At Steadfast Psychiatry, Daniel Georges, MSN, PMHNP-BC, offers individualized psychiatric assessment and medication management through telehealth for eligible adults in New York. Your concerns, history, and preferences shape the care plan, with clear conversations about options and follow-up.
What medication management involves
A medication visit is more than selecting a prescription. We review symptoms, functional concerns, prior treatment, other medical conditions, current medications, substance use, sleep, and personal goals. Treatment choices are made collaboratively, with space to discuss expected benefits, potential adverse effects, monitoring needs, and alternatives.
Your first appointment
An initial evaluation explores what you have been experiencing and how it affects work, relationships, sleep, and day-to-day life. We consider whether symptoms fit a psychiatric condition, overlap with another concern, or warrant additional assessment. Medication is not automatically the right next step for everyone.
Follow-up and ongoing care
Follow-up visits revisit symptom change, functioning, tolerability, adherence, and any safety considerations. When indicated, medication may be adjusted gradually. Psychotherapy strategies, sleep routines, and coordination with an existing therapist or primary care clinician can also be part of a comprehensive plan.
How treatment decisions are made
Psychiatric medication management starts with an assessment, not a predetermined prescription. Symptoms may reflect several overlapping conditions, and medical issues, sleep disruption, prescribed substances, or changing circumstances sometimes contribute. Daniel considers safety, previous trials, other medications, treatment goals, and whether psychotherapy or another intervention should be prioritized. Patients are encouraged to discuss concerns such as weight changes, sexual side effects, activation, sedation, or difficulty following a dosing schedule.
Monitoring and continuity
Follow-up appointments look beyond symptom checklists: the question is whether treatment helps you function in the ways that matter most. Depending on the medication, monitoring may include sleep, blood pressure or pulse, laboratory testing, or other physical health measures. If improvement is limited or side effects are significant, options may include dose adjustment, switching approaches, or discussing an appropriate referral. Never discontinue or change prescribed treatment solely because of information on this page.
Frequently asked questions
Will I be prescribed medication at my first visit?
Not necessarily. Recommendations depend on the assessment and a shared discussion of benefits, risks, and alternatives.
Can I discuss a medication that did not work before?
Yes. Past responses and side effects can help guide decisions without guaranteeing how a future treatment will work.
Are controlled medications guaranteed?
No. Prescribing decisions require an appropriate evaluation and clinical judgment, including applicable legal requirements.
Next steps
If these concerns sound familiar, a consultation can help clarify your options. Appointments are designed for collaborative, evidence-informed planning rather than a predetermined diagnosis or prescription.
View appointment availabilityInformation on this page is educational and is not a diagnosis or a substitute for individualized evaluation. Content prepared for Steadfast Psychiatry; clinical content should be reviewed periodically by Daniel Georges, PMHNP-BC.
Clinical reference materials
These resources inform general evidence-based care; treatment recommendations are individualized.
Editorial content updated October 21, 2026. Formal clinician review is pending; this information does not replace individual assessment.