Most patients are seen within 3-5 days of initial contact. For urgent situations (though not crisis/emergency—please call 988 for crisis support), we often can accommodate within 24-48 hours. We understand when you're struggling, you want help soon, not in 6 weeks.

Yes, when clinically appropriate. But we investigate medical causes first— sometimes psychiatric medications aren't needed, or much lower doses are effective once underlying factors (thyroid, iron deficiency, sleep apnea) are addressed. When medications are needed, we use evidence-based approaches with clear treatment goals.

Many of our patients are already taking psychiatric medications when they come to us. We review your current medication regimen, investigate medical factors that might be affecting response, and optimize as appropriate. We never discontinue medications abruptly—any changes are made systematically and safely.

I specialize in diagnostic assessment and medication management, not ongoing psychotherapy. Many patients benefit from both—psychiatric treatment with me and therapy with an excellent therapist. For patients needing intensive therapy (especially trauma work, DBT, etc.), I coordinate closely with therapists and can provide referrals.

Three main differences: (1) 75-90 minute comprehensive initial assessment vs typical 15-minute visits, (2) Systematic investigation of medical factors (thyroid, hormones, sleep, nutrition, medication interactions) that standard visits often miss, (3) Diagnostic-first approach—investigate root causes before trial-and-error treatment. 19 years of ICU experience taught me to investigate systematically across all body systems, not just psychiatric symptoms.

No. Initially visits are more frequent (weekly or biweekly for 2-3 months) for thorough investigation and treatment initiation. Most patients feel significantly better by end of month 3. Once stable, the care model transitions to quarterly 15-30 minute check-ins. When diagnosis is correct and root causes are treated, ongoing care is straightforward maintenance, not intensive ongoing management.

If we're out-of-network with your insurance, we provide detailed superbills for out-of-network reimbursement. Many patients receive 50-80% reimbursement. We help you understand your out-of-network benefits and maximize reimbursement. Some patients find the comprehensive assessment worth the out-of-pocket cost given the thoroughness compared to standard care.

I work with patients experiencing depression, anxiety, ADHD, PTSD, insomnia, hormonal factors affecting mood (perimenopause, low testosterone), and those seeking medical optimization from "good to great." The diagnostic approach works across conditions because we're investigating root causes, not just treating symptom labels. If your situation requires specialized treatment I don't provide (like intensive DBT or residential-level care), I'll let you know during assessment and help connect you with appropriate resources.