Questions about Psychiatry

How long is the initial appointment and what will we discuss?

Your initial appointment will be 60 minutes and will include a discussion of your complete medical and psychiatric history and a focus on your current symptoms. You and your Psychiatric Provider will then create a treatment plan and schedule a follow-up appointment. After the appointment, your nurse will review the treatment plan with your doctor and send the medication to your local pharmacy that day.

Who will my appointment be with?

Patient appointments and communication are with highly skilled and experienced psychiatric nurse practitioners, supported by a medical team psychiatrist who will review the medication treatment plan. If there are any changes, your nurse will get in touch with you to discuss.

Is my information confidential?

Yes, of course. Your information will be transmitted on encrypted, HIPAA compliant softwares.

What if I need urgent treatment today?

Please call 911 or go to the nearest emergency room. At this time, Remedy provides non-emergent care.

What if I am suicidal?

Please call 911, or go to the nearest emergency room or call the national suicide hotline at 1-800-273-8255: https://suicidepreventionlifeline.org/

Can I continue my current medications?

If you are on medications that are working fine, and without side effects, it is likely that your medical team may agree with prescribing these same medications and dosages again so that you can continue. If your current medications are not adequately treating your symptoms, causing undesirable side effects, or there are any concerns that this might not be the best fit for you, we might not continue them, but can provide alternative suggestions.

Can you prescribe all medications?

We can prescribe most psychiatric medications, with some limitations:
Right now we do not treat pain disorders or substance addiction. We also do not prescribe medications such as methadone, suboxone, or any medications to treat opiate use disorder. But, we are looking into doing this in the future.

While it was previously not allowed to prescribe controlled substances (such as stimulants, benzodiazepines and sleep medications) without an in-person medical evaluation, due to Covid-19 and what was deemed a Public Health Emergency, the DEA has (as of March 2020) temporarily changed prescribing laws to allow prescribing of controlled substances to occur with a video medical evaluation. It is possible that this allowance will be reversed such that patients may initiate care with Remedy and need to then be seen by a local medical team to continue their medications. Your medical team will alert you if this affects you.

What if I need a medication you can’t prescribe?

We will help you find an appropriate doctor, or guide you to a primary care physician in your area who should be able to help.

How much does this cost?

$69 for your initial one hour appointment fee then $69 per month for all of your  appointments you need, any messaging and questions with your medical team. We aim to provide an affordable cost to your mental health care by averaging the cost to a reasonable monthly fee for you and also giving great care.

How often are my appointments?

You and your medical team will schedule them as often as you need. Generally if you are starting a new medication, or changing a dosage, you will have appointments once a month. Once you are stable on a medication and doing well, your appointments will likely stretch out to every three to six months. You will be able to text and message your team at any time for any reason, and will be responded to promptly.

How will I get in touch with my medical team?

You will message them, whenever you need, through our secure messaging system, which you can access from your internet browser on your computer or phone. Or, you can call or text your team as needed.

What if I have an urgent need?

Please message your medical team, starting with your nurse practitioner. They will respond within 24 business hours. For severe or life-threatening needs, including suicidal thoughts, please contact 911 or go to the nearest
emergency room.

What does my $69 monthly subscription fee include?

      1. Follow-up appointments, typically 20 minutes long, and every 1-4 months, as determined by you and your treatment team. 
      2. As-needed messaging with your treatment team to answer questions, concerns or check in. Our team may take up to 24 business hours to respond to messages or texts, so for life-threatening or urgent needs, it is always best to call 911 or go to the nearest emergency room. 
      3. Active prescribing of your medication(s) such that it will be available to you, with refills as appropriate.
      4. Monthly check-ins by messaging to assess your symptoms using personalized treatment plan assessment tools, to make sure that you get better, and stay better.

Do you take insurance?

Unfortunately we do not take insurance for your appointments at this time, though we are working on it! In the meantime, we are trying to offer excellent psychiatric care at an affordable price. If you have it, you can use your insurance to cover your medications as prescribed by your Remedy Team.

Is there a cancellation policy?

Yes, we want to protect and respect your time, so we never overbook, and our team reserves your appointment time for just you. You’ll need to cancel your appointment at least 24 hours in advance, or you will be billed $150 for your initial 60 minute evaluation or $69 for missed follow-up 20 minute appointments or late cancellations.

Questions or concerns?

Have a question about Remedy? Want us to come to your state? Feel free to contact us at info@remedypsychiatry.com
Existing patients are best off contacting their care team directly by texting them, or reaching them through our online portal here

Are there any hidden fees?

No. There are no cancellation fees if you want to stop your membership at any point. To avoid disjointed care, you are allowed to cancel at any time, but can only sign up with Remedy again once per year.

