Our Services
Psychiatric Medication Management in California
Private-pay telehealth care from Harpal Singh, PMHNP-BC, with published fees and no insurance hassle.
Medication Management by telehealth anywhere in California, with Harpal Singh, PMHNP-BC.
At a Glance
- Secure video visits anywhere in California
- Care in English, Punjabi, Hindi, and Spanish
- Initial evaluation $250, follow-up visits $199
- HSA and FSA cards accepted, superbills on request
Psychiatric medicines work best when someone manages them closely. That means the right medicine at the right dose, checked and adjusted as your life changes. Medication management is the core of what we do at Mindful Sewa Psychiatry.
Harpal Singh, PMHNP-BC, is board-certified through the ANCC and holds a DEA license. That allows full prescribing by secure telehealth across California. Controlled medicines are prescribed only when clinically appropriate and allowed under current telehealth rules.
Medication management by telehealth in California means one steady clinician watches how your medicine works over time. Finding the right fit often takes patience. A medicine may help one symptom but upset your sleep, or work well for a year and then need a change. Good management catches those shifts early.
Each visit is a chance to share what you notice day to day. Harpal listens for benefits, side effects and changes in your life, then helps you decide whether to stay the course or adjust. Your prescriber decides on specific medicines and doses with you, based on your history and current guidelines.
How Medication Management Works
- Start With an Evaluation. New patients begin with the $250 initial psychiatric evaluation. It sets the baseline that every later choice is measured against.
- Choose a Medication Together. You learn the options, the likely benefits and the common side effects. You decide together, and nothing starts without your consent.
- Check In at Follow-Ups. Follow-up visits are $199 and cover how you feel, how you sleep and any side effects. Changes are made one step at a time.
- Keep Refills on Track. Prescriptions go to your California pharmacy by e-prescribing. Keeping your follow-up schedule helps keep refills smooth.
Conditions We Manage Medications For
We manage medicines for depression, anxiety disorders, ADHD, bipolar disorder, schizophrenia, OCD, PTSD, insomnia and behavior changes linked to dementia. Each medicine class is chosen and checked in line with current clinical guidelines. You can read more on our adult psychiatry page.
How Ongoing Management Works
After your evaluation, follow-up visits track how well the medicine works, side effects, sleep and daily life. Doses are changed step by step, not all at once. Labs are ordered when a medicine needs them, and refills are planned ahead so you do not run out between visits.
Safe, Careful Prescribing
We explain each medicine's benefits and risks before you start. We avoid stacking up medicines you do not need, and we never rush your decision. For seniors, we follow a start low, go slow approach and review the list often.
Common Medication Classes We Discuss
Psychiatric medicines fall into a few main groups. Antidepressants such as SSRIs and SNRIs are often used for depression and anxiety. Mood stabilizers and some antipsychotic medicines are used for bipolar disorder and other conditions. There are also non-stimulant choices for ADHD and several options for sleep.
Controlled medicines like stimulants and benzodiazepines are prescribed only when clinically appropriate and allowed under current telehealth rules. You can learn more about the process on our how telepsychiatry works page. Your prescriber decides which option, if any, makes sense for you.
How to Get the Most From Medication Management
Keep brief notes between visits. Write down sleep, mood, energy and side effects, plus the dates they started. A simple phone note is enough. These notes turn a vague feeling into clear facts your prescriber can use.
Be honest about missed doses, alcohol, cannabis and supplements. None of this is judged. It matters because interactions and missed doses can make a medicine look like it is not working. Honest reports lead to safer, faster changes.
Side Effects and Safety Checks
Every medicine can have side effects. Many are mild and fade within a few weeks, like an upset stomach or a change in sleep. Others need a quick call. Tell your prescriber about rashes, fainting or strong mood changes right away. If you are thinking about harming yourself, call or text 988, or call 911.
Some medicines need lab work or vital sign checks to stay safe. Your prescriber will explain when labs are needed and how to get them done near you. Pregnancy, breastfeeding, older age and other health conditions can change which medicine is safest, so share those details at every visit.
Conditions We Often Treat
See also: all fees · conditions we treat · how telehealth visits work.
FAQ
Frequently Asked Questions
Can controlled medications be prescribed by telehealth?
In some cases, yes. Controlled medicines like stimulants and benzodiazepines are prescribed only when clinically appropriate and allowed under current telehealth rules. Harpal is DEA licensed and follows state and federal rules as they change.
How often will I have follow-up visits?
Visits are usually closer together while you start or adjust a medicine, often every few weeks. Once you are stable, they can often be spaced one to three months apart. Your prescriber sets the timing with you.
What if my medication causes side effects?
Contact us, and do not simply stop the medicine. Many side effects can be eased by changing the timing, the dose or the medicine. Stopping suddenly can cause problems of its own.
Can you take over prescribing from my previous provider?
Yes. Bring your medication history to your evaluation, and we will plan a safe handoff. With your consent, we can also request records from your past provider.
How long until I know if a medication is working?
It depends on the medicine. Many antidepressants take several weeks to show their full effect, while some side effects show up sooner. Your prescriber will tell you what to watch for and when to expect a change.
Can I stop my medication if I feel better?
Please talk with your prescriber first. Some medicines need to be tapered slowly to avoid withdrawal or relapse. When the time is right, you can make a stopping plan together.
Will you check for interactions with my other medicines?
Yes. Bring a full list of prescriptions, over-the-counter medicines and supplements. Interactions are reviewed before any medicine is started or changed.
Is medication management available in Spanish, Punjabi or Hindi?
Yes. Visits can be held directly in English, Punjabi, Hindi or Spanish with no interpreter. Understanding your medicine is easier in the language you know best.