Frequently Asked Questions

Yes. Online psychiatric care and treatment through telehealth is legal, well-established, and widely accepted in Texas.

Chapter 111 of the Texas Occupations Code establishes the legal framework for telemedicine and telehealth services in Texas and recognizes telehealth as an appropriate method of delivering healthcare, including mental health care, when provided by licensed healthcare professionals in accordance with applicable laws and professional standards.

At Keystone Adult and Adolescent Psychiatry, we provide comprehensive psychiatric evaluations, medication management, and ongoing mental health treatment through secure telehealth technology while maintaining the same professional standard of care expected during an in-person visit.

To learn more about telehealth in Texas, you can review Chapter 111 of the Texas Occupations Code.

All appointments are conducted through a secure, HIPAA-compliant video platform. This means you can meet with a licensed, board-certified Texas psychiatric provider from the comfort of your home with no commute required. We currently utilize the Headway platform to conduct our telehealth sessions.

Telehealth psychiatry is convenient, private, and just as effective as in-person care for many mental health conditions.

You can attend your online psychiatric appointment from a private, quiet location using a smartphone, tablet, laptop, or desktop computer with a reliable internet connection. Your device should have a working camera and microphone, and you will need access to a supported web browser.

Keystone uses a secure, HIPAA-compliant telehealth platform designed to protect your personal health information and maintain patient confidentiality. You will receive instructions for accessing your virtual appointment before your scheduled visit.

We offer comprehensive, 100% online/ telehealth psychiatric services in Texas, including:

• ADHD assessments, diagnosis and treatment

• Anxiety evaluation and treatment

• Depression evaluation and treatment

• Comprehensive psychiatric evaluations

• Psychiatric medication management

• Follow-up psychiatric care

• Adolescent psychiatry

• Adult psychiatry

All care is personalized to your individual needs and goals.

Keystone Adult and Adolescent Psychiatry focuses primarily on ADHD, anxiety, and depression, while also providing psychiatric evaluation and treatment for other mental health conditions when clinically appropriate. These may include bipolar disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), eating disorders, insomnia and sleep difficulties, adjustment disorder, and related psychiatric conditions.

Because similar symptoms can occur across different conditions, treatment begins with a comprehensive psychiatric evaluation to determine the most appropriate diagnosis and treatment approach for your individual needs.

Yes. Keystone Adult and Adolescent Psychiatry is currently accepting new patients in Texas. If you are looking for an online psychiatric evaluation, diagnosis, or treatment for ADHD, anxiety, or depression, Keystone Adult and Adolescent Psychiatry can provide these services.

We provide online psychiatric care for teens and adults across the entire state of Texas, including:

• Houston

• Dallas

• Austin

• San Antonio

• Fort Worth

• And surrounding communities

If you're located anywhere in Texas and searching for an online psychiatrist/ mental health provider near you, we can help. We focus on the evaluation and treatment of ADHD, anxiety, and depression, as well as medication management.

In many cases, no referral is required to schedule an appointment with our practice. However, some insurance plans may require authorization or referrals before specialty mental health services are covered. We recommend checking with your insurance company to verify your specific benefits.

Yes. Adolescents and teens in Texas can receive online psychiatric evaluation, diagnosis, and treatment through secure telehealth appointments with Keystone Adult and Adolescent Psychiatry.

Telehealth allows teens and families to access mental health care from home while maintaining privacy, convenience, and continuity of care.

The adolescent age range we provide psychiatric care for is between 10-19 years of age. These psychiatric sessions occur via a secure, HIPAA-compliant telehealth platform for adolescents anywhere in Texas.

Yes. Parent or guardian involvement is typically an important part of adolescent psychiatric care.

Depending on the patient’s age and clinical needs, parents may participate in:

• Intake appointments

• Treatment planning

• Medication discussions

• Follow-up care

Our goal is to support both the adolescent and family throughout treatment.

Yes. Medication may be prescribed online for teens/ adolescents when clinically appropriate, and after a comprehensive psychiatric evaluation.

