Vital Changes

Meet August Piper

Welcome - I appreciate your interest in my practice.

I have practiced medicine since 1969, when I graduated from Howard University Medical School. After medical school, I completed two residencies--one in internal medicine (at Michael Reese Hospital in Chicago and at the University of Washington); and one in psychiatry (at the University of Washington). I am currently a general adult psychiatrist, treating a broad range of psychiatric disorders in people older than 18. My particular interests and training are in using medications for :

  • Anxiety disorders
  • Adult attention-deficit disorder
  • Difficult-to-treat depressions
  • Bipolar disorder
  • Alcohol abuse

In addition, I plan to soon be certified to treat opiate-dependent outpatients. Finally, if scientific evidence supports using natural substances (vitamins, amino acids, plant products), I attempt to use these agents in treatment.

With respect to psychotherapy, I use cognitive-behavioral techniques. This form of counseling has repeatedly been shown to effectively treat any number of psychiatric conditions.

The physician should keep current with the latest developments in his or her specialty, and offer that information to the patient. My approach is not to be the all-knowing expert; rather, I consider myself an adviser to the patient, who, after all, makes the ultimate decisions about treatment.

In the 30-plus years following medical school graduation, there have been faculty positions in two University of Washington departments (internal medicine, psychiatry); medical directorships at Providence Hospital in Seattle and at Harborviev Medical Center; service as an expert witness in several high-profile legal cases; and publication of a book and several well-received scholarly papers. A sampling of the latter:

  • Tricyclic Antidepressants versus Electroconvulsive Therapy: A Review of the Evidence for Efficacy in Depression. Annals of Clinical Psychiatry 5:13-23, 1993
  • "Truth Serum" and "Recovered Memories" of Sexual Abuse: A Review of the Evidence. Journal of Psychiatry and Law 21:447-471, 1993
  • Addiction to Benzodiazepines--How Common? Archives of Family Medicine 4:964-970, 1995
  • Hoax and Reality: The Bizarre World of Multiple Personality Disorder. Northvale, New Jersey: Jason Aronson, 1997
  • What's Wrong with Believing in Repression? A Review for Legal Professionals. Psychology, Public Policy, and Law, 14:223-242, 2008
  • Investigating Child Sex Abuse Allegations: A Guide to Help Legal Professionals Distinguish Probable from Improbable Allegations. Journal of Psychiatry and Law, 36:271-317, 2008

New clients can call our office number, 425-687-9600, or email me at to set up an initial appointment. New clients need the following three forms that you can download: New Client Intake form, Piper Disclosure form, and HIPAA Release form.