ADHD and Attention Concerns
ADHD evaluation and ongoing management for school-age children and teens. Stimulant and non-stimulant options. We coordinate with school accommodations when helpful.
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AGES 5-17 · WESLEY CHAPEL + FLORIDA TELEHEALTH
Child and Adolescent Psychiatry in Florida
Same-week intake for children and teens. Board-certified psychiatric mental health nurse practitioner. Wesley Chapel in-person plus statewide telehealth follow-up.
Accepting New Patients · Ages 5-17
SAME-WEEK CHILD & TEEN INTAKE
Help for your kid, this week.
Tell us what is going on. A care coordinator will match your family with the right provider and get you on the calendar, usually within one business day.
Got it. We will be in touch.
A care coordinator will reach out within one business day. If you would rather not wait, call (813) 670-3005.
Or call directly: (813) 670-3005
Your information is kept confidential.
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Same-Week Care
Same-Week Care for Children and Teens, Ages 5-17
Most pediatric psychiatry practices in Florida quote a wait of three to six months for a first appointment. By then a struggling kid has already missed a quarter of school, and a worried family has spent the time on a waiting list instead of in care.
At Ascend, families are typically seen within one to two weeks. Initial evaluations run 60 minutes, with the parent or guardian in the room when appropriate. Our provider takes the time to understand school history, sleep, family context, and any prior evaluations before any treatment plan is built. No 15-minute med-check first visits, ever.
Children and adolescents, ages 5-17
Conditions We Treat in Children and Adolescents
Our pediatric psychiatric scope covers the conditions that drive the majority of first calls from Florida families. For acute safety concerns or specialized inpatient needs, we coordinate referrals to the right next step.
Childhood and Teen Anxiety
Generalized anxiety, separation anxiety, social anxiety, and panic in children and teens. Evidence-based treatment with therapy coordination when indicated.
Learn MoreDepression in Adolescents
Teen depression presents differently than adult depression: irritability, withdrawal, school avoidance, and sleep changes. Careful evaluation and ongoing follow-up.
Learn MoreBipolar Spectrum in Teens
Adolescent mood instability and bipolar spectrum evaluation. Careful, gradual medication management with the same provider every visit. Family is part of the plan.
Learn MoreTrauma and Adjustment
Trauma-informed psychiatric care for children and teens who have lived through loss, separation, medical events, or adverse experiences. Coordinated with therapy.
Learn MoreSchool Refusal and Behavioral Concerns
When the school day has become a daily battle, we look for what is underneath it: anxiety, learning differences, sleep, or mood. Plan that addresses the cause.
Book a Visit
Lifespan PMHNP
Your provider
Meet Margot Krahn, PMHNP-BC
Margot Krahn is a board-certified psychiatric mental health nurse practitioner with 12 years of clinical experience and lifespan training. That means she is credentialed to see patients from childhood through later adulthood, and she does, every week.
With families, Margot is patient, plain-spoken, and unhurried. Kids tend to relax in her room because she does not start with a checklist. She starts with the story. School, sleep, friendships, what is working, what is not, what has already been tried. The clinical decisions come after that, not before.
Margot Krahn provides lifespan psychiatric care at Ascend. For older adult care, see her geriatric psychiatry service line.
What to expect
What a First Visit Looks Like
60 minutes.
Time to actually understand your kid. School history, sleep, friendships, prior evaluations, anything that has already been tried. No rushed checklist.
Parents in the room.
For most younger children, a parent or guardian is present for the full visit. For teens, we structure the visit so the teen has private time and the family stays informed.
A plan you understand.
You leave with a clear plan. What we are watching, what we are starting if anything, when we follow up, and what to call about if something changes. Plain language only.
Same provider every visit.
No rotating roster. Your family is matched with Margot Krahn, PMHNP-BC and stays with her through evaluation, treatment, and follow-up.
Medication management
Medication Management for Children and Teens
Medication is one tool. It is not the only one, and it is not the right tool for every child. When it is the right tool, we use it carefully, start low, monitor closely, and adjust based on what we see and hear from you and from your child.
Stimulant medications for ADHD require an in-person evaluation at our Wesley Chapel office before prescribing per Florida controlled-substance rules. Follow-up visits can continue via telehealth. Non-stimulant alternatives are evaluated when indicated.
