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Psychiatrists | Lepage Associates
If you have adult or child psychiatry needs, we can connect you to two local professionals who provide medication management, and who can interface well with our therapists as well as needed. One clinician offers a traditional psychiatry model, and one offers a concierge medicine model; these are described below. Just call us at 919-572-0000 or email scheduler@lepageassociates.com for more information.
 
Studies on treatment of mental health conditions have generally found that psychiatric medication can often be effective in alleviating symptoms, particularly in conjunction with psychotherapy. A psychiatrist or psychiatric nurse practitioner can work in concert with your therapist to manage your care, so your use of medication and therapy is well coordinated and most beneficial to you. Even medication alone has been found effective in treating many symptoms such as depression, anxiety, bi-polar (“manic-depression”), and attention problems, to name some of the most common. A psychiatric clinician can work with you to find the medication that is the best fit for addressing your symptoms with the least side effects possible. Clinically complex cases in which medication has not been fully effective in the past can be carefully monitored to find a medication, dosage, and/or medication combination that can help.
 
In the traditional model of medication management, you pay for appointments individually as they happen, and pay for collateral services as they occur (such as emails or phone calls with your provider; prescriptions called in for refills outside of your regular follow-up sessions; and any contacts your provider may have with others regarding your case for you). In concierge medicine model of medication management, you pay one flat monthly fee for all services, whether sessions with your provider, in-between session contacts with you via text, email, or phone, collaterals, etc. The concierge medicine model costs a bit more and is ideal for people whose needs may be somewhat higher for contact with their provider, or, who simply like the enhanced access to their provider and/or the one monthly payment that concierge medicine includes.

 
Kelly Mahoney, M.S., PMHNP-BC
Licensed Psychiatric Mental Health Nurse Practitioner, Board Certified

 
Jennie Byrne, M.D., Ph.D. of Constellation PLLC.
Licensed Psychiatrist, Board Certified

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