We follow all federal and Texas prescribing regulations and prioritize safe, evidence-based care.

Psychiatric medication management is an ongoing process that involves evaluating symptoms, selecting appropriate medications when clinically indicated, monitoring treatment response, assessing side effects, and making treatment adjustments as needed. Medication management is commonly used in the treatment of ADHD, anxiety, depression, and other mental health conditions.

Yes. Keystone Adult & Adolescent Psychiatry provides psychiatric medication management through secure telehealth appointments for adolescents and adults throughout Texas. Medication management includes monitoring symptoms, assessing treatment response, evaluating side effects, and making treatment adjustments when clinically appropriate.

Your first visit is a comprehensive psychiatric evaluation. We’ll discuss your symptoms, history, and goals, then create a personalized treatment plan. Medications are prescribed, as needed, by our licensed, board-certified medical provider.

Many patients choose telehealth because of faster access and convenience.

To learn more about what to expect at your first appointment, visit our Services page.

Yes. Our Texas clinic has a licensed, board-certified psychiatric mental health nurse practitioner (PMHNP-BC), as well as a collaborating MD psychiatrist, who are able to prescribe medications if clinically appropriate, and monitor your progress through follow-up visits. We follow all federal and state regulations to ensure safe prescribing practices are followed.

Yes. Keystone Adult & Adolescent Psychiatry provides online ADHD evaluation, diagnosis, treatment, and ongoing medication management for adolescents and adults throughout Texas. ADHD treatment plans are individualized and may include medication management, behavioral strategies, and ongoing follow-up care. Our main psychiatric provider is a PMHNP-BC, and we maintain an active collaboration with a MD Psychiatrist, who is licensed to practice in Texas.

Yes. Certain stimulant medications used to treat ADHD may be prescribed online in Texas through telehealth visits when clinically appropriate, and in accordance with all federal and Texas regulations.

All patients must first complete a comprehensive psychiatric evaluation before medication is considered.

Yes. Specific ADHD medications like Adderall, Vyvanse, or Concerta may be prescribed online in Texas, but only when clinically appropriate following a comprehensive psychiatric evaluation.

Medication decisions are individualized and based on medical necessity, safety, and evidence-based treatment guidelines.

Yes. When clinically appropriate, our provider is able to prescribe controlled substances online used for psychiatric treatment as part of a structured and individualized treatment plan.

We follow all applicable prescribing laws, clinical guidelines, and safety protocols to ensure responsible care.

Medication is not guaranteed and is never prescribed automatically.

Treatment recommendations depend on:

• Clinical evaluation findings

• Symptom history

• Medical history

• Safety considerations

• Diagnostic criteria

Patient safety is a priority.

Before prescribing controlled substances, we:

• Conduct a thorough psychiatric evaluation

• Review medical and mental health history

• Assess for co-occurring conditions

• Monitor treatment response through follow-up care

• Review the Texas Prescription Monitoring Program (PMP) as required

All prescribing decisions follow established federal and Texas regulations.

When medication is clinically appropriate, prescriptions are sent electronically to your preferred pharmacy following your telehealth appointment.

Your provider will discuss your medication, dosage, instructions, potential side effects, and any necessary follow-up during your appointment. For controlled substances, including stimulant medications used to treat ADHD, prescribing is based on a comprehensive psychiatric evaluation, ongoing clinical monitoring, and compliance with applicable federal and Texas requirements. Medication is prescribed only when clinically appropriate and safe.

Follow-up appointments are an important part of safe and effective psychiatric care. These visits allow us to monitor symptoms, evaluate treatment response, and make adjustments to the treatment plan when needed.

For patients receiving psychiatric medication management, follow-up care helps ensure:

• Medications are working effectively

• Side effects are monitored

• Dosages remain appropriate

• Treatment continues to support school, work, and daily functioning

Ongoing appointments also allow us to reassess symptoms over time, provide additional support and coping strategies, and ensure treatment remains safe and clinically appropriate.

