Psychiatric mental health care for kids, teens, and adults across Oregon
In-depth evaluations, thoughtful prescribing, and de-prescribing via telehealth for all your mental health needs
Specialized treatment for anxiety, depression, ADHD, and more via telehealth in Oregon
LGBTQ+ and neurodiversity-affirming
Autism friendly
Same week appointments
Now accepting new patients
Our Services
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Thoughtful prescribing and de-prescribing for a variety of conditions including anxiety, depression and mood disorders, obsessive compulsive disorder (OCD), ADHD, insomnia, substance use, PTSD, and more
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Comprehensive, no-rush 90 minute evaluations. We will explore a timeline of your symptoms, your history, perform a mental status exam, utilize relevant assessment tools, develop a working diagnosis and treatment plan
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I emphasize conservative, collaborative, and flexible diagnosing. We decide together, based on modern diagnostic frameworks, what fits for you. You will never be reduced to a diagnosis, nor will one ever be given to you without your consent. That said, for some people diagnosis can be a useful framework to begin understanding their experience
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A teacher at heart, I provide education regarding your mental health condition and treatments to facilitate shared decision making. By the end of your first appointment, you will be provided with multiple evidence-based treatment plans from which to choose
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I value long-term therapeutic relationships with my clients. I will be at your side during your mental health journey. We will create a follow-up schedule that works for you, is evidence based, and flexible
Welcome to Cloud Cap Psychiatry
Hi, I’m Adam, a board-certified psychiatric nurse practitioner based in Portland, OR. I am a Portlander with Nicaraguan heritage and California roots. I have my Master’s in Nursing from Vanderbilt University (one of U.S. News and World Report’s top 3 programs), Bachelor’s in Nursing from OHSU, and a B.A. in Geology from Pomona College.
My journey into psychiatric nursing began as a personal one. Having navigated my own mental health challenges, I became curious about what I was experiencing—and how I might use that understanding to help others. I enjoy that this field invites nuance; it blends both the art and science of healing.
Prior to nursing, I worked as a youth outdoor educator in Yosemite and the Sierra Nevada for many years.
Besides staying up to date on the latest psychiatric research, I enjoy rock climbing, sci-fi/fantasy, drag, and petting dogs. I live with my partner, two cats, and a dog.
I am fluent in Spanish.
If you are curious as to whether we would be a good fit, please reach out for a free 15-minute consultation call.
About Me
Pricing
I do not take insurance at this time. All pricing is on a fee-for-service model. I am able to provide you with an invoice that you may submit to your insurance for you to receive out of network benefits (called a “superbill”). I require a card on file. Payment is due at the time of service.
New patients only. Save $225. Includes one 90 minute initial evaluation and two standard (30 min) follow-up appointments. Payment in full is due at the time of the first appointment. No refunds.
New Patient Special
$595
In our first session we will review your mental health journey through a comprehensive psychiatric assessment. This will involve your history, current concerns, and goals. By the end of this appointment we will have established the framework for a treatment plan; this may include starting medication or making medication changes, although this is not guaranteed or required.
Initial Evaluation (90 min)
$450
For established patients only. A medication-focused appointment to review our treatment plan and make any medication adjustments as necessary.
Standard Follow-Up (30 min)
$185
For established patients only. More time to allow for a deeper conversation and exploration of issues, and/or to incorporate more therapy and skills coaching such as brief supportive therapy, motivational interviewing, or trauma resiliency work.
Extended Follow-Up (50 min)
$280
For established patients only. If 10 minutes or more is needed for communication with the client or other providers, or to complete paperwork. Billed per 10 minute increments.
Care Coordination (10 min)
$50
Book Now
Easy self-scheduling via the online portal. Be seen as soon as this week.
New patients - Book a new patient visit
Follow-up visits for established patients only
Include in a comment if you would like to sign up for the new patient package
See services page for pricing
FAQs
What is a psychiatric nurse practitioner?
A Psychiatric Mental Health Nurse Practitioner (PMHNP) is a licensed and board-certified provider who can diagnose mental health conditions, prescribe medication, and provide ongoing treatment. PMHNPs receive advanced training in psychiatry and mental health after becoming registered nurses. Like psychiatrists, they can prescribe and manage medications for conditions such as depression, anxiety, ADHD, and bipolar disorder. They blend the clinical excellence and knowledge of medicine and the person-centered, holistic approach of nursing. At Cloud Cap Psychiatry, I bring both clinical expertise and a collaborative, person-centered approach to care for adults across Oregon via telehealth.
Do you offer telehealth only?
Yes. Cloud Cap Psychiatry is a telehealth-only practice serving clients across Oregon, including Portland, Eugene, Bend, Salem, and rural areas. Virtual care allows for flexibility, convenience, and access without the need to commute. All appointments are secure and HIPAA-compliant
Do you prescribe controlled meds?
Yes, I can prescribe controlled medications when they are clinically appropriate and safe. Please check back for updates prior to December 31, 2025. Due to ongoing federal regulation changes, the ability to prescribe controlled medications without an annual in-person visit may be suspended after that date. I do not provide long-term prescriptions for benzodiazepines (such as Xanax, Ativan, or Klonopin) or stimulants without a thorough evaluation and ongoing monitoring. That said, I am available for de-prescribing plans. My approach emphasizes evidence-based care, shared decision-making, and finding the right treatment plan for your unique needs. If a controlled medication is the best option, I will work with you to ensure it is prescribed thoughtfully and responsibly
Do you take insurance?
Currently, Cloud Cap Psychiatry operates as a self-pay practice. That means I do not bill insurance directly at this time. Instead, clients pay at the time of service and receive a superbill, which they can submit to their insurance company for possible out-of-network reimbursement
Why not take insurance directly?
Flexibility of Care: Insurance companies may limit the length or type of appointments, which can interfere with individualized treatment.
Confidentiality: Without insurance involvement, there is less sharing of sensitive health information with third-party companies.
Transparency: Self-pay ensures clear, upfront pricing with no surprise bills.
Focus on You: My priority is delivering thoughtful, evidence-based care — not spending hours managing insurance paperwork
Do you provide therapy?
I specialize in psychiatric evaluation and medication management. While I do not offer long-term talk therapy, I incorporate brief supportive therapy, motivational interviewing, and trauma resiliency skills during sessions. If ongoing therapy is beneficial, I can help connect you with trusted local therapists in Portland and throughout Oregon.
Contact
Based in Portland, Oregon.
Seeing patients via telehealth across Oregon including Salem, Eugene, Corvallis, Medford, Ashland, Grants Pass, Hood River, The Dalles, John Day, Bend, Sisters, Coos Bay, Astoria, and more.
Email
adam@cloudcap.care
Phone and Text
971-319-5743
General inquiries only. Do not include any sensitive medical information. For secure messaging, please use our HIPPA-compliant portal messaging system.