPAA-compliant telehealth.

As a PMHNP, I am trained and licensed to provide psychotherapeutic interventions, clinical counseling, and psychiatric care for children, adolescents, and adults, in accordance with state and federal regulations in the states where I am licensed.

Virtual counseling is available to patients located in:
Washington, Idaho, Hawaii, Alaska, Nevada, and Arizona.

What Is Virtual Counseling & Therapy?

Virtual counseling goes by other names. Patients call it online therapy. Professionals use telehealth counseling. Secure video appointments deliver structured mental health support.

Sessions target key areas. Providers understand symptoms. Patients develop coping strategies. Emotional regulation improves. Overall mental wellness gains support.

At Valiant Mental Health, counseling is medical and clinically grounded, not coaching or self-help advice. Sessions are guided by psychiatric training, diagnostic evaluation, and evidence-based treatment principles.

Virtual counseling may be used:

• As a stand-alone service

• In combination with medication management

• For short-term symptom support or ongoing care

Scope of Counseling Provided by a PMHNP

As a PMHNP, counseling services fall within a psychiatric and medical framework. This means therapy is focused on:

• Symptom assessment and monitoring

• Psychoeducation

• Behavioral and cognitive strategies

• Emotional regulation skills

• Support for psychiatric conditions

• Treatment planning and coordination

This scope is permitted across Washington, Idaho, Hawaii, Alaska, Nevada, and Arizona when provided by a licensed PMHNP and delivered via telehealth.

Therapy services are provided within the legal scope of PMHNP practice and do not replace specialized psychotherapy when higher-intensity or long-term therapy is clinically indicated.

Conditions Supported Through Virtual Counseling

Virtual counseling services may support individuals experiencing:

• Anxiety & Panic Disorders
• Depression & Mood Disorders
• Attention-Deficit/Hyperactivity Disorder (ADHD)
• Post-Traumatic Stress Disorder (PTSD)
• Bipolar Disorder
• Obsessive-Compulsive Disorder (OCD)
• Adjustment Disorders & Life Stress
• Child & Adolescent Behavioral Concerns

Treatment is individualized and based on clinical evaluation. If a condition requires a different level of care or specialty service, appropriate referrals are provided.

Integrated Counseling & Medication Management

Because services are provided by a PMHNP, virtual counseling can be closely integrated with medication management when appropriate.

This allows for:

• Real-time assessment of symptom response

• Medication education and monitoring

• Adjustments based on therapy progress

• Coordinated psychiatric care

Not all patients require medication. Counseling-only care is available when clinically appropriate and within state regulations.

States Where Virtual Counseling Is Offered

Virtual counseling and therapy services are available to patients physically located in the following states at the time of the appointment:

• Washington

• Idaho

• Hawaii

• Alaska

• Nevada

• Arizona

Services are provided in accordance with:

• State licensure laws

• Telehealth regulations

• PMHNP scope of practice

• Federal prescribing and telehealth rules

Patients must be located in one of these states during each session.

What Virtual Counseling Can Help With

Virtual counseling sessions may focus on:

• Understanding mental health symptoms

• Developing coping strategies

• Improving emotional insight

• Managing stress and anxiety

• Supporting medication adherence

• Strengthening daily functioning

• Improving quality of life

Sessions are collaborative, goal-oriented, and paced according to individual needs.

Secure & Confidential Telehealth Platform

All virtual counseling sessions are conducted using a HIPAA-compliant telehealth platform, ensuring privacy, confidentiality, and professional standards of care.

✔ Secure video appointments
✔ Flexible scheduling
✔ No travel required
✔ Continuity of care
✔ Professional clinical environment

Is Virtual Counseling Right for You?

Virtual counseling may be a good fit if you are looking for:

• Professional psychiatric-informed counseling

• Flexible online appointments

• Integrated mental health care

• Support for anxiety, mood, or attention concerns

• Care from a licensed PMHNP

An initial evaluation will help determine whether virtual counseling, medication management, or a combination approach is most appropriate.

Schedule Virtual Counseling With Valiant Mental Health

If you are seeking virtual counseling and therapy from a PMHNP in Washington, Idaho, Hawaii, Alaska, Nevada, or Arizona, Valiant Mental Health offers compassionate, evidence-based care delivered online.

📅 Schedule your virtual appointment today and take the next step toward improved mental health.

👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »

What Our Patients Are Saying

Valiant Mental Health is rated 5.0 stars on Google based on patient reviews.

 
 
 
 
 
 
 
  
 
 
 
 Posted on Google  
 
  
 
 
 Kyleigh Farrell 
 
 
 
 Trustindex 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 L 
 
 
 
 Trustindex 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 McAllister 
 
 
 
 Trustindex 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 Etten 
 
 
 
 Trustindex 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 Morgan 
 
 
 
 Trustindex 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  
 
  
 
 
 TransientSapien 
 
 
 
 Trustindex 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 T 
 
 
 
 Trustindex 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 Andrus 
 
 
 
 Trustindex 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 Hanson 
 
 
 
 Trustindex 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 Flannery 
 
 
 
 Trustindex 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.
  
 
  
 
 
 
 
  
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