We still pay our dedicated medical team, even if patients cancel last minute. As a result, patients are billed for late cancellations and no show appointments:
  • For the first 60 minute appointment, if canceled with less than 24 hours notice, there is a $150 cancellation fee
  • For all follow up 20 minute appointments, if canceled within 24 hours, there is a $69 additional fee for that appointment in addition to the monthly fees.
  • For completion of extensive paperwork (such as disability packets), patients are billed for the time spent completing the paperwork

What medications do you prescribe?

Our medical team does a complete history and evaluation during your appointment and will decide on an appropriate treatment plan, which may include continuing previous medications or starting a new one. The below list includes medications we may prescribe. We use non-controlled substances when possible, abide by all state and federal regulations, and in some cases, patients may need to provide further information to substantiate prior use of a controlled substance. Please note that controlled substances can currently be prescribed over telemedicine due to Covid-19, though this ruling may be reversed. Please go here for the latest prescribing updates as posted by the DEA.

Disorder

Generic Medication Name

Common Brand Name

Attention Deficit Hyperactivity Disorder
Amfetamine + Dexamfetamine
Adderall, Adzenys, Dyanavel, Mydayis
Amphetamine
Evekeo
Lisdexamfetamine
Vyvanse, Elvanse
Methylphenidate
Ritalin, Concerta
Dexmethylphenidate
Focalin
Atomoxetine
Strattera
Clonidine
Kapvay
Guanfacine
Intuniv, Tenex
Modafinil
Provigil, Alertec, Modavigil
Anxiety Disorders
Alprazolam
Xanax
Clonazepam
Klonopin, Rivotril
Diazepam
Valium
Lorazepam
Ativan, Temesta
Oxazepam
Serax
Buspirone
BuSpar, Spitomin
Hydroxyzine
Atarax, Vistaril
Gabapentin
Neurontin, Gabaran
Antidepressants
Citalopram
Celexa, Cipramil
Clomipramine
Anafranil
Doxepin
Doxepin, Sinequan
Escitalopram
Cipralex, Lexapro
Fluoxetine
Prozac, Sarafem
Sertraline
Lustral, Zoloft
Paroxetine
Paxil, Pexeva, Seroxat
Mirtazapine
Avanza, Remeron, Zispin
Imipramine
Tofranil
Fluvoxamine
Fevarin, Luvox
Trazodone
Azona, Deprax, Desyrel, Oleptro, Trittico, Thombran
Bipolar Disorder (Mood stabilizing agents)
Carbamazepine
Carbatrol, Carnevix, Epitol, Equetro, Tegretol, Tegretol XR, Teril
Topiramate
Topamax
Oxcarbazepine
Trileptal
Lithium salts
Camcolit, Eskalith, Lithobid, Sedalit
Lamotrigine
Lamictal
Gabapentin
Neurontin
Divalproex sodium
Depakote, Epival, Ergenyl Chrono
Atypical Antipsychotics
Aripiprazole
Abilify
Asenapine
Saphris, Sycrest
Lurasidone
Latuda
Olanzapine
Zyprexa
Quetiapine
Seroquel
Risperidone
Risperdal
Ziprasidone
Geodon, Zeldox
Depressive Disorders
Amitriptyline
Elavil, Endep, Tryptanol, Tryptomer
Bupropion
Aplenzin, Wellbutrin
Citalopram
Celexa, Cipramil
Clomipramine
Anafranil
Desipramine
Norpramin, Pertofrane
Desvenlafaxine
Pristiq
Doxepin
Aponal, Adapine, Deptran, Prudoxin, Silenor, Sinquan, Sinequan, Zonalon
Duloxetine
Cymbalta
Escitalopram
Cipralex, Lexapro
Fluoxetine
Prozac, Sarafem
Fluvoxamine
Luvox, Faverin
Imipramine
Antideprin, Tofranil
Lamotrigine
Lamictal
Levomilnacipran
Fetzima
Mirtazapine
Remeron, Avanza
Nortriptyline
Aventyl, Pamelor
Paroxetine
Paxil, Pexeva, Seroxat
Phenelzine
Nardil
Selegiline
Emsam
Sertraline
Zoloft, Lustral
Tranylcypromine
Parnate
Trazodone
Azona, Deprax, Desyrel, Oleptro, Trittico, Thombran
Venlafaxine
Effexor, Effexor XR
Vilazodone
Viibryd
Vortioxetine
Trintellix
Trazodone
Azona, Deprax, Desyrel, Oleptro, Trittico, Thombran
Temazepam
Normison, Restoril
Eszopiclone
Lunesta
Zaleplon
Andante, Sonata, Starnoc
Zolpidem
Ambien CR, Hypnogen, Intermezzo, Ivadal, Sanval, Snovitel, Stilnoct, Stilnox, Sublinox
Zopiclone
Imovane, Imrest, Piclodorm, Somnol, Zimovane
Melatonin
Circadin, Melaxen
Ramelteon
Rozerem
Atypical Antipsychotics
Aripiprazole
Abilify
Aripiprazole
Abilify
Iloperidone
Fanapt
Lurasidone
Latuda
Olanzapine
Zyprexa, Zyprexa Relprevv
Quetiapine
Seroquel
Risperidone
Risperdal, Risperdal Consta
Ziprasidone
Geodon, Zeldox

What do you treat?

