Services
Telehealth-first psychiatric care for every stage of life.
Services at a glance
- We treat anxiety, depression, ADHD, PTSD, bipolar disorder, sleep problems, and substance use — including Suboxone and naltrexone treatment.
- Medication is used carefully — and only with your say-so.
- Visits happen by secure video — from anywhere in Connecticut.
- We accept HUSKY Health (CT Medicaid), Medicare, and most commercial plans. See insurance details.
Find your concern
How we handle medication
Medication is a conversation, not a conveyor belt.
You will never be rushed into a prescription. Here are honest answers to the questions we hear most.
Will I just be handed a prescription?
No. Your first visit is a full conversation about your health, your history, and your goals.
Medication is one option among several, and we decide together. “No, thank you” is always an acceptable answer.
Are these medications addictive?
It depends on the medicine, so we give you straight answers by type.
Most antidepressants and mood medicines are not addictive. Some can cause withdrawal symptoms if stopped suddenly — so we never stop them suddenly.
A few medicines, such as stimulants and certain anxiety medicines, are controlled substances. For those we follow a written safety plan. Read our controlled-substance policy (PDF).
What about side effects?
We start low and go slow. That means the smallest useful dose, raised only if you need it.
We ask about side effects at every visit. You never have to just live with them.
Can I ever stop?
Yes. Stopping is planned with you, step by step (tapering).
We explain what coming off a medicine feels like before you ever start it.
“We are sometimes an over medicated society. Let’s medicate carefully, conservatively and effectively.”
— George Costanzo, PMHNP-BC
Anxiety & panic
Racing thoughts, a pounding heart, dread that will not switch off — anxiety is exhausting. It is also very treatable.
We help with worry, panic attacks, social anxiety, and fear of public speaking. Learn more in our anxiety & depression FAQ (PDF).
Ready to talk? Call 203-680-0030.
Depression
Depression is more than sadness. It can feel like heaviness, numbness, or losing interest in things you love.
We treat depression, grief, and low mood after having a baby (postpartum depression) with careful medication — working alongside your therapist.
You don’t have to push through alone. Call 203-680-0030.
ADHD
ADHD makes it hard to focus, finish tasks, or quiet your thoughts. It affects kids, adults, and older adults — and it often goes missed for years.
We evaluate carefully first. Medication is discussed only after we understand the full picture.
Wondering if it’s ADHD? Call 203-680-0030.
Trauma & PTSD
After something terrible, your body can stay stuck on high alert (PTSD). Nightmares, flashbacks, and feeling jumpy are symptoms — not weakness.
We go at your pace, always. You choose what to share and when.
Take the first step: 203-680-0030.
Bipolar disorder
Bipolar disorder brings big mood swings — energized highs (mania) and heavy lows. Steady, consistent care makes a real difference.
We work with you on a plan that keeps your moods on level ground.
Let’s find steady ground. Call 203-680-0030.
Insomnia & sleep
Trouble falling asleep or staying asleep (insomnia) drains everything else in your life.
We look for the cause first — mood, stress, habits, or other medicines. Then we build a plan for real rest.
Tired of being tired? Call 203-680-0030.
Substance use & Suboxone
Wanting to cut back or quit takes courage. You will not find judgment here.
We treat alcohol, cannabis, and opioid use. That includes medication-assisted treatment — medicines such as Suboxone and naltrexone that ease cravings and withdrawal — plus real support.
Read our addiction FAQ (PDF).
A private, judgment-free call: 203-680-0030.
Psychosocial evaluations
A psychosocial evaluation is a structured conversation about your history, health, and daily life.
It helps us match you with the right provider and the right plan from day one. Call to ask about scheduling one.
Learn more: 203-680-0030.
We believe in therapy — and we partner with therapists
Medication is never the whole story. Therapy — like CBT, DBT, and EMDR — is one of the most powerful tools in mental health care.
We don’t provide talk therapy ourselves. Instead, we refer you to a network of skilled therapists we have collaborated with for years, and we handle the medication side of your care.
Already have a therapist? They stay your therapist. Most of our patients come to us from therapists, and we work alongside them — never in place of them.
Ask what fits you best: 203-680-0030.
Who we see, and what it costs
We care for children, teens, adults, and older adults. Call to ask about ages for young children.
Your first evaluation is $200; follow-up visits are $100. Insurance often covers much of this — see plans and costs.
Ready to start feeling better?
One phone call gets things moving. We’ll help with the rest, including insurance.
