Psychiatric medication management that sees your whole life
Ongoing medication management with a clinician who has time to listen, notices the details, and treats your prescription as one part of a much larger picture.
Psychiatric medication management in New York often shrinks to a quick refill and a question about side effects. My approach is different. We meet regularly and for longer, keeping track of how your medication is working alongside your sleep, stress, nutrition, relationships and creative or working life. The aim is steady, attentive care that adapts as you do, within one consistent relationship.
“Good medication care is less about the prescription itself and more about the quality of attention that surrounds it, month after month”
The most useful information often surfaces slowly, in conversations that have room to wander.
What ongoing medication management looks like here
Medication management is the continuing work of prescribing, monitoring and reviewing psychiatric medication so that it keeps serving you well over months and years.
Once a medication is working reasonably well, it is tempting for everyone to stop paying close attention. Yet bodies change, seasons change, jobs and relationships shift, and what suited you last year may not suit you now. Psychiatric medication management, done properly, is an attentive partnership. I keep an eye on benefits and side effects, notice early signs that something is drifting, and make sure you never feel that your prescription is running on autopilot.
I am a board-certified psychiatric nurse practitioner, trained at Johns Hopkins, and I also practise psychotherapy and somatic work. That combination shapes how I manage medication. Rather than referring you elsewhere every time something emotional comes up, I can hold the medical and the personal in the same conversation. If a difficult month at work is affecting your sleep, we can talk about both the stressor and whether your current regimen still fits.
Management is also where holistic tools find their place. Depending on your needs and interests, we may look at nutrition, movement, rest, mindfulness, or carefully chosen supplements, always reviewed for safety and interactions with what you already take. These additions are not replacements for medication; they are ways of supporting your wellbeing from several directions at once.
Monitoring without micromanaging
Regular follow-up appointments let us track how you are doing, review side effects, and discuss anything new, such as other prescriptions, a pregnancy plan, travel or a change in health. I ask practical questions, but I also leave space for you to bring whatever feels important. Some sessions focus closely on medication; others drift naturally into therapy. Both are part of good management.
Consistency and continuity
Because I keep a deliberately small caseload, you see the same clinician each time. I come to know your history, your patterns and the particular ways you tend to describe how you feel. That continuity means subtle changes are more likely to be noticed early, and you do not have to retell your story to someone new every few months.
When something needs to change
If, during management, it becomes clear that a dose, timing or medication is no longer the best fit, we move into a more focused conversation about adjustments, or in some cases a gradual reduction. Those decisions are always made together, introduced slowly and followed closely, never altered abruptly or without your full understanding.
Medication management may suit you if you want
Ongoing management suits people who are already taking psychiatric medication, or who have recently started, and who want a steady, thoughtful clinician rather than a revolving door. It also suits those who would like therapy and prescribing held in one place.
- Longer, less rushed appointments
- One consistent prescriber
- Therapy and medication together
- Side effects taken seriously
- Holistic and lifestyle support
- A clinician who remembers you
- Room to ask questions
- Care that adapts with life
- An affirming, non-judgemental space
Steady care with many dimensions
Each follow-up is shaped by what you bring that day, but these threads run through our work together over time and help keep your treatment responsive and safe.
Prescribing and refills
I prescribe and renew psychiatric medication as part of our ongoing relationship, so you are not left scrambling for appointments when a prescription runs low. Refills happen within a context of regular review, not on autopilot.
Side effect monitoring
We check in about sleep, appetite, energy, libido, mood and anything else you notice. Small side effects are worth discussing, because they can quietly affect quality of life and sometimes respond well to simple changes.
Integrated psychotherapy
Sessions can include psychotherapy drawing on psychoanalytic, relational, feminist, DBT-informed and CBT-informed approaches. Holding talking therapy and prescribing together means emotional insights and medical decisions inform each other naturally.
Lifestyle and supplements
We may explore nutrition, movement, sleep habits and supplements that may support mood or focus. Everything is reviewed alongside your prescriptions for safety and interactions, and none of it replaces appropriate medical care.
