Psychopharmacology and Medication Management in NYC
Psychopharmacology is psychiatric medication as a clinical discipline: a full evaluation, a plan matched to your case, and ongoing optimization as your response unfolds. Also called medication management, it's handled at our Manhattan practice by one clinician who manages your medication and your therapy in a single plan.
- In-person · Manhattan
- Telehealth · New York
Start with an assessment
Short, private check-ins that help you put words to what you're noticing before your first conversation.
Child ADHD
A check on a child's focus, follow-through, and emotional reactions.
Adult ADHD
A check on focus, organization, and follow-through in adults.
Anxiety
A check on worry, tension, and how much they shape your days.
Depression
A check on mood, energy, and interest in everyday life.
Our clinicians are affiliated with
What Is Psychopharmacology (Medication Management)?
Medication management is the clinical discipline of prescribing, monitoring, and optimizing psychiatric medication based on a comprehensive evaluation. It treats medication not as a single decision but as an ongoing process that gets adjusted as your symptoms, your life, and your response change. It's what most people mean by "medication management," and psychopharmacology is the clinical term for the same work.
The discipline covers a range of conditions, including adult ADHD, depression, anxiety, bipolar disorder, and OCD, each with its own medication classes and timelines.
The short version
- Medication management is evaluation, prescribing, monitoring, and second opinions handled as a discipline, in unhurried 30-to-90-minute appointments.
- Second opinions are a named service: full regimen review, diagnostic reassessment, and written recommendations you can take back to your current prescriber.
- One clinician handles your medication and your therapy in a single plan, covering adult ADHD, depression, anxiety, bipolar disorder, and OCD.
- Your clinician reviews the Sigmund Assessment first, so they arrive already understanding your full clinical picture.
It's the right next step
It's the right next step if any of these sound familiar:
- You're on medication and can't say what it's actually doing for you.
- Something that used to work has stopped, and no one has investigated why.
- Side effects are starting to outweigh the benefits.
- You want a second opinion on a regimen another provider wrote without explaining it.
- You're considering medication for the first time and want a real evaluation, not a fast script.
- You want to come off medication safely, or understand your options without committing to anything.
Why medication is adjusted over time
of people with depression reach remission on their first medication (NIMH STAR*D study)
are symptom-free after two treatment steps, which is why ongoing adjustment matters (NIMH STAR*D study)
U.S. adults with major depression receive treatment in a given year, leaving a meaningful care gap (NIMH / NSDUH, SAMHSA)
How Psychopharmacology Works and What to Expect
The work runs in three stages, and your clinician manages all of them.
Evaluation and matching
Your clinician reviews the Sigmund Assessment, a structured pre-session evaluation, before your first appointment. Your clinician arrives already understanding your symptoms, your history, and every medication you've tried. The first appointment moves straight to the right diagnosis, the right medication class, and a starting dose calibrated to your case.
Titration and monitoring
Your clinician uses validated measures to track mood, focus, anxiety, sleep, and functioning, so changes show up in the data early. During titration, follow-ups happen every 2 to 4 weeks. Once you're stable, visits move to every 4 to 12 weeks. Appointments run 30 to 90 minutes depending on the work that day.
Adjustment and second opinions
Side effects are clinical problems to solve, not a cost you absorb: adjust the timing, adjust the dose, add an adjunct, switch molecules, or revisit the diagnosis. Second opinions are a named service, and you don't have to leave your current prescriber to get one. A second opinion reviews your full regimen, analyzes what's been tried and why, reconsiders whether the diagnosis still fits, and produces written recommendations you can take back to your existing prescriber.
Different conditions follow different paths. Depression and anxiety usually start with an SSRI or SNRI, with augmentation when needed. Adult ADHD uses stimulants (Schedule II, requiring baseline screening and structured titration) and non-stimulants such as atomoxetine or bupropion. Bipolar disorder is anchored by mood stabilizers, and OCD by SSRIs at higher doses.
