Medication Management
Psychiatric medication management at MindMorph is prescribing done slowly and with data: a 90-minute evaluation, a plan you understand and agree to, and follow-ups every two to four weeks until it is right, informed by pharmacogenomic and lab testing when they add something. I am a board-certified psychiatric nurse practitioner licensed to prescribe in Colorado and Oregon, and most follow-ups happen by secure video.
What medication management involves
- Evaluation. A 90-minute initial psychiatric evaluation covering symptoms, history, prior medications and what each one did, sleep, nutrition, stress, and medical context. If you are transferring care, I review your records first.
- A plan you can explain back to me. Which medication, why that one, what it should do, what it might do that you will not like, and when you and I will know. Genetic or lab testing is ordered here if it is likely to change the choice.
- Follow-ups. Every two to four weeks while a plan is being tuned (a 25-minute brief follow-up or a 50-minute session, depending on what is changing), stretching out once you are stable. Response is reviewed at every visit; you are not left waiting months on a medication that is doing nothing.
- Review and, when it fits, tapering. Plans are revisited continually. Tapering is always on the table when your progress supports it. Nothing is forever by default.
Licensed to prescribe in Colorado and Oregon
I hold licenses with prescriptive authority in both states and prescribe by telehealth where clinically appropriate. Prescriptions go electronically to your pharmacy after the visit. You need to be physically located in Colorado or Oregon at the time of a telehealth appointment; in-person visits are at the Lakewood, CO office. Controlled medications can be prescribed by telehealth when clinically appropriate and permitted by current federal rules, which are in effect through at least the end of 2026. Adult ADHD questions are handled inside medication management rather than on a separate program.
How the integrative model shapes prescribing
Medication works best when it is not fighting the rest of your biology. Depending on your evaluation, the plan may include:
- Pharmacogenomic (genetic) testing, which shows how your body metabolizes specific medications and can shorten the trial-and-error period
- Targeted lab testing and supplement review, to find vitamin or mineral deficiencies that affect focus, mood, and energy
- Nutrition guidance, with attention to blood sugar, gut health, and how diet affects absorption
- Exercise and movement planning, as a real part of the plan rather than an afterthought
- Mindfulness and breathwork, taught, not just recommended
This is psychiatry that listens to your body as much as your mind. The layers are options, not requirements; your plan uses the pieces that fit.
When to consider medication management
- Previous medications or therapy alone have not produced sustained improvement
- You want a second look at a regimen that has grown over years without anyone reviewing the whole
- Side effects are the reason you keep stopping
- You are moving to Colorado or Oregon and need your prescriptions continued without a gap
(Results vary by individual; MindMorph cannot guarantee specific outcomes.)
Conditions medication management may help address
- Depression and mood disorders, including treatment-resistant depression
- Anxiety disorders, where medication can lower physiological tension enough for therapy to work
- PTSD and trauma-related symptoms, alongside trauma-focused therapy
- OCD and intrusive thoughts, paired with behavioral therapy
- Premenstrual dysphoric disorder (PMDD), with medication timed to the cycle when that is the right design
Working alongside the rest of your care
Medication is one tool. Many patients pair it with therapy, Spravato, or ketamine-assisted psychotherapy, and because one clinician holds all of it, nothing has to be re-explained between offices. If you already have a therapist, I coordinate with them with your consent. Care is available in English and Russian.
What a first visit looks like
It starts with a free consultation by video or phone: a short conversation about what is going on and whether this practice is the right place for it. If it is, the next step is the initial evaluation. Bring a list of every psychiatric medication you have taken, the dose, roughly how long, and what happened. That list is the most useful thing you can hand me. I talk through genetic and lab options with you at that visit, and you leave with a written plan.
Cost and insurance
MindMorph is in network with a number of plans in Colorado and in Oregon, including Medicaid in Colorado; the current lists are on the insurance and payment page, along with self-pay rates for the evaluation, follow-up sessions, and brief medication follow-ups. If I am out of network for your plan, you receive a superbill after each visit for possible reimbursement, and HSA and FSA funds generally apply. Benefits are verified before your first appointment.
Booking, cost, and safety
Book a complimentary consultation or call (720) 504-2181. If it feels like a good fit, the next step is the full evaluation: history, current medications, symptoms, and any labs or genetic testing that would change the choice.
Medication decisions are made with you, never for you, and results and coverage cannot be guaranteed.
If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911. This practice does not provide emergency services.
Watch
Questions
A collaborative process: an evaluation that covers your history, current medications, and symptoms; a plan you understand and agree to; and regular follow-ups that adjust the plan based on how you actually respond. Pharmacogenomic and lab testing inform the choice when they are likely to change it. Nutrition, sleep, and stress are reviewed alongside the prescription.
Yes. I hold licenses with prescriptive authority in both states and prescribe by telehealth where clinically appropriate. You need to be physically in Colorado or Oregon at the time of the visit. Controlled medications by telehealth follow current federal rules, in effect through at least the end of 2026.
Often, yes. If the initial evaluation supports starting or continuing a medication, the prescription goes to your pharmacy the same day. Sometimes the better decision is to wait for lab or genetic results first, and I will tell you why. The free consultation that precedes the evaluation is a conversation, not a prescribing visit.
Not necessarily. Plans are reviewed at every visit, and tapering is always on the table when your progress supports it. Some people need medication for a season, some for years, and the honest answer depends on the condition, your history, and how stable you are without it.
Typically every two to four weeks while a plan is being tuned, then less often once you are stable. Follow-ups are usually by telehealth: a 25-minute brief medication check when little is changing, or a 50-minute session when there is more to work through.
You won't be left waiting months. Response is reviewed at every visit, and nonresponse sometimes traces to how you metabolize the drug. Pharmacogenomic and lab data help choose the next option with less guesswork. With your records and consent, transfers from another prescriber are routine and nothing lapses in between.