Quick Facts
- Who it’s for: Adults already on psychiatric medication who need refills, adjustments, or monitoring - or patients stable on a regimen transferring care to a new provider.
- Provider: Anna Stouffer, PMHNP-BC - dual-board-certified, 10+ years clinical experience.
- Format: HIPAA-secure video, 20-30 minute follow-ups, electronic prescriptions to your Florida pharmacy.
- Insurance: In-network with major commercial and government plans for psychiatry; see /insurance/ for the current matrix.
- Appointments: Same-day / next-day availability.
What Medication Management Covers
- Refill evaluations - ongoing prescriptions for antidepressants, anti-anxiety meds, mood stabilizers, ADHD medications, and sleep supports.
- Dose adjustments - if your current dose is too high, too low, or the side effects are not worth the benefit.
- Medication switches - when the first option is not working well enough or causing intolerable side effects, we evaluate alternatives.
- Side-effect monitoring - especially for newer prescriptions, we check in regularly to ensure things are working as intended.
- Drug interaction review - if your primary care doctor or specialist adds or changes anything, our providers review for psychiatric implications.
- Pregnancy and postpartum planning - medication decisions during pregnancy need extra care; we coordinate with your OB and your condition page.
What’s Not in Scope Here
Medication management is for people already on a regimen or ready to start one with a clear plan. If you are seeking an initial psychiatric evaluation - first-time diagnosis, diagnostic clarification, or complex work-ups for ADHD, bipolar, or trauma - start with our full psychiatric evaluation service. That visit is 60-75 minutes and includes a complete workup; this medication-management page is for the 20-30 minute follow-ups after.
For therapy alongside medication, we coordinate with our Florida telehealth therapy team via shared chart. Combined med + therapy care is often more effective than either alone for depression, anxiety, and trauma.
How It Works
- Book. Call (813) 670-3005 or request online. We verify your insurance before your first visit.
- Intake. First visit is 60-75 minutes for new patients (even if you just need refills - we review history so we are making informed decisions). Follow-ups are 20-30 min.
- Prescriptions. Sent electronically to your Florida pharmacy the same day.
- Follow-ups. Monthly when starting or adjusting; quarterly once stable.
Florida allows controlled-substance prescribing via telehealth under current DEA rules once the clinical relationship is established. Our providers perform a full evaluation before any controlled-substance prescription and monitors response at follow-up.
What a follow-up appointment is actually for
A twenty-minute follow-up is often described as a refill visit, which undersells what it is deciding. Four questions get answered every time, and a visit that skips them is not medication management, it is a renewal.
The first is whether the target symptoms have moved, judged against a recorded baseline rather than against how the last two weeks felt. Sleep, appetite, concentration, irritability and interest tend to shift at different rates, so they are tracked separately; a patient whose sleep and energy have improved while mood has not is in a different position from one where nothing has changed. The second is side effects, asked about specifically rather than left to volunteering, because the ones people quietly tolerate are the ones that end treatment three months later. Sexual side effects, weight change, emotional blunting and daytime sedation are raised by name for exactly that reason.
The third is adherence, asked without judgment, since a medication taken four days a week produces a picture that looks like non-response and gets treated with a dose increase that was never warranted. The fourth is what else changed: a new prescription from another clinician, an over-the-counter sleep aid, a supplement, a change in alcohol intake, a new medical diagnosis. Any of those can explain a result that would otherwise be attributed to the psychiatric medication.
Dose changes, switches, and knowing when to stop
Most medications are started low and increased deliberately, and the interval between steps is not arbitrary. Moving too quickly produces side effects that get misread as intolerance to the drug itself; moving too slowly leaves someone at a dose that was never going to work while they conclude the medication failed. A partial response at a low dose is usually a reason to optimize before abandoning, and one of the more common findings at a first visit here is a medication that was declared ineffective without ever reaching a therapeutic dose.
Switching is a separate decision from augmenting. A genuine non-response after an adequate trial generally argues for a switch; a partial response that has plateaued more often argues for adding something alongside. Which route is chosen depends on what is left over, and that is a clinical judgment made from your history rather than a protocol applied uniformly.
Stopping is planned rather than improvised. Several classes produce discontinuation symptoms if withdrawn abruptly, so a taper is scheduled with a rate matched to what you have been taking and for how long, and what to expect is described before it begins rather than after. Nothing here is treated as certain to work for a given person; where a medication has not earned its place after a fair trial, the honest step is to say so and change the plan rather than continue it by inertia.