Our Services
Out of Network
Superbill provided upon request
Insurance may reimburse up to 80%
Call & check your out of network behavioral health benefits.
Healthcare Provider Discount
Concierge Membership
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Your first visit. We use the full 90 minutes to understand your history, your current symptoms, what you've already tried, and what's going on physically alongside what's going on emotionally. You leave with a working formulation and an initial plan, including any lab work worth ordering.
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Medication management plus the work that usually gets cut for time; integrative and lifestyle guidance, executive function strategies, and any parenting or communication support needed. Flat rate, regardless of what we decide to focus in that hour.
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For patients who are stable, or who are already working with the therapist and need focused medication management with brief integrative and lifestyle guidance.
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Includes:
Starts after comprehensive evaluation.
One 60-minute and one 30-minute visit each month
Same-day response during business hours
Direct text access
Paperwork and forms at no charge in between the appointments
Priority scheduling
20% off any additional visits ($280 for 60 minutes, $160 for 30 minutes).
Membership is capped, and $650 is the founding rate. If you join in the practice’s first twelve months, that’s your rate for as long as you stay a member. Membership opens at $750 after the first year based on availability.
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Clinicians who join in the practice's first twelve months receive 20% off all services, locked in for as long as they remain a patient.
That's $400 for a comprehensive evaluation, $280 for a 60-minute follow-up, and $160 for a 30-minute follow-up.
Clinicians who join after the first year receive 10% off.
Eligibility is confirmed with a quick license lookup during your free call.
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You pay at the time of service.
Under the No Surprises Act, you have the right to a written estimate of what your care will cost.
The 90 minute initial visit
Diagnostic Clarity
A full history rather than a symptom checklist.
How is your nervous system responding? Some people run wired and reactive, while others go flat and numb. Both get labeled anxious or depressed.
whether the diagnosis you were given still fits, and whether anything has been missed.
Sleep and Circadian Rhythm Review
Poor sleep can look like depression, anxiety, ADHD, or burnout, sometimes all at once. It's rarely the first thing anyone asks about.
If sleep dysfunction is a key symptom, CBT-I is where we start, as it's the gold standard treatment, and it's not a sedative sleeping medication.
I can prescribe SleepioRX, an FDA-cleared digital CBT-I program you work through at home. Their team handles the insurance side to support you with treatment coverage.
ADHD and Executive Function
I screen for ADHD at every intake.
It isn't only difficulty focusing.
It's neurological dysregulation that affects mood, motivation, impulsivity, how you manage time, effort, energy, and sleep.
In women, it often gets attributed to anxiety or hormonal changes for years before anyone evaluates it directly.
Labs and Physical Contributors
Thyroid
Iron and ferritin
B12
Vitamin D
Magnesium
Inflammatory markers
A metabolic panel.
Screening for nutrient deficiencies and ruling out physical causes before symptoms get attributed to anxiety or stress.
Medication Review
What you're actually taking, why it was started, and whether it's still helping.
Whether the dose is right and if you still need to continue taking it.
Explore a Day in Your Life
How do you eat, how do you move, what do you drink, and whether any part of the day belongs to you?
Who depends on you, and also the parts you'd never bring up at your own appointment.
Your Questions, Answered
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Fill out the request for a free 15-minute call with Nishi to see if this practice is the right fit for you. After the call, you will be assisted in scheduling your first appointment.
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Yes, I offer secure virtual sessions so I can provide care to patients from the comfort of their own space. I know how challenging it can be to schedule a visit, and I want to make care as accessible and convenient as possible.
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Life happens, and I understand that. If you need to cancel or reschedule, please notify me at least 24 hours in advance to avoid being charged for the visit.
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No. Most of my patients are women in a range of careers and life stages.
I also see healthcare professionals.
Being a clinician is a focus because I understand the specific problem: you can't take a day off to get care, and you have real questions about what a psychiatric record means for your license.
But you don't need a badge to be a patient here.
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No. Psych Clarity is out of network with every insurance plan. That's a deliberate choice, and it puts you in control of both the time and the treatment.
Insurance is what produces fifteen and twenty-minute appointments, and diagnoses assigned to satisfy a billing requirement rather than to describe you.
If you'd like to seek out-of-network reimbursement, I'll provide a superbill on request.
Call your plan before your first visit and ask what they cover.
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An itemized receipt with the codes your insurer needs.
You submit it; they reimburse you directly if you have out-of-network benefits.
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Yes. Most plans cover psychiatric care. Confirm with your plan administrator.
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Yes, I am licensed to prescribe medications when appropriate. (Being seen for an appointment does not guarantee that medication will be prescribed that day.)
Medication decisions are made collaboratively, and refills can be requested through the patient portal with sufficient notice to avoid interruptions
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Prescribers can provide controlled medications in accordance with DEA regulations and any applicable extensions to telehealth prescribing laws. The ability to prescribe controlled substances via telehealth may be subject to regulatory changes and is currently authorized under temporary extensions.
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Longer visits include brief supportive therapy life style strategies and skills work alongside medication.
If you're already seeing a therapist, I'm glad to work in a medication-management role and coordinate with them.
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Yes, the psychiatric side of it. If your OB-GYN or primary care clinician has established that you're perimenopausal, I'll work alongside them on the mood, sleep, and cognitive symptoms rather than duplicating their hormonal workup. I do not prescribe HRT.
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Typically within one business day.
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Ohio. You need to be physically located in Ohio during your appointment.
What “Integrative” actually means here.
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There is real evidence that dietary pattern affects depression, and that regular exercise works on par with medication for mild to moderate symptoms.
I'll ask what you're eating and how much you're moving, because both are part of the clinical picture.
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Running on high alert for long stretches affects sleep, appetite, immune function, and how quickly you recover from anything.
Resilience drops along with it.
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The right one, at the lowest dose that works, with a plan for what happens if it works and what happens if it doesn't. Including stopping.
Coming off a psychiatric medication safely takes more skill than starting one. Not every medication is meant to be permanent, and safe tapering is part of what I do.
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The word gets used loosely, so here's what it means in this practice.
It doesn't mean anti-medication. I prescribe, and I'm good at it. It doesn't mean a supplement protocol standing in for treatment. It isn't functional medicine, I won't order tests that can't be meaningfully interpreted, and I won't build your treatment plan around products.
What it means is that I look at what's happening in your body, too. Physical problems often show up first as anxiety, low mood, or trouble concentrating.
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Low iron looks like exhaustion and poor concentration. Thyroid dysfunction looks like depression, or anxiety, or both.
Low B12, low vitamin D, blood sugar swings, and chronic inflammation all produce psychiatric symptoms, and all of them show up on labs.
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When sleep improves, a lot of other things improve with it.
Cognitive behavior therapy for insomnia, or CBT-I, works more consistently than a sleeping pill and keeps working after treatment ends.
CBT-I also avoids the side effects that sleep medications carry, prescription and over-the-counter alike, in both the short and long term.
Have a Question?
Send us a quick note and we’ll reach out within one business day—no pressure, just answers.
Schedule your 15 minute free call with Nishi
