Can prescriptions be sent through telehealth?

Yes — when clinically appropriate and permitted by state law. Your PMHNP must have conducted an evaluation and ongoing monitoring relationship with you.

What if I want to stop my medication?

Never stop psychiatric medication abruptly without medical guidance. Your PMHNP will discuss a safe tapering plan if discontinuation is clinically appropriate.

Can I transfer medication management from another provider?

Yes, in many cases. Submit an inquiry with your current medications and recent history. We may request records or schedule an evaluation to ensure continuity of safe care.

What if medication is not the right fit for me?

Treatment is individualized. Your PMHNP will discuss alternatives, non-medication strategies, and referrals when appropriate — without pressure to stay on a plan that is not working.

Medication management

Medication Management

Starting psychiatric medication — or adjusting a dose that isn't working — can feel overwhelming. You may wonder if side effects are normal, if it's helping, or whether you should keep going at all.

Medication management means you are never navigating this alone. Your PMHNP monitors your response, explains every change clearly, and adjusts your plan collaboratively over time.

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Board-Certified PMHNP-BC
Telehealth psychiatric care
Ages 12+
Major insurance accepted

Understanding your care

What is medication management?

Medication management is ongoing psychiatric care for patients on — or considering — psychiatric medications. It includes monitoring symptoms, reviewing side effects, and adjusting treatment when clinically appropriate.

This is not a one-time prescription. It is a relationship with the same PMHNP who tracks how you are doing visit after visit and helps you stay on a path that makes sense for your life.

Your PMHNP explains why a medication is recommended, what to expect in the first weeks, and when to reach out between visits. Decisions are made together — not handed down without context.

All medication management visits are conducted through secure telehealth for patients in New York, California, and Florida.

You are not imagining it

Symptoms you may be experiencing

If any of these feel familiar, you are not alone — and you do not have to figure out next steps by yourself.

New psychiatric medication and uncertainty about what to expect
Side effects that are uncomfortable, confusing, or worrying
Symptoms that improved initially but have plateaued or returned
Difficulty remembering to take medication or staying consistent
Anxiety about dependence, stigma, or long-term medication use
Needing dose adjustments after life changes, stress, or new symptoms
Multiple medications and wanting a clinician to review the full picture
Stabilizing after a psychiatric evaluation and needing ongoing follow-up

How it works

How treatment works

A clear path forward — so you always know what happens next.

01
Establish your baseline
Your PMHNP reviews your current medications, symptoms, and history — often following an initial evaluation or records from a prior provider.
02
Set clear goals
Together you define what improvement looks like: better sleep, less anxiety, improved focus, or steadier mood.
03
Monitor and adjust
Regular telehealth follow-ups track your response, side effects, and functioning. Adjustments are made when clinically appropriate.
04
Maintain stability
As symptoms stabilize, visit frequency may adjust — but your PMHNP remains available for changes in your life or symptoms.

Why treatment helps

Benefits of medication management

Ongoing monitoring so you are not adjusting medication alone
Side-effect guidance and dose changes when clinically appropriate
Same clinician who knows your history visit after visit
Electronic prescriptions when permitted by law
Flexible telehealth follow-ups from home
Honest discussion when medication is not the right fit

Is this right for you?

Who is this for?

Patients starting psychiatric medication after an evaluation
Those on existing medications needing monitoring or adjustments
People experiencing side effects or plateaued symptom improvement
Adults transferring medication management from another provider
Anyone wanting a PMHNP relationship for long-term psychiatric care

Before you worry

What to expect during your appointment

Follow-up visits are typically 20–30 minutes, focused on how you have been feeling since your last appointment.
Your PMHNP asks about symptom changes, side effects, sleep, appetite, energy, and daily functioning.
If an adjustment is recommended, you will hear why — including benefits, risks, and what to watch for.
Prescriptions are sent electronically when clinically appropriate and permitted by law.
You can ask questions at any point. No concern is too small if it is affecting your willingness to stay in treatment.
Visit frequency depends on your needs — more often when starting or adjusting, less often when stable.

Is telehealth available?

Yes — Yes. Every service at Mindful Healing is delivered through secure, HIPAA-conscious telehealth video visits — no in-office appointments.

Private video sessions with Astrude Charles, PMHNP-BC
Available to patients physically located in NY, CA, or FL at visit time
Works on phone, tablet, or computer with camera and microphone
Same clinician for evaluation, follow-up, and medication management
Instructions sent before your first session so you know exactly what to expect

Insurance information

Many major insurance plans are accepted, and transparent self-pay options are available. We verify your coverage before your first visit is scheduled — so cost surprises don't add to your stress.

In-network and out-of-network options depending on your plan
Telehealth psychiatric visits billed per your plan's telehealth benefits
Superbills available for out-of-network reimbursement when applicable
Self-pay rates discussed clearly before you commit
Good Faith Estimates available under the No Surprises Act

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Frequently asked questions

Many patients start with follow-ups every 2–4 weeks when beginning or adjusting medication. As symptoms stabilize, visits may space to every 1–3 months.

Insurance accepted

Many major plans cover telehealth psychiatric care. We verify your benefits before your first visit — and offer transparent self-pay options when needed.

Verify Insurance

Patient experiences

What patients say about our care

“I was nervous before my first appointment, but it felt easy to open up once we started. Everything was explained clearly and I never felt judged or rushed.”
Jessica M. · New York, NY

“What stood out was how much attention was given to what I was actually saying. It felt like someone genuinely trying to understand what I'm going through.”
Daniel R. · Los Angeles, CA

When you're ready

Ready to start with medication management?

Request a confidential consultation with a PMHNP in Albany, NY. We will answer your questions and guide you through what happens next — with no pressure.

Confidential inquiry
No office visit needed
Clear next steps

NYCAFL

Your next step

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Rather talk it through first?

+1 (347) 506-3881

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