Frequently Asked Questions

A psychiatrist, like Dr. Fredes, is a medical doctor (MD) who specializes in diagnosing and treating mental health conditions. Psychiatrists can prescribe medication and offer a comprehensive approach to mental health care, integrating medical and psychological perspectives to address a wide range of issues.

Other mental health providers, such as psychologists, therapists, and counselors, typically hold advanced degrees in psychology or counseling. They focus primarily on providing therapy and counseling services, utilizing evidence-based techniques like cognitive-behavioral therapy (CBT) and psychotherapy to support clients in managing their mental health. These providers offer valuable expertise in helping individuals navigate emotional and behavioral challenges without prescribing medication. Choosing between a psychiatrist and other mental health providers often depends on your specific needs and preferences for treatment. 

Psychiatrists are medical doctors who must complete rigorous educational and clinical training. They begin with 4 years of undergraduate education and then 4 years of medical school, earning a Doctor of Medicine (MD) degree. Following medical school, psychiatrists undertake residency training, lasting from 4 to 6 years, where they gain intensive clinical experience in psychiatry. This extensive educational path typically spans a minimum of 12 years before becoming licensed and establishing clinical practice.

In contrast, psychiatric nurse practitioners (PMHNPs) follow a different educational route. They first earn a Bachelor of Science in Nursing (BSN) degree, followed by a Master of Science in Nursing (MSN) degree specializing in psychiatric and mental health care (in many cases completed online), which generally takes about 6 years in total. PMHNPs have the authority to diagnose mental health disorders and prescribe medication in most states, though in states like Texas, they must operate under the supervision of a psychiatrist MD. This oversight underscores the psychiatrist's role in ensuring comprehensive care and advanced clinical oversight.

Choosing a psychiatrist MD ensures access to a provider with extensive medical training, clinical expertise, and the ability to manage complex psychiatric conditions comprehensively. Their broad scope of practice and deep understanding of medical and psychiatric sciences equips them to deliver superior care and personalized treatment plans tailored to your specific needs.

Dr. Fredes stands out for her personalized and attentive approach to patient care. She believes in the importance of genuine connection and communication. During appointments, Dr. Fredes ensures she listens carefully and maintains eye contact, making you feel truly heard and understood. She will not be sitting behind a desk with a computer in front of her during appointments, unless she needs to review prescription details with you. Even during medication management-only appointments, Dr. Fredes will ask about and listen to what's going on in your life, incorporating supportive psychotherapy when needed. She has thoughtfully designed her office layout to promote effective communication, ensuring that her full attention is on you, creating a comfortable and supportive environment for your mental health journey.

During your initial visit, Dr. Fredes will conduct a thorough evaluation, discussing your medical history, current concerns, and treatment goals. This helps in crafting a personalized treatment plan tailored specifically for you.

No, seeing a psychiatrist is not only for those with severe mental illness. Dr. Fredes helps individuals with a wide range of mental health concerns, including anxiety, depression, stress, and life transitions. Psychiatry can provide valuable support and treatment for various mental health challenges, regardless of severity.

Seeing an out-of-network provider can offer several benefits:

1. Choice of Provider: You have the freedom to choose a provider who best meets your needs and preferences, rather than being limited to in-network options.

2. Specialized Care: Out-of-network providers often offer specialized services or expertise that may not be available within your insurance network.

3. Privacy and Confidentiality: There may be greater confidentiality since details of your treatment aren't shared with insurance companies, which can be important for sensitive issues.

4. Increased Time and Availability: Out-of-network providers are often able to spend more time with patients as needed, without restrictions imposed by insurance companies. They may also have more availability and shorter wait times, making it easier to schedule visits, including urgent appointments in between regular sessions if necessary.

5. Flexibility in Treatment Approaches: Out-of-network providers may offer a broader range of treatment approaches, including complementary and alternative therapies, that may not be covered by insurance.