Mark underwood is a great person he listens to you and makes you feel as if you werent the only one even though were not unfortunately we feel that way and the receptionists are so kind and always helpful I would recommend cascade to anyone needing help with meds

Ms.Sylvia is the best!! I felt like she understood me and my symptoms and she helped me tremendously with getting my dosage right along with getting the right combination of meds to keep my mind right and I can take care of my own day to day activities alone. I sincerely thank her for her therapy, she deserves all the credit, my other therapist didnt know what he was doing and he couldnt get my meds correct. She is a blessing!!!

The office here is frustrating. No one answers the phone for days on end and the mailbox is full. There is no answering service during the off hours. If a patient urgently needs to contact a doctor, there is no way to do so, and pharmacy refill requests are automatically denied and told to schedule an appointment, even if you just had an appointment. Sylvia, one of the providers, has been good at managing my meds the past few years, and I personally like her, but Ive had to go without meds (and therefore without sleep) a few times because I couldnt get through to anybody for days on end.

Sylvia is unprofessional and does not know how to do her job and evaluate a patient before agreeing to alter their ongoing treatment plan. She allows patients to walk in and tell her whats best for them and she agrees and changes the plan. For that reason, my relative suffered another mental break and is now in a mental hospital thanks to Sylvias incompetence as a Provider.

Sylvia does not obey the HIPPA law in any way, shape, or form. Patient privacy is not a concern of hers. She spoke with one of my relatives without my authorization and closed my case without even talking to me because they didnt want me taking medication she prescribed. Ive called and asked 5 times to speak with her about it and she openly refuses to talk to me. I had to go in and pay for a copy of my medical records because they would not send them to my new doctor after asking for 3 months straight. Ive reported her to the the Office Of Civil Rights along with the Washington State Health Department and would advise anyone dealing with her mistreatment to do the same. No one deserves to be treated this poorly by a lowlife like Sylvia.

Im not really sure what everyone is complaining about. First off the guy at the front desk is always nice to me. It can be a little difficult sometimes to get a hold of someone but if you leave a message someone always calls you back. Ive been going there for a little over a year. I see Sylvia who is one of the nicest people in the medical profession! Ive dealt with a lot of them over the years and she is GREAT!!! Always has a smile, cordial, knowledgeable, doesnt talk down to you or act better than you which a lot of people in the medical field tend to. I am very critical of costumer service and besides answering the phone there is absolutely nothing to complain about THEY ARE GREAT THERE!

You would think y’all as a mental health facility would know how to answer a cellphone? And to have a full mailbox ? How absolutely unprofessional 😂 what a joke !

Sylvia and her team have been great with helping my daughter get appropriate meds at a vital time. They were concerned, easy to communicate with and most successful with their intervention. I appreciate them!

Went in today after 8 months of both my pcp and dr trying to reach them with no avail or call back. I drove from Buckley to Tacoma. Jonathan at the front desk had me sit down and I was then called back and told my file was closed. I asked Jonathan why and was told “I don’t know” I then asked why I couldn’t be reestablished he told me I couldn’t be seen anymore.he refused to provide further info or his last name or name of a supervisor. My gut tells me it’s because of a report I filed with the nursing bored after months of not being able to reach Sylvia due to vm being full, and no response to dr faxes. My best advice go elsewhere as you can see this is not just my experience but the experience of many patients. I will be filing another complaint with the nursing bored and other people because I would hope this doesn’t happen to someone worse off than me. I will be seeking legal ramifications and ask anyone with similar issues to contact me

These 4 stars all belong to mark Underwood. I have been going to cascade for over 10 yrs and always enjoy visits with him. No judging, helpful, compassionate, and has never tried to tell me that had to do anything diffe free nt than what I wished for. I cant say the same about sylvia. I have had to see her twice due to mark being away and she left a bad impression. Something needs to be done about the phone line issue because the front desk is hardly busy so they should really practice picking up the phone more often. But their monday open door policy for walkinshaw being accepted all day is helpful. I think.its hard to find a good mental.health practice. I wish sylvia wouldve a better impression on new clients because these comments are horrible ! I commend her staff for sticking with her... it make sense why the others only work one or two days a week there!

