Clearer psychiatric direction for your patient, and updates you can use.
Refer when a patient's psychiatric concern outgrows the primary care visit. Dr. McDade completes an unhurried evaluation, sets the psychiatric treatment direction, and shares relevant updates so your ongoing care stays connected. Responsibilities are made clear, and your patient remains your patient.
Opens the referral page. Email the referral. The practice confirms fit before scheduling the evaluation and, with a signed release, sends relevant notes afterward.
- Ages 6 to 70
- Texas
- Secure video visits
The answer
Refer when a psychiatric concern needs a full evaluation and a clear plan. Dr. McDade has extensive experience with ADHD, depression, anxiety, and burnout, and sees patients ages 6 to 70 by secure video in Texas. She starts with life circumstances, evaluates sleep, and reviews current medical diagnoses and recent labs. After the first evaluation, and with a signed release of information, you receive the diagnosis, the medication plan, and the treatment plan. The plan comes back to you, so your care stays connected.
Which concerns fit this practice?
The concerns below are especially well suited to her practice. Dr. McDade also treats oppositional defiant disorder, bipolar disorder, PTSD, schizophrenia, and related concerns, and the conditions overview covers each one. When another service fits better first, she refers your patient onward.
Especially well suited
- ADHD.
- Depression.
- Anxiety, with time taken to tell anxiety apart from OCD.
- Burnout.
- Psychiatric conditions in the context of PMDD, PMOS (polyendocrine metabolic ovarian syndrome, formerly called PCOS), the peripartum period, and perimenopause.
Another path first
- Therapy as the starting point. Dr. McDade refers to therapists she knows well.
- Intensive outpatient care. She refers to local or virtual IOPs.
- TMS or ketamine. She can evaluate whether a patient would be a good candidate and refer to a provider who does.
- Emergency care. This practice does not provide emergency services.
The right first step is sometimes therapy.
If you need help now
If you are in crisis or thinking about suicide, call or text 988 or chat at 988lifeline.org to reach the 988 Suicide and Crisis Lifeline. If you are Deaf or hard of hearing, use your preferred relay service or dial 711, then 988. In an emergency, call 911 or go to the nearest emergency room. This practice does not provide emergency services.
How does Dr. McDade look at the whole person?
Every first evaluation starts with the life around the symptoms, then moves through sleep, physical health, and medications.
- 01
Life circumstances first
When a significant stressor is going on, she considers adjustment disorder before a diagnosis of depression or anxiety.
- 02
Sleep
Sleep quality is evaluated at every first evaluation, with a screen for sleep apnea risk.
- 03
Physical health
Current medical diagnoses and recent labs are reviewed with every new patient, and more labs are ordered when something needs ruling out.
- 04
Collaborative
Medications
Starting a medication is a collaborative conversation, with each option discussed in depth.
Life, sleep, and labs come first.
Email the referral. With a signed release, the diagnosis and plan come back to you.
Refer for Clearer Psychiatric DirectionWhat comes back to you?
With a signed release of information, the plan comes to you after the first evaluation. You can also reach Dr. McDade about a shared patient.
After the first evaluation, you receive
- The diagnosis.
- The medication plan.
- The treatment plan.
Along the way
If Dr. McDade finds concerning labs or medical symptoms better worked up in primary care, she reaches out to you. To reach her about a shared patient, email a brief note to Admin@
The whole plan, shared with you.
Who handles what?
Each part of your patient's care has a clear owner.
- 01Psychiatric diagnosis and medication
Who holds itDr. McDadeWhat it means for youWith a signed release, the diagnosis, the medication plan, and the treatment plan come back to you.
- 02Primary care and medical workup
Who holds itYou, or your patient's primary care physicianWhat it means for youShe reaches out when labs or symptoms are better worked up in primary care.
- 03Hormone treatment
Who holds itThe treating physicianWhat it means for youDr. McDade does not prescribe hormonal treatment.
- 04Therapy
Who holds itThe patient's therapist, when there is oneWhat it means for youDr. McDade coordinates with the therapist.
Your patient remains your patient.
What do referring physicians notice?
What referring pediatricians have shared
Receiving the diagnosis and treatment plan, including medications and any titration or cross-titration in progress, helps when they see their own patients.
Shared by pediatricians in Texas who refer patients to Dr. McDade.
In her words
I always start with life circumstances. If there's a significant stressor going on, I'd consider adjustment disorder before jumping to a diagnosis of depression or anxiety.
Dr. Allison J. McDade, MDWhich patients can Dr. McDade see, and how?
Dr. McDade sees patients ages 6 to 70 by secure video in Texas. Certain medications, including some controlled substances, may only be prescribed to patients residing in Texas. The telepsychiatry page explains how video visits work.
- 6 to 70Ages seen
- TexasBy secure video
- 60 to 90 minutesThe first evaluation, depending on age
Practice facts from Health & Harmony Psychiatry.
Questions physicians ask
Which psychiatric concerns are especially well suited to this practice?
ADHD, depression, anxiety, and burnout, with time taken to tell anxiety apart from OCD. Dr. McDade also treats psychiatric conditions in the context of PMDD, PMOS (polyendocrine metabolic ovarian syndrome, formerly called PCOS), the peripartum period, and perimenopause.
When would Dr. McDade recommend another service first?
When therapy is the better starting point, she refers to therapists she knows well. When a patient needs intensive outpatient care, she refers to local or virtual IOPs.
Does she consider medical causes and sleep?
Yes. She reviews current medical diagnoses and recent labs with every new patient, orders more labs when something needs ruling out, and evaluates sleep at every initial evaluation, including a screen for sleep apnea risk.
What will I receive after the evaluation?
Information about the diagnosis, the medication plan, and the treatment plan, with a signed release of information in place. If she finds concerning labs or medical symptoms better worked up in primary care, she reaches out.
How do I reach Dr. McDade about a shared patient?
Email a brief note with your concerns to Admin@
Does my patient stay in my care?
Yes. Dr. McDade handles the psychiatric diagnosis and medication, and your patient remains your patient. She does not replace primary care.
Does she prescribe hormonal treatment?
No. Dr. McDade does not prescribe hormonal treatment. Hormone care stays with the treating physician, and she coordinates as with any physician.
What ages and states does Dr. McDade see?
Patients ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment. Telepsychiatry may not be appropriate for everyone; a brief screening determines fit. Certain medications, including some controlled substances, may only be prescribed to patients residing in Texas.
Is this an emergency service?
No. Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911.
Does a referral share records automatically?
No. A signed release of information comes first, and then you can send a summary.
Care Through Connection
Clearer direction for your patient, and a plan you can see.
Email the referral, or call 832.387.6088 to talk it through. With a signed release, you can send records, and a brief screening confirms fit before the first evaluation.
Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911. Ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment.