A calm coastal landscape

Psychiatric medication management by telehealth: California, Washington, and Nevada

Mental health medication management by video for adults in California, Washington, and Nevada. California self-pay; Washington and Nevada insurance or self-pay.

Get Started

Text or call 310-905-5640

← Back

Licensed providers offer mental health medication management for adults in California, Washington, and Nevada through secure video visits. California care is self-pay. Washington and Nevada offer insurance or self-pay options, with coverage verification before your visit.

The access problem in psychiatric care

Finding a psychiatrist who is accepting new patients, takes your insurance, and has availability in a reasonable timeframe has become one of the most frustrating experiences in American healthcare. In many parts of Washington and Nevada, the wait for a new psychiatric appointment is measured in months, not weeks. In rural areas, the nearest psychiatric provider may be hours away.

The consequences are real. People who need medication for depression or anxiety go without it. Primary care physicians carry more psychiatric burden than they are trained for. Patients who can afford to pay out of pocket see providers that insurance patients cannot reach. And people who are struggling wait.

Telehealth changes the access equation. Rezolv Health provides psychiatric medication management by video across California, Washington, and Nevada, including patients in Seattle, Spokane, Reno, Las Vegas, University Place, Carson City, and communities throughout all three states.

Conditions we treat

Rezolv Health providers manage medications for a range of mental health conditions. The following list is illustrative, not exhaustive. If you have a condition not listed here, contact our team; your provider will assess whether telehealth medication management is appropriate for your situation.

Depression Major depressive disorder, persistent depressive disorder (dysthymia), and seasonal affective disorder. Treated with SSRIs, SNRIs, bupropion, mirtazapine, and other FDA-approved antidepressants based on your specific presentation and history.

Anxiety disorders Generalized anxiety disorder, social anxiety disorder, panic disorder, and related conditions. Treated with SSRIs, SNRIs, buspirone, and in some cases low-dose benzodiazepines for short-term management under close supervision.

ADHD in adults Attention deficit hyperactivity disorder in adults, including patients diagnosed in childhood who need ongoing medication management and patients newly identified as adults. Treated with stimulant medications (amphetamines, methylphenidate) and non-stimulants (atomoxetine, viloxazine) based on clinical appropriateness.

Bipolar disorder Mood stabilization for bipolar I and bipolar II disorder using mood stabilizers, atypical antipsychotics, and adjunctive medications as clinically indicated. Complex or unstable presentations may require higher-acuity care.

PTSD and trauma-related conditions Medication management for post-traumatic stress disorder using SSRIs, SNRIs, and adjunctive medications. Medication works best in combination with trauma-focused therapy. REzolv Health can provide medication management and coordinate with your therapist.

What psychiatric medication management involves

Psychiatric medication management is not a one-time prescription. It is an ongoing clinical relationship focused on finding the right medication at the right dose for your specific situation and monitoring your response over time.

Initial evaluation: Your first appointment is a comprehensive psychiatric evaluation by a licensed provider. Our team guides you through the intake steps for your state, including information about your symptoms, history, current and prior medications, and what you have tried before.

Treatment plan: Based on your evaluation, your provider recommends a medication approach. You discuss the options, potential side effects, expected timeline for effect, and what to watch for. A prescription is sent to your pharmacy if you agree to proceed.

Follow-up monitoring: Psychiatric medications typically take two to six weeks to show their full effect. Follow-up appointments are scheduled to assess your response, manage side effects, and adjust the dose or medication as needed. Once you are stable on a medication, periodic appointments maintain your care.

Medication adjustments: It is common to need dose adjustments or medication changes, particularly early in treatment. Response to psychiatric medication varies significantly between individuals. This is normal and expected, not a sign that treatment is not working.

Medication management and therapy

Psychiatric medication management is distinct from therapy. Medication addresses the neurological and biochemical aspects of a mental health condition. Therapy addresses thought patterns, coping skills, and behavioral factors.