I saw sylvia for many years and had good results with the medication . I was also put on ambien and I didnt know that wouldnt mix with what I was on and it could be fatal, and when my dr called Silvia on it she said she didnt know I was taking the other meds that cant mix(however,She Knew) next she called me into her office and cut me straight off everything and blackballed me !!! I didnt do anything wrong this was devastating, I have know other option for mental health provider. I even went into her office crying asking what I did and saying I was sorry for whatever I did! She was so rude and than, she made me leave . She is someone who will turn her back on you in a second so think hard before choosing her! Know one will take me now.

I will say I’ve been going to cascade on and off for a few years. I had mark help me with my medication because that is what cascade specializes in, not counseling & he was nice he did offer me to try a medicine that made my symptoms of depression and so on worse at the time, which is not his fault. Meds effect everyone differently, I soon after changed meds and moved to Sylvia to provide me with help. My aunt had her help her for many years. So she is still helping me and last time I went in I had no appointment but they took me back no problem they were on their lunch so right when they were done they helped me and I got a prescription. Was very thankful. I do know that there are bad people out there, but I do not want to judge. I don’t know how the person in front of myself, how their life has been.My one dislike lately is the phone- I have not had medicine in 5 🤚🏽 Months and have called many times and have not had an answer. I do not live close to the office so cannot just drive there whenever I’d like as I have 2 children. I would appreciate a call back. Or to be reached somehow. Please and thank you.- Shawnee Fuller

Mental doctors are great I love the doctors but the front office receptionist never answer the phone I have to call repeatedly over and over again & when you talk to them about it no explanation no I apologize nothing

We have had Great Success with this office. Would have given 5 stars if they would answer the phone more often and empty their voice mail box. I work across the street, so I just walk over there when I need something!

Very unprofessional. I would not recommend Sylvia Ladigan to anybody. She overcharged my son and broke multiple HIPPA laws in the process. She also lied in his medical records about his treatment. I Will have to seek legal advice to have her misstatements removed. Very shady and untrustworthy.

Its bizzare! Im not a racist at all yet every patient has to deal with a Muslim.I know like whats its like to discriminate. Every nurse Ive dealt with are immigrants which Im in favor off

If I could give negative stars I would. I was referred here by my Dr.s office and have called COUNTLESS times the past month or so with NO returned calls. So after calling at least 1 or 2 times a day for OVER a month I went in to try and make an appointment, only to have them tell me their new schedule wasnt out yet so to call them back to make an appointment. I again tried and have left over 25 messages for them with again, no returned calls.

Called to schedule an appt for my son. Spoke to a Jonathan. He was very dismissive, evasive and unhelpful. Had to push just to get simple questions answered. I had to call a almost a dozen times before someone answered only to be treated disrespectfully and flippantly. He refused to give me a name or number to a supervisor. He should not be working in healthcare

Considering how hard it is to find a psychiatrist whos accepting new patients, this medication-management-only clinic is a good option for anyone needing just those services. The downside is that the State refers everyone on public assistance here, plus it seems like theres people trying to scam the system and get meds they dont need. As a result, the staff is guarded, skeptical, and not as warm as you might find at a traditional psychiatrist. If you can have a little patience with them, though, Cascade Mental Health can be a good option. They offer walk-in appointments, which is great...but be prepared to wait for a couple hours!

Cascade mental health isn’t that bad it’s not a counseling place it’s for med management.sylvia is nice the receptionist is nice the waiting area is spacious if you want counseling go to greater lakes

Horrible service From a dictator type provider, who doesn’t allow you to actually participate in your treatment plan.They push antipsychotics heavily, without explaining to people any of the side effects. When you know more about neuropharmacology then the person you’re trying to see, and it’s upsetting to her, run!This is definitely the worst mental health clinic I have ever seen and I would not trust any of their advice. You need to do your own research about the medications they’re going to try and put you wan or you’ll end up, fat, lazy, no skin and try googling tardivedyskinesia If you don’t want to have Tourette’s like facial tics

Stay away from this place if you feel like you deserve to be treated with dignity and respect. I have seen Sylvia twice and she is probably as much or more in need of the meds shes doling out to her patients like shes God than they do. She tried to accuse me of getting my meds at more than one place which in twenty years I have yet to do and told me I wasnt following her instructions. Talk about narcissism! Yes people, shes that bad! Ive just your average middle class female 48 and have raised two fine young men and this is how she treated me. When i asked to see another provider there, she took offense and wanted to know why, etc. Well, she decided to not let me see the other one who was recommended on here and said I wasnt welcome to come there anymore. She will basically make you feel like a low life but dont buy into it! She is the low life if you ask me!! Really...... Mental illness in all its forms are hard enough but to run into these kinds of wackos really makes the whole thing suck even worse! Good luck!!!!

