True You Always offers online psychiatric medication management to patients located throughout Florida. After an evaluation establishes a treatment plan that includes medication, you meet with your psychiatric provider by secure video for regular follow-up appointments to review how the medication is working, address side effects, and adjust the plan when needed.
Ages 12+ · Secure telehealth · Across Florida
Clinically Reviewed by Sheena Varghese, PA-C,
NCCPA Certified Physician Assistant
Last Reviewed: November 2, 2026
Psychiatric medication can reduce symptoms of depression and anxiety and improve attention and daily functioning for people with ADHD (NIMH). For some people, those improvements make it easier to engage in therapy and participate in everyday life.
At True You Always, we provide medication management for tweens and teens (12+) and adults with conditions and concerns including:
We may also work with people whose symptoms overlap or don’t fit neatly into a single category. If you don’t have a diagnosis yet, start with a psychiatric evaluation.
Medication management appointments are follow-up visits that usually last 30 minutes, by secure video. Every visit returns to five questions that help you and your psychiatric provider review how treatment is working and whether the plan still makes sense.
What are we treating? What was the plan? What is the medication intended to help with?
Fewer or less intense symptoms count, and so do better sleep and concentration, and feeling more emotionally stable. It might also mean being more present with people you care about, or returning to activities you’d stopped enjoying.
Symptoms that remain, side effects, concerns about the medication, or parts of the treatment plan that haven’t helped as much as expected.
Stress, sleep, relationships, work, school, hormones, physical health, other medications, and major life events can all affect symptoms and medication response.
Not every appointment ends with a medication change. Sometimes the right decision is to adjust a dose, switch medications, simplify a regimen, gather more information, or leave the plan exactly as it is.
When a medication is started or changed, your psychiatric provider explains what it is, what it’s meant to help with, and what side effects are possible. Doses can start low and increase gradually, at a pace you’re comfortable with.
If something feels wrong after a change, tell your provider. Some effects are temporary and can be monitored. Others suggest the dose, medication, or timing isn’t a good fit.
Appointments are closer together when a medication is started or changed, and less frequent once treatment is stable.
Symptoms, side effects, and health can change over time, so medication management includes ongoing monitoring. Depending on your treatment, your provider may track these areas.
Frequently Asked Question
There is no universal timeline. Treatment duration depends on the condition, your response, previous episodes, and your individual circumstances. NICE’s guidance on treating depression in adults notes that antidepressant treatment may need to continue for at least six months after symptoms have remitted, with regular reviews. Some people need longer treatment. Your provider will review whether medication remains useful and appropriate over time.
When appropriate, that monitoring may include coordinating with your primary care provider or another medical specialist.
Refills are part of this ongoing care—not separate from it. You’ll need to keep the follow-up schedule your provider recommends so they can review how treatment is working and continue prescribing appropriately.
“If the medication provider is seeing one thing and the therapist is seeing something else, and they’re not talking, we’re not addressing the whole person. That’s a big reason we brought psychiatric care in-house.”
Amber Hartnett, MSW, LCSW-QS, MCAP, CEDS-C
Get started with psychiatric medication management today.
You and your psychiatric provider decide together which medication is the right fit for you. That’s shared decision-making, and it’s how medication management works at True You Always.
Your provider brings clinical training and knowledge of medications and how they work for specific conditions.
What you bring is equally important. You know what it feels like to live in your body and your life. That includes what’s happened before. If a medication caused side effects that felt intolerable, or previous treatment left you feeling dismissed or rushed, that belongs in the decision too.
Your provider will explain their recommendations, including the potential benefits and risks, available alternatives, and why a particular medication may not be safe or appropriate. You can ask questions and talk through the options together.
Part of that work is asking whether every medication you take still serves a clear purpose. When clinically appropriate, that can mean simplifying a medication plan, reducing or changing medication, or reconsidering whether medication is addressing the right problem at all.
Therapy and medication do different jobs. Medication can help you feel less anxious, less depressed, or more able to think clearly. But you may still find yourself stuck in familiar patterns of avoidance, overthinking, withdrawal, or perfectionism. Therapy helps you recognize those patterns and practice different ways of responding as your symptoms improve.
Some people use one, and some benefit from both. You can come to True You Always for medication management alone. Therapy may be recommended when it’s clinically appropriate, but it isn’t required.
According to the American Psychological Association, behavioral therapy can be effective on its own or alongside medication for many anxiety disorders. The approach depends on your symptoms, previous treatment, preferences, and response to care.
When you have both, your therapist and psychiatric provider can share what they’re seeing, with your authorization, so each treatment informs the other. That applies whether your therapist is at True You Always or somewhere else.
If you have an established diagnosis and a psychiatric medication plan, you may be able to transfer your medication management to True You Always. A medication management transfer involves three things.
Records from your previous prescriber and prior diagnostic documentation are generally required.
Your True You Always psychiatric provider evaluates whether your treatment remains clinically appropriate and safe, so medications aren’t automatically continued exactly as another clinician prescribed them.
True You Always does not accept transfers for the continuation of controlled medications. This includes some ADHD medications.
If you’re transferring care, contact True You Always before you schedule a psychiatric care appointment. Our team will review your situation and let you know whether our medication management service matches your needs.
If you’re ready to be seen and heard by a provider who takes the time to get to know you and your history, the conversation starts with a psychiatric evaluation.
If you’re transferring care from another prescriber, contact us before scheduling your first appointment.
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.
Do I need an evaluation before starting medication management?
Usually, yes. New patients generally begin with a psychiatric evaluation so your psychiatric provider understands your symptoms, history, previous treatment, and goals. If you’re transferring care, your provider will determine what’s needed before treatment begins.
How often will I need medication management appointments?
It depends on your medication, diagnosis, and stage of treatment. Appointments are closer together when a medication is started or changed, and less frequent once treatment is stable. Your psychiatric provider will recommend a schedule.
Will my provider prescribe the medication I request?
Not necessarily. Medication decisions are based on clinical assessment, safety, your diagnosis and treatment history, and your provider’s judgment, so no specific medication is guaranteed. Your provider will explain their recommendation and discuss alternatives.
Do you prescribe controlled medications?
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.
What if I’m nervous about taking medication?
It’s common to have mixed feelings about psychiatric medication. You can hope medication will help and still feel nervous about taking it. Those concerns are part of the conversation.
What should I do if I have a medication question 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.
Is psychiatric medication management available through telehealth?
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.
How much does medication management 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.
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