For controlled substances, regular follow-up care is required as part of responsible prescribing practices and compliance with federal and Texas regulations. We also review the Prescription Monitoring Program (PMP) as part of safe medication management.

The goal of follow-up care is to provide individualized, evidence-based treatment focused on long-term success, and not simply medication prescribing.

Yes. We accept both self-pay and insurance for Texas patients. Due to legal restrictions, patients must be physically located in Texas in order to receive treatment.

We currently accept the following medical insurance plans:

• Aetna

• Ascension (Smart Health)

• Blue Cross Blue Shield of Texas

• Carelon Behavioral Health

• Cigna

• Providence Health Plan

As a reminder, your insurance company, not your provider, determines your deductibles, co-pays, and out-of-pocket costs.

We currently do not accept Medicaid or Medicare insurance plans.

To learn more, please visit our Services page or contact us via our message portal.

Costs vary depending on the type of visit. We offer transparent pricing for:

• Initial psychiatric evaluation: $300

• Follow-up appointments: $150

We aim to provide timely access to care, often with appointment availability within a few days. You can simply book through our online platform with a date and time of your choice. Telehealth allows for convenient and faster scheduling compared to many in-person clinics.

Yes. All sessions are conducted through a secure, HIPAA-compliant platform to protect your privacy and confidentiality. We currently utilize the Headway platform to conduct these telehealth sessions.

We specialize in psychiatric care and medication management only. If therapy is recommended, we can refer you to trusted therapists in Texas.

Our practice has a licensed, board-certified PMHNP who conducts the psychiatric evaluations and works with patients on individual, personalized treatment plans. We also have an active collaboration with a licensed MD psychiatrist, who provides our PMHNP with clinical oversight and consultation, as needed.

Why is this collaborative model beneficial?

This model combines:

• The accessibility and personalized care of a PMHNP-BC

• The added expertise and oversight of a MD psychiatrist

Together, this ensures high-quality, safe, and comprehensive psychiatric care for every patient.

A Psychiatric Mental Health Nurse Practitioner, Board-Certified (PMHNP-BC) is an advanced practice registered nurse with specialized training in mental health care. PMHNPs are board-certified and licensed to assess, diagnose, and treat a wide range of psychiatric conditions across the lifespan.

They are trained in both the medical and psychological aspects of mental health, allowing them to provide comprehensive, patient-centered care.

A PMHNP-BC is qualified to:

• Conduct comprehensive psychiatric evaluations

• Diagnose mental health conditions

• Develop personalized treatment plans

• Provide medication management

• Offer supportive psychotherapy and education

PMHNPs are licensed healthcare providers who deliver evidence-based psychiatric care, with a strong emphasis on holistic and individualized treatment.

Yes. PMHNPs are licensed to prescribe psychiatric medications, including those used to treat conditions such as anxiety, depression, ADHD, and mood disorders.

Prescribing is always done thoughtfully, with careful monitoring to ensure safety and effectiveness.

Yes. At Keystone Adult and Adolescent Psychiatry, we maintain an active collaborative relationship with a licensed, MD Psychiatrist.

This collaboration provides:

• Ongoing clinical consultation

• Additional oversight for complex cases

• Support for best practices in psychiatric care

For medications that are classified as controlled substances, our practice follows all applicable state and federal regulations.

Our collaborating MD Psychiatrist provides oversight related to the prescribing of controlled medications, ensuring that:

• Prescribing practices are safe and appropriate

• Clinical decisions align with current standards of care

• Patients receive responsible, well-monitored treatment

Patients choose Keystone Adult and Adolescent Psychiatry when looking for a trusted online psychiatrist/ mental health provider in Texas because we offer:

• Psychiatric care for teens and adults

• Personalized, one-on-one care

• Convenient online/ virtual appointments

• A calm, supportive, judgment-free environment

• Evidence-based treatment tailored to each patient

If you are experiencing a mental health emergency, call 911 or go to the nearest emergency room. You can also contact the 988 Suicide & Crisis Lifeline by dialing 988.