As an advanced practice provider in the state of Tennessee not working in an Opioid Treatment Program (OTP) or Federally Qualified Healthcare Center, I am not permitted to prescribe buprenorphine products. If this is a recommendation for treatment, I will help get you linked to treatment where you can access this.

You can reach out to your insurance company directly. You will at least want to find out the following: if you have mental health benefit to see a psychiatric provider (nurse practitioner, in this case); you might confirm you don't need an authorization for mental health care if you have "out-of-network" benefits for mental health; you might want to clarify what the deducible is you can ask them for an estimate rate or reimbursement for mental health services (typically between 50-80%) how to submit a claim Or you can run your insurance information through reimbursify for an estimate reimbursement rate and can get information about your deductible as well. Regardless, payment will be due at the time of service.

There are certain circumstances where use of controlled substance pharmaceuticals are indicated and a thorough explanation of the known risks associated with use will be reviewed. Should a decision be made that the expected benefits outweigh the risks, they may be used. In general, this is infrequent. In general, I do not use benzodiazepines long term. In the case of psychostimulants, instant release formulations are generally avoided. These are general practice guidelines and exceptions may exist.

This is understandable. I also understand that my role is to provide you with an opinion on ways to return to wellness and the decision is yours to take or leave. This applies to lifestyle modification as well as taking medications. There are times when taking medication will be recommended to prevent illness or symptom syndromes which can have a devastating impact on one's life and a thorough explanation of the rationale behind this recommendation will be provided. In other cases, a discussion of indicated treatment options will occur with explanation of expected benefits and risks associated with treatment options, from which you can make an informed decision about your options.

This is difficult to determine without doing a comprehensive assessment. In all cases the goal is for treatment to be intentional, targeted and goal directed to occur for the shortest duration of time possible without lending to risk for relapse or return to a state of illness. While treatment with medication may be time limited, maintenance of wellness is best thought of as a lifestyle which one adopts and maintains, reducing risk of return to illness state.

Sure! If you have them from the past, bring them with you. If you do not have them and would like this test done, we can discuss in session.