Rhythms and seasons
Mood and energy often shift with seasons, workloads, travel and life events. We watch for these patterns over time so we can plan ahead, rather than reacting only once things have become difficult.
Respect for autonomy
You are the expert on your own experience. I share my clinical reasoning openly and invite your views, so that every decision about your medication is one you understand and genuinely agree with.
Prescription refills versus true management
Many people have only experienced medication care as a brief transaction. Holistic management treats it as an evolving relationship.
Transactional prescribing
- Short, symptom-focused visits
- Different clinicians over time
- Therapy handled elsewhere
- Side effects often overlooked
- Lifestyle rarely discussed
Holistic medication management
- Longer, attentive sessions
- The same clinician each time
- Therapy woven into care
- Side effects actively tracked
- Sleep, food and stress considered
Beginning ongoing medication care
Whether you are transferring from another prescriber or starting fresh, the path into ongoing management is simple.
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1
Free consultation 15 minutes
We talk briefly about what you currently take, how you are feeling and what you are looking for in a prescriber. It is a chance to see whether my way of working suits you before committing to anything.
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2
Comprehensive assessment
Our first full session covers your psychiatric and medical history, current medications, lifestyle and goals. If you are moving from another prescriber, we make sure there is no gap in your prescriptions during the transition.
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3
A shared care plan
Together we agree how often to meet, what to monitor, and which supports beyond medication might be helpful. The plan is written in plain language and can be revisited whenever your circumstances change.
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4
Regular follow-ups
We meet at an agreed rhythm, often more frequently at first and then settling into a steadier pattern. Each session leaves room for both medication review and whatever else is alive in your life.
Francesca Rome-Marie, PMHNP-BC
I bring together psychiatry, psychotherapy, somatic work and whole-body health, informed by years in primary care and further study in gender theory, feminist thought, culture and visual art.
I keep a deliberately small caseload so that every client receives consistent, unhurried and genuinely attentive care, held within one relationship rather than split across several providers.
Clear, upfront rates
I don't accept insurance. Modern Holistic Psychiatry is an out-of-network provider, so sessions are paid for directly. Depending on your plan, you may be able to claim reimbursement through your out-of-network benefits.
Find out how much your insurance may coverNeed urgent support? If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or call 911.
Medication Management FAQs
What does psychiatric medication management in New York with you include?
It includes prescribing, refills, regular review of benefits and side effects, monitoring for interactions, and coordinated support beyond medication. Sessions are longer than typical medication visits, and can include psychotherapy, somatic work and lifestyle guidance. I work with clients across New York State, starting with a free 15-minute consultation.
How often will we meet for medication management?
It depends on how settled your treatment is. When something is new or changing, we usually meet more often so I can follow your response closely. Once things are stable, appointments tend to become less frequent. We agree the rhythm together and revisit it whenever life shifts, rather than following a fixed schedule for everyone.
Can I transfer my existing prescriptions to you?
Yes. Many clients come to me from another prescriber. We begin with a thorough assessment, and I plan the handover so that your prescriptions continue without interruption. It helps to bring a current medication list and, if possible, records from your previous clinician, although we can work without them.
Do I need to be in therapy with you as well?
Not necessarily. Some clients see me for medication management while working with a separate therapist, and with your consent I am glad to collaborate with them. Others prefer to have both in one place. Because my sessions are longer, there is usually natural room for therapeutic conversation even when medication is the main focus.
Will you suggest supplements instead of medication?
Supplements and lifestyle changes may support your wellbeing, but I do not present them as substitutes for medication that is helping you. If you are interested in them, I review each option for safety and possible interactions with your prescriptions, and we decide together whether they make sense as an addition.
What happens if I have a difficult period between appointments?
Let me know, and we can look at bringing an appointment forward. Please do not change your medication on your own in response to a hard week, as that can make things harder. If you are ever in crisis or thinking about harming yourself, call or text 988, or call 911 in an emergency.
Looking for steady, thoughtful medication care?
Book a free 15-minute consultation to talk about your current medication and whether ongoing management with me would suit you.