Telehealth Psychiatric Care for New York Patients

Psychiatric care here centers on accurate diagnosis and medication management, provided by Michael Feldman, PA-C, a physician associate specializing in psychiatry. Care begins with a comprehensive evaluation of your history, symptoms, and goals, followed by a personalized medication plan and ongoing monitoring. Where therapy is the better fit, I coordinate with therapists, so you receive appropriate, well-rounded care.

Out-of-pocket psychiatrist visits in New York City often cost $300 to $600 or more. Gimel Health sees NYC residents by telehealth for $350 for the initial evaluation and $300 for follow-ups, and provides a superbill for out-of-network reimbursement.

A psychiatrist is a medical doctor (MD or DO) who has completed a psychiatry residency. A physician associate (PA-C) specializing in psychiatry, like Michael Feldman, is a licensed medical provider who diagnoses mental health conditions and prescribes and manages psychiatric medication, working within a collaborative framework. Both can evaluate symptoms and manage medication. Choosing a PA-C often means more accessible, personalized care, and Michael coordinates with other physicians when a situation calls for it.

Yes, in New York you can usually book a psychiatrist directly without a referral, unless your HMO requires one. Self-pay practices never require a referral. New York residents can schedule a telehealth evaluation with Gimel Health directly.

Medication can help with a wide range of conditions, including depression, anxiety disorders, bipolar disorder, ADHD, OCD, PTSD, and mood instability. The right medication depends on your diagnosis, history, and how you respond. I match treatment to your specific needs, start conservatively, and adjust over time, rather than applying a one-size-fits-all approach.

Telepsychiatry provides evaluation and medication management by secure video for patients across New York. It suits diagnosis, ongoing medication management, and follow-up, and it makes consistent care easier by removing travel. In-person visits are available at the Fort Lee office near NYC when preferred or clinically appropriate. Prescribing follows New York state and federal rules, including any requirements for controlled substances.

Bipolar disorder is typically managed with mood stabilizers such as lithium or valproic acid, sometimes alongside an antipsychotic, to reduce the frequency and intensity of mood episodes. Treatment is introduced carefully and monitored over time, with attention to co-occurring conditions. An accurate diagnosis comes first, since treatment for bipolar disorder differs from treatment for depression.

There is no formal 3 month rule in psychiatry. New Yorkers often use the phrase to mean that symptoms lasting about three months need professional help, or that a new medication deserves a few months before you judge it. If you are struggling now, do not wait: a telehealth evaluation can usually be booked within days.

Yes. Adult ADHD is treatable with stimulant or non-stimulant medication, often alongside practical strategies and therapy. Because stimulants are controlled substances and can interact with mood conditions, I evaluate carefully, screen for co-occurring conditions such as bipolar disorder, and monitor closely once treatment begins. The plan is tailored to your symptoms and history.

It is worth seeking care when emotional or behavioral symptoms, such as persistent low mood, anxiety, mood swings, or difficulty functioning, interfere with work, relationships, or daily life. You do not need to wait until symptoms become severe. An evaluation can clarify what is happening and whether medication, therapy, or a combination is the right next step.

The 3-3-3 rule is a quick grounding exercise for anxiety: name three things you can see, listen for three sounds, then move three parts of your body. It interrupts racing thoughts in the moment. If you find yourself relying on it often, ongoing anxiety treatment with therapy, medication, or both can help.

Yes. With your consent, I coordinate with your therapist, primary care physician, or other providers, since open communication often leads to better outcomes. Psychiatric medication management works best as part of well-rounded care, and I refer out when a need falls outside the scope of what I provide.