# Existential Psychiatry

> Existential Psychiatry is a Seattle-based psychiatric practice led by David G. Zacharias, MD, MPH — a board-certified psychiatrist with over 20 years of healthcare experience. Trained at Mayo Clinic (MD), Harvard (MPH), and the University of Washington (psychiatry residency, chief resident), Dr. Zacharias currently serves as clinical faculty at UW. The practice specializes in existential psychotherapy, medication management, and trauma-informed care, serving adults for anxiety, depression, PTSD, ADHD, OCD, phobias, and other mental health conditions through in-person and telehealth appointments. Phone: (206) 569-8733. Location: Seattle, WA.

## About
- [About Dr. Zacharias](https://existentialpsychiatry.com/about/): Background, credentials, and philosophy of care
- [Services](https://existentialpsychiatry.com/services/): Overview of psychiatric services offered
- [Virtual Care](https://existentialpsychiatry.com/virtual-care/): Online therapy and telepsychiatry options
- [Fees](https://existentialpsychiatry.com/fees/): Pricing and insurance information
- [FAQ](https://existentialpsychiatry.com/faq/): Frequently asked questions about the practice
- [Contact](https://existentialpsychiatry.com/contact/): Schedule an appointment

## Specialty Services
- [Anxiety Therapy Seattle](https://existentialpsychiatry.com/anxiety-therapist-seattle/): Anxiety treatment in Seattle
- [Depression Therapy Seattle](https://existentialpsychiatry.com/depression-therapy-seattle/): Depression treatment in Seattle
- [Trauma Therapy Seattle](https://existentialpsychiatry.com/trauma-therapy-seattle/): PTSD and trauma treatment
- [ADHD Psychiatrist Seattle](https://existentialpsychiatry.com/adhd-psychiatrist-seattle/): ADHD evaluation and treatment
- [OCD Therapist Seattle](https://existentialpsychiatry.com/ocd-therapist-seattle/): OCD treatment in Seattle
- [Phobia Therapy Seattle](https://existentialpsychiatry.com/phobia-therapy-seattle/): Phobia treatment
- [Stress Counseling Seattle](https://existentialpsychiatry.com/stress-counseling-seattle/): Stress management
- [Sexual Abuse Therapy Seattle](https://existentialpsychiatry.com/therapist-for-sexual-abuse-seattle/): Sexual abuse recovery
- [Spirituality Therapy Seattle](https://existentialpsychiatry.com/spirituality-therapist-seattle/): Spirituality-integrated therapy
- [Online Therapy](https://existentialpsychiatry.com/online-therapy/): Virtual psychiatric care
- [Find the Best Seattle Psychiatrist](https://existentialpsychiatry.com/find-the-best-seattle-psychiatrist-for-your-needs/): Guide to choosing a psychiatrist
- [Therapy Cost in Seattle](https://existentialpsychiatry.com/how-much-does-therapy-cost-in-seattle/): Understanding therapy costs

## Blog — ADHD
- [ADHD in Women](https://existentialpsychiatry.com/adhd-in-women/): How ADHD presents differently in women and girls
- [ADHD and Relationships](https://existentialpsychiatry.com/adhd-and-relationships/): 10 ways to thrive together with ADHD
- [ADHD Executive Dysfunction](https://existentialpsychiatry.com/adhd-executive-dysfunction/): A practical guide to executive dysfunction
- [ADHD Emotional Dysregulation](https://existentialpsychiatry.com/adhd-emotional-dysregulation/): Why symptom management isn't enough
- [ADHD Decision Fatigue](https://existentialpsychiatry.com/adhd-decision-fatigue/): Why making choices feels exhausting
- [Rethinking ADHD Treatment](https://existentialpsychiatry.com/adhd-treatment/): Misdiagnosis and overmedication
- [Perfectionism and ADHD](https://existentialpsychiatry.com/perfectionism-and-adhd/): Understanding the link and how to cope
- [Grieving a Late ADHD Diagnosis](https://existentialpsychiatry.com/grieving-a-late-diagnosis-of-adhd/): Processing a late diagnosis

## Blog — Trauma & PTSD
- [Complex PTSD](https://existentialpsychiatry.com/complex-ptsd/): Understanding the depth of trauma and complex PTSD
- [Trauma-Informed Care](https://existentialpsychiatry.com/trauma-informed-care/): Instilling hope in trauma-informed care
- [15 Tips for Healing Psychological Trauma](https://existentialpsychiatry.com/healing-psychological-trauma/): Practical trauma recovery guidance
- [PTSD and Relationships](https://existentialpsychiatry.com/ptsd-and-relationships/): Navigating intimacy after trauma
- [Childhood Trauma and Autoimmune Disease](https://existentialpsychiatry.com/the-link-between-childhood-trauma-and-autoimmune-disease/): The mind-body connection
- [Childhood Trauma and Codependency](https://existentialpsychiatry.com/childhood-trauma-and-codependency/): Exploring the core of addiction and codependency
- [Neurodivergence and Trauma](https://existentialpsychiatry.com/neurodivergence-and-trauma/): Understanding the overlap
- [OCD and Trauma](https://existentialpsychiatry.com/at-the-intersection-of-ocd-and-trauma/): At the intersection of OCD and trauma

