General Services

  1. Individual & Family Counseling
  2. Behavioral Health Advocacy Services
  3. Psychiatry & Medication Management 

If you are considering mental health services, we start together with an assessment which takes a holistic look at your life – your reason for seeking services, health history, supports and resources you may already have, daily living needs or stresses, key life experiences, and any cultural or spiritual connections you may want to ensure are recognized. Your first appointment will be longer than a typical therapy appointment as a result. At the next appointments, we review assessment results together, introduce you to your therapist or counselor, and build your individual treatment plan and team. Our outpatient program provides individual counseling with the ability to provide some family/parent services in support of the individual’s treatment plan. We also offer mental health group services, although these services are not always covered by insurance. We will work with you if we feel that groups would be beneficial for you.   

We primarily serve individuals ages 5 and up. Pediatric mental health services are a specialty service, we will work with you to locate a provider for the child. 

We provide support for treatment of a wide range of mental health challenges and conditions, including if you are struggling with both a substance use and mental health challenge at the same time. We have a close partnership between our substance use and mental health treatment programs. This partnership results in better outcomes people who enter treatment both conditions at the same time. 

Please contact our main number 360-795-8630 with any questions. 

Requesting Mental Health Services

To request mental health services, simply call or stop by Wahkiakum County Mental Health Services' office located at 42 Elochoman Valley Road in Cathlamet, WA.

Intake Assessment

The purpose of a mental health intake is to determine qualification for services as well as strengths and needs in your life that you wish to address. You will be asked to come in a few minutes before your intake time in order to complete pre-assessment paperwork.

Individual Care Plan (ICP)

After the intake, you will be assigned to a clinician who will work with you to develop an Individualized Care Plan designed to meet your needs. This plan includes goal to be accomplished while in treatment.

Counseling Services

Masters level clinicians utilize a combination of individual, family, and group evidenced based treatment options to meet your specific goals developed on your individualized care plan.

Medical Necessity

The Medicaid program entitles Medicaid recipients to receive all mental health services which are "medically necessary." 


The legal definition of "medical necessity" is: A term for describing a requested service which is reasonably calculated to prevent, diagnose, correct, cure, alleviate, or prevent the worsening of conditions in the recipient that endanger life, or cause suffering or pain, or result in illness or infirmity, or threaten to cause or aggravate a handicap, or cause physical deformity or malfunction, and there is no other equally effective, more conservative, or substantially less costly course of treatment available or suitable for the person requesting service.

For the purpose of this section, "course of treatment" may include mere observations or, where appropriate, no treatment at all.