The Practice
Horizon Psychiatry Care.
Virtual psychiatric medication management for patients in states where the clinician is licensed.
§ I·How care should feel here
Psychiatric care without the rushed-refill feeling.
Patients arrive with the same three questions: Can this clinician see me in my state? Will medication decisions be careful? And — quietly — will I be heard for longer than fifteen minutes? The page answers all three before booking, in that order.
The visit cadence is built around the medication itself. A longer first visit, a planned tolerance check at week two, a response assessment at week six, and a reassessment at week twelve. The first refill is never the first contact. The conversation always precedes the prescription.
Plate · 01
§ II·Meet your clinician
Elena Marquez
DNP, PMHNP-BC
I'm a board-certified Psychiatric Mental Health Nurse Practitioner. The work I do best is careful medication management, practical treatment planning, and telehealth visits that still feel like a conversation — not a fifteen-minute refill window.
§ III·The boundary set in writing
Scope of practice.
Filled mark — within scope. Outlined mark — referred to a specialist.
Within scope
Depression, anxiety, mood
Diagnosis, medication management, telehealth follow-up.
ADHD in adults and older teens
Evaluation, ongoing management when symptoms have an adult history.
Sleep concerns
Screening, medication management, referral to sleep medicine when warranted.
Life transitions, grief, burnout
Brief medication-focused care alongside the patient's therapist.
Outside scope · specialist referral
Acute crisis or suicidal thoughts
Refer to 988, 911, or the nearest emergency department.
Court-ordered or custody evaluations
Refer to a forensic psychiatry consultant.
Controlled substances on first visit
Evaluation required first; not a walk-in script.
Active psychotic illness, severe bipolar I
Refer to a higher level of psychiatric care.
Substance use disorder as primary concern
Refer to addiction medicine.
In-person psychiatric evaluation
Telehealth-only practice; refer for required in-person care.
§ IV·A clinical pathway, not a calendar
The first twelve weeks.
Four visits in the first three months by design — the window where most adjustments happen and most stops happen too. The cadence is built in so it doesn't depend on the patient remembering to ask.
01
Visit 1
Initial evaluation
60–90 minutes
Symptoms, history, current medications, family history, sleep, substances, prior trials. Leaving with a working diagnosis, a starting plan, and a written next step.
02
Week 2
Tolerance check
20–30 minutes
Side effects reviewed, dose adjusted if needed. Most stops happen here, not later — which is why this visit is built in by default, not optional.
03
Week 6
Response assessment
30 minutes
Rating-scale comparison, symptom course, sleep and function. The point where the conversation shifts from getting started to staying on track.
04
Week 12
Reassessment + cadence
30 minutes
Full reassessment. Continue, adjust, switch, or refer. From here, follow-up moves to every 1–3 months depending on stability.
§ V·What patients need to know
Crisis, fees, telehealth.
I
Crisis is handled differently here.
This practice is not an emergency service. If symptoms are urgent, call or text 988, call 911, or go to the nearest emergency department. The site keeps that guidance visible at the top of every relevant page — not buried in a footer.
II
Fees, insurance, and the Good Faith Estimate.
Accepted plans, self-pay rates, superbill availability, and Good Faith Estimate language are stated on a dedicated page. Patients answer the coverage question before they reach intake — not after.
III
Telehealth readiness, in plain terms.
What patients need: a private space, a working device with a camera, a state-licensed location at the time of the visit, and pre-visit forms returned. The site teaches the requirements before they become a problem.
§ VI·Common questions
What patients ask first.
- Q · 01
- On a case-by-case basis after evaluation, with a clear plan for monitoring, follow-up cadence, and the conditions under which continuation depends on labs, urine screens, or in-person assessment. The first visit is never a refill visit.
- Q · 02
- No. Outpatient psychiatric care moves on a treatment-week clock, not an emergency-room clock. For active safety concerns, call or text 988, call 911, or go to the nearest emergency department.
- Q · 03
- Accepted insurance, self-pay rates, no-show fees, and the Good Faith Estimate are all on a separate Fees page. Patients see them before they book — that's the point of having them on a separate page.
- Q · 04
- Telehealth psychiatric care requires the patient to be physically located in a state where the clinician holds an active license at the time of the visit. The intake form asks where the patient will be — visits outside the licensure footprint are filtered before booking.
Do you prescribe controlled medications?
Is this for emergencies?
How do fees and insurance work?
Can I see you if I'm not in a licensed state?
§ VII·What it removes from your day
Included in the build.
Hover any item to see the operational pain it eliminates.
- Third-party booking previewPatients understand the next step before they call.
- State eligibility gatingPatients outside the clinician's licensure footprint do not book the wrong visit.
- Psych med scope pageBoundaries around meds and referrals are clear up front.
- Crisis-safe disclaimerEmergency expectations are handled visibly and responsibly.
- Fees & insurance sectionCoverage and self-pay questions get answered before intake.
- Provider bio + credentialsTrust builds before the first appointment request.
- HIPAA + GFE noticesRequired patient notices are easy to find and review.
- Telehealth readiness FAQPatients know what they need for a smooth virtual visit.
Trust before booking
Want a site like this for your psychiatric practice?
One flat fee. One care plan. A homepage that declares scope before patients reach the booking link — so the right ones do, and the wrong ones don't.