For the people who respond.

Off duty isn't really off

Calls stack up. Sleep slips. Home starts to feel like another shift.
You won't have to explain the job before we start.

Who this is for

• Law enforcement

• Fire

• EMS

• Dispatch

• Corrections

What we work on

• PTSD

• Nightmares

• Anger

• Anxiety

• Depression

• Moral injury

How the work goes

Individual trauma-focused therapy for adults. Direct and structured.
CBT, ACT and Prolonged Exposure. EMDR only when clinically appropriate and under supervision.

Who you'll see

Brian Altmaier, LICSWA. Combat veteran, three deployments, USC MSW. Supervised by Dr. Erin Daniels, LICSW.

L&I claims

I see L&I claims only when they're authorized through a TPA or a self-insured employer.

Insurance and payment

• In-network with Aetna and UnitedHealthcare.

• Other plans: superbill on request. Reimbursement isn't promised.

• Private pay is due at the visit, paid by Ivy Pay in session.

Where and when

Tuesday through Thursday. Spokane Valley office, or telehealth anywhere in Washington.

Not a crisis service

If you're in crisis, call or text 988, or call 911.

Start with a 15-minute call

Click Request a consult. The next screen says Healing Hearts Together, my supervisor Dr. Erin Daniels' practice. The free 15-minute call checks if we're a fit.