Misty Forest

Psychiatric Care for People Who Think Deeply and Feel Intensely

Thoughtful, compassionate, judgement free support for adults navigating anxiety, depression, grief, postpartum mental health, and identity-related struggles.
Rooted in honesty. Built on clarity. Focused on you.

I offer psychiatric care for adults in Washington, Arizona, and Texas—tailored to your needs, location, and insurance situation.

Your Options at a Glance

Laptop and notebook on desk – telehealth psychiatry

Psychiatric Care (WA – Insurance)

Care for adults across WA — in person (Spokane) or online anywhere.
Insurance-based services with support for anxiety, depression, LGBTQ+, postpartum, and more.


✅ In-network with most major insurance plans.

See full WA page →

Laptop on Desk - Telehealth

Private-Pay Telehealth in AZ + TX

Online psychiatric care for adults in Arizona and Texas.
Cash-pay only — no insurance billing, but superbills and support available.
Caring, thoughtful guidance for anxiety, identity, postpartum, and life transitions.

See full AZ page →
See full TX page →

Calm waterfall in green forest – values-driven care

Thoughtful, Identity-Affirming Care

You won’t get five-minute med checks. You’ll get thoughtful care grounded in your values, insight, and lived experience.
Whether you’re exploring your identity, healing from harm, or simply ready to stop performing “okay,” I’ll meet you with clarity and compassion.

About Me

I’m a board-certified Psychiatric Nurse Practitioner who believes that good care starts with honest conversation.

I work with adults who think deeply, feel intensely, and are exhausted by systems that reward neither. I’m not here to med-check your symptoms and send you on your way. I’m here to help you understand yourself more honestly—and support you in becoming more whole.

I work with adults navigating anxiety, depression, grief, postpartum mental health, and other struggles that don’t always have a neat diagnosis. Many of my clients are high-functioning on the outside but overwhelmed on the inside. They’re thinkers. Questioners. People who’ve tried to play the game but can’t keep numbing what’s real.

I especially enjoy working with LGBTQ+ clients, and anyone who has felt out of place in spaces that prioritize conformity over truth.

Whether you're new to medication or looking for a more thoughtful approach—in Washington, Arizona, or Texas—I offer 60-minute evaluations and 25-minute follow-ups with space to talk, reflect, and adjust. You’ll get direct access, same-day communication, and a partner who takes your values and insight seriously.

I don’t prescribe benzos or manage active crises, psychosis, or personality disorders. But I offer support that’s honest, responsive, and rooted in the belief that growth begins where self-deception ends.

My practice is built on clarity—not just around medication, but around what matters to you. We’ll look at how your mental health intersects with work, sleep, relationships, and identity. I don’t overpathologize. I don’t sugarcoat. And I won’t rush you through a five-minute refill script.

As Carl Rogers put it: “The curious paradox is that when I accept myself just as I am, then I can change.”
That’s the kind of work we’ll do together.

A blue arched door slightly open, symbolizing reflection, healing, and the start of a personal journey.
Black and white portrait of Michael Van Gelder, PMHNP
Minimalist image of a green houseplant in a clear glass vase, placed against a soft, neutral background. Clean and calming, it complements the “My Credentials” section by conveying simplicity, growth, and professionalism.

My Credentials

  • M.S. Clinical Psychology from Eastern Washington University

  • Masters in Nursing from Oregon Health & Science University

Thinking About Working Together? Start Here.

Before reaching out, I invite you to explore Think Beyond the Diagnosis — a short series of reflections that share how I approach care, what matters in this work, and what healing actually asks of us.

It’s not just a blog.
It’s where I answer the questions people are often too overwhelmed — or too afraid — to ask.
And it might help you decide whether we’re the right fit for each other.

Contact Us

Have questions or ready to schedule?
My assistant, Jesse, handles all scheduling, billing, and coordination.
You can reach out using the form on the right, or contact us directly:

  • Phone: (509) 591-9007
    (Mon–Thurs, 10am–4pm Pacific)

  • Email: Jesse@corspokane.com

If you’re a current client and have a medication-related question or refill need, you may email me directly at
michael@corspokane.com

For all other inquiries—including availability, scheduling, and general questions—please contact Jesse or use the form to the right.