Already in therapy

Already in therapy? When adding a psychiatric provider makes sense

Already in therapy? The signs it may be time to add a psychiatric evaluation or medication, and how a prescriber and your therapist work together.

Book an Appointment Insurance & Pricing

Cream sofa with pillows and an open laptop beside a small wooden side table holding a vase of yellow daisies and a candle

Signs it may be time to add psychiatric care

You are doing the work in therapy but symptoms are not shifting
Your therapist has suggested an evaluation or raised the question of medication
Sleep, concentration, or energy problems are making it hard to use what you learn in therapy
You want a diagnostic opinion, for example about ADHD or bipolar disorder
You have tried medication before and want it managed by a psychiatric specialist
Symptoms are severe enough to affect safety or daily functioning

What changes when you add a prescriber

Your therapy continues

Adding a psychiatric provider does not replace your therapist. The two roles are complementary.

Coordinated care

With your permission, your prescriber and therapist can share relevant information so the plan is consistent.

A second lens

A psychiatric evaluation looks at diagnosis, medical factors, and medication options that a therapist is not positioned to address.

Common questions

My therapist suggested I see a psychiatrist. Does a psychiatric nurse practitioner count?

Yes. A board-certified psychiatric nurse practitioner provides the same outpatient evaluation and medication management a psychiatrist would. Jessica Logel, MSN, PMHNP-BC, is licensed in Connecticut to evaluate, diagnose, treat, and prescribe.

Will I have to stop seeing my therapist?

No. Most people keep their therapist and add a prescriber. Jessica provides supportive therapy during visits but is glad to work alongside a dedicated therapist.

Does adding a prescriber mean I will be on medication?

No. An evaluation may end with medication, with a plan to watch and wait, or with recommendations for your therapy. Medication is optional.

How will my therapist and prescriber communicate?

You sign a release allowing them to talk. After that, they can share what is relevant to your care.