I have no clue why people are complaining on here. My husband has been seen here for awhile. The staff is very helpful. He decided to switch to something closer Greater Lakes and found out that they werent helping him with anything so he decided to switch back to Cascade Mental Health where they were actually helping him.

I have went to see Sylvia for the last few years regarding my depression/anxiety. I was nervous to meet her at first because of all the bad reviews on google but she ended up being helpful and nice. When I had a problem with an embarrassing side effect I talked to her about it and she prescribed an alternative that worked great with no side effects. I suggest you make an appointment with her and judge for yourself, dont go by these outrageous reviews.

I have seen Sylvia here for three years before she fired me as a client. She put me on different medications several months ago, and she constantly ignored my claims that the medications she was providing me were giving me very nasty side effects (such as blisters on my skin, high blood pressure and excessive weight gain). My last appointment with her a couple of weeks ago came down to an ultimatum from her - either I agreed with her that she knew what she was talking about and that I was wrong about the side effects, or she would put me on Lithium (despite the fact that I am not bipolar - I have autism and little else besides that). Then she told me that I had to find another provider because I was making her job too stressful for her. I remained calm and collected during the appointment. She honestly cannot accept that she does not know everything and she does not take criticism well at all. A narcissist like her has no right managing anybodys medication.

I was referred to this clinic by my primary care staff and was seen by Sylvia Lagdan regarding my panic attacks and prescriptions for Xanax. I had been on Xanax for 12 years and this referral was intended to help me wean off and find a safer medication to treat my anxiety/panic disorder.I have never suffered from depression and have never been diagnosed or suspected of having bipolar disorder. I have only been diagnosed with general anxiety disorder and I would know if I had other issues going on. I know myself and my body. Depression is simply not part of my anxiety.This lady not only spoke to me like a common street addict, looking for a fix, but she told me that I must be bi-polar if anti-depressants did not help me with my anxiety. She also said I was just an addict who doesnt really have anxiety disorder. WOW. I was shocked at her unprofessional demeanor and attitude. Her tone of voice was far from comforting. She came across as a very angry, bitter lady. Not only did she label me as being bi-polar (across her desk, 5 minutes into our conversation w/out any kind of evaluation), but she threw one more prescription for xanax at me and told me to never come back. I did not get the counseling I went in there for. Instead I got yelled at and judged for 15 minutes. It was like a visit to the principals office back in junior high. Like I was sent to her to be punished like a child.Sylvia Lagdan is incredibly disrespectful & judgemental & and in my opinion, a complete QUACK. What kind of medical professional labels someone as bi-polar after 5 minutes of conversation and NO TESTS, no evaluation, no quality time. Since when does a mental health professional meet someone for the first time and after 5 minutes of talking, say you must be bipolar!?I tried to explain to her that I have never had depression and that I only have generalized anxiety disorder. I never asked to be put on Xanax. That was a decision made by a doctor 12 years ago. Sylvia Lagdan treated me like a loser crack addict. I was so angry at this incompetent quack I was ready to file a legal complaint. I should have. Unfortunately, this process can be quite difficult because you have to prove your case. Something is very wrong with this place and that lady. Very wrong. So I figured the least I could do was write about my experience, so that if anyone else has a similar experience, they can rest assured they are not alone.

