The first step is a brief, no-obligation discovery call. We’ll discuss your goals, current treatment, and whether this approach may be a good fit. If we decide to move forward, we complete a thorough intake and coordinate with your medical provider. Schedule Here

Medical clearance or ongoing oversight from your physician or psychiatrist is strongly recommended. Therapeutic ketogenic approaches should be implemented under medical supervision, especially when psychiatric medications or other health conditions are involved.

No. This is specialized counseling support that works alongside your existing care. Medication decisions and medical management remain fully with your physician or psychiatrist. I coordinate with your medical team (with your permission) so that support stays aligned.

It is designed for adults who are interested in exploring therapeutic ketogenic nutrition as an adjunct to their mental health care. It may be especially relevant for people living with depression, bipolar spectrum conditions, anxiety, or other mental health concerns who have found limited relief from standard treatments alone and are motivated to make significant dietary changes with professional support.

I provide licensed mental health counseling and specialized guidance in therapeutic ketogenic nutrition. Your doctor or psychiatrist retains full responsibility for medical oversight, laboratory monitoring, and medication management. We work collaboratively.

Yes, when appropriate and with your consent. Limited education and guidance for caregivers or support people can help them understand the process and provide more effective support at home.

Yes. Small groups are focused on education, accountability, and practical support are offered periodically. Details are shared with current and prospective clients.

Please see Services Page for details on cost and what’s included.

All services are private-pay. A superbill can be provided for possible out-of-network reimbursement of the counseling portions.

In addition to counseling fees, most clients have some initial start-up costs to support therapeutic ketogenic nutrition. These commonly include:

• A blood ketone and glucose meter (such as KetoMojo) and test strips

• A subscription to a food-tracking app (such as Cronometer)

• A food scale for accurate portioning

• Recommended baseline lab work ordered by your physician or psychiatrist

• Limited supplements

Ongoing costs are usually limited to test strips, the tracking app subscription, and food. I can help you prioritize what is most useful at the beginning so you do not need to purchase everything at once.

All services are private pay, but the counseling or nutrition portions may be eligible for out-of-network reimbursement depending on your plan. I can provide you a superbill if you wish to seek reimbursement through your insurance. I can also provide you more information about the billing codes, etc., if you want to call and ask your insurance ahead of time if they’ll reimburse you.

Results vary. Emerging research and clinical experience suggest that therapeutic ketogenic approaches may offer meaningful support for some people, particularly when carefully implemented. This program emphasizes realistic expectations, safety, and collaboration with your medical team.

You can email me at:

Elizabeth@spokanemetabolictherapy.com

Or call me at (509)204-8914

You may also book an initial consultation call on my “Book now” page.