Adult & geriatric psychiatry · Washington State

Psychiatric and cognitive care for adults and older adults — and for the families who are worried about them.

Opening January 2027

The practice begins seeing patients in January 2027. Until then I am building an interest list. If you would like to be contacted when scheduling opens, please email hello@rosemarypsychiatry.com with your name and phone number.

Please don’t include medical details in that first message — email isn’t a secure way to send health information. We can talk about your situation by phone.

What I can help with

I’m an adult and geriatric psychiatrist. My special interests are caring for older adults with cognitive concerns and their families, reducing dementia risk, and slowing cognitive decline.

I care for most adult and geriatric mental health conditions, including depression, anxiety, OCD, PTSD, bipolar disorders, and psychotic disorders.

I offer psychiatric and cognitive evaluations, psychotherapy, medication management, and help with planning for life with cognitive change.

How I work

I send new patients a detailed questionnaire beforehand, so our first visit — 90 to 120 minutes — goes to you and not to paperwork. If filling out a long form is difficult, a family member is welcome to complete it.

I want to know the whole person: your strengths, what gives your life meaning, what you’re hoping for, and not only what’s wrong. Follow-up visits run 30 to 60 minutes. Some people come weekly, others a few times a year.

I’m trained in Acceptance and Commitment Therapy and drawn to positive psychology, but my main tool is curiosity, not a manual. Much of the work is figuring out what matters to you and using what you’re already good at to move in that direction, at whatever pace is possible.

A cognitive evaluation

A thorough cognitive evaluation takes more than one appointment and more than one source. It includes cognitive testing, a careful history, collateral information from the people who know you, laboratory work, brain imaging where it is indicated, and coordination with the rest of your medical team.

Where we meet

  • In the office, by arrangement. 6100 219th Street SW, Suite 480, Mountlake Terrace, WA 98043. Office visits are scheduled by arrangement rather than offered as a standing option — please ask when we speak.
  • By video. Telehealth visits are available to patients who are physically located in Washington State at the time of the visit.
  • At home. I travel from Shoreline, as far north as Everett, east to Bellevue, and south to Tacoma. I do not travel across the water by ferry. Travel time is billed, and I will give you an estimate before we schedule. A home visit also tells me things an office visit cannot: how someone actually manages day to day, and whether home is still safe.
  • Where you live. I see residents of adult family homes, assisted living, memory care, and skilled nursing facilities.

About Dr. Susie

Susan Wetstone, M.D.

Most of my patients call me Dr. Susie. After fifteen years practicing anesthesiology — which taught me how bodies and medications work — I retrained in psychiatry and geriatric psychiatry at the University of Washington, because the pain I most wanted to treat was the kind anesthesia can’t reach, and because I wanted to know my patients.

Fees and insurance

I am an out-of-network provider and do not bill insurance directly. For commercial plans I provide an itemized superbill you can submit yourself — it is worth checking your out-of-network mental health benefits before we begin. I keep a card on file and charge it after each visit.

Initial evaluation — 90 minutes$550
Follow-up visit — 25 minutes$200
Follow-up visit — 55 minutes$300
Work between visits — collateral calls, records review, care coordination$250 / hour
Travel to home and facility visits, from Shoreline$200 / hour

Medicare

This practice does not participate in Medicare. Medicare and Medigap will not reimburse my fees, and patients with Medicare pay privately and sign a private contract before the first visit. If you have Medicare, please say so when you first get in touch, so it is clear before you schedule rather than after.

Getting in touch

I respond to routine matters — refill requests, appointment changes, questions about a medication or a side effect — within one business day.

If this is an emergency

This practice does not provide crisis care and messages are not monitored around the clock.

If you or someone you care about is in danger, call 911. For a mental health crisis, call or text 988 to reach the Suicide & Crisis Lifeline, or go to your nearest emergency department.