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The image shows a white jeep on the Bolivian Salt Flats (Salar de Uyuni) at dawn. The sky is filled with clouds that reflect on the wet surface of the flats.

The image shows a white jeep on the Bolivian Salt Flats (Salar de Uyuni) at dawn. The sky is filled with clouds that reflect on the wet surface of the flats.

Is this a good fit for me?

Cadence Telemedicine is intended for adults (age 18 or older) who are interested in a psychiatric evaluation for initial diagnosis, second opinion, or to identify challenging behavioral patterns. Dr. Kakani uses an outpatient consultation model to assess one's mental health and then guides patients through relevant resources while problem-solving together. This model will best serve motivated individuals who are open to exploring their emotional health to improve relationships and to achieve personal goals. The appropriate patient will also have adequate technology and privacy to engage in a confidential video visit.

 

How do I start?

All interested patients will submit a screening questionnaire. If this type of practice is appropriate for you, Dr. Kakani will schedule a one-time virtual consultation to explore your mental health history and develop a treatment plan. This visit lasts up to 90 minutes after which, the written consultation report will be shared with you electronically. 

What about my confidentiality?

The medical record platform and video interface are encrypted as per each vendor’s specifications. Your consultation report will be shared with you electronically. Any concerns regarding your safety or the safety of others will be addressed during the visit and Dr. Kakani will inform you if he must take further action as required by law to protect you, loved ones, or the public. 

How do I find other types of mental health treatment in my area?

The Substance Abuse and Mental Health Services Administration (SAMHSA) has a national helpline and treatment locator you can use to find options based on location

What will be asked?

The psychiatric consultation covers many topics which will be addressed respectfully. Some topics may be sensitive including symptoms related to mood, anxiety, psychosis, trauma; current and past treatments (medication and non-medication); self-harm thoughts and behaviors; family mental health history; relationships and sexuality; spiritual beliefs; substance use; legal history; and firearm access. 

 

Can I have someone who knows me well join the visit?

Yes, Dr. Kakani reserves time at the end of the consultation to receive additional information from your partner, friend, or family member. He encourages supportive participation in your mental health treatment. 

Will I receive a medication prescription?

No, Dr. Kakani does not currently prescribe medications in this practice. Instead, he encourages reducing unnecessary prescriptions and can provide guidance on your existing mental health medications. These recommendations will be included in the written consultation report sent to you electronically following the visit. This report is intended for you and your treating providers. 

Is there a follow-up?

Additional visits are scheduled as needed. After consultation, you can use the patient portal to message Dr. Kakani if an adjustment to your treatment plan is desired.

How does payment work?

You will pay in full online upon reserving an appointment. You will receive an invoice at the time of service and if you prefer, a superbill. Due to practice constraints from managed care companies, Dr. Kakani does not accept insurance. If cost is a barrier, this can be discussed prior to the consultation. 

The image shows a river leading to a waterfall surrounded by forest in Olympic National Park, Washington.

The image shows a stream leading to a waterfall surrounded by forest in Olympic National Park, Washington.

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