Frequently Asked Questions

Can I be seen if I've never received mental health treatment before?

Absolutely. Many clients are seeking mental health care for the first time. We welcome new patients who fit within our practice focus and treatment populations. If we believe another provider would better meet your needs, we will gladly provide recommendations.

Do I need a referral?

No referral is required.

Our practice primarily serves:

Veterans
Active-duty service members
First responders
Older adults with complex medical and mental health needs

While we welcome inquiries from others, we reserve the right to determine whether our services are an appropriate fit.

What conditions do you treat?

We evaluate and treat a variety of mental health conditions, including, but not limited to:

Post-Traumatic Stress Disorder (PTSD)
Anxiety disorders
Depression
Adjustment disorders
Bipolar disorders
Panic disorders
Insomnia
ADHD
Schizophrenia spectrum disorders

Some individuals arrive with an established diagnosis, while others simply know that something feels "off." We can help determine whether treatment may be beneficial and discuss available options.

Do I have to take medications?

No!

Medication is only one treatment option. Some individuals benefit greatly from medication, while others may not need it at all.

When appropriate, treatment recommendations may include:

Medication management
Psychotherapy
Behavioral interventions
Lifestyle modifications
Referral to specialty services such as TMS or other advanced treatments

Treatment decisions are always collaborative.

How much do services cost?

Costs vary based on:

Insurance coverage
Deductibles and co-insurance
Type of service provided
Complexity of consulting requests

Consulting services such as medical record reviews, disability evaluations, and capacity assessments are priced separately. Please contact us directly for current fees.

Do I need to live in the Des Moines area?

Not unless you want to...

Telehealth appointments are available throughout Iowa, provided you are physically located within Iowa at the time of your appointment.

In-person appointments may also be available in the near future at outreach clinics.

How long are appointments?

Initial Psychiatric Evaluations: 50–60 minutes

Medication Follow-Ups: 15–30 minutes depending on complexity

Therapy Sessions: 50–60 minutes

Consulting Services: Appointment length varies based on the service requested.

What should I expect during my first appointment?

Schedule your appointment.
Complete intake paperwork before your visit so we can review it before you arrive.
Participate in a comprehensive psychiatric evaluation- this makes it sound very formal, but it should feel more like a conversation with a new friend rather than laying on the couch with Sigmund Freud.
Discuss symptoms, concerns, goals, and treatment options.
Review recommendations and develop a personalized treatment plan.
Schedule follow-up care if appropriate.

Our goal is to provide a comfortable, respectful environment where you can make informed decisions about your care.