Psychiatry
A proper evaluation, and time to do it in
A great deal of what gets called treatment-resistant turns out to be under-treated: a dose never optimised, a trial stopped at three weeks, a diagnosis that did not fit. Before reaching for something newer, it is worth having someone look properly.
- 60+ minutes
- for an initial psychiatric evaluation
- Often covered
- psychiatry is covered on many major plans
- Coordinated
- with your therapist and existing prescribers
- 60+ minutes
- for an initial psychiatric evaluation
- Often covered
- psychiatry is covered on many major plans
- Coordinated
- with your therapist and existing prescribers
01
The unglamorous work, done well
Fifteen-minute medication checks are the norm in much of psychiatry, and they are not enough time to understand a complicated history. Our initial evaluations run an hour or more — long enough to hear what you have taken, at what dose, for how long, and what actually happened each time.
That history is frequently the whole answer. An antidepressant abandoned at three weeks was never given a fair trial. A dose that was never titrated up was never tested. A diagnosis of depression that is closer to bipolar spectrum, ADHD, or the aftermath of trauma calls for a different medicine altogether.
Where the history is genuinely exhausted, the newer options are in the same building, with a physician who can assess whether they fit. We start with the simpler answer first.
02
Is this for you?
Often a good fit
- You want a second opinion on a diagnosis or a medication regimen
- Several medications have been tried without a clear record of what happened
- You want your psychiatrist and therapist to actually talk to each other
- You are considering Spravato® or ketamine and want a physician to assess whether it fits
- You need ongoing medication management alongside other treatment here
Not the right tool
- Prescribing on request — controlled substances require a full assessment first
- Urgent inpatient care — that needs an emergency department
- A brief refill-only appointment — our model is built around longer evaluations
With your consent we coordinate with your existing prescribers and therapists. Nothing is changed abruptly, and nothing is stopped without a plan.
03
Covered on many plans
Psychiatry is billed as ordinary medical care, which means it is covered on many major plans including Anthem, Aetna, Evernorth, Optum, and Medicare. We verify your specific benefits before your first appointment and tell you what your share will be.
- Psychiatric consultation
- $499 self-pay
- With insurance
- Often covered — we verify first
- Ongoing medication management
- Quoted at consultation
Even where a treatment itself is self-pay, the psychiatric evaluation that leads to it is often billable — worth verifying benefits regardless of which route you are considering.
05
Other questions
Will you take over prescribing from my current psychiatrist?
Only if that is what you want. Many people come for a second opinion and go back to their existing prescriber with a plan, which is a perfectly good outcome. If you do transfer care, we coordinate the handover.
Do you prescribe controlled substances?
Benzodiazepines and stimulants both have legitimate uses, and both require a full assessment before any new prescription. If you are already taking them, we will not stop them abruptly — that can be dangerous — and we will work with you on a plan.
How long are appointments?
The initial evaluation is an hour or more. Follow-ups are shorter, but long enough to actually understand what is happening.
Can I see a psychiatrist and a therapist here?
Yes. When the prescriber and the therapist are on the same team, information moves without you having to carry it between them.
Spravato® is a registered trademark of Janssen Pharmaceuticals, Inc.