Online medication management with therapy support
I provide psychiatric evaluation and medication management by secure video for children 6 and older, teens and adults in Pennsylvania, New Jersey, Florida and Oregon. Visits include supportive therapy alongside the medication review, and I coordinate with therapists when weekly therapy would help.
- Who I see
- Children 6 and older, teens and adults in PA, NJ, FL and OR
- Visits
- Secure video. Initial evaluation about 60 minutes, follow-ups about 30 minutes
- Therapy
- Supportive therapy during visits, plus coordination with an outside therapist
- Payment
- Insurance through Headway in PA and NJ. Private pay in all four states: $360 initial evaluation, $185 follow-up
Medication management and therapy support, both by video
Medication management and therapy support can both be provided online. I am Izabella Alpert, a board-certified psychiatric mental health nurse practitioner (PMHNP-BC), and I evaluate, diagnose and prescribe by secure video. Visits combine the medication review with supportive therapy: time to talk through what is happening, practical coping strategies, and help with sleep, stress and routines.
For people who want regular weekly therapy, I coordinate with their therapist or suggest therapists in their state. Every visit is with the same provider, so the person managing medication knows the full history.
- Within visits: supportive therapy, education about the condition and practical skills alongside the medication review.
- With a therapist: with permission, I share updates with a patient's therapist and coordinate the plan.
- Referral: for people without a therapist, I suggest options.
Careful prescribing, followed over time
Medication is always one part of a broader plan that includes sleep, stress, health and support.
A full evaluation first
A psychiatric evaluation of about 60 minutes covering symptoms, history, past treatments, health and goals comes before any medication decision.
Choosing together
We weigh options, likely benefits, side effects and personal preferences, and start at an appropriate dose.
Monitoring and adjusting
Follow-up visits check how the medication is working, adjust the dose and watch for side effects, more often at the start and less often once things are stable.
Safety checks
A prescription monitoring program check before controlled medications, lab work when it is needed, and a review of supplements and possible interactions.
Coordinated care
With permission, I coordinate with therapists, primary care providers and other specialists involved in care.
Integrative options
Sleep, nutrition and supplements with research behind them are part of the plan when they can help. More on services and treatment approaches.
Who online medication management can help
Online medication management works well for many people with anxiety, depression, ADHD, OCD, bipolar disorder and trauma-related symptoms. Telehealth is not the right setting for emergencies or for situations that need a higher level of care, such as a crisis or medically supervised detox.
Where I practice
Visits take place while the patient is physically located in Pennsylvania, New Jersey, Florida or Oregon. Insurance through Headway is accepted in Pennsylvania and New Jersey, and Florida and Oregon are private pay only. State details are on Where I Practice.
Controlled medications
Stimulants for ADHD can be prescribed by telehealth in Pennsylvania, and in New Jersey for patients under 18 with written parental consent. Controlled medications are not prescribed in Florida or Oregon. Benzodiazepines, when used at all, are prescribed only on an as-needed basis.
Practical details
Patients connect from a phone, tablet or computer, from a private space with a stable connection. Visits are available in English and Russian.
Common questions about online medication management
Can I receive medication management and therapy support online for mental health concerns?
Yes. Clarity MindCare provides psychiatric evaluation and medication management by secure video for children 6 and older, teens and adults located in Pennsylvania, New Jersey, Florida and Oregon. Visits include supportive therapy alongside the medication review, and for people who see a therapist, I coordinate care with them.
What is the difference between medication management and therapy?
Medication management focuses on diagnosis, choosing a medication, adjusting the dose and watching for side effects. Therapy focuses on talking through problems and building skills over regular sessions. Many people do best with both.
Do I need my own therapist?
No. Visits include supportive therapy. For people who want regular weekly therapy, I can suggest options and coordinate with the therapist they choose.
How often are follow-up visits?
Follow-up visits are about 30 minutes. They are more frequent when starting or changing a medication and less frequent once things are stable.
Do you prescribe ADHD medication online?
In Pennsylvania, yes, when clinically appropriate. In New Jersey, stimulants can be prescribed by telehealth for patients under 18 with written parental consent. Controlled medications are not prescribed in Florida or Oregon. Non-stimulant options are available in all four states.
Do you accept insurance?
Insurance is accepted through Headway in Pennsylvania and New Jersey. Private pay is available in all four states: $360 for an initial evaluation and $185 for a follow-up visit.
How do I get started?
Book an initial psychiatric evaluation with insurance through Headway or as private pay. The first visit covers symptoms, history, current treatments and goals, and ends with a plan.
Start online care
Book with insurance through Headway in Pennsylvania or New Jersey, or book a private pay evaluation in any of the four states. For questions, call or text (215) 559-9962.