Questions about treatment and the practice

Select the evaluation that most closely matches what you are seeking and choose an available provisional appointment time through the request page.

Charm then sends a pre-screening questionnaire. The appointment remains pending until the request and questionnaire have been reviewed.

No. The selected time is a provisional request. It is confirmed only after Dr. Jayadeva reviews the pre-screening information and approves the appointment.

No. The evaluation is used to understand the concern, clarify treatment needs, and assess whether the practice is an appropriate setting.

Another clinician, specialty service, in-person setting, or level of treatment may sometimes be more appropriate.

You must be physically located in Virginia, Washington, DC, or New York during each appointment. Your physical location is confirmed at the beginning of the visit.

Treatment can include psychotherapy, medication management, or both. The two primary pathways are:

• psychiatric evaluation and medication management, including for patients continuing therapy elsewhere; and
• ongoing psychotherapy with Dr. Jayadeva, with medication available when clinically appropriate.

Choose the 60-minute Psychiatric Evaluation if you are primarily seeking assessment and medication treatment.

Choose the 90-minute Extended Psychiatric Evaluation if you are specifically interested in ongoing psychotherapy with Dr. Jayadeva.

If the selected option appears mismatched to your request, the practice may contact you before approval.

Yes. Dr. Jayadeva provides ongoing psychotherapy for selected adults as part of a psychiatric treatment relationship.

Treatment is individualized rather than organized around one rigid manual. Depending on the person and the treatment goals, the work may draw from psychodynamic, cognitive, behavioral, motivational, mindfulness-based, or supportive approaches.

Yes. Patients already engaged in regular psychotherapy would generally continue with their therapist and use Sattva Psychiatry for psychiatric evaluation and medication management.

With your consent, clinically relevant coordination may occur when useful.

No. Medication may be used when clinically helpful, but it does not need to be discussed, changed, or prescribed at every psychotherapy session.

Possibly. The change would first be discussed in treatment to clarify goals, fit, expected frequency, and appointment availability.

An established patient would not ordinarily repeat a full 90-minute new-patient evaluation solely to change pathways.

Frequency is determined clinically and depends on the goals, treatment plan, scheduling availability, and ability to attend consistently.

Psychotherapy generally requires more regular recurring appointments than medication management.

No. An evaluation may lead to medication treatment, but it may also lead to diagnostic clarification, psychotherapy, simplification of a medication regimen, medical follow-up, or referral to another treatment setting.

• Psychiatric Evaluation: 60 minutes — $395
• Extended Psychiatric Evaluation: 90 minutes — $550
• Medication Follow-Up: 20 minutes — $195
• Psychotherapy Follow-Up: 45 minutes — $350

Current fees and policies are also listed on the Fees and Policies page .

Sattva Psychiatry is private pay and out of network. The practice does not bill insurance directly.

Patients pay the full fee to the practice and may submit a superbill to their insurance plan for possible reimbursement.

A superbill is a detailed receipt that may include provider information, diagnosis and service codes, and the amount paid. It can be submitted to an insurance plan when requesting out-of-network reimbursement.

Reimbursement depends on your plan’s out-of-network benefits, deductible, allowed amount, coinsurance, and claim rules. Sattva Psychiatry cannot guarantee reimbursement.

Review the Out-of-Network Reimbursement guide for general information.

Credit cards, debit cards, and eligible HSA or FSA cards may be used. Payment is due at the time of service.

Appointments cancelled or rescheduled with less than 48 hours’ notice may be charged the full appointment fee.

The complete policy is provided for review before treatment begins.

The practice may fit adults seeking outpatient treatment for anxiety, depression, rumination, stress, burnout, sleep disruption, attention difficulties, medication side effects, partial treatment response, or recurring patterns that interfere with progress.

It is designed for adults whose needs can be managed safely through scheduled outpatient video treatment.

No. Telepsychiatry may not be appropriate when symptoms require in-person assessment, intensive monitoring, crisis treatment, or close coordination with local community resources.

No. The practice does not prescribe stimulants, benzodiazepines, Z-drugs, opioids, or other controlled medications.

Yes. Attention and executive-function concerns may be reviewed as part of a broader psychiatric evaluation.

The assessment may consider developmental history, functioning, sleep, anxiety, depression, medical factors, substance use, prior treatment, and medication effects. Non-stimulant treatment may be considered when clinically appropriate.

The practice does not provide ongoing treatment for bipolar disorder, psychotic disorders, or primary substance use disorders.

These conditions often require local resources, in-person services, crisis planning, addiction-focused treatment, or a different level of monitoring.

The practice serves adults ages 18–65. It does not provide child, adolescent, or geriatric psychiatry.

Routine administrative matters and limited pharmacy coordination may sometimes be handled outside appointments.

New symptoms, medication changes, side effects, or questions requiring medical decision-making generally require an appointment.

The practice does not provide treatment primarily for FMLA, disability, workplace or school accommodations, medical leave, court, custody, emotional-support-animal, or similar documentation.

Email is intended primarily for administrative matters. It should not be used for emergencies, urgent concerns, medication changes, or detailed clinical information.

Established patients should use the secure portal when available.

Sattva Psychiatry does not provide emergency or crisis services.

For an emergency, call 911 or go to the nearest emergency department. For immediate mental-health support, call or text 988.