Possibly. Before continuing any medication, we will carefully review your history, current needs, and prior records to determine if continuation is clinically appropriate. This decision may depend on the specific medication, whether it is being used on-label or off-label, and overall safety considerations.

Controlled substances require additional safeguards and are only prescribed when safe, appropriate, and compliant with state and federal guidelines.

Your safety is always our top priority, so controlled substances are not routinely prescribed. They are considered only for short-term use, when clinically appropriate, and always on a case-by-case basis — these medications are never guaranteed, even if you have taken them previously. Prescribing decisions are based on clinical safety, evidence-based guidelines, and current state and federal regulations.

This includes medications such as benzodiazepines (e.g., Xanax®, Ativan®), sleep medications (e.g., Ambien®), and buprenorphine-based treatments.

Before prescribing, we may require:

• Review of prior medical and psychiatric records

• Drug screening or other safety labs

• Regular follow-up visits

• A signed controlled substance agreement

• Safe-use monitoring when indicated

Please note:

These medications are never guaranteed and are rarely prescribed at a first visit

Prescriptions cannot be issued if you are outside New Jersey during your appointment

Early refills, replacements for lost or stolen medication, or refills after missed appointments are not provided

Benzodiazepines and sedative-hypnotics (e.g., Xanax®, Ativan®, Klonopin®, Ambien®) may be considered only for short-term use when clinically indicated. They are not used as long-term or primary treatment for anxiety or insomnia and require close monitoring. Long-term prescribing is not offered.

No. Because we are a telehealth-only practice and New Jersey requires an initial in-person examination plus periodic in-person visits before Schedule II stimulant medications can be prescribed, we are unable to prescribe these medications.

If stimulant therapy is clinically appropriate, we'll refer you to an in-person or hybrid provider who can manage them.

Refill requests must be received no later than 3 business days before you run out. Refills are managed during follow-up appointments, and most requests require at least a 15-minute visit to ensure safe prescribing.

Refills may only be provided if you are up to date with follow-up care. For safety reasons, early refills and refills for missed appointments are not provided. Replacement prescriptions for lost or stolen medications are considered on a case-by-case basis.

Our visits include supportive discussion and coping strategies, but we do not provide full-length psychotherapy sessions. Medication management is the primary service offered.

We strongly recommend combining medication with ongoing therapy for the best outcomes. Therapy is especially helpful for conditions such as PTSD, OCD, bipolar disorder, chronic anxiety, trauma-related symptoms, and others where deeper, structured work is beneficial.

If you are not already connected with a therapist, we can provide referrals to trusted providers.

We provide psychiatric support for clients in early or sustained recovery. If you are actively using substances, a higher level of care may be recommended before starting outpatient psychiatric treatment.

Pharmacogenetic (PGx) testing looks at how your genes may affect your response to certain psychiatric medications. It can help reduce trial-and-error when choosing medications, especially for clients with complex treatment histories.

• GeneSight® Psychotropic analyzes multiple genetic markers and reviews how your body may metabolize or respond to 64 FDA-approved psychiatric medications. It focuses on common treatments for depression, anxiety, ADHD, and related conditions. (Cost: $330 out-of-pocket if not covered by insurance)

• Genomind® PGx is a broader panel that evaluates 15 pharmacodynamic and 11 pharmacokinetic genes, providing insights across more than 700 medications. This test may be especially useful for clients with multiple conditions or extensive prior treatment failures. (Cost: $599 out-of-pocket if not covered by insurance)

Both tests are simple and convenient. A kit is mailed directly to your home, where you collect a painless cheek swab and return it to the lab. Results are typically available within a few days, and we will review them together to see if they provide helpful guidance for your treatment plan.

These tests are optional and billed directly by the testing companies. Some insurance plans may cover part (or even all) of the cost. Results are reviewed collaboratively and can help guide, but never replace, clinical decision-making.