Frequently Asked Questions


 

What services do you offer?

We provide psychiatric evaluations and medication management via video-conferencing (zoom).  Medication Management means prescribing medications, checking your response to medicine, and talking about things in your life outside of medication treatment. 

In Illinois, we offer psychological and neuropsychological testing.  The initial visit is in-person testing, then scheduling a shorter follow-up via zoom or office to go over scoring.  They are 2-6 hours long, depending on the need. They are separate from our psychiatric services.

We have in-person visits in Idaho & Illinois.

Are you a therapist? What's the difference between psychiatry versus counseling?

We are an expanding group of psychiatric mental health nurse practitioners and prescribing psychologists.  Psychiatrists, psychiatric mental health nurse practitioners, and prescribing psychologists learn and practice various therapy modalities.  However, they also diagnose and treat psychiatric conditions with prescription medications.  Our visits incorporate brief therapy, but most people find a combination of treatment with their counselor, therapist, or psychologist, along with our psychiatry visits, beneficial.

 What is the difference between psychological testing and psychiatric evaluation?

Our psychiatric evaluations assess for medication treatment.  They are up to one hour long and where we discuss mood, history, medical conditions, and family history to help us determine the best course of action with you.

We do not typically need a full psychological or neuro testing for prescribing medications.

Neuropsychological testing or psychological testing is different than a traditional psychiatric evaluation.  Initial testing is performed in person over two to six hours.  It is a series of tests used to clarify a client's diagnosis, test functioning for intelligence, memory, language, executive functioning, and others.  Clinicians order Neuropsychological testing in cases of traumatic brain injuries, strokes, dementia, and other neurological conditions.  Your psychiatric clinician may advise psychological testing to solidify psychiatric diagnosis when the clinical picture overlaps, for example, trauma, bipolar, personality disorders, attention.  The psychological testing may be for autism spectrum, further testing for ADHD, learning, and comprehension.  It may serve as a guide for psychiatric medication management, neurologists to determine a baseline of cognitive functioning. 

Do you prescribe medication?

Yes, medications will be sent electronically to your preferred pharmacy.  You will receive refills so you do not run out between visits.

Can you treat my ADHD with medication?

We believe in treating ADHD with evidence-based treatment, which includes stimulant and non-stimulant medications.

Due to telemedicine rules, this practice cannot prescribe stimulants (such as Adderall, Vyvanse, Concerta, Ritalin) to anyone prescribed benzodiazepines such as Xanax (Alprazolam), Ativan (Lorazepam), Klonopin (Clonazepam), Valium (Diazepam), Suboxone (Buprenorphine), or narcotic pain medications.

Additionally, this Online ADHD practice must adhere to the following:

  • If you are changing providers, your new prescription medication will be fillable 30 days after the State's Prescription Drug Monitoring Program shows the last controlled medication was filled.
  • We cannot authorize early refills of controlled medications
  • There is a urine drug screen as part of the evaluation.
  • MONTHLY telehealth visits are needed for continuation/refills of controlled medications.
  • We cannot prescribe above FDA-indicated doses. No more than these daily dosages:

- Adderall 40mg/day

- Vyvanse 70mg/day

- Ritalin (Methylphenidate) 60mg/day

What do I need for Telepsychiatry?

You will need an internet connection.  You will be prompted to download the free application Zoom either on your phone or computer for our visit.

Do you accept insurance?

No. If needed, we will provide you with a statement or receipt that you may submit to your insurance for payment.

How long are appointments?

New appointments are scheduled for one hour and follow-up appointments for thirty minutes.  If you have questions or concerns after or between your visits, you can directly text us.

Psychological testing times vary.  Initial visits may be up to 4 hours, and follow-up visits may be up to 2 hours.

What if I cancel an appointment?

You can reschedule your appointment online.  There will be no charge when you reschedule.  If you cancel your initial visit, please reach out to us for a refund.

What if I can't figure out the technology?

Text us, and we will go through it together.

What if I don't like it?

If, after your first visit, you find Telepsychiatry isn't for you or didn't care for the appointment for any reason, we will refund your money.  No need to say why; just text or email us after your visit for a refund.

How do I get in touch with you?

Please text us at 866-297-7792. You may also email or call, but texting is faster.

Is texting ok in medicine?

Our text messages come through an encrypted, protected portal on our end.  You do not have to download any mental health app, but you may download the Spruce Health app if that is your preference.  You do not need a patient portal to get a message to us.  We incorporated a unique system like calling or faxing your doctor's office; your end may not be secure depending on your telephone provider, but on our end, all your information is going into an encrypted portal, with no work on your part!

Is this nationwide?

Not yet.  Though we are one of the farthest spanning private telepsychiatry practices in the nation, our clinicians are licensed only in these states:  Arizona, Colorado, Connecticut, District of Columbia, Hawaii, Idaho, Illinois, Iowa, Maine, Maryland, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Dakota, Oregon, South Dakota, Vermont, and Washington.