Medication Management
Affirming psychiatric care from a provider who takes the time to understand you. All of you. In person or via telehealth, whether or not you're in therapy with us.
Affirming Psychiatry
Finding a prescriber who actually listens is hard. Finding one where you don't have to explain, justify, or brace yourself? For LGBTQIA+ and trans folks, that can feel nearly impossible.
Arrive Therapy now offers psychiatric medication management with [PSYCHIATRIST NAME], [CREDENTIALS].
Arrive was built by and for the LGBTQIA+ community, and affirming care isn't a specialty here. It's the whole practice. No educating your prescriber. No bracing yourself in the waiting room.
You don't need to be a therapy client to see our psychiatrist. Medication management is available on its own, or coordinated with your therapy at Arrive. Your choice.
Booking your first appointment takes about two minutes.
Schedule OnlineNo commitment to medication. Your first appointment is a conversation, not a prescription.
One Practice. One Team. Your Whole Care.
For clients who see both a therapist and our psychiatrist at Arrive, your providers work together, with your permission, sharing insights and coordinating your care.
That means:
No middleman: You don't have to relay information between a therapist and an outside prescriber, or repeat your history to providers who've never spoken to each other.
Faster adjustments: If your therapist notices something worth flagging, a side effect, a shift in mood, your psychiatrist hears about it.
A complete picture: Medication decisions are informed by what's actually happening in your therapy, not just a 15-minute check-in.
Prefer medication management only? That's totally fine.
Many of our medication clients see a therapist elsewhere or aren't in therapy at all.
Psychiatric Care Where You Don't Have to Explain Yourself
Arrive Therapy was built for the LGBTQIA+ community. Every one of our providers identifies somewhere under the rainbow or is a strong, educated ally. That shapes everything about how we practice, including medication management.
What affirming psychiatric care means here:
Your identity is not a symptom. Being queer or trans is never treated as a diagnosis, a phase, or something that needs explaining. You'll never be asked to justify who you are before getting care.
Your name and pronouns, every time. In our office, in our records, in every appointment — no exceptions, no "slip-ups" shrugged off.
Informed care for trans clients. HRT competency is a hiring requirement at Arrive — our psychiatrist understands how psychiatric medications interact with gender-affirming hormone therapy, and coordinates with your HRT prescriber when helpful.
No gatekeeping. We're here to support your mental health, not to make you perform wellness or prove anything about your identity.
Booking your first appointment takes about two minutes.
Schedule OnlineNo commitment to medication. Your first appointment is a conversation, not a prescription.
Conditions We Support
[PSYCHIATRIST NAME] provides evaluation and medication management for adults [and adolescents experiencing:
-
Whether it's generalized anxiety disorder (GAD), panic disorder, social anxiety, health anxiety, or specific phobias, anxiety is one of the most treatable conditions in psychiatry. If racing thoughts, constant worry, panic attacks, or avoidance are shrinking your life, medication — including SSRIs, SNRIs, and non-habit-forming options — can turn the volume down enough for the rest of your life (and your therapy) to work.
-
Major depressive disorder, persistent depressive disorder (dysthymia), high-functioning depression, treatment-resistant depression; depression wears a lot of faces, and "just push through it" isn't a treatment plan. If antidepressants haven't worked for you before, that doesn't mean medication can't help; it often means the fit wasn't right. We take the time to find what works for your body and your life.
-
To be clear: being trans is not a mental illness, and we will never treat your identity as something to fix. But the distress that can accompany gender dysphoria — anxiety, depression, hopelessness while navigating transition, waitlists, or unsupportive environments — is real and deserves real support. Our psychiatrist provides affirming psychiatric care alongside your gender-affirming care, and coordinates with your HRT prescriber whenever helpful.
-
The chronic stress of moving through the world as a queer or trans person; discrimination, family rejection, hypervigilance, internalized stigma, the exhaustion of the current political climate, takes a measurable toll on mental health. You don't need a tidy diagnosis to deserve care. If minority stress is fueling anxiety, depression, or burnout, we treat what's actually happening in your life.
-
Adult ADHD, inattentive, hyperactive, or combined type, is real, underdiagnosed, and frequently missed in women, queer folks, and anyone who learned to mask early. Whether you were diagnosed as a kid or are just now connecting the dots, we offer thorough evaluation and both stimulant and non-stimulant medication options.
-
Bipolar I, bipolar II, and cyclothymia are highly manageable with the right mood stabilizer and a prescriber who monitors carefully. If you've been misdiagnosed with depression, or you're cycling between highs and lows that medication hasn't touched, a fresh, thorough evaluation matters.
-
Beyond depression and bipolar disorder, mood disorders include conditions like cyclothymia, mood dysregulation, and mood symptoms that don't fit neatly into one diagnostic box. If your emotional baseline feels unstable, unpredictable, or just off, an evaluation can bring clarity and options.
-
Intrusive thoughts, compulsions, rumination, and the shame spiral that comes with them respond well to medication, often at different doses than depression treatment, which many prescribers miss. Medication for OCD works especially well alongside ERP or other OCD-specific therapy, which we can coordinate directly.
