Medication Management Consultation (Option)

A consultation is a brief 15-minute video chat with the psychiatric provider conducted over our secure encrypted portal. It will give you a chance to meet our provider to help you determine if you feel comfortable with them. Additionally they may be able to provide some guidance on whether or not medication may be appropriate in your case before making a significant investment in treatment. This is a low-risk, pressure-free way to determine if this is the right practice for you. It is an informal, relaxed encounter with an opportunity to chat about your situation. To ensure no one feels pressured into scheduling an evaluation, we do not ask anyone to schedule an evaluation during or after the consultation. Instead, individuals can schedule an evaluation online if they choose.

The primary purpose of this service is to gauge your comfort level with us and perhaps provide some clarity into whether or not medications may be right for you. Providing thorough, quality healthcare is an in-depth process and 15 minutes flies by quickly. Therefore, please keep in mind that a consultation is not in any way intended to replace the need for an evaluation.

Please review our new patient eligibility and what we offer before requesting a consultation:

Please make sure each statement applies to you:

  1. I am 18 years of age or older
  2. I am a Maryland state resident or will be in Maryland for all appointments
  3. I am not enrolled in Medicare
  4. I want to start medication or want to learn more about whether medication may be appropriate for my mental health
  5. I am not seeking documentation or support for any legal matters. For example, we do not participate in or provide support with custody disputes, competency determinations, FMLA, disability, etc
  6. If seeking (potentially addictive) controlled dangerous substances (CDS) in my treatment, I will read the CDS policy below

We treat any of the following, with the exception of severe cases:

  • Anxiety
  • Depression
  • Attention-Deficit/Hyperactivity Disorder
  • Insomnia
  • Obsessive-Compulsive Disorder
  • Post-Traumatic Stress Disorder

We can treat the following with some limitations and exceptions:

  • Eating disorders*
  • Tobacco, Alcohol, and Substance Use Disorders*
  • Bipolar Disorder*

*Please see our Diagnoses page for in-depth details on the diagnoses we can treat and the severity of cases we can accept.

Controlled substances are medications with special federal and state scheduling due to their addictive potential and risk. Please do not use the consultation service to ask if we will prescribe controlled substances in your treatment as this is neither medically, legally, or ethically appropriate until a full evaluation has been completed (and only for those who meet the criteria stated in our policy). The consultation service should not be used to ask if we will make exceptions to our controlled substance policies – we will not – and will end any consultation immediately without refund if questioned about controlled substances.

Benzodiazepines and Hypnotics: These are not first-line treatments for anxiety or insomnia and are usually not indicated at all in any given case. In the rare instances they are prescribed, they are limited to short-term (1 to 2 week) use and are not prescribed for new patients. Want to know why? Click here to read an article outlining some of the many reasons. We want to help our patients and these medications typically cause far more problems than they solve.

Stimulants: If you receive a new attention-deficit/hyperactivity disorder (ADHD) diagnosis here, we require new patients to trial (FDA approved) non-controlled medications for ADHD for an adequate length of time before trying stimulants. If you are currently taking stimulants or have already trialed non-stimulants, we simply require records from a previous provider to confirm this. When this type of medication is deemed appropriate a CDS contract is required and a drug screen may be requested.

Opioid Maintenance Medications: We fully support the use of maintenance medications for opioid use disorder when prescribed and taken appropriately. However, we do not currently prescribe these medications.

This private, outpatient telepsychiatry practice provides treatment remotely with a level of availability and resources that is simply not appropriate to treat severe cases or emergencies. Although the provider has experience caring for individuals with severe psychiatric illness in various settings, we do not treat severe psychiatric illness here or provide emergency services of any kind. Here are some signs that an individual is not appropriate for treatment here:

  • Unable or unwilling to complete intake documentation independently. Please do not schedule an appointment or complete intake documentation on behalf of another individual.
  • Psychotic or delusional
  • Medically unstable
  • Severe, and/or chronic treatment-resistant illness
  • More than one psychiatric admission, including partial hospitalization programs
  • More than one suicide attempt or any suicide attempt within the past year
  • Current or recent suicidal thoughts AND has either a plan or intent to act on these thoughts. Please seek help immediately by calling 911 or the National Suicide Prevention Lifeline at 1-800-273-8255

Consultation Terms:

This consultation service does not establish a provider-patient relationship and we do not offer any medical advice or prescriptions during the consultation. We may help assist you in determining whether or not medications may be helpful but until a full evaluation is completed we cannot be certain. Completion of a consultation does not guarantee acceptance as a patient. The consultation service is non-refundable. If the individual is not deemed appropriate for treatment the consultation fee will not be refunded. The consultation service cannot be rescheduled once booked. We are not able to refund if you are unable to attend for any reason. By continuing you are consenting to the above terms and agree to the $39 consultation charge.