Psychiatry Services
- Home
- /
- Psychiatry Services
Our Integrative Approach Includes:
- Comprehensive lab work
- GeneSight pharmacogenomic testing to guide medication decisions
- Nutrition counseling
- Lifestyle modifications
- Individual psychotherapy
- Medication management — we do not prescribe controlled substances
- Coordination with your primary care provider
What Is Integrative Psychiatry?
Conditions we treat
We provide care for children ages 8 and older, adolescents, and adults. For all conditions, we use a personalized integrative approach that includes comprehensive lab work, GeneSight testing, nutrition counseling, lifestyle modifications, and therapy tailored to your unique needs.
Neurodevelopmental Disorders
ADHD
A condition characterized by persistent difficulties with attention, focus, hyperactivity, and impulse control that can affect daily functioning.
Autism Spectrum Disorder (ASD)
A neurodevelopmental condition affecting social communication, behavior, and sensory processing in unique ways for each individual.
Oppositional Defiant Disorder (ODD)
A pattern of angry, argumentative, or defiant behavior toward authority figures that impacts daily life and relationships.
Mood Disorders
Depression
A persistent feeling of sadness, hopelessness, and loss of interest in activities that once brought joy, affecting energy, sleep, and daily functioning.
Bipolar Disorder
A condition involving extreme mood shifts from emotional highs to lows that impact energy, behavior, and daily functioning.
Seasonal Affective Disorder (SAD)
A type of depression that follows a seasonal pattern, most commonly occurring in fall and winter months.
Disruptive Mood Dysregulation Disorder (DMDD)
A childhood condition characterized by severe, frequent temper outbursts and persistently irritable or angry mood.
Anxiety Disorders
Generalized Anxiety Disorder (GAD)
Persistent and excessive worry about a variety of topics that is difficult to control and interferes with daily life.
Social Anxiety Disorder
An intense fear of social situations and being judged, often leading to avoidance of social interactions.
Panic Disorder
Recurrent, unexpected panic attacks accompanied by physical symptoms like a racing heart, shortness of breath, and dizziness.
Obsessive-Compulsive Disorder (OCD)
Unwanted intrusive thoughts that drive repetitive behaviors in an attempt to reduce anxiety.
Trauma-Related Disorders
Post-Traumatic Stress Disorder (PTSD)
A condition that develops after experiencing trauma, causing flashbacks, nightmares, hypervigilance, and emotional numbness.
Adjustment Disorders
Emotional or behavioral symptoms that occur in response to a significant life stressor or major change
Sleep and Eating Disorders
Insomnia
Difficulty falling asleep, staying asleep, or waking too early, leading to daytime fatigue and impaired functioning.
Eating Disorders
Conditions involving unhealthy relationships with food and body image, including anorexia, bulimia, and binge eating disorder.
Behavioral Disorders (Children & Adolescents) and Other Conditions
Conduct Disorder
A repetitive pattern of behavior in children that violates the rights of others or major social norms.
Behavioral Problems
A range of disruptive behaviors in children including aggression, defiance, or difficulty following rules.
Grief & Bereavement
The emotional suffering following a significant loss, which can deeply impact mental health and daily functioning.
Stress & Burnout
Chronic stress and emotional exhaustion caused by prolonged demands, leading to physical and mental depletion.
Cash-Pay Practice
Bloom Into Balance is a cash-pay practice. We do not bill insurance directly. We provide itemized superbills with all required information that you can submit to your insurance carrier for potential out-of-network reimbursement.
Licensing
Jessica Spencer, APRN, PMHNP-BC is a board-certified psychiatric nurse practitioner licensed to practice in the following states: Florida, New York, California, Texas, Montana, New Mexico, and Colorado.
Medication Management
We do not prescribe controlled substances.
Service
- Psychiatric Evaluation (New Patient)
- Medication Management
- Medication Management with Psychotherapy
- Psychotherapy Only
Duration
- 60–90 min
- 30 min
- 45–60 mi
- 60 min
Fee
- $350
- $200
- $250
- $200
| Service | Duration | Fee |
|---|---|---|
| Psychiatric Evaluation (New Patient) | 60–90 min | $350 |
| Medication Management | 30 min | $200 |
| Medication Management with Psychotherapy | 45–60 min | $250 |
| Psychotherapy Only | 60 min | $200 |
Frequently Asked Question
Do you accept insurance?
We are a cash-pay practice. We do not bill insurance but provide superbills for potential out-of-network reimbursement.
What states do you see patients in?
Florida, New York, California, Texas, Montana, New Mexico, and Colorado.
Do you prescribe controlled substances?
No. We focus on evidence-based integrative treatment.
What ages do you treat?
Children ages 8 and older, adolescents, and adults.
What is integrative psychiatry?
We treat the whole person using medication management, lab work, GeneSight testing, nutrition counseling, and lifestyle modifications tailored to your needs.
What is GeneSight testing and do I need it?
It analyzes how your genes affect medication response, helping us make personalized decisions instead of trial and error. We will discuss if it is right for you at your appointment.
How often will I be seen?
Based on your needs. During medication adjustments: weekly or every two weeks. Once stable: monthly. If no changes needed for several months: every three months.
What is your cancellation policy?
24 hours notice required. No-shows and late cancellations (under 24 hours) are charged 50% of the visit fee.
Can I get a superbill even if I don't submit to insurance?
Yes, provided to all patients upon request.
Do you treat children with ADHD and autism?
Yes, ages 8 and older including ADHD and Autism Spectrum Disorder.
What is the difference between a psychiatrist and a psychiatric nurse practitioner?
A psychiatrist is an MD/DO. A PMHNP is an advanced practice nurse with specialized psychiatric training. Both diagnose and prescribe. Jessica Spencer, DNP, PMHNP-BC brings doctoral-level training and extensive clinical experience.
Do you provide therapy or just medication management?
We specialize in medication management but incorporate therapeutic techniques. You receive whole-person care
How do I get started?
Click ‘Book Psychiatry Appointment’ to schedule.
What do I need for my first appointment?
Nothing to bring. Forms will be sent electronically beforehand. Please complete them ahead of your visit.
Is this telehealth or in-person?
All services are via telehealth.
Book an Appointment
Ready to take the first step? Choose your service below.