Phone icon circle

Mental Health


Mental Health

Mental Health Providers


Tenley Rivera, MD

Geriatric Psychiatrist

Mental Health Locations

87th Avenue Clinic
700 NE 87th Ave
Vancouver, WA 98664
Battle Ground Clinic
2005 W Main Street
Battle Ground, WA 98604
Columbia Tech Center Clinic
501 SE 172nd Ave
Vancouver, WA 98684
Salmon Creek Clinic
2525 NE 139th Street
Vancouver, WA 98686

Information about Mental Health


What is the Mental Health department?

At The Vancouver Clinic, you are never alone with any mental health issue. We help you move through them with compassion and cooperation. Our doctors and professional staff understand how delicate and personal your mental health is, no matter what you’re going through, or have been through in the past. We work with you to build a plan, and coordinate the level of care that you need.

We believe your mental and physical health are intertwined, and follow this holistic approach when treating and supporting you. Our Mental Health services are embedded into our larger Primary Care department, allowing us to build and follow a cohesive plan that includes your mental health provider and primary care physician. Such cooperation among providers leads to better treatment outcomes, and forms the basis of how we support you.

Our patients include children, adolescents and adults across a full spectrum of needs and support—from people dealing with anxiety or depression, to veterans grappling with PTSD, to mothers who need support during their postpartum period.


Outpatient psychiatry services to support a variety of mental health issues for both adults and children, including but not limited to:

  • Depression
  • Anxiety
  • Bipolar disorder
  • Psychotic disorders
  • Child behavior problems

We primarily offer medication management appointments. However, our providers may also incorporate elements of psychotherapy into the treatment, depending on each patient’s unique situation.

What kind of insurance do you accept?

We accept most insurance plans. Please check with your health plan, or call our Patient Services Center at 360-882-2778 for assistance. Your co-pay, if you have one, is due at the time of service.

Do you ever provide services outside of regular business hours and outside of your office?

We provide outpatient psychiatry services, and do not currently see patients outside of business hours or outside the office.

Do you offer therapy?

Currently, we do not have therapists. As we expand our department, we hope to change this in the future. While not therapists, our mental health providers are trained in various modalities, including cognitive behavior therapy (CBT), and supportive psychotherapy. They can incorporate these principles into treatment.

If your provider feels you will benefit from weekly psychotherapy, he or she will work with you to identify a therapist in the community, and will coordinate care.

Do you prescribe medications?

Yes, the psychiatrist and advanced nurse practitioners can prescribe psychiatric medications. Your provider will work with you to determine if medication is the right option.

Will my information be kept confidential?

Your information will always be kept confidential. Confidentiality is the cornerstone of successful collaboration between you and your provider, and it is also required by law. As providers, we are always happy to include your family, but only with your consent.

Are mental health and behavioral disorders treatable?

Mental health disorders are treatable, often with combinations of medication and therapy. There are many people who live successful and fulfilling lives with appropriate treatment.

Will my parents be notified that I am coming to the Mental Health Service?

Children over the age of 13 are empowered to make mental health decisions in Washington state. We always encourage open communication among family members, but we will also respect your desire for confidentiality as protected by law.

Do you have crisis counseling?

If you are in the midst of a crisis and feel you cannot be safe(ex: active suicidal thinking), we encourage you to go to the ER, call 911, or talk to a family member/friend so you can get to a safe place immediately. If there are no immediate safety concerns, then contact your mental health provider as soon as possible to discuss what is going on and how to best treat it.

After business hours, you can access the Clark County CrisisLine at (800) 626-8137 or (360) 696-9560. This operates 24 hours a day, seven days a week, to provide phone triage for crisis calls from children and adults.

When you first meet with your provider, he or she will work on a safety plan with you so you know what to do in the event of an emergency.

What to Expect

Our providers will ask you a very thorough set of questions in order to get to know you and your situation as best we can—from how you’re feeling in the moment, to how you interact with others.

A mental health assessment/evaluation allows our professionals to understand why you’re seeking help, and lays the groundwork for treatment. Assessment includes, but is not limited to:

  • Current stressors
  • Past psychiatric history
  • Social history
  • Family history
  • Medical history
  • Labs and/or imaging studies as needed

While you’re with us, we’ll ask you to talk about only what you are comfortable sharing. We want you to be frank and open, while feeling safe and supported. If you wish to bring a friend or family member with you, you are welcome to do so.

Initial appointments are one hour each.

Internal MedicineSleep Medicine