-
Trauma isn't only single catastrophic events. Complex PTSD from prolonged experiences like childhood abuse, family rejection, or conversion therapy is just as real. Medication can ease nightmares, hypervigilance, flashbacks, and the anxiety and depression trauma leaves behind, creating enough stability for trauma therapy to do its deeper work.
-
Trouble falling asleep, staying asleep, or waking exhausted feeds every other mental health condition. We look at what's driving your sleep problems: anxiety, depression, medication side effects, racing thoughts, and offer both non-habit-forming sleep medications and adjustments to your existing treatment.
-
Postpartum depression, postpartum anxiety, and perinatal OCD affect parents of every kind: birthing parents, non-birthing parents, adoptive parents, queer and trans parents who rarely see themselves in perinatal care. We provide medication support through pregnancy planning, pregnancy, and postpartum, including guidance on medication while nursing.
-
PMDD is severe, cyclical, and very real; not "just PMS"! Too many people spend years being dismissed before getting treatment. If the week or two before your period brings rage, despair, or suicidal thoughts that lift when it starts, effective treatment exists. This includes trans men and nonbinary folks, who are almost always left out of PMDD care.
-
If your depression follows the calendar: arriving each fall or winter and lifting in spring, seasonal affective disorder responds well to a combination of medication, light therapy, and planning ahead. You don't have to white-knuckle another winter.
Not sure whether medication is right for you?
That's exactly what an initial evaluation is for. There's no obligation to start medication after a consultation — sometimes the answer is "not yet" or "not necessary," and we'll tell you that honestly.
What to Expect
Initial Evaluation (60 minutes)
Your first appointment is a comprehensive conversation about your history, symptoms, current medications, lifestyle, and goals. This is not a rushed med-check. It's the foundation for good care. You'll leave with a clear plan, whether that includes medication or not.
Follow-Up Appointments (30 minutes)
Follow-ups are where we fine-tune: monitoring how you're responding, adjusting dosages, managing side effects, and making sure your treatment still fits your life. Frequency depends on your needs, typically more often when starting or changing medication, and less often once things are stable.
In Person or Telehealth: Your Choice
Appointments are available at our Paoli, PA office or via secure video from anywhere in Pennsylvania and New Jersey. Many clients mix both.
Meet [PSYCHIATRIST NAME], [CREDENTIALS] (they/them)
[2–3 sentence bio: training, years of experience, clinical philosophy, and — if the provider is comfortable sharing — their own connection to the LGBTQIA+ community. Emphasize approachability and collaborative style — e.g., "Dr. X believes medication works best as part of a bigger picture, and takes time to understand the whole person before writing a prescription."]
Link: Read full bio →
Fees & Insurance
Medication management at Arrive Therapy is self-pay. We do not bill insurance directly, but we're happy to provide a superbill — an itemized receipt you can submit to your insurance company for possible out-of-network reimbursement.
Initial evaluation: $450
Follow-up appointment: $250
What's a superbill?
After each appointment, we can provide a detailed receipt with everything your insurance company needs to process an out-of-network claim. Many PPO plans reimburse a portion of out-of-network mental health costs. We recommend calling your insurance and asking about your "out-of-network outpatient psychiatric benefits" before your first visit, We're happy to walk you through what to ask.
We accept HSA/FSA cards.
Frequently Asked Questions
-
No. Medication management is open to everyone — whether you're in therapy with us, in therapy elsewhere, or not in therapy at all.
-
Yes — and more than that. Arrive Therapy is a practice built for the LGBTQIA+ community, and all of our providers identify somewhere under the rainbow. You'll never have to educate your prescriber about your identity or worry about being misgendered in your own appointment.
-
Our psychiatrist provides medication management for anxiety and panic attacks, depression, ADHD, bipolar disorder, OCD, PTSD and complex trauma, insomnia, postpartum depression, PMDD, seasonal affective disorder, and distress related to gender dysphoria and minority stress. Not sure your situation fits a category? That's what an evaluation is for.
-
Yes. HRT competency is a requirement for every provider we hire. Our psychiatrist understands how psychiatric medications interact with gender-affirming hormone therapy, and with your consent, can coordinate directly with your HRT prescriber.
-
No — our psychiatrist focuses on psychiatric medication management. But we maintain relationships with trusted, affirming HRT providers and are glad to connect you. [Visit our Resources page →]
-
Just mention it to your therapist or contact our office. Because we're one practice, your therapist and psychiatrist can coordinate your care directly (with your consent), so nothing gets lost in translation.
-
If you're seeing both providers at Arrive and give your consent, yes — that coordination is one of the biggest benefits of integrated care. If you see a therapist outside our practice, we're glad to coordinate with them too, with a signed release.
-
Controlled substances such as stimulants for ADHD are prescribed when clinically appropriate, following a thorough evaluation
-
Telehealth rules for controlled substances may require periodic in-person visits, but most visits can be accomplished virtually
-
New client appointments are typically available within 1-2 weeks. This is far sooner than the multi-month waits common for psychiatric care in our area.
-
We're self-pay, but we provide superbills for out-of-network reimbursement. See Fees & Insurance above for details.
-
Then you won't take it. An evaluation is a conversation, not a commitment. Our psychiatrist will give you an honest assessment — including when medication isn't the right tool.
Booking your first appointment takes about two minutes.
Schedule OnlineNo commitment to medication. Your first appointment is a conversation, not a prescription.