Integrative Psychiatry in Miami, FL

The same as standard psychiatric care, usually a specialist copay, because visits are billed as psychiatric evaluation and management. Medicare and most major commercial plans in Miami-Dade cover it. Clinically indicated labs are covered and billed by the lab. Supplements are not covered, and we do not sell them. We quote costs before your visit.

Not unless it is clinically appropriate and planned. Integrative means adding to evidence-based treatment, not replacing it. For bipolar disorder and psychotic disorders, we will not stop necessary medication in favor of supplements. If reducing your medication load is a reasonable goal, we taper carefully with monitoring rather than stopping.

Only where there is real evidence or a documented deficiency. Correcting a confirmed vitamin D or B12 deficiency is straightforward medicine. Omega-3 has moderate evidence as an adjunct in depression. Beyond that, most supplement protocols marketed for mental health lack trial support, and we say so rather than recommending them anyway.

Typically thyroid function, vitamin D, B12, iron studies, and a metabolic panel including glucose, where there is a clinical reason. These are ordinary, covered tests that identify treatable contributors to psychiatric symptoms. We do not order expensive unvalidated panels regardless of how they are marketed, because the results would not change treatment reliably.

60 to 90 minutes. It covers a standard psychiatric history plus sleep quality and apnea risk, diet, exercise, alcohol, cannabis, caffeine, medical conditions, and relevant labs. That is more ground than a conventional first visit, which is why the appointment is longer rather than the same length with more rushed through it.

Depends on what is driving symptoms. Correcting a significant thyroid abnormality or treating sleep apnea can change how you feel within weeks and sometimes dramatically. Lifestyle changes such as exercise and sleep work generally show effect over four to eight weeks. Medication follows its usual timeline of four to eight weeks.

No, and the difference matters. Integrative psychiatry as practiced here uses conventional diagnosis and treatment, adding lifestyle and medical assessment held to the same evidence standard. Functional medicine often relies on unvalidated testing panels and de-emphasizes medication. We do not follow that model, particularly for serious mental illness.

For mild to moderate depression the evidence is genuinely good, with randomized trials and meta-analyses showing meaningful benefit, particularly for structured aerobic exercise and resistance training. It is a legitimate part of treatment, not a consolation prize. For severe depression it works as an adjunct rather than a replacement for medication.

Yes, and directly rather than as an afterthought. Poor sleep worsens mood, anxiety, and concentration, and treating insomnia often improves psychiatric symptoms measurably. Cognitive behavioral therapy for insomnia has stronger long-term evidence than sleep medication, and we screen for sleep apnea, which is frequently missed and frequently relevant.

Yes for most patients. The extended history, lab review, and lifestyle assessment all work by secure video, and follow-up reviews work particularly well remotely. If a physical examination is needed, or if in-office treatment follows, we arrange an in-person visit. We tell you which applies when you book.

Yes. R&C Psychiatry is a bilingual practice, and the full integrative assessment can be conducted in Spanish. That is especially relevant here, since this visit involves detailed discussion of diet, sleep, and daily routine, and those details are easier to describe accurately in your first language.

That is a common reason patients come, and it is worth checking what everything actually included. Frequently thyroid was never tested, sleep apnea was never screened for, alcohol intake was never asked about honestly, or the antidepressant dose was never optimized. A systematic assessment often finds something unaddressed rather than confirming there is nothing left.