Veteran psychiatric services telehealth — precision care, not a prescription line.
How We Work
This isn’t a 15-minute med check factory.
Every visit at Reforge combines psychiatric medication management with brief, focused therapeutic work. The goal isn’t to hand you a prescription and send you home — it’s to build a treatment plan that actually fits the way your brain works, track whether it’s working, and adjust until we get it right.
Veteran Psychiatric Services Telehealth— Your First Visit
Your first appointment is a full 60-minute psychiatric evaluation. Not a screening form with a prescription stapled to the back.
We’ll cover your full clinical picture: current symptoms, psychiatric history, medical history, medications, substance use, trauma exposure, sleep, family history, and what’s already been tried. If you’ve been through the VA system or seen other providers, bring whatever records you have — it saves time and helps me avoid repeating things that didn’t work.
By the end of the first visit, you’ll have a working diagnosis, a treatment plan, and a clear explanation of why I’m recommending what I’m recommending. If medication is part of the plan, we start precise and low — no shotgun prescribing.
Follow-Ups — 25-Minute Medication Management + Therapeutic Check-In
Follow-up visits are scheduled at a frequency that matches your clinical needs, not an insurance company’s billing cycle. Early in treatment, that’s usually every 2–4 weeks. Once you’re stable, we stretch to monthly or beyond.
Every follow-up includes a medication review, symptom tracking, side effect monitoring, and brief therapeutic work — meaning we actually talk about what’s going on in your life, not just whether you’re taking your pills. If something isn’t working, we change it. If something is working, we document why so we can protect it.
Not Just Medication — Not Just Supplements
Reforge is a precision integrative practice. That means every recommendation — whether pharmaceutical or nutraceutical — is evidence-based, outcome-tracked, and clinically reasoned.
Nothing gets recommended without clinical reasoning specific to your presentation. If it’s on your plan, there’s a reason — and you’ll know what it is.
Where clinical evidence supports it, treatment may incorporate
• NAC — glutamate modulation; evidence base in PTSD and anxiety
• High-EPA omega-3s — depression and neuroinflammation; most veterans are deficient
• Magnesium glycinate — HPA axis regulation and sleep support
• L-theanine — anxiolytic without sedation; sleep architecture support
• Ashwagandha (KSM-66) — cortisol dysregulation and chronic stress
• Evidence-based pharmacotherapy when indicated — prescribed precisely, adjusted until we hit the target
This isn’t a supplement store. Every item on this list has peer-reviewed evidence behind it, and none of it gets recommended without clinical reasoning specific to your presentation.
Deeper Therapeutic Work
Visits may include brief therapeutic work, but Reforge is not a weekly therapy practice. For deeper, ongoing psychotherapy — trauma processing, IFS, EMDR, somatic work — I’ll connect you with vetted trauma specialists I trust. Not a cold referral list. Clinicians I’ve worked with, whose approach I know, and who understand this population.
“It takes a creative solution to get the help to the people who need it. Two like-minded clinicians coming together for one person.”
That’s how this model works. Your prescriber and your therapist coordinating as a team, not operating in silos. The goal is a coordinated team, not a fragmented one.
Pricing
Reforge Psychiatry is a self-pay practice. No insurance networks, no prior authorizations, no third party deciding what medication you’re allowed to try.
| Service | Rate |
|---|---|
| Initial Psychiatric Evaluation (60 min) | $295 |
| Follow-Up (25 min) | $175 |
| Veteran or First Responder Rate | $250 initial / $150 follow-up |
| Therapeutic Extended Session | $250 |
Superbills provided. After each visit, you’ll receive a superbill — a detailed receipt you can submit to your insurance company for potential out-of-network reimbursement. Most PPO plans reimburse 50–80% of out-of-network psychiatric care.
Sliding scale available on a case-by-case basis. If cost is a barrier, reach out — we’ll figure it out.
Ready to Start?
Schedule a free 15-minute consult. No paperwork, no commitment. If Reforge is the right fit, we build a plan. If it’s not, I’ll tell you honestly and point you somewhere that is.