What’s the difference between a psychiatrist and a PMHNP?

Psychiatrists are medical doctors (MD/DO) who complete medical school and psychiatry residency. Psychiatric Mental Health Nurse Practitioners (PMHNPs) are advanced practice registered nurses with graduate-level training in psychiatric diagnosis and treatment. Both can evaluate, diagnose, and prescribe medications (scope varies by state). PMHNPs often emphasize a nursing model that integrates whole-person, relational care alongside evidence-based treatment.

Can I work with you if I already have a therapist?

Yes, absolutely. Many of my patients work with a therapist and see me for medication management, integrative support, or wellness testing. I’m happy to collaborate with your current therapist so your care feels seamless and aligned.

What age groups do you work with?

I currently provide care for adults ages 18- 64

Do you take insurance?

Yes- I currently accept Aetna, Cigna, Optum, Carelon Behavioral Health, Anthem Blue Cross California, and Quest Behavioral Health through my partner platform, Alma and Headway.

All other plans are out of network; patients may self-pay and request a superbill for potential reimbursement.

For more information, visit our Rates & Insurance section.

Will I receive a Good Faith Estimate (GFE) if I am paying privately?

Yes. Self-pay and out-of-network patients may request a Good Faith Estimate of expected costs prior to their appointment.

Do you offer therapy?

My visits include brief supportive therapy, CBT-informed tools and solution-focused guidance woven into your psychiatric care. This style of support is helpful for building insight and navigating challenges, but it is not a replacement for ongoing or structured psychotherapy.

If you’re seeking more in-depth or consistent therapy, I’m happy to provide referrals to trusted licensed therapists.

Hormone & Stress Pattern Mapping

Who is this service best for?

This service is best for individuals experiencing ongoing mood changes, fatigue, sleep disruption, or stress-related symptoms who want a deeper, integrative understanding of how hormone and stress patterns may be influencing their mental well-being.

What is included in the Hormone & Stress Pattern Mapping?

This integrative assessment includes the DUTCH (Dried Urine Test for Comprehensive Hormones) test, clinical interpretation, and personalized, evidence-based recommendations focused on mental and emotional well-being.

Do I need to be in psychiatric treatment to complete this service?

No. Hormone & Stress Pattern Mapping may be completed as a standalone integrative assessment and is not required to receive psychiatric care through Trinity Holistic Psychiatry.

Is this service covered by insurance or does it include hormone therapy?

No. This service is not covered by insurance and does not include hormone replacement therapy or hormone prescribing

Do you offer disability paperwork or emotional support animal letters?

I complete emotional support animal (ESA) letters when clinically appropriate.

I do not complete long-term disability paperwork. Short-term disability requests may be considered on a case-by-case basis.

How often will I need follow-up appointments?

Follow-up frequency is individualized and depends on your specific needs, treatment goals, and whether you’re starting or adjusting medications. We’ll decide together what schedule feels most supportive for you. During these visits, we’ll also coordinate medication refills and any ongoing treatment updates.

Do you offer telehealth or in-person visits?

Yes — telehealth is available statewide across California. Limited in-person appointments are offered in Sacramento for patients who prefer to be seen in person.

Trinity Holistic Psychiatry is not an emergency service. If you’re in crisis, call 988 (Suicide & Crisis Lifeline) or 911, or go to the nearest emergency room.