Medical care

Online psychiatry and medication management for trauma, recovery, and mental health.

Diagnostic evaluation and ongoing medication management with board-certified psychiatrists and psychiatric APRNs. DSM-5 documentation, evidence-based prescribing, and continuity of care — delivered virtually to clients in all 50 states.

What's included

From diagnostic clarity to ongoing medical oversight.

Psychiatry isn’t just prescriptions. It’s the medical authority that establishes diagnosis, confirms treatment necessity, and provides longitudinal oversight that courts, insurers, and care teams rely on.

Initial psychiatric evaluation

A comprehensive 60–90 minute evaluation that establishes diagnosis, treatment plan, and medical necessity. Uses structured DSM-5 criteria and validated assessment instruments to produce documentation that holds up under clinical, insurance, and legal review.

  • Full psychiatric history, including trauma and injury context
  • Mental status examination and DSM-5 diagnostic formulation
  • Treatment plan with medication and non-medication recommendations
  • Documentation suitable for primary care coordination, legal, or claims use

Medication management

Ongoing follow-up appointments to monitor response, manage side effects, and adjust prescribing as your situation evolves. Most clients meet monthly during medication initiation and quarterly once stable.

  • Evidence-based prescribing using current clinical guidelines
  • Side-effect monitoring and dose optimization
  • Coordination with your therapist and primary care physician
  • Tapering and discontinuation when treatment goals are met

Diagnostic & medical-necessity documentation

Every encounter produces structured documentation: diagnostic codes, treatment rationale, and progress measurement. This is what attorneys, case managers, employers, and insurers need — and it’s built into our standard process, not added as an afterthought.

  • DSM-5 diagnostic codes with supporting criteria
  • Treatment necessity and continuation justification
  • Causation documentation for injury-related cases
  • Disability and impairment narratives where clinically supported

Coordinated multidisciplinary care

Our psychiatrists work alongside therapists, neuropsychologists, and SLPs in a single coordinated system. When a client needs more than medication — or when medication is one piece of a larger plan — the clinical team is already in place.

  • Internal referrals to therapy, neuropsych, or SLP without restarting intake
  • Shared documentation across the treatment team
  • Fewer hand-offs, less duplicated history-taking
  • Single point of contact for case managers and attorneys
Who it's for

Psychiatric care that fits the full picture — not just the prescription.

We provide psychiatric services to three primary audiences. Each comes with different documentation and coordination requirements. Our team understands the differences and adjusts accordingly.

Personal Injury Clients →

Psychiatric documentation following an accident or assault is often the difference between a settled and an unsettled case. Our psychiatrists produce evaluations that establish causation, document severity, and confirm medical necessity.

Workers' Comp Claimants →

Mental-health claims under workers’ compensation require psychiatric authority. We provide diagnostic evaluation, medication management, and the longitudinal records that support both clinical recovery and the claims process.

Self-Pay & Direct Access →

No referral required. Direct-access clients can schedule a psychiatric evaluation or medication management visit with a board-certified psychiatrist or APRN in their state.

How it works

Diagnostic evaluation, then ongoing care — without the wait.

Traditional psychiatric care has a 4–7 month national average wait. Our model removes that wait without sacrificing the clinical depth that makes psychiatric care actually work.

01

Schedule online

Use the patient portal to book your initial evaluation. New psychiatric evaluations are typically scheduled within 1–5 business days.

02

Initial evaluation

A 60–90 minute appointment with a board-certified psychiatrist or psychiatric APRN. We confirm diagnosis, discuss treatment options, and create your plan.

03

Prescription & coordination

If medication is recommended, we e-prescribe to your pharmacy. We coordinate with your therapist, primary care physician, or attorney as appropriate.

04

Ongoing follow-up

Medication management visits typically every 4–12 weeks based on your stage of treatment. Same provider, same plan, continuous care.

What we treat

Conditions our psychiatric team regularly treats.

Our psychiatrists and APRNs treat the full range of psychiatric conditions, with particular depth in trauma, mood, and post-injury presentations. The list below is not exhaustive — consult during intake about specific concerns.

  • Major Depressive Disorder
  • Persistent depressive disorder (dysthymia)
  • Generalized anxiety disorder
  • Panic disorder
  • Post-Traumatic Stress Disorder (PTSD)
  • Acute stress disorder
  • Bipolar I and II disorders
  • Adjustment disorders
  • Attention-Deficit/Hyperactivity Disorder (ADHD) — adult
  • Obsessive-Compulsive Disorder (OCD)
  • Postpartum depression and anxiety
  • Substance use disorders (co-occurring with mental health conditions)
  • Insomnia and sleep‐wake disorders
  • Mood and behavioral changes following TBI
  • Somatic symptom disorders

Clinical standards: Our psychiatrists follow current treatment guidelines from the American Psychiatric Association, with diagnostic criteria from the National Institute of Mental Health and DSM-5-TR. Telepsychiatry effectiveness is supported by extensive clinical research compiled by the American Telemedicine Association.

Frequently asked

Common questions about this service

Can a psychiatrist prescribe medication virtually?

Yes. Telehealth prescribing is permitted in all 50 states for most psychiatric medications. Our psychiatrists are licensed in the state where you live and prescribe through your local pharmacy using e-prescribing. Controlled substances follow the regulations of the Drug Enforcement Administration and may have additional requirements depending on the medication and state.

How is this different from talking to my primary care doctor about meds?

Primary care physicians can and do prescribe many psychiatric medications, and that’s often appropriate for straightforward cases. Psychiatry adds depth: differential diagnosis when the picture is complex, expertise with second-line and combination treatments, management of treatment-resistant conditions, and structured documentation that meets medical-legal requirements when those matter for your case.

Will my psychiatrist coordinate with my therapist?

Yes — this is one of the core advantages of our coordinated-team model. If your therapist is also at Virtually CALM, the coordination happens within our system and on shared records. If your therapist is external, we coordinate by signed release. Most psychiatric outcomes improve when medication and therapy are aligned.

How long does an initial psychiatric evaluation take?

Initial evaluations are scheduled for 60–90 minutes. The longer evaluation isn’t padding — it’s what allows the clinician to gather full history, conduct a proper mental status exam, and arrive at a diagnosis we can stand behind. Follow-up medication management visits are typically 20–30 minutes.

Can I see the same psychiatrist every visit?

Yes. Continuity is built into our model. You’re paired with a psychiatrist at intake and remain with them throughout your care. Continuity matters clinically and matters for documentation in legal and claims contexts.

Do you treat ADHD in adults?

Yes. Adult ADHD evaluation and treatment is part of our regular practice. ADHD evaluation includes a full diagnostic workup using validated instruments. Where stimulant medication is clinically indicated, we follow current prescribing standards including the controlled-substance regulations applicable in your state.

Get psychiatric care without the four-month wait.

Initial evaluations within days, not months. Board-certified psychiatrists in all 50 states. Schedule online in minutes.