True You Always offers online psychiatric care to patients located throughout Florida. Through secure video visits, a licensed psychiatric provider evaluates concerns such as depression, anxiety, ADHD, trauma, and changes in sleep or mood; clarifies a diagnosis; and, when clinically appropriate, prescribes and monitors medication.
Ages 12+ · Secure telehealth · Across Florida
Clinically Reviewed by Sheena Varghese, PA-C,
NCCPA Certified Physician Assistant
Last Reviewed: November 2, 2026
At True You Always, psychiatric care includes psychiatric evaluations to understand your symptoms and clarify a diagnosis, and psychiatric medication management to prescribe and monitor medication when appropriate. An evaluation helps establish a starting plan; follow-up appointments review how medication, if prescribed, is working, any side effects, and whether the plan needs to change.
We may recommend an evaluation if we feel that therapy is helping, but you’ve reached a plateau in your treatment. For example, you might be:
Our whole-person view reflects the American Psychiatric Association’s practice guidelines, for evaluating adults, which include reviewing psychiatric and medical history, medications and side effects, substance use, and treatment preferences.
Scheduling a psychiatric appointment doesn’t automatically mean leaving with a prescription. The goal is to understand what’s happening and help you decide what to do next.
Whole-Person Care
Psychiatric care that considers your mental health, physical health, and everyday life.
Online Across Florida
Psychiatric evaluations and medication management through secure video appointments for people physically located in Florida.
Ages 12+ and Adults
Care for tweens, teens, and adults, with room for parent or caregiver input when appropriate.
If you’re considering psychiatric care, you may be unsure which type of appointment to schedule. Here’s how psychiatric evaluations and medication management differ. Start with a psychiatric evaluation if you’re looking for answers about what’s going on or whether medication might help. Choose medication management if you already have a diagnosis and treatment plan and need ongoing prescribing and monitoring.
| Psychiatric Evaluation | Medication Management | |
|---|---|---|
| The question it answers | “What’s going on with me?” | “Is my treatment working, and what needs to happen next?” |
| Best for | Starting psychiatric care, seeking a diagnosis or a second look at an existing diagnosis, or wondering whether medication would help | An established diagnosis and treatment plan, including appropriate transfers from another prescriber |
| What happens in sessions | Review of symptoms, history, and goals; diagnostic clarification when appropriate; a starting treatment plan | Review of how treatment is working, side effects, and what’s changed; the plan continues, changes, or is reconsidered |
| Self-pay rate | $175 (current) | $100 per follow-up (current) |
Put simply, an evaluation builds the starting plan, and medication management keeps checking that the plan still makes sense. Not sure which fits? The True You Always team can help you choose before you schedule.
Some people already have an established diagnosis and an existing psychiatric medication plan. If that’s you, you may be able to transfer your medication management to us.
True You Always does not accept transfers of controlled medications. Learn more about medication management transfers.
At True You Always, medication is one of several treatment options. For some people, medication reduces symptoms enough to make other things possible again.
For others, medication isn’t the most important next step. The answer may lie in therapy, medical care, or changes to sleep, stress, and everyday support. These possibilities don’t compete with one another. That’s consistent with the National Institute of Mental Health, which notes that psychiatric medications are often used in combination with other treatments, such as therapy.
The goal is the right amount of support, whatever form it takes.
“Medication can take the intensity down a notch so you can use the skills you’re learning. I can’t expect someone who can’t get out of bed because of their depression to go on a two-mile walk every day. But if medication eases some of that exhaustion, they might be able to walk to the mailbox. That’s something we can both build on.”
Amber Hartnett, MSW, LCSW-QS, MCAP, CEDS-C
Get started with psychiatric care today.
Psychiatric treatment involves medical expertise, but medical expertise isn’t the only information that matters. Shared decision-making is a core value at True You Always. You and your psychiatric provider decide on treatment together.
You bring what you’re experiencing, what has helped before, what has gone badly, which side effects affect your quality of life, what you’re afraid of, and what you hope treatment will make possible.
Your provider brings knowledge of how medications work, which symptoms they may help, potential risks and side effects, interactions, monitoring needs, and which options are clinically appropriate.
The Agency for Healthcare Research and Quality describes shared decision-making as a conversation that weighs the benefits, harms, and risks of each option alongside what matters most to the patient.
At True You Always, psychiatric care is a conversation between you and your psychiatric provider.
Your psychiatric provider and therapist can communicate with one another when clinically appropriate, so changes in mood, sleep, side effects, or progress can inform both parts of your care.
As Sheena Varghese, PA-C, explains, a patient may not share everything with a prescriber that they share with a therapist they see every week. Being able to ask, “This is what I’m seeing. Could you shed some light on this?” means you have two people going to bat for you.
This doesn’t take extra effort on your part. Consent is part of your intake paperwork, and your providers typically connect within your first few sessions, by phone or in the consultation group the team holds a few times a week. If your therapist is outside True You Always, we’ll send a release form so your provider can reach out.