## Blog — Anxiety & OCD
- [Does Overthinking Cause Anxiety?](https://existentialpsychiatry.com/does-overthinking-cause-anxiety-3-ways-to-cope/): 3 ways to cope
- [7 Tips for Coping with Anxiety](https://existentialpsychiatry.com/how-to-cope-with-anxiety/): Anxiety coping strategies
- [When to See an Anxiety Therapist](https://existentialpsychiatry.com/when-to-see-anxiety-therapist/): 10 signs it's time
- [Panic Attacks vs. Anxiety Attacks](https://existentialpsychiatry.com/panic-attacks-vs-anxiety-attacks/): Understanding the differences
- [OCD and Intrusive Thoughts](https://existentialpsychiatry.com/ocd-intrusive-thoughts/): A closer look at intrusive thoughts
- [Perfectionism OCD](https://existentialpsychiatry.com/perfectionism-ocd/): When perfection feels compulsive

## Blog — Grief & Loss
- [How to Cope with Grief](https://existentialpsychiatry.com/how-to-cope-with-grief/): Finding your own path through loss
- [Existential Grief](https://existentialpsychiatry.com/what-is-existential-grief-how-can-therapy-help/): What is existential grief and how can therapy help?
- [Anticipatory Grief](https://existentialpsychiatry.com/anticipatory-grief-coping-with-loss/): Coping with loss before it happens
- [Holiday Grief](https://existentialpsychiatry.com/holiday-grief/): Finding hope and healing during the holidays
- [Divorce Grief](https://existentialpsychiatry.com/divorce-grief-healing-from-breakup/): 5 ways to support your healing
- [Inner Child Work for Grief](https://existentialpsychiatry.com/inner-child-work-for-grief/): Healing grief at its roots

## Blog — Inner Child & Self-Compassion
- [Healing Your Inner Child](https://existentialpsychiatry.com/healing-your-inner-child/): Reparenting and inner child healing
- [Spirituality and Inner Child Healing](https://existentialpsychiatry.com/spirituality-and-inner-child-healing/): Spiritual approaches to healing
- [What Is Self-Compassion?](https://existentialpsychiatry.com/what-is-self-compassion/): How to practice self-compassion
- [Radical Acceptance](https://existentialpsychiatry.com/radical-acceptance/): How to stop resisting reality without giving up

## Blog — Perfectionism & Depression
- [What Causes Perfectionism?](https://existentialpsychiatry.com/what-causes-perfectionism/): Understanding its roots through a trauma lens
- [Perfectionism and Depression](https://existentialpsychiatry.com/5-ways-perfectionism-and-depression-are-related/): 5 ways they are related
- [Depression or Burnout?](https://existentialpsychiatry.com/depression-or-burnout/): How to tell the difference
- [Seasonal Affective Disorder](https://existentialpsychiatry.com/seasonal-affective-disorder/): Causes, symptoms, and treatment

## Blog — Addiction & Relationships
- [Addiction and Connection](https://existentialpsychiatry.com/addiction-and-connection/): What the link means for recovery
- [Social Media Addiction](https://existentialpsychiatry.com/effects-of-social-media-addiction/): Effects on relationships and well-being
- [Neuroscience of Love and Sex Addiction](https://existentialpsychiatry.com/the-neuroscience-of-love-and-sex-addiction/): The neuroscience behind addiction
- [Workaholism](https://existentialpsychiatry.com/treatment-for-workaholism/): Breaking free and finding balance
- [How to Stop Being Codependent](https://existentialpsychiatry.com/how-do-i-stop-being-codependent/): Overcoming codependency

## Blog — Religious Trauma & Spirituality
- [Religious Trauma and Faith](https://existentialpsychiatry.com/religious-trauma/): How religious trauma impacts faith development
- [Healing From Religious Trauma](https://existentialpsychiatry.com/healing-from-religious-trauma/): Recovery and healing
- [Parenting After Religious Abuse](https://existentialpsychiatry.com/parenting-after-religious-abuse/): Breaking cycles for the next generation
- [12-Steps and Inner Healing](https://existentialpsychiatry.com/12-steps-higher-power-parts-work/): Reclaiming the self through 12-step work

## Blog — Neurodivergence & Identity
- [What Is Dissociation?](https://existentialpsychiatry.com/what-is-dissociation/): Signs, myths, related conditions, and treatment
- [High-Functioning Autism](https://existentialpsychiatry.com/what-is-high-functioning-autism/): Why we're moving away from that term
- [Autistic Meltdowns vs. Shutdowns](https://existentialpsychiatry.com/autistic-meltdowns-vs-shutdowns-in-adults/): Understanding the differences in adults
- [Neurodivergent Masking](https://existentialpsychiatry.com/what-is-neurodivergent-masking/): Survival, safety, and strain
- [Therapy vs. Psychiatry](https://existentialpsychiatry.com/do-i-need-therapy-or-psychiatry/): Which is right for you?

## Blog — Social Justice & Mental Health
- [LGBTQ Mental Health Statistics](https://existentialpsychiatry.com/societys-role-in-lgbtq-mental-health-statistics/): Understanding society's role
- [Racial Microaggressions](https://existentialpsychiatry.com/effects-of-racial-microaggressions/): Understanding the effects
- [Mental Health Stigma](https://existentialpsychiatry.com/mental-health-stigma-western-mental-healthcare/): Stigma in Western mental healthcare
- [Mental Health Diagnosis as Meaning-Making](https://existentialpsychiatry.com/mental-health-diagnosis-meaning-making-tool/): Using diagnosis as a tool for understanding

## Optional

- [Curriculum Vitae (PDF)](https://existentialpsychiatry.com/Zacharias-CV.pdf): Dr. Zacharias's full CV
- [Peer-Reviewed Publications](https://pubmed.ncbi.nlm.nih.gov/?term=David+G+Zacharias): Published research on PubMed
- [RSS Feed](https://existentialpsychiatry.com/feed.xml): Blog feed