Careers
Work With Us
We're not for everyone. That's the point.
About the practice
A men's health and psychiatric practice out of Vancouver, WA
We focus on the stuff that keeps people stuck: depression, anxiety, ADHD, insomnia, and the general "I know something's off but I can't figure out what" that brings most guys through our door.
We're also big on life maxxing, helping people who aren't necessarily sick but know they could be doing a lot better than they currently manage. We see people who want to feel better and function better. Some of them have actual diagnoses. Some are just stuck and don't know why. Either way, we talk to them like grown ups, not like they're gonna shatter if we say something they don't want to hear.
We don't do any of this with corporate language, sanitized talking points, or that fake-gentle tone that makes every clinic in the psych industry sound exactly the same. We don't use phrases like "let's explore that" when what we mean is "you're avoiding this and you know it." We just say that. If that's how you practice, cool. There are a lot of clinics that'll love you. This just isn't one of them.
The Naming Method
- Choices have consequencesEvery person makes choices, and those choices have consequences. Consequences aren't punishment, they're just what happens next.
- Name the thingWhen you name the thing for what it actually is, it stops running your life. That's baked into everything we do.
The vibe
What makes working here different
Most psych practices feel like a dentist's office with inspirational posters. We feel more like that conversation you'd have at 1am with someone who actually gets it.
Off the clock
A team that actually likes each other →
We say it like it is
We say what other clinicians are thinking but won't say out loud. Not to be shocking, but because being honest with people is literally the job.
No weaponized therapy speak
We call out avoidance disguised as self-care and victim mentality dressed up as awareness. If something's bullshit, we name it. Not mean about it, but we name it.
The space
An office that doesn't feel like one →
A team that means it
We cover for each other's patients because that's how it should work. No silos, nobody gets weird about it. A rising tide lifts all ships.
Telehealth and in person
Washington and Oregon, your week your way
Our team's small on purpose.
Where we are
Pacific Northwest, and we actually go outside →
Who Fits In
You've been doing this work long enough to know what you're doing, and you don't need to prove it by sounding impressive or using ten-dollar words when a two-dollar word gets the job done. You're the clinician who actually says something useful in session, not the one who just reflects feelings back for 45 minutes and calls it therapy. You believe medication can help and also that it can't fix a bad personality, and you think people can change when they decide to stop waiting around for it to happen on its own.
You like helping people actually get better, not just talk about getting better. You're comfortable being real with people, you don't panic when a patient pushes back, and you can tell someone they're full of it and still have them leave feeling like you give a damn about them. You're probably a little tired of the way most practices operate, the corporate feel, the endless meetings about nothing, the pressure to see 30 patients a day and somehow also "practice self-care." You want somewhere that makes sense.
Who doesn't
- Easily rattledIf you cringe or jump when someone drops an f-bomb or a dirty joke, you're gonna hate it here.
- Allergic to honestyIf you think calling someone out on their own bullshit is somehow harmful, we're going to disagree on some pretty fundamental stuff.
- ScriptedIf you document like a robot and talk to patients like you're reading from a script, or you avoid hard conversations because they're uncomfortable, this isn't your spot.
What we offer
- Real autonomyWe've got standard recommended practices, but you're an independent provider. Do what you think is best.
- Your own scheduleYou make your own schedule. We'll fill it, but you need to keep patients coming back.
- Percentage of collectionsCompensation's a percentage of collections, so you're basically deciding your own salary.
- In-network where it countsPreferred with BCBS, Claritev/Multiplan, and First Choice Health Network. In-network with Aetna, UHC/Optum, Moda, Providence, and Cigna.
What We Offer
We keep it simple. You get a reasonable caseload and the freedom to actually practice the way you want to practice, as long as you're not out here being weird about it. You get a team that has your back, a practice owner who's accessible and doesn't micromanage your clinical decisions, and tools that actually make your job easier instead of harder.
We've got standard recommended practices, but you're an independent provider. Do what you think is best.
If you need someone riding your ass to keep you busy, you're gonna end up really bored. We need people who are self-motivated. The team thing's real here, not a slogan on a break room poster. We cover for each other's patients because that's how it should work, and if someone starts acting like they're more important than the rest of the team, they're better off in solo practice. That's not how any of this works.
What we expect
Laid back doesn't mean no standards
Just because we're laid back doesn't mean we don't have standards. High ones. We're all a reflection of each other and that matters. We've got standardized processes for intakes, visits, and notes, and tools in place to make all of it super easy. We like to work smart, but also a little hard, or not. You make your own schedule. It's up to you, really.
The short list
- Show upBe real and own your mistakes.
- Communicate clearlyNo silos, no games.
- Take care of your patientsLike they're people who matter, because they really are.
Off the clock
We actually like each other
That's a few of us at a vineyard on a day off, not some team-building thing. We just wanted to hang out, which honestly is the whole point.
This is the first job in my life where I don't groan on a Monday, or a Friday. I never sit there dreading the day or bracing for whether it's going to be a stressful one, and I haven't scrolled a job ad in a long time, because there's nothing left to go looking for.Ragnar, founder
No spin
Questions we get from people thinking about this
What states do you operate in?
Washington and Oregon, and we do both telehealth and in-person work, so there's flexibility in how you actually fill your week.
How does compensation work?
Compensation's a percentage of collections, so you're basically deciding your own salary. We don't take a cut to provide benefits either, you're a grown up, go pick your own.
How much will you tell me how to practice?
We've got standard recommended practices, but you're an independent provider, and the practice owner's accessible and doesn't micromanage your clinical decisions. Do what you think is best.
What's the team actually like?
Genuinely good, and that's not a recruiting line. We collaborate, we refer to each other, we cover each other's patients without anyone getting territorial, and we actually like each other's company, which is rarer in this field than it should be. We basically stole Adam Sandler's approach, a company built so you work with people you'd want to hang out with anyway, where even on a working day it doesn't feel like one. We're not hoping this works out someday, we're already doing it right.
Interested?
Reach out and tell us about yourself, not the resume version, the real version. What kind of clinician are you? What are you tired of? What do you actually want from a practice? We're not hiring a credential. We're hiring a person.