The right medication, at the right dose, monitored by someone who actually knows your history — that's what medication management means at Bedre Health. Not a quick prescription and a goodbye. A real, ongoing relationship.
Psychiatric medication management is the ongoing clinical process of evaluating, prescribing, monitoring, and adjusting psychiatric medications to ensure they're working safely and effectively for you as an individual.
Unlike a one-time prescription from a primary care provider, psychiatric medication management involves regular follow-up appointments, proactive monitoring for side effects, dosage adjustments based on your response, and coordination with any therapists or other providers involved in your care.
Our PMHNP (Psychiatric Mental Health Nurse Practitioner) has 30+ years of experience in both psychiatry and family medicine — meaning we understand how psychiatric medications interact with your overall health, not just your mental health symptoms.
Telehealth prescribing is fully legal and effective in Massachusetts. Our PMHNP can evaluate, prescribe, and manage your psychiatric medications entirely via secure video — prescriptions sent electronically to your preferred pharmacy.
We take a full psychiatric and medical history before recommending any medication. This includes current symptoms, prior medication trials, family history, lifestyle factors, and any medical conditions or other medications that could affect prescribing decisions.
We select medications based on your specific diagnosis, symptom profile, medical history, and personal preferences — not a one-size-fits-all protocol. We discuss options with you, explain what to expect, and answer every question.
Follow-up appointments (typically 30 minutes) allow us to assess how the medication is working, address any side effects early, and make informed adjustments. We don't prescribe and disappear.
We coordinate with your therapist, primary care provider, or specialist as needed — so your psychiatric care doesn't exist in a silo from the rest of your health.
We prescribe and manage psychiatric medications for a broad range of conditions — all via telehealth in Massachusetts or in-person in Winchester. Every prescription decision starts with a thorough evaluation, never a one-size-fits-all protocol.
Sertraline, Fluoxetine, Escitalopram, Paroxetine — first-line for depression, anxiety, OCD, PTSD, PMDD
Duloxetine, Venlafaxine — depression, anxiety, chronic pain components
Stimulant and non-stimulant options; individualized to age, history, and co-occurring conditions
Lithium, Lamotrigine, Valproate — bipolar disorder and mood dysregulation
Augmentation for treatment-resistant depression, bipolar, and other conditions
Buspirone, Hydroxyzine, and others — non-habit-forming options for anxiety management
Aetna · Blue Cross Blue Shield · Point32 (Harvard/Tufts) · OPTUM · Evernorth · Mass General Brigham · Medicare
Yes. A Psychiatric Mental Health Nurse Practitioner (PMHNP) is a licensed advanced practice registered nurse with specialized training in psychiatric assessment and prescribing. In Massachusetts, PMHNPs are authorized to independently evaluate, diagnose, and prescribe medications for psychiatric conditions without physician oversight.
Yes. Bedre Health provides full psychiatric medication management via HIPAA-compliant telehealth video to patients anywhere in Massachusetts and other licensed states. After your evaluation, prescriptions are sent electronically to your preferred pharmacy. Controlled substances are prescribed in compliance with current DEA regulations.
Yes — and this is actually a common starting point for many of our patients. Prior medication trials give us valuable information. We'll do a thorough review of what you've taken, at what doses, for how long, and what the response was. There are many medication classes, augmentation strategies, and individualized approaches we can explore. Prior unsuccessful trials don't mean medication can't help you — it often means the right match hasn't been found yet.
Not necessarily. The duration of psychiatric medication treatment depends on your diagnosis, the severity and history of your symptoms, and your response to treatment. Many people take medication for a defined period alongside therapy and then successfully taper off. Others benefit from longer-term maintenance. We discuss this openly and revisit it regularly throughout your care.
We prescribe ADHD stimulant medications and other controlled substances in compliance with DEA regulations, which require an initial in-person evaluation for certain medication classes. We'll clarify requirements specific to your situation during your consultation.
We typically offer same-week appointments for new patients. No referral is needed to get started.
Serving Massachusetts & Beyond
Same-week appointments available now.
No referral needed. First consultation is free.