How often will we meet?

Initially monthly so we can adjust together. Once you're stable, we may move to every other month.

Do you talk about sexual side effects?

Yes. SSRIs and other psychiatric medications affect libido, arousal, and orgasm in real ways. We talk about it openly and consider alternatives if it matters to you.

Will my hormones interact with my mental-health medication?

Sometimes. Estradiol, testosterone, spironolactone, and progesterone can shift how psychiatric medications feel. We will plan around it.

Can you coordinate with my hormone provider?

Yes. With your written permission, we coordinate care across providers so your treatment is consistent.

Treatment areas · 02 of 09

Medication Management

Tailored medication plans focused on what works, with careful attention to side effects and your day-to-day. We start gradually, check in often, and adjust based on how you're actually doing, not just what the chart says.

Schedule a consultation ← All treatment areas

Who this is for

Common reasons patients come in.

01
Patients new to psychiatric medication
02
Patients carrying a long, fatigued list of past prescriptions
03
Trans and gender-diverse patients whose hormones interact with psychiatric meds
04
People navigating SSRI side effects (including sexual side effects) that other providers brushed past
05
Patients whose previous med-management felt like a script renewal, not actual care

In practice

What treatment actually looks like.

No mystery, no choreography. Here’s the structure.

01
Monthly follow-ups initially, sometimes expanded to every other month once you're stable
02
Honest conversation about side effects, including sexual side effects, weight changes, sleep, and energy
03
Adjustments based on how you're actually feeling, not just symptom checklists
04
Coordination with your primary care provider, hormone provider, or therapist when relevant
05
Plain talk about what medication can and cannot do

For LGBTQIA+ patients

Specifically, what affirming care looks like for medication management.

Hormones and psychiatric medications interact, and most med-management providers don't talk about it openly. Estradiol can shift mood patterns. Testosterone changes sleep, libido, and irritability. Spironolactone interacts with several SSRIs. Progesterone affects anxiety differently in different patients. We coordinate with your gender-affirming provider so your psychiatric care fits inside your transition rather than fighting it. Sexual side effects of SSRIs are a real conversation in queer communities, and we will name them rather than skip past them. We are also familiar with PrEP and HIV antiretrovirals and how they interact with psychiatric medications.

Common questions