Therapy and psychiatric care can work alongside one another when that approach fits your symptoms, goals, and clinical needs. You can explore related therapy services at True You Always below. These pages describe our broader therapy services, not every psychiatric provider’s specialties.
If you’re beginning psychiatric care or looking for diagnostic answers, a psychiatric evaluation is generally the starting point. Evaluations usually last 60 to 90 minutes and take place online from anywhere in Florida.
Your psychiatric provider asks what’s been happening and what you’ve noticed, along with your history, sleep, stress, relationships, physical health, and any past treatment, including medications you’ve tried.
Your provider shares what they’re seeing and what may be contributing. Sometimes that takes more than one session, and that’s okay.
You’ll hear possible next steps, which may or may not include medication, and you have a say in which path you take.
A psychiatric evaluation gives you time to talk through what you’re experiencing, explore what may be contributing to your symptoms, and discuss next steps—including whether medication makes sense for you.
Virtual appointments are available for tweens and teens (12+) and adults physically located in Florida.
PA-C, NCCPA-Certified Physician Assistant
Psychiatric Evaluations & Medication Management
“We’re not just one thing. We’re multifaceted. I like to take the time to understand the whole person, including your relationships, your stressors, and how you’re sleeping.”
— Sheena Varghese
Specialties: Anxiety and panic disorders, depression, ADHD, and trauma-related symptoms.
Additional focus: Women’s mental health, including PMDD, perimenopause-related mood concerns, and possible overlooked ADHD in women. (Adolescents ages 12+ and adults)
Sheena brings more than 20 years of clinical experience to psychiatric care, including pharmaceutical drug-safety and adverse-event assessment work with Pfizer and Schering-Plough/Merck. She holds the Neuroscience Education Institute’s Master Psychopharmacology Program Certificate. Based in Orlando, she sees patients by telehealth throughout Florida. Her approach emphasizes thoughtful assessment, shared decision-making, and making sure each medication serves a clear purpose.
Are psychiatric appointments virtual?
Yes. All psychiatric care at True You Always is provided by telehealth, and you must be physically located in Florida during your appointment. Depending on your situation, your provider may also recommend vital signs, lab work, an in-person visit with another provider, or another level of care.
Do I need to be in therapy at True You Always to receive psychiatric care?
No. You can receive psychiatric evaluations and medication management through True You Always even if you are not also seeing a True You Always therapist. Therapy may still be recommended when clinically appropriate, but it is not required to receive psychiatric care.
How much does psychiatric care cost, and do you accept insurance?
Self-pay rates and insurance participation vary by psychiatric provider. Each provider’s profile on the True You Always website lists their current self-pay rates and the insurance plans they accept. Coverage, copays, deductibles, and eligibility should be verified before treatment begins.
How long is the first psychiatric evaluation?
Initial psychiatric evaluations are generally 60 to 90 minutes, depending on the clinical situation and information that needs to be reviewed. If more time is needed, the evaluation can continue into the next session.
Does scheduling a psychiatric evaluation mean I will be prescribed medication?
No. A psychiatric evaluation is a chance to better understand what may be contributing to your symptoms and discuss appropriate next steps. Medication may be one option, but it’s not automatic. Depending on your situation, the next step may include therapy, medical follow-up, changes to sleep or stress support, medication, or a combination of approaches.
What if I am already taking psychiatric medication?
You may be able to transfer appropriate medication-management care to True You Always. Previous prescriber records and diagnostic documentation are generally required. Learn more about medication management transfers.
Will you take over my controlled medication?
True You Always does not accept transfers for the continuation of controlled medications. Controlled medications may sometimes be considered within an established psychiatric treatment relationship when clinically appropriate, but they are not guaranteed and are not a focus of our psychiatric services.
Can my psychiatric provider coordinate with my True You Always therapist?
Yes. When clinically appropriate and with your authorization, your psychiatric provider and True You Always therapist can coordinate care. They may share relevant information about symptoms, functioning, medication effects, stressors, and treatment progress so both parts of your care reflect the fuller picture.
Do you provide medication-assisted treatment for substance-use disorders?
No. True You Always does not currently provide MAT. Substance use may be addressed when it is relevant as a co-occurring part of the psychiatric picture, but our current psychiatric service is not an MAT program.
Can I contact the practice between appointments?
The best way to address medication questions, concerns, or changes in symptoms is to book an appointment, so your psychiatric provider has time to review what’s changed and talk it through with you.
If you need to be seen sooner than your next scheduled visit, you can book an earlier appointment. For quick, non-urgent questions, established patients can send a secure portal message or call the office, but responses aren’t immediate. True You Always is not a 24-hour call line or crisis service. For a severe medication reaction or an emergency, call 911 or go to the nearest emergency room, or call or text 988.
This page is for general information and is not crisis care. If you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For urgent mental-health, substance-use, or suicide-related support, call, text, or chat 988. You can also text HOME to 741741 to reach Crisis Text Line.
160 Island Beach Blvd
Merritt Island, FL 32952
(321) 613-8685
Counseling offered via online
telehealth in Wisconsin & Florida.
Life Coaching offered via telehealth in all states
