Services - Psychology and Psychiatry

Autism Spectrum Disorders

Our psychologists accept referrals from MultiCare providers for evaluation to rule out autism. However, Pediatric Psychology and Psychiatry Services is only one of multiple clinics at Mary Bridge that evaluates children for autism, and evaluations are triaged to the most appropriate and available discipline by a centralized nurse navigator. Other disciplines participating in autism diagnostic evaluations include Pediatric Neurology and Developmental Behavioral Pediatrics. In many cases, our evaluations of patients suspected to have autism are interdisciplinary and are coordinated with providers from Developmental Pediatrics, Neurology, Speech & Hearing, Audiology, Occupational Therapy and Social Work.

Inpatient Consulting Services

Pediatric Psychology and Psychiatry Services provides neuropsychological, psychological and psychiatric consultation services to the Mary Bridge inpatient units.

Populations served include:

  • Patients with head injury, concussion or other brain trauma/disease. Examples may include, but are not limited to:
    • Traumatic brain injury
    • Concussion
    • Encephalopathy due to disease or infectious process
    • Altered mental status due to substance abuse
    • Brain tumor
    • Brain surgery
    • Other neurosurgical patients
  • Patients newly diagnosed with diabetes.
  • Patients who are admitted due to a suicide attempt or who are expressing current suicidal ideation.
  • Patients with a new diagnosis of a chronic illness where there are concerns about issues of coping and adjustment.
  • Patients who are experiencing depression or anxiety to such a degree that it is interfering in their medical care or recovery, or is preventing discharge.
  • Patients who are dealing with significant acute or chronic pain that is in need of a multidisciplinary approach to pain management.
  • Patients dealing with a mental illness, developmental delay or behavioral issue that is making it difficult or impossible for staff to provide care.
  • Trauma patients or their siblings who may be experiencing an acute stress reaction.
  • Patients, siblings and families with anticipatory grief and end-of-life concerns.
  • Patients with diagnosed or likely diagnosis of an eating disorder that is impacting care or recovery.
  • Physicians or staff for case consultation, as needed.

Outpatient Treatment

Our providers offer outpatient psychotherapy to patients and families who have psychological challenges related to a medical condition. Typical referral concerns include adjustment to illness, non-adherence to medical treatment protocol, anxieties related to procedures and suspected psychological factors affecting an illness. Treatment modalities include cognitive-behavioral, solution focused and behavioral family therapy.

Neuropsychological Evaluation

In some cases your child’s specialist or provider may request that your child have neuropsychological testing. A neuropsychologist is a psychologist with specialty training in the assessment of cognitive skills. Neuropsychologists utilize pencil and paper tests to assess a child’s skills in multiple areas of functioning including intelligence, memory, language, visual perceptual skills, sensory processing, motor abilities, emotional functioning, problem solving, organization and planning. Assessments typically occur over several sessions for one to three hours per visit, depending on the child’s age and ability. Following the course of an assessment, the neuropsychologist will provide face-to-face feedback, as well as a written report.