Counseling for veterans and active duty, from a combat veteran.

You don't have to translate

I'm Brian Altmaier, LICSWA. Combat veteran, three deployments, USC MSW. I'm supervised by Dr. Erin Daniels, LICSW.
You won't spend the first session explaining the military to me.

Active duty or out

Still serving or long out, the work is the same. Deployments, losses and decisions that still replay. Sleep that never came back. Anger that shows up at home.

What we work on

• PTSD

• Moral injury

• Nightmares

• Anger

• Anxiety

• Depression

How the work goes

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

Where and when

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

Paying for it

• 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.

• VA Community Care: enrollment in progress. Ask on your consult call for the current status.

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. That's the secure portal of my supervisor, Dr. Erin Daniels. The free 15-minute consult call checks if we're a fit.