Psychiatric Evaluation & Medication Management
Adult ADHD
Many of my ADHD patients spent decades wondering what was wrong with them. They were smart kids who "weren't applying themselves." They're now adults who can hyperfocus on things they love but can't start the tasks that actually matter. They've been treated for anxiety or depression for years, often without the relief they were hoping for — because attention was the underlying issue all along.
Adult ADHD is chronically underdiagnosed, especially in women, in people who developed strong compensatory strategies early, and in anyone who did well academically despite struggling. Getting an accurate evaluation can be the difference between another year of self-blame and real, effective treatment.
My approach:
I take ADHD evaluation seriously. I offer comprehensive ADHD evaluations that combine a thorough clinical interview with objective computerized testing (QbTest), followed by a detailed treatment plan. When medication is indicated, I start conservatively and adjust based on how you respond. Stimulants aren't the only option, and they aren't always the right first option — I'll walk through what makes sense for your specific presentation. [Learn About ADHD Evaluation →]
Anxiety & Panic
Anxiety shows up in a dozen different ways. Generalized worry that never quite turns off. Panic attacks that appear out of nowhere. Social anxiety that makes meetings and phone calls feel disproportionately hard. Physical symptoms — tight chest, racing heart, stomach issues — that medical workups can't explain.
Many of my anxious patients have tried to power through for years and are arriving at a point where the strategies that used to work no longer do. Some have tried medication before and either didn't find the right fit or weren't supported through the adjustment period.
My approach:
I start by understanding what kind of anxiety you're actually experiencing — because generalized anxiety, panic disorder, social anxiety, and anxiety secondary to other conditions (like ADHD or sleep deprivation) all respond differently to treatment. When medication is part of the plan, SSRIs and SNRIs are typical starting points, but I'll discuss the tradeoffs of each openly. I'm cautious with benzodiazepines and will explain why. I also talk honestly about what medication can and can't do, and what other factors might be driving your symptoms.
Depression & Mood Disorders
Depression rarely announces itself clearly. For many patients, it arrives as a slow fade — energy, interest, motivation, and pleasure quietly receding over months or years. You're still functioning, but the internal experience has flattened. Others experience it as acute, painful, and obvious.
I also treat mood disorders across the bipolar spectrum, including patients who've been treated for depression for years without anyone recognizing the hypomanic or mixed features underneath. Accurate diagnosis matters enormously here — the wrong medication for bipolar depression can make things worse.
My approach:
Depression treatment is not one-size-fits-all, and I resist the pattern of "try this SSRI, see me in 8 weeks." I take time to understand what your depression actually looks like, what you've tried before, and what hasn't worked. If you're in the bipolar spectrum, we'll talk carefully about that before making any medication changes. Throughout treatment, I pay attention to sleep, energy, and side effects — and I respond to messages between visits so you're not left managing adjustments alone.
Sleep Difficulties
Sleep problems rarely exist in isolation. Insomnia is often tangled up with anxiety, depression, ADHD, or life stress — and treating sleep without understanding what's driving it tends to fail.
My approach:
Before recommending sleep medication, I want to understand what your sleep actually looks like — trouble falling asleep, waking in the middle of the night, waking too early, unrefreshing sleep despite enough hours. Each pattern suggests different underlying issues. I'll talk through sleep hygiene and behavioral strategies honestly (they work when done consistently, but they're not always enough). When medication is appropriate, I'm cautious about agents with dependence potential and will walk through options with you.
Bipolar Spectrum Disorders
Bipolar disorder is one of the most commonly misdiagnosed conditions in psychiatry. Many patients are treated for depression for years before the bipolar nature of their mood pattern becomes clear. Others are told they have bipolar when what they actually have is ADHD, trauma-related symptoms, or something else entirely.
My approach:
Accurate diagnosis comes first. I take careful histories of mood episodes, sleep patterns, family history, and prior medication responses — because these patterns often tell the story more clearly than any single appointment can. When the diagnosis is confirmed, I prioritize mood stability with evidence-based medications and ongoing monitoring. I treat this as a long-term partnership, not a one-time prescription.
Other Conditions
I also work with adults navigating:
Medication re-evaluation after unsatisfying experiences with other providers
Adjustment disorders and life-transition-related mental health concerns
Obsessive-compulsive spectrum symptoms
PTSD and trauma-related symptoms (medication support alongside therapy)
Perinatal mood concerns (in collaboration with your OB/GYN)
If you're unsure whether your concern fits what I treat, the best next step is a brief consultation call — I'll be honest with you about whether I'm the right provider or whether a referral elsewhere makes more sense.
Appointment Types
Initial Psychiatric Evaluation A 60-minute comprehensive appointment covering your symptoms, history, goals, and treatment plan. Required for all new patients.
Follow-Up Medication Management Typically 25-30 minutes. Frequency is based on what you actually need — Bi-weekly during active adjustments, every 1-3 months for stable patients.
Comprehensive ADHD Evaluation A dedicated evaluation package combining clinical interview, QbTest computerized testing, written summary, and results review. [Learn more →]
Fees & Insurance
In-Network Insurance
I'm credentialed with Aetna, Cigna, UnitedHealthcare, and Anthem Blue Cross through Alma and Headway. Your out-of-pocket cost depends on your plan's copay, deductible, and coinsurance — I'll help verify benefits before your first visit.
Cash-Pay Rates
Initial Psychiatric Evaluation — $299
Follow-Up Medication Management — $125
Comprehensive ADHD Evaluation — $550