Thoughtful, conservative prescribing - paired with conversation, never rushed. You should always know what you're taking, why, and what to expect.
Medication management is the ongoing psychiatric care of evaluating whether medication is appropriate, choosing the right one, starting it carefully, adjusting as needed, and following up to make sure it's working - without side effects you can't live with.
It is not a quick prescription. The first visit is a full psychiatric evaluation: history, symptoms, prior medications and responses, family history, medical context, and your goals. Decisions are made together, in plain language, with time for your questions.
Medication can be a useful part of treatment for many conditions, including:
A full psychiatric evaluation: what's been going on, when it started, what makes it better or worse, what you've tried, and what you hope will be different. Medical and family history reviewed. Recommendations discussed in plain language.
If medication is recommended, we'll discuss options, expected benefits, common side effects, and how we'll know if it's working. You leave with a clear plan and a follow-up scheduled.
Follow-up visits are approximately 15–30 minutes and focus on response, side effects, treatment goals, and next steps. Medication refills are managed during scheduled follow-up appointments.
Yes, we prescribe stimulants for ADHD and benzodiazepines for anxiety when clinically appropriate. We follow established protocols: clear diagnosis, regular follow-up, random urine drug screens when indicated, and state PDMP checks. We do not prescribe controlled substances on a first visit without an established diagnosis.
Medication refills are managed during scheduled follow-up appointments, either in person or by telehealth. Schedule follow-up visits in advance to help prevent gaps in medication.
We do not prescribe medical marijuana, opioids for chronic pain, court-ordered evaluations, disability evaluations, or independent medical exams.
Not necessarily. Many people take medication for a defined period - for example, an antidepressant for 6–12 months after symptoms resolve. Others stay on medication long-term because the underlying condition warrants it. We'll discuss the right length of treatment for you specifically.
That's important information, and we'll take it seriously. We'll review what you tried, what happened, and choose differently. There are usually multiple reasonable options for any condition, and prior bad reactions actually help us narrow down faster.
Yes, when clinically appropriate. We follow state and federal guidelines, including PDMP checks, regular follow-up visits, and (when indicated) urine drug screening. We do not prescribe on a first visit without an established diagnosis.
Yes, for most things. Some situations require in-person evaluation; we'll let you know if that's the case for you. Missouri residents only - see telepsychiatry for details.
Yes. Contact our office for current self-pay information. We also accept many insurance plans; see the insurance page for details.
Call us and we'll talk through whether this is the right fit. No pressure, no script.
