– Licensed in Washington State since 1998
– Board certified in Adult Psychiatry since 2003
– Clinical faculty member, University of Washington Dept. of Psychiatry and Behavioral Sciences
– Member of the American Psychiatric Association
– Member of the Washington State Psychiatric Association
– Certificate, Advanced Psychodynamic Psychotherapy, Seattle Psychoanalytic Society and Institute
– Residency: University of Washington, Departments of Internal Medicine, Psychiatry
– Medical School: top 1% graduate, University of Massachusetts Medical School
– Undergraduate: cum laude graduate, Harvard College
I’ve wanted to be a doctor since I was 10 years old. My father died of an unusual illness when I was very young, and that loss became part of my inspiration to go into medicine. I dreamed of being a small town family doctor where I could solve medical mysteries, help people through difficult times, and make a genuine difference in my community.
Coming of age in the 70’s and 80’s made me acutely aware of women’s issues and civil inequalities. I was dismayed in medical school to learn that compared to men, women had low rates of survival from heart disease, primarily because all of the treatment studies had been conducted on men. My medical training highlighted many more ways in which women were disadvantaged when it came to health care. Remedying gender disparities in medicine and improving the lives of women became my passion. Ultimately, though, being a primary care doctor was unsatisfying. Doctors in that era were rewarded for the number of patients they churned through in a day, not for patient satisfaction, health outcomes, or the quality of relationships they formed with patients. Retraining as a psychiatrist allowed me to heal patients while establishing deep and meaningful connections with them.
Practicing medicine, especially in solo practice, has its challenges. But I feel truly privileged, still, to call myself a physician. It’s very gratifying and a tremendous honor when patients share their lives with and place their trust in me.
Payment is expected at the time of service. I accept credit cards as well as PayPal, Venmo and Zelle. I will ask your permission to keep your credit card on file, using secure encryption.
I’m not an in-network provider with any health insurers. However, most plans will reimburse for my services at the “out-of-network” rate, and I can help you estimate what your ultimate cost will be. My office also provides you any necessary paperwork for submitting a reimbursement claim to your insurer.
Your appointment time is reserved exclusively for you. I never double-book and generally run a very punctual practice. I understand that life happens, and if you arrive late, I’m happy to see you for the time remaining in your appointment. An exception to this is if you arrive 10 or more minutes late for a 20-minute medication management visit. Because the remaining time is inadequate for providing good care, I may choose to have you reschedule the visit instead.
48 hours’ notice is requested for appointment cancellations or changes. If less notice (or no notice, in the case of no-shows) is given, the full appointment fee will be charged.
The guarantee of confidentiality is essential to effective mental treatment. I am strongly committed to protecting your privacy under my care so that you feel safe. Your protected health information, which includes the mere fact that you’re my patient, as well as the details in your medical record and the content of any psychotherapy sessions, will not be shared with anyone without your written consent. Keep in mind that my firm privacy stance can also be an inconvenience at times. For example, I will not return phone calls or emails from your partner if they’re trying to schedule an appointment for you, or letting me know you’re ill and not coming to your appointment, or want to speak with me because they’re concerned about you. Please keep a signed release form on file with me if you want me to be able to communicate with your spouse or partner, and if you want me to coordinate care with another medical provider.
In some cases, I’m legally and ethically obligated to breach confidentiality and share your medical information without your consent. This includes situations in which I believe you pose an immediate and violent threat to yourself or another person, or if I suspect you are involved in domestic violence, abuse of a child or abuse of a vulnerable adult. If one of those situations occurs, I will seek outside assistance to protect you and/or the at-risk or vulnerable individual.
I also have to release your protected health information if I receive a court order to do so.
I handle prescription refills a little differently than other medical offices. I provide refills only during scheduled appointments. I don’t respond to requests from pharmacies via fax, phone or other means. I handle refills this way because it gives me the opportunity to talk with you about how you’re taking the medication, whether you still need it, whether you’re taking other medications or have new health conditions that might change the risk of the medicine I’ve prescribed, and to make sure I’m refilling the right medication at the right dose. This reduces dangerous prescription errors and improves the quality of your care.
I’ll always prescribe enough medication plus refills to last until your next anticipated follow-up appointment. I encourage you to be proactive about tracking your supply of medication, and be aware of how many refills you have left. If you’re running low on medication, please contact me to set up an appointment. If for some reason you find you’re out of medication before your follow-up visit, a between-visit refill fee will apply.
It’s my policy not to engage with patients on social media or in online communities. Doing so can compromise your treatment in unexpected ways.
Email is the best way to reach me; I typically respond within a few hours and nearly always within 24 business hours. You can also choose to contact me by phone and leave a voice message, though this results in a slower response. Bear in mind that my email is encrypted to protect your privacy, but no electronic communication is ever completely secure.
I welcome you to text message me for time-sensitive communications, e.g., to let me know you’re running late for your appointment. Usually, texting isn’t the best means for scheduling appointments or communicating about your care.
In-office and telehealth sessions are billed at the same rate. Providing my fees here is not a contractual agreement on rates, as fees are subject to change.
New patient deposit, non-refundable, credited toward appointment fee $100
Initial appointment/evaluation $400 (60 min)
Subsequent evaluation visits, if needed $275 (45 min)
Consultation or second opinion $400 (60 min)
Medication management $240 (15-20 min)
Extended medication management $275 (25-45 min)
Psychotherapy $225 (45-55 min)
Psychotherapy combined with medication management $225 - 275 (45-55 min)
Coaching session $225 (60 min)
Email consult (requiring clinical judgment or expertise) $75
Document preparation for a third party (attorney, employer, etc.) Varies
Medical chart copying/sharing as allowed by state law
Between-visit prescription refill $50
Appointment Missed or Canceled without 48 hours notice Full appointment fee
Invaluable caregiver! I have and will continue to recommend Dr. Bibeault. She was my first experience for both psychiatry and therapy, and I feel extremely lucky to have found her. She is smart, yet easy to talk to and down to earth. She is caring and understanding but also objective. She has helped me so much in the past few years and I wouldn’t be where I am today without her!