I thought I was the only one with the horrible experiences with this lady Sylvia but after reading the other bad reviews I can see its the same type of experience I had with her! My son (a minor at the time) started seeing her for anxiety/depression and she tried to convince him hes bipolar and put him on very large doses of Depakote. He had tried some antidepressants without much help except for Remeron which caused a huge increase in appetite and made him gain a lot of weight. He was counseled by his doctor to lose the weight somehow and ended up getting off of it. When I objected to the Depakote because I did not believe he was bipolar (Im a nurse and have experience in the mental health field, she yelled at and belittled me saying my son IS bipolar and if I dont approve of the Depakote treatment he WILL get into a LOT of trouble with the law later on in life. She would also belittle me saying you just dont want him on it because you think he will gain a lot of weight! I tried to explain it was because I didnt believe he was bipolar and didnt need the medication but she would not listen to me. We would run into each other where I worked because she was treating patients there and the encounters never got any better. She thought she knew it all and to Hell with anyone who didnt agree! Well, its 5 years later and my son is on NO medication anymore. He is no longer experiencing depression/anxiety as he was when going through puberty. He is getting good grades in school, in fact has been receiving awards for high acheivement. There were also other factors involved which were situational involving his dads and my divorce. Did she even consider this? NO her answer was to put him on the meds and a LOT of them. I will also say she was treating my older son with HUGE mind blowing doses of medication for bipolar (another wrong diagnosis I believe) and he was told by other medical professionals that she had him on such huge doses of different meds they could have killed him! They were saying who is this lady? she should lose her license! Please, please stay away from this place!

I used to go to Mountainside Mental Health and used to have Mark Underwood as my psychiatric healthcare provider. Mountainside closed down and Mark moved over to here. One of the conditions to see him here was that I had to have at least one appointment with the owner of Cascade, Sylvia Lagdan. I went and she made a jerk of herself. Keep in mind I generally like and get along with 98% of healthcare providers. I had been stabilized on the same dosage of benzodiazepines (which are potentially addictive, and a controlled substance) for years for my anxiety and Sylvia comes along and tells me I need to get off of them. I dont even like taking the drugs but the withdrawal that comes from long term use is horrific, and despite all that Ive still tried to quit several times on my own until one time I had a seizure and nearly died. When I was in her office I couldnt believe how she was talking to me, so I asked her about her qualifications and previous experience and she mentioned she had worked in the jail and/or prison system before having her private practice. Bingo. She was talking to me almost as if she was a prison guard and I was an inmate. I guess in her mind I was a criminal getting away with a crime since I was being prescribed a narcotic that she feels I dont need despite the fact that she had only known me for 15 minutes. Theres just one problem: This is not jail! And Im a human being, not a bad guy. I argued with her because I felt she was offbase and somehow she ended up telling me that Im kind of arrogant. But to this date no other healthcare practitioner has called me that, nor even anyone else in life. If more than one person called me arrogant maybe its true. But for years she has been the only one. Needless to say when I walked out, the front desk asked me if I needed another appointment and I said not with her, but I asked if I could have an appointment with Mark, which they scheduled. Everything has been perfect since. Mark is compassionate, professional, and non-judgemental.So if you want to see someone besides Sylvia, go ahead and go here. See Sylvia once, let her run her mouth, let her give you prescriptions your not going to fill, and then schedule an appointment with the other practitioner right afterwards. But as far as seeing Sylvia on a regular basis, dont even waist your time. People with psychiatric disorders have a hard life and you simply deserve better treatment.

Our 22 year old daughter went here to try to get help with her ongoing depression/anxiety. One of the first things she was told is all antidepresents work the same, so if what you have taken hasnt helped you, none will. What a load of CRAP! I cant even take the generic form of the meds I am on! Why the hell do they make umpteen different drugs for depression if they all work the same? Anyway, after diagosing her as bipolar (which i have no problem with, it runs in my family), and prescribing lamictal, Sylvia sent her on her way. Less than a week into the drug my daughter experienced some physical side effects so went back to see about channging to something else. At this point Sylvia didnt even ask about the side effects, proceeding to tell her that she needs antipsychotic drugs (rather than offer an alternative to the lamictal), would NOT listen to my daughter and had her in TEARS! What a way for a mental health professional to treat a fragile patient! Oh, and they did NOT return multiple calls from my daughter when she called saying she was experiencing side effects....WHAT?!!!! A mentally ill patient calls with a meds issue and you dont get back to them! This place is a joke......

My wife went there a few years back and was treated like crap.When she went back recently,the same lady still works there and once again treated her like she was piece of garbage.I dont know why this woman is still here.If she doesnt like people shes in the wrong business.She needs to be on meds herself.She gave her a prescription and said never come back.I didnt know she owns the clinic and thinks she God.Worse part is she is accountable to no one that I can see.People need to band together and demand her termination!

She is my nurse for the last 6 years, she is the best!!!

They never answer the phone

Saved my life.