Telepsychiatry & Online Medication Management in Spokane, WA
Spokane is the largest city between Seattle and Minneapolis, serving as the hub for the Inland Northwest — a region spanning Eastern Washington, North Idaho, and beyond. With roughly 230,000 residents in the city and over 540,000 across Spokane County, demand for psychiatric care far outpaces the number of local providers, and many surrounding rural counties in Eastern Washington are formally designated as behavioral health professional shortage areas. Add in Spokane’s long, gray winters and short daylight hours, and it’s easy to see why telepsychiatry has become an essential option for residents across the region.
Valiant Mental Health provides secure, HIPAA-compliant telepsychiatry and medication management for adults throughout Spokane and the greater Inland Northwest — from downtown and the South Hill to Spokane Valley, Cheney, and the rural communities that surround them. Our board-certified psychiatric provider delivers evaluations, medication management, and ongoing follow-up care entirely online, so distance and provider shortages no longer stand between you and consistent psychiatric care.
Why Spokane-Area Residents Are Choosing Telepsychiatry
Spokane has seen steady population growth in recent years, including many residents relocating from Western Washington in search of a lower cost of living — but the region’s mental health workforce hasn’t kept pace with that growth. For many people in Spokane and the surrounding rural Inland Northwest, the nearest in-person psychiatric provider can be an hour or more away. Telepsychiatry closes that gap, offering the same quality, evidence-based care without the drive.
Conditions We Treat
Our Spokane telepsychiatry practice supports adults managing a wide range of mental health conditions, including:
- Depression and seasonal mood changes
- Anxiety and panic disorders
- ADHD
- PTSD and trauma-related symptoms
- Bipolar disorder
- Insomnia and sleep disturbances
- Stress related to relocation, work, or rural isolation
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 Spokane 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 Spokane and the Inland Northwest
We proudly serve clients throughout Spokane and Spokane County, including Spokane Valley, Cheney, Airway Heights, Liberty Lake, and the surrounding rural communities of Eastern Washington. Learn more about our care across Washington State, or explore our pages for nearby communities such as Spokane Valley, Seattle, 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 Spokane-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 Spokane or anywhere in the Inland Northwest 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.
Frequently Asked Questions
Is telepsychiatry legal and effective for Spokane 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 outside Spokane city limits, including rural Eastern Washington?
Yes, we treat adults throughout Spokane County and the broader Inland Northwest, including many rural communities where in-person psychiatric care is limited.
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 Spokane-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 serve the greater Spokane area, including Spokane Valley and Eastern Washington?
Yes. Telehealth visits are available to patients throughout Spokane County and Eastern Washington, so you don’t need to live in the city center to get care.
How soon can a new patient in Spokane be seen for a psychiatric evaluation?
Most new Spokane patients can schedule an initial evaluation within a few business days, with ongoing medication management visits scheduled on a regular follow-up basis.