Psychiatric Evaluation & Medication Management
Our psychiatric team provides comprehensive evaluation and ongoing medication management for depression, anxiety, ADHD, bipolar disorder, and co-occurring substance use disorders. We take time to understand your full history — not just your symptoms — before recommending treatment.
What an Evaluation Involves
A psychiatric evaluation is a comprehensive conversation — typically 45 to 60 minutes — covering your mental health history, current symptoms, prior treatments, medications, family history, and goals. We are not checking boxes. We are trying to understand what is actually going on for you.
Where a primary care physician might have 10 minutes and a symptom checklist, a psychiatric evaluation gives us time to explore nuance: what the depression looks like, whether anxiety is driving it, whether there's a trauma history shaping the picture, whether what looks like ADHD might be something else. The diagnosis we arrive at — and the treatment we recommend — depends on that fuller understanding.
If medication is appropriate, we'll discuss options honestly: what the evidence shows, what to expect, how long before effects are noticeable, and what the alternatives are. We don't push medication. We explain the options and make decisions together.
Ongoing Medication Management
Starting medication is the beginning, not the end. Ongoing medication management means monitoring how you're responding — adjusting doses, switching medications when the first choice isn't working, watching for side effects, and checking in on how the rest of your life is going.
Medication management works best when coordinated with therapy. Our psychiatric team and therapists communicate and treat the same people, which means medication decisions are informed by the full clinical picture — not just what you report in a brief follow-up.
What to Expect
A thorough first appointment
The initial evaluation is 45–60 minutes. We take time to understand your history before recommending anything.
Honest recommendations
We'll tell you what we think will help, what the evidence shows, and what the tradeoffs are — so you can make an informed decision.
Coordinated with therapy
Our psychiatric and therapy teams work together. If you're seeing both, they communicate — you don't have to relay everything twice.
Telehealth available
Most appointments are available via telehealth throughout Missouri. In-person is available if you prefer.