Psychopharmacology at Integrative Psych
Here, medication is managed alongside the rest of your care by one clinician. Our board-certified psychiatrists and psychiatric nurse practitioners are trained in both prescribing and therapy, so the same person who manages your medication can adjust it based on what your therapy is surfacing, with no handoff between separate providers. There's no prescriber-only, 15-minute med-check model. As the founder puts it: "Why is it either medication or therapy or exercise or diet? Let's stack it."
Medication is also evaluated in context. Sleep, stress, daily structure, and the work you're doing in CBT or other therapy all affect how a medication performs, and a good clinician accounts for that. The practice houses clinicians affiliated with the National Institutes of Health, Columbia University, and New York-Presbyterian Hospital, and you can explore the research if you want to look deeper. Care is available in person at our Manhattan office and by telehealth anywhere in New York State.
Clinicians who manage psychiatric medication
Board-certified psychiatrists and psychiatric nurse practitioners. The practice houses clinicians affiliated with NIH, Columbia, and New York-Presbyterian.
What Patients Say
Insurance and Billing
Integrative Psych is an out-of-network practice. You pay at the time of service and receive a monthly superbill to submit to your insurer for potential out-of-network reimbursement. Many PPO plans reimburse a portion, and your insurer is the best source for what your specific plan covers. To check yours, call the number on your card and ask about out-of-network reimbursement for outpatient psychiatric evaluations and follow-up visits.
Billing, simply
- Out-of-network; you pay at the time of service.
- Monthly superbill provided for reimbursement.
- Many PPO plans reimburse a portion of out-of-network care.
- Call the number on your card to confirm your benefits.
Frequently Asked Questions About Psychopharmacology
Is medication management the same thing as psychopharmacology?
Yes. "Medication management" is the term most patients use, and psychopharmacology is the clinical term for the same service done as a discipline: evaluation, prescribing, monitoring, adjustment, and second opinions on existing regimens. If you searched for either, you're in the right place.
How do I know if a medication evaluation is right for me?
A full evaluation is worth it if you're on a regimen and can't explain what each medication is doing, if something that used to work has stopped, if side effects are outweighing the benefit, or if your last appointment was a quick check-in with no real review. The Sigmund Assessment helps your clinician confirm the right path before you start.
Can I get a second opinion on my current medication?
Yes. Second-opinion consultations are a named service, and you don't need to leave your current prescriber to get one. A second opinion includes a full review of your regimen, treatment history, and diagnosis, and produces written recommendations you can take back to your existing care or use as a starting point if you decide to transfer.
What happens if my current medication isn't working?
Your clinician investigates why before changing anything. The dose may be too low, the diagnosis may be incomplete, a co-occurring condition may be interfering, or the medication may be the wrong fit. Options include adjusting the dose, switching molecules, adding an augmenting agent, or a fresh evaluation when the diagnosis needs revisiting.
Do I have to take medication if I come in for an evaluation?
No. A medication evaluation produces a clinical recommendation, not a prescription you're required to accept. Some patients learn medication isn't the right next step, some want to come off medication safely, and some simply want to understand their options before deciding anything.
Can one clinician really handle both my medication and my therapy?
Yes. Our psychiatrists and psychiatric nurse practitioners are trained in both, so one clinician coordinates your medication and your therapy in a single plan. One person adjusts your medication based on what therapy is surfacing, and adjusts your therapy around how the medication is working, with nothing lost in a handoff.
Where can I get psychopharmacology care near me in NYC?
Our office is at 80 8th Ave in Manhattan, where psychopharmacology care, from medication evaluation to ongoing management, is available in person. We also offer it by telehealth anywhere in New York State, with the same validated measures and the same unhurried appointments.
Start Here
Your medication should be doing something you can feel, and you should be able to explain what it's for. If you can't, that's a clinical conversation worth having. We'll map what's driving your symptoms and match you with the right clinician. Appointments are in person at our Manhattan office or by telehealth anywhere in New York State.