60 minutes
Intake Appointment
Your first visit is a full hour: a comprehensive evaluation of your history, your health, and what you want to be different. You leave with clear direction — and a plan we decided together.
What to ExpectPsychMed Care · Medication Management by Solutions Psychiatry
Online Psychiatric Medication Management That Doesn’t Stop at “Stable”
PsychMed Care is the dedicated medication-management practice of Solutions Psychiatry — fully virtual care with Karel Winner, DNP, PMHNP-BC. Precise psychopharmacology, paired with a holistic, integrated approach: brief focused therapy inside your visits, targeted labs and GeneSight testing when they help, and supplement support where the evidence supports it — all aimed at functional psychiatry and whole health.
- 60-minute intake appointments
- 30-minute follow-ups
- Telehealth in 34 states + DC
“Stable” Is the Floor, Not the Finish
Psychiatry that doesn’t stop at stable. A lot of medication management settles for quieter symptoms and on-time refills, checked off in a five-minute visit. That is not the standard here — and there are no five-minute refills here. The goal is a life that works: clear thinking, real energy, sleep that restores you, and a medication plan you understand and help direct.
“Precise psychopharmacology — thoughtful starts, careful changes, and deprescribing when it serves you.”The PsychMed Care standard
Two Visits. Real Time.
30 minutes
Follow-Up Appointment
Follow-ups are a full half hour — never a refill stop. Each visit reviews how the medication is actually working in your life and includes brief focused therapy and whole-person attention.
Visits & FeesOne Integrated Plan
Precise Psychopharmacology
Medication chosen and adjusted with care — thoughtful starts, careful changes, and deprescribing when less medication serves you better.
Brief Focused Therapy
Even medication-focused follow-ups include brief solution-focused therapy. Medication works better when someone is paying attention to the life around it.
Labs & GeneSight Testing
Targeted labs through LabCorp — thyroid, B12, folate, vitamin D, iron, and metabolic and inflammatory markers — plus GeneSight cheek-swab testing to take the guesswork out of choosing a medication.
Supplements & Whole-Body Health
Evidence-supported supplements through Fullscript, and attention to sleep, nutrition, movement, and physical health alongside the prescription.
Conditions Treated
- Depression
- Anxiety
- ADHD
- Bipolar Disorder
- OCD
- PTSD & Trauma
- Insomnia & Sleep Problems
- Substance Use
Care for older adolescents (17 and up), adults, and seniors — in an LGBTQIA+ affirming practice.
Insurance & Straightforward Fees
In network with Aetna, Cigna/Evernorth, UnitedHealthcare and Optum, the Blue Cross Blue Shield family, Oscar, Oxford, Carelon, Providence, and more — plus Medicare in AZ, CA, CO, TX, and UT, and Medicaid in OR and WY. With insurance, the typical copay is $0–$40 for the majority of plans, and every plan is verified before your first visit so you know your exact copay up front. Prefer self-pay? The 60-minute intake is $350 and 30-minute follow-ups are $250 — all-inclusive, with no facility fees and no surprise balance bills.
Meet Your Provider
Karel Winner, DNP, PMHNP-BC, earned his doctorate at Vanderbilt and completed graduate psychiatric training at the University of Tennessee. Two decades in medicine — along with Internal Family Systems (Level 3) and BrainSpotting training — shape a medication practice that treats the whole person, not just the prescription.
Ready When You Are
Book a 60-minute intake appointment with Karel Winner, DNP, PMHNP-BC. Follow-ups are a full 30 minutes — real visits, not refill stops.