Most patients begin with a psychiatric evaluation. From there, care is shaped to your specific situation — sometimes medication management alone, sometimes paired with brief psychotherapy, sometimes coordination with outside therapists when longer-term work is the right fit. The throughline is honesty, mutual respect, and a plan that meets you where you actually are.
The first visit. Sixty minutes to cover your history, current medications, treatment goals, and any concerns from previous care. The conversation that shapes every decision after it.
What happens. I ask about your symptoms, your psychiatric and medical history, your family history, your lifestyle, and what you have already tried. I work through evidence-based diagnostic frameworks to understand the clinical picture — not a snap diagnosis, but a careful read of what is actually present.
What you leave with. An understanding of where I think you are and why. A discussion of treatment options. A clear sense of the path forward and what is negotiable about it.
Best for: patients new to psychiatric care; patients changing providers; patients who feel previous treatment never addressed the full picture; patients seeking a clear diagnosis before starting treatment.
Self-pay rate: $300. See full pricing & insurance →
Personalized prescribing. I tailor medication management to individual factors like genetics, health history, and lifestyle — leading to safer and more effective care. This minimizes trial and error prescribing.
Detailed medication review. I start by thoroughly reviewing your current medications and medical history. If you have prior records, those go into the review.
Customized strategy. Based on what we find, I prescribe medications that best suit your specific conditions, symptoms, and history of response. The goal is not "more medication." It is the right medication, at the right dose, for as long as it serves you.
Adaptive monitoring. Follow-up appointments check on effectiveness, side effects, and any adjustments your plan needs. Most patients are seen at intervals appropriate to their stage of treatment — not on a one-size schedule.
Best for: patients who have not responded to prior medications; patients managing multiple conditions; patients who want a thoughtful prescribing partner rather than fifteen-minute med checks.
Self-pay rates: $250 (60 min) / $150 (30 min). See full pricing & insurance →
Read more: What I ask every new patient before I prescribe anything →
Short-term, focused therapy. Brief psychotherapy is designed for specific concerns: coping skills, anxiety symptoms, adjustment challenges, acute stress, or a particular life transition where focused support can make a measurable difference.
Often paired with medication management. For many patients, the combination of careful prescribing and short-term focused therapy is more effective than either alone. The two work together, with your full picture in view.
Scope note. Brief psychotherapy is not the same as long-term weekly therapy, intensive trauma therapy, DBT programs, IOP, or PHP. When those are the right fit for what you need, I help with the referral coordination so the right care reaches you.
Best for: patients seeking short-term support alongside medication management; patients dealing with a specific concern; patients in transition who need clarity before deciding on longer-term care.
Self-pay rates: $250 (60 min) / $150 (30 min). See full pricing & insurance →
From a Tuesday afternoon
Real progress is built, not rushed. I do not follow the quick-fix method, and I avoid excessive medication. The goal is real relief and steady progress over months — not more pills.Nkemdilim Nwofor · on prescribing
I see children, adolescents, adults, families, and elders. The approach changes with the person; the discipline stays the same.
Depression. Anxiety disorders. Mood disorders. Bipolar disorder. OCD. PTSD & trauma. ADHD. Eating disorders. PMS / PMDD. Sleep disturbances. Pediatric & adolescent concerns. Substance use. Phobias & panic. Anger management. Thinking disorders. LGBTQ+ affirming care.
If you are not sure your concern fits, the first appointment is for figuring that out together.
Whatever the concern, the first useful step is the same: a careful evaluation that gives us a clear picture before we recommend a treatment plan. You do not have to handle everything on your own.
