05
For patients
Accepting new patients
Take a slow breath.
Psychiatry and mindfulness, in person and online
Psychiatry
that listens.
Mindfulness that lasts.
👋 I’m Elena. Your story comes first.
I’m a board-certified psychiatrist and mindfulness teacher with over 15 years of experience. I combine evidence-based treatment with practical mindfulness tools, shaping your care around your needs and a pace that feels right for you.
Board-certified
15+ years
Licensed in CA, NY, WA
Psychiatry and mindfulness, in person and online
Psychiatry
that listens.
Mindfulness that lasts.
👋 I’m Elena. Your story comes first.
I’m a board-certified psychiatrist and mindfulness teacher with over 15 years of experience. I combine evidence-based treatment with practical mindfulness tools, shaping your care around your needs and a pace that feels right for you.
Board-certified
15+ years
Licensed in CA, NY, WA
Psychiatry and mindfulness, in person and online
Psychiatry
that listens.
Mindfulness that lasts.
👋 I’m Elena. Your story comes first.
I’m a board-certified psychiatrist and mindfulness teacher with over 15 years of experience. I combine evidence-based treatment with practical mindfulness tools, shaping your care around your needs and a pace that feels right for you.
Board-certified
15+ years
Licensed in CA, NY, WA
Services
Care for every stage of your journey
From the first evaluation to long-term follow-up, each service is built around you.
Services
Care for every stage of your journey
From the first evaluation to long-term follow-up, each service is built around you.
Services
Care for every stage of your journey
From the first evaluation to long-term follow-up, each service is built around you.
Our approach
Medicine and mindfulness, working together
Medication can steady the ground. Mindfulness gives you skills to stand on it. We plan both together, so care feels coherent instead of piecemeal.
Our approach
Medicine and mindfulness, working together
Medication can steady the ground. Mindfulness gives you skills to stand on it. We plan both together, so care feels coherent instead of piecemeal.
Our approach
Medicine and mindfulness, working together
Medication can steady the ground. Mindfulness gives you skills to stand on it. We plan both together, so care feels coherent instead of piecemeal.
Same-week evaluation appointments, in person or online
Medication plans reviewed at every visit, never on autopilot
Mindfulness practices you can use between appointments
Voices
Real people. Real change.
Voices from our practice, shared with permission. Names and details are changed for privacy.
Voices
Real people. Real change.
Voices from our practice, shared with permission. Names and details are changed for privacy.
Voices
Real people. Real change.
Voices from our practice, shared with permission. Names and details are changed for privacy.
of patients would recommend Dr. Marsh to a friend.
Rated 4.9 by 640+ patients.
Google 4.9
Zocdoc 5.0
Healthgrades 4.9
"
I finally felt heard.
The plan was clear, and the mindfulness sessions gave me tools I use every single day.
Priya S.
Nurse, Seattle
Google · Feb 2026
"
Ten quiet minutes.
They changed my mornings. I stopped fighting my mind and started noticing it.
Daniel K.
School teacher, Portland
Zocdoc · Jan 2026
"
Heard, not hurried.
Dr. Marsh let me decide at my own pace, and I never felt rushed.
Tom H.
Architect, Denver
Healthgrades · Dec 2025
How it works
Four simple steps to feeling supported
From your first call to ongoing care, you always know what happens next.
How it works
Four simple steps to feeling supported
From your first call to ongoing care, you always know what happens next.
How it works
Four simple steps to feeling supported
From your first call to ongoing care, you always know what happens next.
15 min · free
STEP 01 • 15 MIN • FREE
Free 15-minute call, a short conversation to check we are a good fit before you commit.
No commitment
Phone or video
02
Week 1
Evaluation
A full first visit to understand your history, symptoms and goals, at a pace that feels right.
60 minutes
In person or online
03
Within 48 hours
Your plan
A written plan in plain language: options side by side, next steps and what to expect.
Written summary
Decided together
04
Ongoing
Ongoing care
Follow-ups, therapy or programmes, adjusted as you change and grow.
Flexible pace
Mindfulness built in
15 min · free
STEP 01 • 15 MIN • FREE
Free 15-minute call, a short conversation to check we are a good fit before you commit.
No commitment
Phone or video
Week 1
STEP 02 • WEEK 1 • 60 MIN
Evaluation, a full first visit to understand your history, symptoms and goals.
60 minutes
In person or online
Within 48 hours
STEP 03 • WITHIN 48 HOURS
Your plan, written in plain language with options side by side and clear next steps.
Written summary
Decided together
Ongoing
STEP 04 • ONGOING
Ongoing care, follow-ups, therapy or programmes, adjusted as you change and grow.
Flexible pace
Mindfulness built in
15 min · free
STEP 01 • 15 MIN • FREE
Free 15-minute call, a short conversation to check we are a good fit before you commit.
