Frequently Asked Questions

1. General

A Psychiatric-Mental Health Nurse Practitioner (PMHNP) is an advanced practice nurse with specialized training at the Master’s or Doctorate level, focusing on mental health care. PMHNPs assess both psychosocial and physical health, diagnose mental health conditions, order and interpret lab tests, and prescribe medications. They understand the impact of physical health on mental well-being. While some provide psychotherapy, they often collaborate with therapists or refer patients for further counseling. PMHNPs address both acute and chronic mental health issues with a holistic approach that emphasizes disease prevention and health promotion, striving to deliver cost-effective, compassionate care that prioritizes patient advocacy and optimal health outcomes.

Balanced Mind Mental Health (BMMH) is a 100% virtual practice, also known as telepsychiatry or telemental health. BMMH delivers all services online using a secure, HIPAA-compliant audiovisual platform, enabling real-time interaction between providers and patients. Services is provided in the state of Florida and Maryland.

Balanced Mind Mental Health specializes in adult women’s mental health, hormonal mental health, and lifestyle psychiatry, with a focus on emotional wellness, whole-person psychiatric care, and the connection between mental health, lifestyle, and hormonal transitions. Care includes psychiatric evaluation, medication management, and lifestyle-informed strategies tailored to individual needs. While the practice is designed primarily for adult women, other adults and adolescents may inquire about availability.

No. All clients are welcome regardless of faith, religion, or spiritual background. Biblical principles may inform values such as compassion, hope, and resilience, but your personal beliefs are always respected, and care is tailored to your preferences.

2. Services & Specialties

Lifestyle-focused care is integrated into psychiatric treatment to support emotional well-being, focus, and overall functioning. This may include attention to nutrition, sleep, stress management, movement, and daily routines that influence mental health. These strategies are used alongside medication management and are tailored to each individual’s needs and goals.

Women’s Mental Health focuses on the overall emotional well-being of women, including concerns such as anxiety, depression, ADHD, adjustment-related stress, sleep difficulties, and emotional wellness across different stages of life.

Hormonal Mental Health focuses more specifically on the connection between hormones, reproductive transitions, metabolism, and emotional well-being. This may include PMDD, menstrual cycle–related mood symptoms, postpartum mood disorders, perimenopausal mood changes, PCOS-related mood concerns, and thyroid-related mood symptoms.

Yes. Treatment is provided for hormone-related mental health concerns, including PMDD, postpartum mood disorders, perimenopausal mood changes, and menstrual cycle–related mood symptoms. Hormone replacement therapy (HRT) and medical hormone management are not provided through this practice. Patients seeking hormone therapy or endocrine treatment should consult their OB-GYN, primary care provider, or endocrinologist. Psychiatric treatment may include medication management, lifestyle-focused strategies, and supportive use of supplements when appropriate as part of a comprehensive mental health approach. To learn more, please visit the Hormonal Mental Health page.

Yes. Mental health care is available for women experiencing postpartum mood and anxiety disorders (PMADs), including postpartum depression (PPD), postpartum anxiety (PPA), and related postpartum mood concerns. Since care is provided exclusively via telehealth, services are primarily focused on postpartum mental health rather than during pregnancy. Women experiencing mood or anxiety symptoms while pregnant are encouraged to consult their OB-GYN or a perinatal mental health specialist.

Controlled substances are prescribed when clinically appropriate and in accordance with DEA and telehealth regulations. Benzodiazepines are not prescribed for panic attacks or anxiety disorders, and hypnotic medications are not prescribed for sleep disorders. Stimulant medications may be prescribed for ADHD following a comprehensive evaluation, along with non-stimulant options such as Wellbutrin, Strattera, or Qelbree. Clients prescribed stimulant medications are required to attend monthly follow-up appointments.

Yes. Therapy is provided as part of medication management and is not offered as a stand-alone service. Therapeutic approaches such as behavioral, supportive, goal-focused, and lifestyle-based strategies may be integrated into visits as needed. These approaches are tailored to individual needs and used when clinically appropriate.

3. Lab Testing & Specialty Testing

Lab testing plays an important role in comprehensive psychiatric care by identifying underlying physiological factors that may contribute to mental health symptoms. Thyroid imbalances, vitamin and nutrient deficiencies, hormonal fluctuations, inflammatory markers, and metabolic factors can influence  mood, cognition, and overall well-being.

When clinically indicated, standard laboratory testing may be ordered to support psychiatric care, including: thyroid function testing, vitamin and nutrient levels (such as vitamin D, B12, and folate), complete blood count (CBC), comprehensive metabolic panel (CMP), and pregnancy testing when required for medication safety. Specialty testing, such as pharmacogenetic (PGx) testing or hormone levels, may be considered on a case-by-case basis to help guide treatment decisions within psychiatric scope of care.

