Psychiatric Services & Medication Management

Collective Care Clinic proudly offers medication management services for individuals at both the outpatient and intermediate levels of care (IOP & PHP). Our prescribing providers have expertise in complex and difficult to treat behavioral health conditions such as OCD, depression, anxiety disorders, bipolar disorders, and related conditions. The prescribing providers at Collective Care Clinic are covered under most insurance plans and will also provide services at an out-of-pocket cost if it is not covered under your plan (some insurance plans will allow for bills to be submitted for out-of-network reimbursement).

The frequency of visits with your prescribing provider will depend on several factors including the complexity of the condition being treated, the type(s) of medications prescribed, the level of care, and the type of program in which the individual is enrolled. At higher (intermediate) levels of care, individuals are required to see a prescriber weekly. When enrolled in one of the Extended Outpatient Programs (EOPs), the individual may be seen weekly or biweekly. At the outpatient level of care, the frequency of visits will be determined by the prescriber.

Requests for refills of medications must be made with 1-week advance notice. Refill requests made between sessions will be completed following the next scheduled session. If there is an urgent need for a refill (ie. no medication remaining), this will incur an out of pocket $20 urgent refill fee.

Individuals and families may request to communicate with a prescriber outside of a regularly scheduled session. This can be done by accessing our Contact Us page and identifying the “Medication Question” category. Please do not contact your prescriber directly via telephone or email. Clinic policy prohibits any provider or staff member from sending protected health information via electronic communication (e.g., email) with the exception of issues related to scheduling. Once your request has been received, it will be relayed to the prescriber.

Should questions or concerns arise between sessions that you feel cannot be addressed via our messaging system, you may request a brief phone consultation with our providers for an additional out-of-pocket fee. This fee will not be covered by insurance and is due at the time of service. You may also consider scheduling an additional, full between session, urgent appointment, depending on the issue. This appointment may or may not be covered by insurance, and will incur an “urgent appointment” fee not covered by insurance. For emergency or serious health concern issues, there is no additional consultation fee. Below are some examples of what is/is not considered an emergency or serious health concern.

Common non-emergency side effects associated with most commonly prescribed psychotropic medications:

  • Dry mouth
  • Dizziness
  • Constipation/diarrhea
  • Blurred vision
  • Increased heart rate
  • Nausea
  • Changes in sleep (increase or decrease)
  • Changes in appetite
  • Weight gain/loss
  • Sexual side effects
  • Headache
  • Lightheadedness when going from a lying or seated position to a standing position.
  • Sensitivity to light or sunlight
  • Sweating

Other common issues associated with medication that will incur a consultation fee:

  • Questions about abruptly stopping or starting a new a medication (unless identified by your prescriber during a prior appointment). Questions about over the counter supplements, herbal formulations, vitamins, or naturopathic treatments.
  • An emergence or reemergence of symptoms that had been occurring prior to taking the medication (e.g., nausea, tingling in the hands/feet, lightheadedness, etc.).
  • A question about taking the medication (e.g., taking medication with or without food, when to take the medication, common side effects, etc.).
  • Questions about refills (if medication is still in possession).
  • What to do about a forgotten dose, or multiple missed doses of a medication.
  • Decisions about discontinuing medication.
  • Forgetting to pick up your prescription.
  • Child refusing to take medication.

Emergent issues that must be immediately addressed by CCC prescriber, primary care physician/pediatrician, or the emergency department at the nearest hospital:

  • A fever over 101 degrees.
  • Syncope (a temporary loss of consciousness).
  • A swelling of the throat causing an inability to breathe.
  • Muscle rigidity, an inability to move certain parts of the body, or involuntary movements associated 
with the rigidity.
  • A new rash with the onset starting when the medication was started.
  • A painful erection that lasts more than 4 hours.
  • Severe inner restlessness, agitation, and uncontrollable movements.
  • Thoughts of suicide with a plan to act.
  • Thoughts of harming others with plan to act.
  • Sleeping longer than 12 hours (when this did not occur prior to taking the medication).
  • Not sleeping for more than 2 days.
  • Seizure.
  • Stroke, or loss of motor and/or sensory function on one side of the body.

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