Medication management is provided in collaboration with our supervising physician where required by Florida scope-of-practice rules. We do not prescribe blindly, and we do not refill without a current visit.
Wesley Chapel office
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Combined care
Combined Care: Therapy and Psychiatry Together
For many adolescents, the right plan blends therapy with medication management. At Ascend, the two teams actually communicate. Our talk therapy clinicians work alongside Margot so your child is not getting two disconnected plans from two providers who never speak.
Diagnostic clarity is part of this too. If a child needs more structured evaluation, we coordinate with diagnostic evaluations and clinical assessment to get a clearer answer before treatment is locked in.
Tampa families
Same-week intake for Tampa families, faster path.
If you are calling from Tampa proper and your child is ages 5 to 17, we run a dedicated same-week intake path. Skip the 6-month wait.
See the Tampa same-week path
Wesley Chapel, FL
Where care happens
Wesley Chapel In-Person and Florida Telehealth
Initial pediatric evaluations are conducted at our Wesley Chapel office. The space is quiet, calm, and adjacent to the families and waiting rooms families know well from our Pasco County practice.
For families anywhere else in Florida, follow-up visits can be conducted via HIPAA-secure video. School-day flexibility, no two-hour round-trip, same provider on the other side of the screen.
The exception, again: stimulant prescribing for ADHD requires an in-person visit before any controlled-substance prescription is written.
Insurance, self-pay, and scheduling
Insurance, Self-Pay, and Scheduling
We are in-network with 9 major carriers. We verify your benefits before your first visit. If you are out-of-network, we provide superbills for reimbursement.
Self-Pay Rates
Transparent
Initial psychiatric evaluation60 minutes · comprehensive intake + plan
$260
Follow-up visit30 minutes · ongoing care + medication
$160
Most families use insurance. Self-pay is available for out-of-network carriers, with superbills for reimbursement.
In-Network Carriers
9 active
Aetna
Cigna
UnitedHealthcare
Medicare
Medicaid
TRICARE
AARP
ChampVA
Oscar Health
Don't see your carrier? Call (813) 670-3005. Additional carriers added regularly.
Common questions
Frequently Asked Questions
What ages do you treat in child and adolescent psychiatry?
We see children and adolescents ages 5 through 17 at our Wesley Chapel office and via HIPAA-secure telehealth across Florida. Care is provided by Margot Krahn, PMHNP-BC, a board-certified psychiatric mental health nurse practitioner with 12 years of clinical experience and lifespan training.
How quickly can my child be seen?
Most families can be seen within one to two weeks. That is meaningfully faster than the months-long waits common at pediatric psychiatry practices in Florida. Call (813) 670-3005 and our team will quote you a real next-available appointment.
Do you prescribe stimulants for ADHD in children?
Yes, when clinically appropriate. Stimulant medications for ADHD require an in-person evaluation at our Wesley Chapel office before prescribing per Florida controlled-substance rules. Follow-up visits can continue via telehealth. Medication management is provided in collaboration with our supervising physician where required by Florida scope-of-practice rules.
What conditions do you treat in children and teens?
ADHD, anxiety disorders, depression, bipolar spectrum conditions, trauma-related symptoms, school refusal, oppositional behaviors, and adjustment difficulties. For acute safety concerns or complex cases that require a higher level of care, we coordinate referrals.
Will my child see the same provider every visit?
Yes. Continuity matters with children and teens. Your family is matched with one provider and stays with that provider through evaluation, treatment planning, and follow-up.
Can we combine therapy and medication management?
Yes. Many adolescents do best with a combined plan. Our therapy team works alongside psychiatry so the two clinicians actually communicate about your child's progress, instead of practicing in isolation.
Do you take insurance for child and adolescent visits?
We are in-network with Aetna, Cigna, UnitedHealthcare, Medicare, Medicaid, TRICARE, AARP, ChampVA, and Oscar Health. We verify your benefits before your first visit. Self-pay rates are $260 for an initial evaluation and $160 for follow-up visits.
Now Accepting New Families
Get your kid on the calendar this week.
Tell us what is going on. We will match your family with the right provider, verify your insurance, and quote a real next-available appointment.
Wesley Chapel in-person plus Florida telehealth follow-up