Psychiatric medication management that keeps up with your life.
Medication decisions start with context. Dr. McDade takes the time to understand your story, explains every option, and revisits your plan with you at every follow-up, by secure video in Texas.
Opens the booking page. A brief screening confirms fit before your first visit.
- Every visit with Dr. McDade
- Follow-ups of 15 to 30 minutes
- Ages 6 to 70, by secure video in Texas
The answer
Psychiatric medication management with Dr. McDade is ongoing care by secure video, where any medication in your plan is reviewed and adjusted with you at follow-up visits of 15 to 30 minutes. It begins with an unhurried first evaluation, and every option is explained in plain words before anything starts. Care is for ages 6 to 70 in Texas, and you can book without a referral. You understand what you are treating and why.
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.
Who manages your medication?
Dr. McDade, at every visit. Health & Harmony Psychiatry is a physician-only practice, so every follow-up is with the physician who already knows your story.
Your story carries forward from visit to visit. Because she knows your history, she can tell whether short sleep is your normal or a change worth a closer look.
A 2018 BMJ Open review of 22 studies from nine countries linked seeing the same doctor over time, psychiatrists included, with longer lives.
The practice provides psychiatric evaluation, medication management, follow-up, and coordination with the patient's other clinicians. Full recovery is the goal, even if the best path is a referral.
What does medication management cost?
The practice does not take insurance, and fees are due at the time of your visit.
- $465New evaluation with Dr. McDade, 60 to 90 minutes
- $275Follow-up visit with Dr. McDade
Current self-pay fees from the practice.
Major credit cards and HSA/FSA cards are accepted; checks are not. You receive a good faith estimate before your first visit, and the Good Faith Estimate page explains your right to an estimate.
If more than 8 months pass without a visit, the next appointment is booked as a new evaluation at the new-evaluation fee.
How does medication management work?
It begins with a first evaluation. From there, follow-up visits review how you feel and adjust the plan with you.
Dr. McDade decides with you for a simple reason. The medication most likely to help is the one you understand and feel confident taking.
- 01
Unhurried
Your first evaluation
Dr. McDade hears your story and reviews your history and your health, over 60 to 90 minutes. Understanding relies on context, and some stories need more time. The psychiatric evaluation page walks through each step.
- 02
Does it fit?
What she finds
Dr. McDade explains what she finds and asks whether it fits. If something feels off, you say so, and she listens again.
- 03
Collaborative
A plan built with you
Starting a medication is a collaborative conversation. You and Dr. McDade discuss each option in depth. When therapy is the better starting point, she refers to therapists she knows well.
- 04
Your pace
Your decision
She explains what she recommends, why, and how it connects to what you are living with. Whether to start, and where, is a decision you make together.
- 05
With Dr. McDade
Follow-up visits
Follow-up visits run 15 to 30 minutes by secure video. Each one reviews how you feel, any side effects, and whether the plan needs a change.
- 06
Patient portal
Between visits
Current patients use the patient portal to message Dr. McDade, request refills, view records, and schedule follow-ups.
Good medication management is not about handing over a prescription. It is about finding what works for you, and staying with you while it does.
Dr. Allison J. McDade, MDHow do refills work?
Non-stimulant prescriptions are written at each visit with enough refills to reach the next scheduled appointment. If you need to reschedule, contact the office right away. Please allow 72 hours for any refill.
Controlled-substance refills are allowed only 30 days from the last fill; early refills are not authorized. Dose changes require an appointment.
Controlled substances and your state
Certain medications, including some controlled substances, are prescribed for patients who reside in Texas. If you live outside Texas, contact us and we will help with referrals.
Refills requested outside a scheduled visit carry a fee, $25 for a controlled substance and $15 for a regular medication. If a patient skips the recommended follow-up or misses a visit through no fault of the practice, Dr. McDade may hold further refills until the patient is seen.
Who is medication management right for?
Dr. McDade treats anxiety, depression, ADHD, oppositional defiant disorder, bipolar disorder, PTSD, schizophrenia, and related concerns for patients ages 6 to 70, including women's mental health concerns around PMDD, the postpartum period, and perimenopause. Medication may be part of the plan for any of them, and every condition has its own page in Conditions Dr. McDade treats.
Medication management fits when
- You already take a psychiatric medication and want a psychiatrist to review how it is working for you.
- You have tried medications before and want someone to look closely at what helped and what did not.
- You want each option explained in plain words before anything starts.
- You or your child are 6 to 70 and located in Texas at the time of each visit.
Another kind of care fits better when
- You need emergency care. This practice does not provide emergency services.
- Therapy is the better starting point. Contact us and we will help with referrals.
- You need intensive outpatient care. Dr. McDade refers to local or virtual IOPs.
- You want TMS or ketamine. She can evaluate whether you are a good candidate and refer to a provider who does.
- You want family therapy, relationship counseling, or hormone replacement therapy, which this practice does not provide. They stay with your other clinicians.
- Care begins at age 6. If your child is younger, contact us and we will help with referrals.
For a child or teen
Dr. McDade is trained in child and adolescent psychiatry, and she sees children from age 6. A parent or guardian books for anyone under 18, and the child and adolescent psychiatry page explains how a teen's care works.
Questions about medication management
How often are follow-up visits?
Your plan sets the pace, and each follow-up runs 15 to 30 minutes by secure video.
Will I see the same doctor at every visit?
Yes. Health & Harmony Psychiatry is a physician-only practice, and every visit, from your first evaluation through every follow-up, is with Dr. McDade.
Do I have to take medication?
No. Whether to start a medication, and where, is a decision you and Dr. McDade make together, after she explains what she recommends and why.
Why does context matter for medication?
What brings you in is sometimes only part of the picture. Dr. McDade has seen worry that looked like anxiety turn out to be OCD, and the treatment changed with it.
Do I need therapy too?
Sometimes. Dr. McDade focuses on evaluation and medication management, and if you already see a therapist, your therapy continues. With a signed release of information, she can coordinate with your therapist.
Is telepsychiatry as effective as in-person care?
Telepsychiatry is equivalent to in-person care in diagnostic accuracy, treatment effectiveness, quality of care, and patient satisfaction, the American Psychiatric Association says. Patient privacy and confidentiality are equivalent to in-person care, the American Psychiatric Association says.
How much does care cost?
Care is cash pay. A new evaluation with Dr. McDade is $465, and follow-up visits with Dr. McDade are $275. You receive a good faith estimate before your first visit.
Does Dr. McDade take insurance?
No. Care is cash pay, with rates set in advance and shared up front. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
What ages does Dr. McDade see, and where?
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.
Sources for the facts on this page.
- What is Telepsychiatry?, American Psychiatric Association, reviewed August 2026
- A systematic review of continuity of care and mortality, BMJ Open, 2018
The information on this website is for general education and does not constitute medical advice or create a physician-patient relationship. For care, please schedule an appointment.
Care Through Connection
A plan that makes sense to you, with a physician who knows your story.
Book the first visit online, or call 832.387.6088 with questions. A parent or guardian books for anyone under 18, and a brief screening confirms fit before your first visit.
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.