Acute stress disorder
Adjustment disorder
Agoraphobia
Anxiety disorder
Attention deficit hyperactivity disorder
Atypical depression
Binge eating disorder
Bipolar disorder
Body dysmorphic disorder
Bulimia nervosa
Cyclothymic disorder
Depression (mood)
Excoriation (Skin-picking) disorder
Generalized anxiety disorder
Hypochondriasis
Hypomanic episode
Illness anxiety disorder (Hypochondriasis)
Impulse control disorder
Insomnia
Intermittent explosive disorder
Major depressive disorder
Major depressive episode
Mania
Melancholia
Minor depressive disorder
Mixed episode
Mood disorder
Obsessive-compulsive disorder
Panic disorder
Persistent depressive disorder (Dysthymia)
Postpartum depression
Posttraumatic stress disorder
Premenstrual dysphoric disorder
Recurrent brief depression
Sleep disorder
Social anxiety disorder (Social phobia)
Somatic symptom disorder
Somatization disorder
Trichotillomania

What is the predictive mood tracking technology Remedy uses for patients?

We use a software that emails and/or texts you a monthly assessment to find out how you are feeling with a short set of questions. It tracks your symptoms over time so that both you and your Remedy team can see your progress. You’ll see your improvement!

 

At Remedy we have years of experience and know that sometimes when patients are struggling, it’s too hard to even schedule an appointment. If life gets harder, and your symptoms worsen significantly, your team is automatically notified and can proactively reach out to you to check in.   How is that for a smart monthly Remedy? 😀

How are prescriptions delivered or picked up?

Prescriptions are sent to your pharmacy of choice- this can be one that you pick up from, or one that offers delivery to your home. You can use your insurance for the cost of medication, or if you don’t have insurance, find a low cost option with your team.

What if I need disability or legal paperwork?

At Remedy Psychiatry, we specialize in medication management and patient care. We do not specialize in forensic psychiatry or legal documentation. If this is something you need, we recommend you see a forensic psychiatrist who is well-versed in formal legal evaluations to get your needs adequately met.
With regard to disability and work/school accommodations, we cannot confirm in advance that our medical team will be able to provide disability/accommodation documentation. The medical team will first perform a full evaluation. At the end of the evaluation, your Remedy medical professional will determine if you are deemed appropriate for a work/school leave, disability or any other accommodations, for a set period of time. If so, the Remedy team will complete required letters or paperwork, billed to the patient at a rate of $2.50 per minute for the length of time it takes to complete the document(s). This will be completed within 14 days. Unfortunately, it cannot be determined before a full evaluation whether or not a patient will be deemed appropriate for a leave, disability, or any other accommodations.

How do you diagnose ADHD?

When assessing you for a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD), your Remedy team collects information to evaluate if your symptoms meet criteria for this diagnosis. A diagnosis of ADHD entails some symptoms which present before the age of 12, so we collect some additional information about your history, in addition to information about your heart to insure that ADHD medications will be safe for you.
  1. This information collected includes:
    1. Your symptoms as told by you, in addition to:
      1.  A blood pressure value for you in the last six months (from your primary care doctor, at home, or at a local pharmacy)
      2. An EKG if you are over the age of 40 (can be from your primary care physician)
      3. If you have current or past high blood pressure, or a heart condition: Medical clearance from your primary care doctor or cardiologist, faxed to Remedy at Fax Number:313-788-8469
    2. The Remedy medical team’s evaluation of you
    3. Collateral information from someone who knows you now, and as a child before the age of 12. This information may be collected in one of three ways that you can discuss with your provider:
      1. If you already have it completed, you may submit a copy of prior formal neuropsychiatric testing, as completed by a psychologist.
      2. You sign a release of information, and your Remedy team contacts your collateral informant (someone who knows you well, preferably during childhood and adulthood) by phone to ask a few questions about your history of ADHD symptoms.
      3. You and someone you know completes a set of research-based questionnaires, called the BAARS, about your ADHD symptoms.

What if I start seeing a provider at Remedy and I'm not a good fit?

If you see us for an initial evaluation and we’re not a good fit for your symptoms, such as if you need emergent help, or have a significant substance use issue, we will complete a safety assessment during your initial appointment time and then provide referrals for other care to fit your needs and obtain the medication prescriptions you may need.