Medication Management
Medication management is a structured and collaborative process designed to help stabilize mood, reduce symptoms, and support long-term emotional wellness. At Stillpoint Psychiatry, treatment is tailored to each individual—not just a diagnosis. Together we explore your history, symptoms, medication preferences, prior responses, lifestyle factors, lab findings, and clinical goals to determine the safest and most effective medication approach. Care is delivered in a warm, thoughtful, and relationship-centered environment for adults ages 18–64, in person throughout Western North Carolina and via secure telepsychiatry in North Carolina, Virginia, South Carolina, and Maine.
A Personalized and Collaborative Approach
Medication management is not one-size-fits-all. We take time to learn about your lived experience, emotional patterns, medical history, sensitivities, prior treatments, and current goals. This helps us prescribe carefully, monitor how you respond, and adjust dosages or medications as needed. We discuss potential benefits, risks, side effects, interactions, and supportive strategies so you feel informed and confident in every decision.
When Medication Can Help
Medication may be appropriate for conditions such as:
Anxiety and panic symptoms
Depression or mood changes
ADHD
Bipolar spectrum conditions
Sleep disturbances
Emotional overwhelm or chronic stress
Hormonal transitions affecting mood
Trauma-related symptoms
Cognitive or concentration challenges
Medication is not always required — sometimes it is all you need, sometimes it plays a supporting role alongside therapy, integrative care, lifestyle practices, or nervous system support. We explore the most effective approach that aligns with your values
Comprehensive Monitoring and Follow-Up
After starting or adjusting a medication, follow-ups allow us to monitor progress, address any potential side effects, evaluate real-world impact, and make refinements. If something isn’t working, we collaborate efficiently and thoughtfully — adjusting dosage, timing, combination therapy, or switching to a more appropriate option. You never feel rushed or unheard.
Follow-ups may occur:
every 1-3 weeks early in treatment
every 1-3 months once things stabilize
more frequently if clinically indicated
You receive clear clinical communication, ongoing support, and informed, collaborative decision-making at every step.
Integrative Support When Needed
When appropriate, we may incorporate integrative support alongside medication to enhance stability or symptom relief. This may include:
high-quality supplements or nutraceuticals
herbal or botanical support
lifestyle or sleep optimization
grounding techniques and somatic tools
nutritional considerations
mindfulness practices or stress reduction strategies
Integrative options are utilized when safe, clinically appropriate, and evidence-informed.
Medication Management for Complex or Long-Term Conditions
Some individuals have been on medications for years without guidance, clarity, or reassessment. Others have tried multiple medications with mixed or confusing results. We provide thoughtful review and clinical organization when:
medications feel ineffective or partially effective
combinations feel unclear, duplicative, or confusing
tapering may be appropriate
new symptoms have emerged over time
life circumstances have shifted
integrative approaches are desired
This kind of revisiting and refining can dramatically improve comfort, clarity, and daily functioning.
When Side Effects Need Attention
We address concerns such as:
fatigue or sedation
irritability or emotional blunting
changes in appetite or weight
sleep disturbances
sexual side effects
nausea or discomfort
overstimulation or jitteriness
Rather than ignoring side effects, we explore ways to minimize or eliminate them — whether through adjustment, alternative selection, supportive nutrients, lifestyle strategies, or integrative care.
Medication & Therapy Together
Medication and therapy can be powerful together. When appropriate, medication may help reduce emotional overwhelm or reactivity, making therapy more accessible and productive. For some individuals, therapy alone is enough. For others, a combined approach provides the deepest level of growth, stabilization, and recovery.
Whether therapy is provided here or coordinated externally, we support whichever approach aligns with your needs.
Who Is a Good Fit for Medication Management
You may be a good candidate if you are:
struggling with emotional regulation or internal overwhelm
experiencing persistent anxiety or depression
seeking clarity after trying multiple medications
dealing with stress-related symptoms
feeling stuck or unstable despite your best efforts
wanting a thoughtful, integrative, personalized approach
looking for guidance that honors both clinical medicine and whole-person care
You do not need a diagnosis already — evaluation is part of the process.
Areas Served
I provide medication management for adults ages 18–64:
In person throughout Western North Carolina
By telepsychiatry in:
North Carolina
Virginia
South Carolina
Maine
Begin Your Care
You are welcome to schedule a complimentary 15-minute call to discuss your goals, ask questions, and explore whether medication management or integrative psychiatric care might be supportive for you. Together we determine the most comfortable next step.
Sources:
1. “Psychotropic Medication Monitoring: A Review” — a 2019 review summarizing best-practice recommendations for monitoring patients on psychiatric medications. It highlights the importance of ongoing follow-up and lab/physical monitoring to minimize iatrogenic risk. Psychiatrist.com
2. “The Importance of Consistent Follow-Up in Medication Management” — clinical-practice guidance describing why regular check-ins are essential to assess efficacy, side effects, and needed adjustments over time. Whole Mind
3. “Laboratory Monitoring for Psychiatric or Psychotropic Medications” — an article discussing which labs/tests are often needed when prescribing psychotropic medications, to ensure safety and appropriate dosing. Psych Central