Private telepsychiatry that fits between meetings and school pickups.
You hold it together for everyone else. Dr. McDade is a physician who listens deeply and thinks clearly, and she builds the plan with you, by secure video in Texas.
Opens the booking page. A brief screening confirms fit before your first visit.
- Every visit with Dr. McDade
- First visits of 60 to 90 minutes
- Ages 6 to 70, by secure video in Texas
The answer
Telepsychiatry is psychiatric care by secure video, and here it means an unhurried first evaluation with Dr. Allison J. McDade, MD, a plan built with you, and follow-up that keeps up with your life. Telepsychiatry is equivalent to in-person care in diagnostic accuracy, treatment effectiveness, quality of care, and patient satisfaction, the American Psychiatric Association says. Care is for ages 6 to 70 in Texas, and every visit is with Dr. McDade. There is time to describe your symptoms fully, along with the context around them.
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 will you see on video?
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.
On a secure video visit, you and Dr. McDade talk face to face, from a quiet room you choose. She brings years of medical training to the goals you set.
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.
Who is telepsychiatry right for?
For the executive, the founder, the physician, the mother quietly needing support.
Telepsychiatry fits when
- You want psychiatric evaluation, medication management, and follow-up without the drive, the time off work, and the waiting room.
- You carry anxiety, depression, ADHD, burnout, or a mood change while still showing up for everyone else.
- You want a practice with a strong women-centered focus, from PMDD to perimenopause.
- Your child or teen, 6 to 17, needs a child and adolescent psychiatrist.
- You are in Texas at the time of each visit.
- You want privacy, clarity, and a plan you understand.
Another kind of care fits better when
- You need emergency care. This practice does not provide emergency services.
- Therapy is the better starting point. Dr. McDade refers to therapists she knows well.
- You need intensive outpatient care. She 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.
- Care begins at age 6. If your child is younger, contact us and we will help with referrals.
- You want family therapy, relationship counseling, or hormone replacement therapy, which this practice does not provide. They stay with your other clinicians.
What does Care Through Connection include?
An unhurried first evaluation, a plan built with you, follow-up that keeps up with your life, and care that stays connected.
Patient privacy and confidentiality are equivalent to in-person care, the American Psychiatric Association says. Your records live in the patient portal.
What does telepsychiatry 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.
If telepsychiatry is not the right fit
A doctor-patient relationship begins only after the first visit, once Dr. McDade confirms telepsychiatry can meet the patient's needs. Dr. McDade may decline to form the relationship; if that happens, any prepaid amount is refunded in full and referrals are provided.
You've handled everything. You don't have to handle this alone.
Find Care That Fits My LifeWhat happens at the 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 American Psychiatric Association's practice guideline for adults recommends that a first evaluation review your mood and thinking, past treatment, trauma, substance use, current medications, physical health, and safety.
- 01
Before the visit
Booking and intake
Book online. A brief screening first confirms that telepsychiatry fits your needs. You'll complete a few intake forms in the patient portal, then meet with Dr. McDade for a full evaluation.
- 02
Unhurried
Your story
It starts with what brought you here, when it began, and how it shows up at work, at home, and in your relationships.
- 03
Past treatment
Your history
She asks about past diagnoses and treatment, and about the medications you have tried, how they worked, and any side effects.
- 04
Whole person
Your health
She reviews your physical health, current medications, sleep, recent labs, and any hormonal changes, along with your family's mental health history.
- 05
Plain words
What she finds
She looks at what is happening in your life before she considers a diagnosis. Then she explains her findings and what they mean for your daily life.
- 06
Collaborative
A plan built with you
You and Dr. McDade discuss each option in depth. When therapy is the better starting point, she refers to therapists she knows well.
What you need
You need a quiet, private space and a phone, tablet, or computer with a camera and internet.
Your story comes first.
Telepsychiatry removes the waiting room, not the relationship. You still get a careful evaluation and a plan we build together.
Dr. Allison J. McDade, MDCan a psychiatrist prescribe medication over video?
Yes. Care includes evidence-based medication management by secure video. 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.
The medication management page walks through follow-up visits, and the ADHD page covers stimulant medication.
What if you are reading this for someone you love?
An adult books their own first visit, and a parent or guardian books for anyone under 18.
How you can help
- You can send an adult this page or the booking page.
- Dr. McDade is trained in child and adolescent psychiatry, and she sees children from age 6.
- The child psychiatry page covers ages 6 to 10, and the teen psychiatry page covers ages 11 to 17.
- Adult loved ones do not receive automatic access to patient information.
Your support matters, and their care stays theirs.
Questions about telepsychiatry
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 long is the first evaluation?
60 to 90 minutes with Dr. McDade. The length follows your age, your symptoms, and your history, and it leaves room to connect and consider.
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.
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.
Do I need a referral to see Dr. McDade?
No. You can book a first visit without a referral, and a parent or guardian books for anyone under 18. Clinicians who want to refer a patient can use the refer a patient page.
What if telepsychiatry is not the right fit for me?
A brief screening first confirms that telepsychiatry fits your needs. A doctor-patient relationship begins only after the first visit, once Dr. McDade confirms telepsychiatry can meet the patient's needs. Dr. McDade may decline to form the relationship; if that happens, any prepaid amount is refunded in full and referrals are provided.
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.
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.
Sources for the facts on this page.
- What is Telepsychiatry?, American Psychiatric Association, reviewed August 2026
- Practice Guidelines for the Psychiatric Evaluation of Adults, Third Edition, American Psychiatric Association, 2016
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 fits the life you are living.
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.