About Us

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Dr. Chris Cotner is a naturopathic physician who has been diagnosing and treating mental health conditions since 2003. He specializes in naturopathic psychiatry, a comprehensive, integrative approach that empowers people towards optimal wellness using lifestyle modifications, supplemental treatments, and medications. He works with adolescents, adults, and older adults, tailoring care to each individual’s needs.

The Principles of Naturopathic Medicine are used to guide clinical practice and make wise decisions together for best outcomes: 

• Use the healing power of nature
• Identify and treat the cause
• First do no harm
• Doctor as teacher
• Treat the whole person
• Prevention
• Follow a therapeutic order
• Remove obstacles to cure
• Stimulate self-healing
• Restore weakened systems
• Correct structural integrity

Before becoming a psychiatric nurse practitioner and clinic owner, Jessica worked as an airplane mechanic, flight attendant instructor, automotive mechanic, and insurance adjuster. While each of these roles was meaningful in its own way, they ultimately led her to seek a deeper sense of purpose. Her background in mechanical systems became an unexpected foundation for nursing: shaping her understanding that multiple systems work together to support overall function, and when one area is impaired or , it can impact the whole, much like the human body and mind.

Today, she finds fulfillment in supporting individuals on their path toward wellness. She has experience providing psychiatric medication management and brief therapy across residential, inpatient, and outpatient settings, with a primary focus on children, adolescents, and autistic individuals of all ages. Her approach is practical, collaborative, and tailored to each person’s unique needs. Whether someone is beginning medication for the first time or adjusting an existing plan, she aims to provide thoughtful, supportive care.

Health Care Education

++ Autism Center of Excellence Training, UW

++  Post-Masters PMHNP Certificate, Regis College  

++ MS Nursing, Johns Hopkins University 

++ BS Integrative Healthcare, Metropolitan State University of Denver 

Makhiya is the Care Coordinator at Keystone Tides, dedicated to ensuring each patient’s experience is smooth, supportive, and well-coordinated from the very first point of contact. She assists with scheduling appointments, answering questions, and guiding patients through the process of accessing care.

Recognizing that seeking mental health support can feel overwhelming, Makhiya strives to provide a sense of ease and reassurance throughout each step. With a background in healthcare administration, she is committed to helping patients feel heard, respected, and genuinely cared for. Her approach emphasizes empathetic, active listening and a positive, welcoming presence.

Whether working with new or established patients, Makhiya remains available to help address questions, resolve concerns, and support each individual’s path toward improved mental health.

My name is Chan, a registered Nurse (BSN) trained in the Philippines, who shifted from bedside nursing to become a Medical Virtual Assistant. My nursing background grounded me in patient care, compassion, and clinical accuracy—particularly in hospital settings—before transitioning to virtual health support roles.

Over the years, I’ve developed a professional philosophy centered on compassion, empathy, and patient-centeredness. I strive to create safe, trusting environments where individuals are truly seen, heard, and valued—whether in clinical care or virtual communication. My goal is to offer both clinical competency and emotional presence to support mental health and well-being.

Beyond my work, I enjoy traveling across the Philippines, one island at a time, and uncovering hidden neighborhoods or local cafés. I cherish quality moments with loved ones, and find joy in simple life rhythms. At home, I love relaxing walks with my two Maltese dogs, whose company brings warmth and ease into my daily routine. Ever curious and open-minded, I’m always up for trying new hobbies or exploring new facets of life.

As a Care Coordinator, I support the care team behind the scenes to keep things organized, responsive, and compassionate. With experience in customer service and healthcare, I make sure clients feel heard and supported—whether it’s scheduling appointments, answering questions, or connecting them with Ms. Jess or the right resources.

I assist Ms. Jess with scribing and help ensure patients receive quality, timely care. I’ve been recognized as a Top Performer at a leading BPO company and hold a Six Sigma Yellow Belt, reflecting my dedication to both excellence and empathy.

As a mom of two, I’ve learned patience, balance, and resilience—qualities that help me care for our clients and support the team every day. I’m proud to be part of a practice that puts personalized, client-centered care first.

At Keystone Tides Mental Health, we understand that comfort and warmth can come from the most joyful and unexpected sources—even through a screen. Meet Beau, our beloved canine co-therapist, who might pop into your telehealth sessions. While he primarily offers support from behind the scenes, his occasional on-screen appearances during virtual sessions provide a unique comfort and a smile, easing the digital distance. Whether you’re joining us for an initial consultation or a follow-up visit, Beau is always ready to offer a virtual wag or a curious glance, adding a touch of home-like comfort to your telehealth experience.