Psychiatric medication management is a service that helps you explore whether medication may support your mental health, find an appropriate treatment plan, and monitor how that treatment works over time.

At Out of the Margins, medication management is collaborative, trauma-informed, and grounded in respect for your lived experience. Your provider will consider your symptoms, health history, previous experiences with medication, treatment goals, and concerns about potential side effects. Medication is not about changing who you are. It is about exploring options that may help you feel more like yourself.

Out of the Margins offers psychiatric medication management in Washington, DC and we also offer virtual medication management for eligible clients located in Maryland. While we have an office in Tenleytown at 4801 Wisconsin Avenue NW, most of our medication appointments occur virtually.

Our approach centers your needs, values, and autonomy. We welcome people seeking affirming, culturally responsive care, including BIPOC and LGBTQIA+ individuals, people living with chronic health conditions, and those navigating trauma, anxiety, depression, or major life transitions.

Yes. Our psychiatric medication management services include evaluation and treatment planning for concerns such as anxiety and depression. Depending on your individual needs, medication may be one part of a broader mental health treatment plan.

Your provider will work with you to understand your symptoms, review relevant health and medication history, and discuss potential treatment options. You will have space to ask questions and make informed decisions without pressure to pursue a treatment that does not feel right for you.

Out of the Margins offers psychiatric medication management for several mental health concerns, including ADHD, PTSD, bipolar disorder, and obsessive-compulsive disorder (OCD), as well as anxiety and depression.

The right treatment depends on your symptoms, health history, previous treatment experiences, and individual circumstances. During an initial evaluation, your provider will determine whether your needs align with the services we offer and discuss appropriate next steps.

No. Medication is one potential tool for supporting mental health, not a requirement for receiving care. Some people find medication helpful, some prefer psychotherapy or other approaches, and others benefit from a combination of treatments.

At Out of the Margins, we respect your right to make informed decisions about your care. Your provider can help you explore the potential benefits, risks, and alternatives so you can decide what aligns with your goals and values.

Yes. Out of the Margins emphasizes trauma-informed, culturally responsive, and identity-affirming psychiatric care.

We recognize that mental health is influenced by more than symptoms alone. Culture, identity, relationships, discrimination, chronic illness, and past experiences with healthcare can all shape how you experience distress and approach treatment. Our goal is to provide a space where you feel heard and respected, without having to explain or defend important parts of who you are.

We welcome clients seeking affirming care related to Queer/LGBTQIA+ identities, race and culture, trauma histories, and other complex life experiences.

Your first appointment is an opportunity to understand your concerns, review your history, and explore treatment options together.

Your psychiatric provider may ask about your current symptoms, medical history, medications and supplements, previous mental health treatment, and goals for care. You will also have time to discuss concerns about medication, including side effects or difficult past experiences.

If medication is appropriate, your provider will discuss possible options and next steps with you. A prescription is not guaranteed at the first appointment; treatment decisions depend on your individual clinical needs and safety.

Out of the Margins offers transparent self-pay pricing for psychiatric medication management:

• Initial psychiatric evaluation - 60-minute appointment -$200

• Follow-up appointment - 30 minutes - $100

• Brief follow-up appointment - 15 minutes - $50

Our medication management service currently uses a self-pay model rather than billing insurance directly. If you have out-of-network benefits, you can contact your insurance company to ask whether your plan reimburses any portion of psychiatric medication management appointments.

Coverage and reimbursement vary by plan, so we recommend confirming your benefits and any documentation requirements before your first appointment.

Yes! Out of the Margins offers virtual psychiatric medication management for eligible clients located in Maryland, as well as services in Washington, DC.

For virtual appointments, you must be physically located in a state where your provider is licensed at the time of your appointment. Virtual care can make it easier to access support without traveling to an office, while still allowing you to build an ongoing relationship with your psychiatric provider.

Contact us to confirm eligibility and the format available for your appointment.

Yes! Out of the Margins offers both psychotherapy and psychiatric medication management, allowing you to explore different forms of support within the same practice.

Therapy can help you understand patterns, process difficult experiences, develop coping strategies, and navigate relationships or life transitions. Medication may help manage certain symptoms. Depending on your needs and preferences, one or both approaches may be appropriate.

When clinically appropriate and with your authorization, coordination between your therapist and psychiatric provider can help support continuity of care.

The frequency of appointments depends on your symptoms, medication, treatment goals, and how you respond to care.

You may need more frequent follow-ups when beginning a medication or making changes so your provider can monitor your response and address concerns. Once your treatment plan is more established, appointments may be spaced farther apart when clinically appropriate.

Your provider will work with you to determine a follow-up schedule that supports your well-being and safe medication use.

We completely understand if you’ve had a difficult experience in the past. Previous side effects, feeling unheard, or being pressured into treatment can understandably affect how you approach medication in the future.

At Out of the Margins, your experiences and concerns are important parts of the conversation. Your provider can review what you have tried before, discuss what did or did not work, and explore alternatives when appropriate. You deserve clear information, thoughtful consideration, and the opportunity to participate in decisions about your care.

In many cases, yes. You may continue working with a therapist outside Out of the Margins while receiving medication management from our practice.

With your permission, your providers can coordinate care when appropriate. This can help ensure that your treatment goals, medication-related concerns, and broader mental health needs are considered together.

You do not necessarily need to arrive with an established diagnosis. An initial psychiatric evaluation can help your provider understand your symptoms, history, and treatment needs.

The evaluation may help determine whether a mental health diagnosis is appropriate and whether medication management is a suitable option. Your provider will also consider whether another type of support or additional evaluation would better meet your needs.

In most cases, you need an official diagnosis if you are using a Superbill to receive reimbursement from your insurance for services. Please reach out to our admin team if you have additional questions about this.

Getting started begins with reaching out to our team. We can help you understand the next steps, confirm whether our services align with your needs, and discuss scheduling.

You do not need to have all the answers before contacting us. Whether you are considering medication for the first time, looking for a more affirming provider, or exploring options after a difficult treatment experience, we welcome your questions.

You may fill out our inquiry form here, or you can contact Out of the Margins at (202) 618-0773 or email admin@outofthemargins.com to inquire about psychiatric medication management in Washington, DC, or Maryland.