Telehealth psychiatry that works the way it should
No referral required. No waiting room. Specialized psychiatric care from wherever you are.
This practice was designed for people who have already done a lot of searching — and are ready for care built around their actual needs, not an insurance company's schedule.
Private-pay · NY · NJ · CA · CT · FL · IL · KS · OH · PA · TX · VA
From first contact to ongoing care
Every patient starts the same way: an unhurried, 90-minute new-patient consultation to understand your history, symptoms, and goals. From there, the plan is yours. My practice is small by design — I take on a limited number of new patients each season.
Some patients come for ongoing care; others come for a defined consultation. For complex or treatment-resistant OCD and anxiety, I also offer an extended consultation that concludes with a written assessment and individualized treatment recommendations — a roadmap you can use with me or bring back to your current treatment team. We'll decide the right starting point together at your consultation.
Book online
Choose a time through the secure online scheduler. You'll receive intake paperwork, technical setup instructions, and everything you need before your first appointment. No phone tag, no paperwork at the door.
A real evaluation
Your first appointment is a comprehensive psychiatric evaluation — 90 minutes to understand your history, your symptoms, what has and hasn't worked, and what's driving what. This is not a checklist. It's a real assessment.
A plan that's yours
You'll receive a clear diagnosis and treatment plan: options explained in plain language, medication rationale if applicable, and a structure for ongoing care built around your needs — not a protocol.
Specialist-matched care, wherever you are
The biggest barrier to receiving specialized OCD and anxiety treatment is geography. There are very few psychiatrists with genuine subspecialty expertise in OCD — and most of them practice in major metropolitan areas. Telehealth removes that barrier entirely.
This practice serves patients in New York, New Jersey, California, Connecticut, Florida, Illinois, Kansas, Ohio, Pennsylvania, Texas, and Virginia. In every one of those states, patients have access to the same specialist-level care.
Research consistently shows that for psychiatric evaluation, medication management, and psychotherapy, telehealth produces outcomes equivalent to in-person care. You get a specialist matched to your condition, not whoever happens to be nearby.
- Stable internet connection
- Device with camera and microphone (smartphone, tablet, or computer)
- Private space where you can speak freely
- HIPAA-compliant video platform — instructions provided at booking
NY · NJ · CA · CT · FL · IL · KS · OH · PA · TX · VA
Care built for a specific kind of patient
This practice is probably not the right fit if you're looking for the fastest or least expensive option, a quick refill without an evaluation, in-network insurance care, or emergency and crisis services.
It may be exactly right if you want to understand what's actually happening, you've had care that felt rushed, generic, or disconnected — and you want a psychiatrist who acts like part of your team, not a portal.
My working assumption is that we operate as a team — you, your therapist, and me. It's the rule here, not the exception. Care is dialed up or down to what you actually need: more support when things are hard, a lighter touch when you're steady.
Sound like the right fit?
Book a Free Intro CallWhy this practice doesn't take insurance
Insurance-based psychiatry is built around volume: brief visits, restricted treatment options, and decisions reviewed by people who have never met you. This practice is built around the opposite.
- Extended appointments — never a 15-minute med check
- Medication and psychotherapy from one psychiatrist
- Direct access to your doctor between visits
- Treatment guided by clinical judgment, not insurance approval
- Continuity of care — the same psychiatrist at every appointment
Customized care packages are available on request. Balanced Psychiatry is a private-pay, out-of-network practice and does not bill insurance directly. Many patients have out-of-network benefits that reimburse part of the cost of care — we provide monthly superbills you can submit for reimbursement.
How Billing Works
Balanced Psychiatry is a private-pay, out-of-network practice. Fees are discussed at your consultation, and a current fee schedule is available on the booking platform. Superbills are provided for out-of-network reimbursement.
Appointment policies
Appointment times are reserved for you. The following policies apply to all appointment types:
Late Cancellation (<48 hours notice)
Cancellations made with less than 48 hours' notice are subject to a late-cancellation fee. Fees are discussed at your consultation, and a current fee schedule is available on the booking platform.
No-Show or Same-Day Cancellation (<24 business hours notice)
No-shows and cancellations made with less than 24 business hours' notice are subject to the full session fee.
These policies exist to preserve appointment availability for patients who need them. Emergency exceptions are considered on a case-by-case basis. Full policy details are provided and reviewed at the time of booking.
Before you book
Do I need a referral?
No. You can book directly through the online scheduler without a referral from another provider.
What should I expect at the first appointment?
A 90-minute comprehensive evaluation covering your psychiatric history, current symptoms, prior treatments, relevant medical history, and your goals. You'll leave with a clear understanding of your diagnosis and a proposed treatment plan.
Can I get a superbill for insurance reimbursement?
Balanced Psychiatry is a private-pay, out-of-network practice and does not bill insurance directly. Many patients have out-of-network benefits that reimburse part of the cost of care. We provide monthly superbills you can submit for reimbursement, and as a courtesy can submit out-of-network claims on your behalf to certain insurers, including Aetna and Cigna. Reimbursement varies by plan. (We do not accept Medicare, Medicaid, or Tricare.)
How often will I be seen?
Appointment frequency is determined by your clinical needs. New patients are typically seen monthly during the initial phase of treatment. As care stabilizes, intervals may be extended.
Ready to get started?
The first step is simple: book a new-patient consultation through the secure online scheduler. No referral required.
15 minutes · Free
90 minutes · Comprehensive