No commitment
Phone or video
Week 1
STEP 02 • WEEK 1 • 60 MIN
Evaluation, a full first visit to understand your history, symptoms and goals.
60 minutes
In person or online
Within 48 hours
STEP 03 • WITHIN 48 HOURS
Your plan, written in plain language with options side by side and clear next steps.
Written summary
Decided together
Ongoing
STEP 04 • ONGOING
Ongoing care, follow-ups, therapy or programmes, adjusted as you change and grow.
Flexible pace
Mindfulness built in
Conditions
Support for what you’re facing
Treatment is tailored to the person, not the label. These are some of the conditions we help with most.
Conditions
Support for what you’re facing
Treatment is tailored to the person, not the label. These are some of the conditions we help with most.
Conditions
Support for what you’re facing
Treatment is tailored to the person, not the label. These are some of the conditions we help with most.
Mentor-led programmes
Practice that grows with you
Small groups, guided by a mentor, shaped around your pace.
Mentor-led programmes
Practice that grows with you
Small groups, guided by a mentor, shaped around your pace.
Mentor-led programmes
Practice that grows with you
Small groups, guided by a mentor, shaped around your pace.
Fees and insurance
Clear fees, no surprises
We’re in-network with several major plans and provide superbills for the rest.
Fees and insurance
Clear fees, no surprises
We’re in-network with several major plans and provide superbills for the rest.
Fees and insurance
Clear fees, no surprises
We’re in-network with several major plans and provide superbills for the rest.
Initial evaluation
/ 60 min
A full first visit with a written plan.
Full psychiatric history
Diagnosis and treatment plan
Summary sent within 48 hours
Follow-up visit
Most booked
/ 25 min
Medication review and check-in.
Medication review each visit
Questions answered in full
Secure messaging between visits
Therapy session
/ 50 min
Mindfulness-informed talk therapy.
Weekly or fortnightly
Individual, couples or family
Skills practised between sessions
Using insurance? Superbills, HSA/FSA and a sliding scale are all available.
Using insurance? Superbills, HSA/FSA and a sliding scale are all available.
Chat with Dr. Marsh
Ask the doctor anything.
Pick a question or write your own. Nothing is too small to ask.
Chat with Dr. Marsh
Ask the doctor anything.
Pick a question or write your own. Nothing is too small to ask.
Chat with Dr. Marsh
Ask the doctor anything.
Pick a question or write your own. Nothing is too small to ask.
That is the most common place to begin. In the first visit we do the sorting together: what has been weighing on you, what you hope changes, and what can wait. You do not need a diagnosis or the right words.
No. Medication is one option among several, never a requirement. We talk through therapy, mindfulness and lifestyle approaches first, and any medication is a shared decision you can revisit or stop with guidance.
Yes. Most follow-ups happen by secure video, and first visits can too. We are licensed in three states, so telehealth works wherever you are within them.
Fees are listed plainly before you book, with no surprises afterwards. We accept most major insurance, and we offer a clear self-pay rate if you prefer to go without.
Yes. Your records and conversations are protected by medical confidentiality and HIPAA. Information is only shared with your written consent, or in the rare cases the law requires for safety.
About an hour of conversation. We listen to your story, ask a few clinical questions, and finish with a plain-language plan and a next step. No tests are done to you.
That is the most common place to begin. In the first visit we do the sorting together: what has been weighing on you, what you hope changes, and what can wait. You do not need a diagnosis or the right words.
No. Medication is one option among several, never a requirement. We talk through therapy, mindfulness and lifestyle approaches first, and any medication is a shared decision you can revisit or stop with guidance.
Yes. Most follow-ups happen by secure video, and first visits can too. We are licensed in three states, so telehealth works wherever you are within them.
Fees are listed plainly before you book, with no surprises afterwards. We accept most major insurance, and we offer a clear self-pay rate if you prefer to go without.
Yes. Your records and conversations are protected by medical confidentiality and HIPAA. Information is only shared with your written consent, or in the rare cases the law requires for safety.
About an hour of conversation. We listen to your story, ask a few clinical questions, and finish with a plain-language plan and a next step. No tests are done to you.
Journal
Notes on mind, medicine and mindfulness
Short, practical reads from the practice.
Journal
Notes on mind, medicine and mindfulness
Short, practical reads from the practice.
Journal
Notes on mind, medicine and mindfulness
Short, practical reads from the practice.
48 notes and counting
New reads every other week.
Take the first step toward feeling better.
01 Practice
02 Patients
03 Contact
© 2026 Mentora. All rights reserved.
Made in Framer by
Take the first step toward feeling better.
01 Practice
02 Patients
03 Contact
© 2026 Mentora. All rights reserved.
Made in Framer by
Take the first step toward feeling better.
01 Practice
02 Patients
03 Contact
© 2026 Mentora. All rights reserved.
Made in Framer by