Insurance does not typically cover specialty laboratory testing. Coverage varies by plan, and patients are encouraged to verify benefits directly with their insurance provider. If specialty testing is recommended, available options and pricing will be reviewed before proceeding.

If lab results suggest an underlying medical condition, such as a thyroid disorder or vitamin deficiency, the findings will be reviewed with you and appropriate referrals will be recommended to your primary care physician, OB/GYN, or endocrinologist for further evaluation and treatment. Medical conditions outside of psychiatric care are not managed within this practice. Lab results are used to inform and personalize your mental health treatment plan.

4. Supplements

Fullscript is a secure online dispensary that provides access to professional-grade supplements. When clinically appropriate, individualized supplement recommendations may be made to support mental health, sleep, stress management, and overall well-being as part of your treatment plan. Use of supplements is optional and guided by clinical judgment and patient preference.

Supplements are not prescribed medications. When clinically appropriate, they may be recommended through Fullscript to support mental health as part of your care. Use is always optional and based on your preferences and clinical needs.

Most supplements are not covered by insurance and are considered out-of-pocket expenses. When recommended through Fullscript, discounted pricing may be available to help make professional-grade supplements more accessible.

5. New & Existing Patients

New clients can get started by visiting the New Patient Information page, which provides a 5-step guide to becoming a new patient, including how to request an appointment, activate the patient portal, complete required forms, and prepare for your first visit.

Follow-up appointments are typically scheduled at the end of sessions. If you need to schedule, reschedule, or change an appointment, you can do so through your patient portal at your convenience or contact the office for assistance.

Balanced Mind Mental Health accepts several major commercial insurance plans. Insurance eligibility can be verified prior to scheduling. Most insured clients are responsible for their standard copay, which is often under $50 per visit. For clients without insurance, self-pay rates are $275 for a 60-minute initial psychiatric evaluation and $135 for follow-up appointments.

Balanced Mind Mental Health requires 48 hours (2 business days) advance notice for cancellations or rescheduling to avoid fees.

  • New clients: $100 fee for late cancellations or no-shows
  • Established clients: $75 fee for late cancellations or no-shows (not covered by insurance)
  • Exceptions: May be considered for medical emergencies only
  • Policy enforcement: Three late cancellations or no-shows may result in discharge from services

Full details are outlined in the Office Policies and Financial Agreement.

Payment is due at the time of service. Accepted forms of payment include Visa, Mastercard, Discover, American Express, and debit cards.
You are responsible for:

  • Unmet deductibles, co-insurance, co-payments
  • Charges not covered by insurance
  • Full payment if uninsured or pre-existing conditions excluded
  • All non-covered services

Your insurance may not cover the full cost of a visit, and you are responsible for copays, coinsurance, deductibles, or non-covered services. A credit card is required to cover potential no-show or late cancellation fees (appointments canceled with less than 48 hours’ notice) and applicable paperwork charges. Patients are encouraged to verify coverage with their insurance provider to avoid unexpected costs.

Prescription refills are typically addressed during scheduled appointments. Between visits, established patients must submit an online prescription refill request form,   and include the pharmacy where the medication is currently available.

Key details:

  • Patients responsible for finding pharmacy stock (due to shortages)
  • $25 processing fee applies
  • No Monday-Thursday after 6:00 PM, weekends, or holidays
  • Allow 72 hours (3 business days) for processing
  • May be denied if appointment missed/canceled

FMLA paperwork may be completed for established patients who have been engaged in consistent treatment for at least 3 months when clinically appropriate. Supporting documentation from other providers may also be requested when needed. This practice does not complete Emotional Support Animal (ESA) letters, disability paperwork, school accommodation or IEP forms, or court-related evaluations and documentation.

The initial psychiatric evaluation is a 60-minute telehealth appointment focused on understanding your emotional well-being, symptoms, medical and mental health history, lifestyle patterns, sleep, stress, and overall functioning. The evaluation may also include discussion of previous treatment experiences, current concerns, medications, and factors that may be contributing to mental health symptoms. The goal is to develop an individualized treatment approach tailored to your needs and goals. Follow-up visits are commonly scheduled within about 4 weeks after the initial evaluation, with frequency adjusted based on clinical needs, progress, and the individualized care plan.

6. Emergencies & Mental Health Crises

Balanced Mind Mental Health does not provide crisis or emergency services. If you are experiencing a mental health crisis, call or text 988 to reach the Suicide & Crisis Lifeline. For medical emergencies or immediate danger, call 911 or go to the nearest emergency room.You may also visit the Crisis Resources section of this website for links to local hospitals and crisis intervention resources.

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