Your NP in Psychiatry-—Psychiatric Care for New Yorkers, Wherever You Are in the State

Medication Management for Adults


Prescribing a medication is the beginning of treatment, not the end of it. Medication management is the ongoing clinical work of assessing your response, adjusting dosing, monitoring tolerability, and changing course when a treatment isn't delivering what it should. Most of what determines whether psychiatric treatment succeeds happens in these follow-up visits.

 

What Ongoing Care Includes

• Response assessment — whether symptoms are improving, and by how much, tracked against what you told us you wanted back

• Dose adjustment — titration based on your response and tolerance, not a fixed schedule

• Side effect management — a medication you can't tolerate isn't the right medication, and we'll say so rather than asking you to push through

• Medication changes — switching or augmenting when a trial has had a fair chance and hasn't worked

• Lab monitoring — where a medication requires it (lithium etc)

• Coordination with your therapist or primary care physician, with your consent

• Long-term planning, including tapering or discontinuation when that becomes appropriate.
  
  
  Visit Structure & Frequency

• Visits are typically more frequent early on — often every 2–4 weeks while we establish the right medication and dose — and space out to every 2-4  months once you're stable. This isn't a fixed schedule; it reflects where you are clinically.

  
  Prescriptions & Refills

• Prescriptions are sent electronically to your pharmacy, usually the same day as your visit. Request refills through the patient portal at least 2 business days before you run out.

  Refills require an active treatment relationship and current follow-up appointments. Keeping your visits scheduled is what keeps your prescriptions uninterrupted.

  
  Already on Medication?

• If you're currently taking psychiatric medication and it isn't working, the side effects have become hard to live with, or you're wondering whether you still need it — that's a legitimate reason to come in. Reducing or discontinuing medication is a real clinical goal, and it deserves the same care as starting one.
  
  We do not provide psychotherapy. For patients who would benefit from both, we coordinate with your therapist or can provide a referral.