Dr. Selman Manuel

Hi, I’m Dr. Manuel, APRN, a board-certified Psychiatric-Mental Health Nurse Practitioner providing comprehensive, evidence-based psychiatric care for adults.

I specialize in the evaluation and treatment of Adult ADHD, depression, anxiety disorders (generalized anxiety disorder, panic disorder, social anxiety), bipolar I and II disorder, PTSD, trauma-related disorders, mood instability, and co-occurring mental health and substance use disorders. I also provide addiction psychiatry and Medication-Assisted Treatment (MAT) for opioid use disorder and alcohol use disorder, including treatment with Suboxone (buprenorphine), naltrexone, and Vivitrol.

With over 20 years of clinical experience, I provide structured psychiatric evaluations, personalized medication management, and individualized treatment planning. My approach integrates psychopharmacology, addiction medicine, and trauma-informed psychiatric care to support long-term stability and measurable improvement.

I am committed to providing LGBTQ+ affirming mental health care and creating a safe, inclusive space for individuals navigating identity-related stress, trauma, or healthcare disparities. My practice emphasizes collaboration, clear communication, and respectful, judgment-free care.

Patients often seek my services for ADHD diagnosis and medication management, depression treatment, anxiety and panic disorder management, bipolar disorder stabilization, dual diagnosis care, and addiction treatment.

If you are searching for an experienced psychiatric provider specializing in ADHD, depression, anxiety, bipolar disorder, and addiction treatment, I am here to provide compassionate, evidence-based care focused on your recovery and long-term mental wellness.

Everyone deserves a safe space — and a provider who truly cares.

One of the highest-rated PMHNPs in Oregon & Washington | Telepsychiatry & Medication Management

As a board‐certified Psychiatric Mental Health Nurse Practitioner (PMHNP‐BC), I provide comprehensive telepsychiatry services in Oregon (OR) and Washington (WA). Patients searching for the best PMHNP in Oregon or a top psychiatric nurse practitioner in Washington want accurate diagnosis, safe medication management, and measurable improvement. My approach is structured, evidence‐based, and results‐driven.

Comprehensive Psychiatric Evaluation (WA & OR)

Every patient begins with a detailed psychiatric evaluation conducted via secure telehealth. I specialize in adult ADHD diagnosis, anxiety disorders, depression treatment, bipolar disorder, PTSD, and dual-diagnosis substance use disorders. Many mental health conditions overlap, so I carefully differentiate ADHD vs. anxiety, depression vs. bipolar disorder, and trauma‐related conditions vs. mood disorders to reduce misdiagnosis and prevent inappropriate prescribing.

Evidence‐Based Medication Management

Medication is never automatic. As a PMHNP serving Washington and Oregon, I practice conservative, safety‐focused psychiatric medication management, including:

• ADHD stimulant and non‐stimulant treatment
• SSRI/SNRI management for anxiety and depression
• Mood stabilizers for bipolar disorder
• Medication‐assisted treatment (MAT) for opioid and alcohol use disorders
• Ongoing monitoring and structured follow‐up

I avoid unnecessary polypharmacy and prioritize patient education and shared decision‐making.

Whole‐Person Telepsychiatry Care

My background in psychiatric and family medicine allows me to evaluate sleep, stress, medical conditions, and lifestyle factors alongside mental health symptoms.

Psychiatric Evaluation & Telepsychiatry in Washington & Oregon

If you are scheduling your first appointment with a Psychiatric Mental Health Nurse Practitioner (PMHNP) in Oregon (OR) or Washington (WA), your initial session is a comprehensive psychiatric evaluation conducted via secure telehealth.

This is not a brief medication refill visit. Your first session is a structured, in‐depth assessment designed to provide diagnostic clarity and a personalized treatment plan.

Comprehensive Psychiatric Evaluation

During your first appointment, we review:

• Current symptoms (ADHD, anxiety, depression, mood changes, trauma)
• Psychiatric history and prior diagnoses
• Previous medications and treatment response
• Medical history and contributing health factors
• Sleep, stress, and lifestyle patterns
• Substance use history (if applicable)
• Family mental health history
• Work, school, and relationship functioning

If you are seeking an adult ADHD evaluation in WA or OR, we assess attention patterns, executive functioning, and developmental history.

If you are seeking anxiety or depression treatment, we evaluate symptom severity, triggers, and functional impact.

Personalized Treatment Plan

At the end of your first session, we develop a collaborative treatment plan that may include:

• Evidence‐based medication management
• Therapy recommendations
• Behavioral and lifestyle strategies
• Lab work if clinically indicated
• Structured follow‐up scheduling

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