For most conditions, research shows that the combination of medication and therapy produces better outcomes than either alone. Rezolv Health focuses on the medication management side. We maintain referral relationships with licensed therapists and counselors in Washington and Nevada and can help coordinate care if you need both.

Insurance and availability

California: Mental health care is self-pay only: $299 for the initial visit and $249/month for ongoing care. Fees cover physician services; medications and labs are separate. No insurance is accepted. Get started through the secure California scheduling and intake portal.

Washington State: We accept most major commercial insurance plans, Medicare, Medicaid/Apple Health, and TRICARE. Kaiser and HMO plans are not accepted. Self-pay mental health care costs $300 for the initial visit and $150 per follow-up visit, without a subscription or membership. Medications are separate.

Nevada: We accept most major commercial insurance plans, Medicare, Medicaid, and TRICARE. Kaiser and HMO plans are not accepted. Self-pay mental health care costs $300 for the initial visit and $150 per follow-up visit, without a subscription or membership. Medications are separate.

For Washington and Nevada, text or call 310-905-5640. Texting is preferred and generally faster. Our team helps with scheduling and insurance verification as applicable. Benefits and out-of-pocket costs depend on your plan.

Frequently asked questions

What is psychiatric medication management?
Psychiatric medication management is the clinical process of prescribing, monitoring, and adjusting psychiatric medications over time. It involves an initial evaluation to determine the appropriate medication, ongoing follow-up to assess response and manage side effects, and adjustments as needed. It is an ongoing clinical relationship, not a one-time prescription.
Do I need a referral to see a psychiatric provider at Rezolv Health?
It depends on your insurance plan. Some plans require a referral for behavioral health or specialist services. Check with your insurer before scheduling. If you are paying out of pocket, no referral is needed. We are happy to help you navigate this during intake.
What is the difference between a psychiatrist and a psychiatric nurse practitioner?
A psychiatrist is a physician who completed medical school and a psychiatric residency. A psychiatric nurse practitioner (psychiatric NP or PMHNP) is an advanced practice registered nurse with specialized training in psychiatric assessment and medication management. In most states, including Washington and Nevada, psychiatric NPs can independently prescribe psychiatric medications. Rezolv Health providers are qualified to manage the conditions listed on this page.
How quickly can I get an appointment?
We maintain availability for new patients and typically offer appointments within days, not months. Same-week appointments are often available.
What if I am already on a medication prescribed by another provider?
If you are currently taking a psychiatric medication prescribed by another provider, Rezolv Health can take over your medication management. Your intake form will capture your current medications and we will review your history at the initial evaluation.
What if the first medication does not work?
Non-response and partial response to psychiatric medications are common. This is a clinical reality, not a treatment failure. If your initial medication does not produce adequate results, your provider will systematically try alternatives. Many patients require a trial of two or more medications before finding the most effective option.
Is mental health treatment covered by my insurance?
California mental health care is self-pay only; no insurance is accepted. In Washington and Nevada, most major commercial insurance plans, Medicare, Medicaid, and TRICARE are accepted, including Medicaid/Apple Health in Washington. Kaiser and HMO plans are not accepted. Benefits, out-of-pocket costs, and any referral or authorization requirements depend on your plan. Our team can help verify coverage before your visit. Self-pay is also available in Washington and Nevada.
What are the self-pay mental health rates?
California care costs $299 for the initial visit and $249/month for ongoing care. Washington and Nevada care costs $300 for the initial visit and $150 per follow-up visit, without a subscription or membership. Medications are separate; California labs are also separate.
Where is telehealth medication management available?
Adults in California, Washington, and Nevada can receive care by secure video visit. You must be located in the state where your visit is provided.
Can I get controlled substances for ADHD by telehealth?
Yes, under current federal regulations, stimulant medications for ADHD can be prescribed via telehealth. Rezolv Health providers follow all applicable state and federal prescribing guidelines for controlled substances.
← Back
A calm coastal landscape
Get Started

Text or call 310-905-5640