Service
Psychiatric medication management in Texas
The part of psychiatric care that happens after the diagnosis: getting the medication right, keeping it right, and stopping it when it is no longer needed. Delivered by secure video with Bright Setorglo, PMHNP-BC, anywhere in Texas.
- 20–30 minute follow-ups
- Seen in 24–48 hours
- Transfers welcome
- Most major insurance
What is included
- Medication selection based on your diagnosis, medical history, other prescriptions, and what you have already tried.
- Deliberate titration — conservative starting doses, adjusted on evidence rather than on a calendar.
- Side-effect monitoring at every visit, including sleep, appetite, weight, blood pressure, sexual side effects, and mood.
- Interaction review against everything else you take, prescription or otherwise.
- Refill management handled as part of care rather than as an administrative afterthought.
- Deprescribing — planned, staged tapering when a medication has done its job.
- Referral for therapy where therapy is the better-evidenced treatment.
Conditions managed
How visits are structured
- Initial evaluation, 60–90 minutesDiagnosis established properly before anything is prescribed. Details on the psychiatric evaluation page.
- Early follow-ups, every 2–4 weeksThe period where dose and tolerability are actually settled.
- Maintenance, every 1–3 monthsStability confirmed, refills kept current, plan revisited as your circumstances change.
Cost and insurance
In network with Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Optum, Humana, Medicare, and Medicaid, plus self-pay. Texas requires plans to cover telehealth on the same basis as in-person care. See cost and insurance, or call (432) 770-3341 for a free benefit check.
Common questions
Is medication management the same as therapy?
No, and they are often used together. Medication management is the medical side of psychiatric care: diagnosis, prescribing, dose adjustment, side-effect monitoring, and knowing when to stop a medication. Therapy is the psychological treatment, delivered by a therapist. This practice provides medication management and refers for therapy where therapy is the more effective intervention — which for some conditions it plainly is.
How often will I be seen?
More often at the start, less often once you are stable. Expect every two to four weeks while a medication is being started or changed, then every one to three months for maintenance. That front-loaded cadence is deliberate: the early weeks are when a dose is wrong, a side effect appears, or a response fails to materialise, and those are all things that need a clinician looking at them rather than a patient waiting out a three-month gap.
Can you manage medication another clinician started?
Yes. Transferring care is routine here. Bring your current medications and doses, the name of the previous prescriber, and any records available. The transfer begins with a full evaluation, both because a prescriber has to independently establish the diagnosis and because a handover is the right time to ask whether the current regimen is still the best available. If it is working well, the usual recommendation is to keep it and manage it carefully.
What if I want to come off my medication?
That is a legitimate goal and a clinical process in its own right. Stopping a psychiatric medication abruptly can cause discontinuation symptoms or relapse, and some medications need tapering over weeks. Deprescribing is planned, staged, and monitored the same way starting a medication is. It is a conversation to have at a visit, not a decision to make alone between visits.