Thoughtful psychiatry. Honest conversation. Real relief.
Adult psychotherapy and medication management from a board-certified psychiatrist who actually has time for you. Available in-office in Portland or by telehealth across Oregon and Washington.
The Difference
You've probably tried the 15-minute appointment.
A rushed visit, a quick script, no real conversation. That's not what you'll find here.
Dr. Hughes built this practice around the opposite approach: fewer patients, longer sessions, real relationships, and honest conversation about what's actually working.
Medication when it helps. Therapy when it helps more. Always both on the table.
“Fewer patients. Longer sessions. Real relationships.”
Meet Dr. Hughes
Hear it from Dr. Hughes himself.
A few minutes with the psychiatrist who would be treating you.
Andrew Hughes, MD · Board-Certified Psychiatrist · Portland, OR
AI Care Concierge
Got a question? Ask Harper.
Harper is your AI care concierge. Ask anything in plain English and get an answer right away. No phone tag. No waiting on an email reply.
How Dr. Hughes Practices
Four ways this practice is different.
Psychotherapy First
Most visits are therapy-focused. That's unusual for a psychiatrist, and it's intentional. A real relationship leads to a more accurate diagnosis and a more effective plan. Expect weekly 45-minute sessions.
Evidence-Based Medication
Dr. Hughes is licensed to prescribe and uses medication thoughtfully, reviewing risks and benefits with you openly. The goal is always the smallest effective role for medication, not the longest.
Integrative Care
Research in nutritional psychiatry, lifestyle interventions, exercise, and meditation gets pulled directly into treatment. Evidence-based, no side effects.
Telepsychiatry
HIPAA-compliant video visits from your phone, tablet, or computer. Same rate as in-person. Available across Oregon and Washington.
The Process
Four steps to your first appointment.
Request an Intake
Fill out a short form online. Takes about 5 minutes.
Free 15-Min Consult
Dr. Hughes calls you directly to see if it's a fit. No cost, no obligation.
Initial Evaluation
A thorough 45-minute first appointment. Full history, clear goals, a real plan.
Ongoing Care
Most patients meet weekly, with adjustments as you progress. Direct line to Dr. Hughes.
About
A psychiatrist who takes the long view.
Board-certified. Trained at OHSU as a chief resident in the psychiatry research track. Published in mental health and neuroscience, and internationally recognized for his research.
Originally from North Dakota, in the Pacific Northwest for years. Research focus: the mind-body connection and nutritional psychiatry.
“Dr. Hughes believes in a safe, trusting relationship where you can be honest about what's going on. The diagnosis and the plan both follow from that.”
Common Questions
Quick answers. Anything else, ask Harper.
Do you take insurance?
Dr. Hughes is out-of-network, which means you'll pay directly and can submit for reimbursement. Ask Harper for the specifics based on your plan.
How often will I come in?
Most patients meet weekly for 45 minutes. That's how real progress happens.
Can I do this entirely over video?
Yes, if you live in Oregon or Washington. Same quality of care, same rate.
What if I don't want medication?
That's completely valid. Many patients do only psychotherapy. Dr. Hughes will never push medication when it isn't the right call.
Is the 15-minute consult really free?
Yes. It's a two-way fit check, and you won't be charged.
Still wondering?
Find Us
Office details
Location
1135 SE Salmon St, Unit 103
Portland, OR 97214
Office Hours
Tuesday — Friday
9:00 am — 4:00 pm
This site does not establish a doctor-patient relationship. If you're experiencing a psychiatric emergency, please call 9-1-1 or go to your nearest emergency room.
Ready to Begin
The first 15 minutes are free. The rest is up to you.
Submit a short intake form. Dr. Hughes calls you directly for a no-cost consult. If it's a fit, you'll schedule your first full evaluation. If it isn't, he'll point you somewhere that is.