About
Vivek Jayadeva, MD
Board-certified psychiatrist providing private telepsychiatry for adults in New York, Washington, DC, and Virginia.
Dr. Jayadeva works with adults seeking psychiatric evaluation, medication treatment, diagnostic clarification, or a more careful review of prior treatment. His approach is medically grounded, psychodynamic-informed, and focused on turning complex clinical information into a clear treatment direction.
Sattva Psychiatry is an adults-only private telepsychiatry practice for patients physically located in New York, Washington, DC, or Virginia at the time of appointment.
Clinical focus.
The practice is designed for adults seeking physician-led psychiatric evaluation, medication strategy, and clearer treatment direction in an outpatient telepsychiatry setting.
- Evaluation: diagnosis, history, symptoms, functioning
- Medication: strategy, response, side effects, revision
- Clinical review: diagnostic clarification and prior treatment history
- Style: medically grounded and psychodynamic-informed
Clinical lens
How Dr. Jayadeva approaches psychiatric work.
Psychiatric training develops a way of holding many details at once: diagnosis, medication response, medical history, risk, temperament, relationships, stress, sleep, and the patient’s lived experience. The task is to organize those details into a treatment plan that can be explained, followed, and revised.
Formulation gives treatment direction
Symptoms can be familiar while the underlying pattern remains unclear. Depression, anxiety, avoidance, irritability, insomnia, and difficulty concentrating may point in different directions depending on timing, context, medical factors, and prior response to treatment.
Medication decisions depend on the larger picture
A medication plan is shaped by diagnosis, prior benefit, side effects, sensitivity to medication, medical history, sleep, functioning, safety, and patient preference. These details affect whether a medication strategy is likely to help and how it should be monitored.
Psychiatric symptoms can have several contributors
Anxiety, low mood, fatigue, poor concentration, physical tension, and sleep disruption may reflect psychiatric illness, medical issues, medication effects, stress physiology, behavioral patterns, or a combination of factors. Good treatment depends on sorting the signal from the noise.
The person’s context changes the treatment
Work demands, relationship patterns, self-criticism, avoidance, grief, perfectionism, physical symptoms, and daily routines can all shape how symptoms persist. These details help determine what kind of psychiatric plan is realistic, useful, and sustainable.
The goal is a treatment plan with enough structure to guide decisions and enough flexibility to change as the clinical picture becomes clearer.
Next step
Begin the new patient request process.
Start here if you are seeking psychiatric evaluation, medication treatment, or clearer direction after prior treatment has not fully addressed the concern.