For therapists & referring clinicians
Psychiatric medication consultation while therapy continues.
Referral information for therapists and clinicians seeking psychiatric evaluation, medication management, or medication strategy for adults already engaged in outpatient care.
Sattva Psychiatry provides private, out-of-network telepsychiatry for adults physically located in New York, Washington, DC, or Virginia at the time of each appointment. Care is provided directly by Vivek Jayadeva, MD, a board-certified psychiatrist.
Referral model
Medication management that can complement ongoing therapy.
Sattva Psychiatry may be useful when a patient is already engaged in psychotherapy but would benefit from physician-led evaluation, medication consultation, medication management, diagnostic clarification, or a more careful review of prior treatment.
When therapy is already established and clinically appropriate, the goal is to support that work rather than replace it.
With patient consent, coordination can remain focused and role-clear: psychotherapy continues with the treating therapist, while Sattva provides psychiatric evaluation and medication strategy when appropriate.
Why therapists refer
Psychiatric input without disrupting established therapy.
A therapist may recommend psychiatric evaluation when symptoms, sleep, attention, medication questions, side effects, diagnostic uncertainty, or partial treatment response would benefit from medical review.
The goal is not to take over psychotherapy. The goal is to clarify diagnosis, medication options, side effects, treatment direction, and fit with the patient’s broader care.
This can be especially useful when therapy is helping, but the patient continues to struggle with anxiety, mood symptoms, rumination, sleep disruption, attention problems, medication side effects, or uncertainty about whether medication may be helpful.
Referral use cases
When psychiatric medication consultation may help.
Therapy is helping, but symptoms remain
Psychiatric evaluation may help when psychotherapy is useful, but anxiety, depression, sleep disruption, rumination, irritability, or attention problems continue to impair functioning.
Medication questions are emerging
Patients may want to understand whether medication is appropriate, what options exist, what side effects to consider, or how medication could support ongoing therapy.
Prior treatment has been unclear
Sattva may help review prior medication trials, partial response, side effects, diagnostic uncertainty, and whether the next step should involve medication adjustment, simplification, or another setting.
Attention concerns need context
Attention and executive-function concerns can be reviewed in the context of sleep, anxiety, depression, stress, medical factors, substance use, functioning, and prior treatment. Stimulant medication is not prescribed.
Medication side effects are affecting care
Psychiatric review may help when side effects, tolerability, adherence, medication burden, or uncertainty about benefit are interfering with treatment progress.
A different level of care may be needed
Evaluation may also clarify when outpatient telepsychiatry is not the right setting and a patient needs more intensive, local, in-person, or specialty care.
Referral fit
Who may be appropriate to refer.
May be a good fit
- Adults seeking outpatient psychiatric evaluation or medication management
- Mild to moderate depression, anxiety, sleep disruption, or stress-related symptoms
- Medication evaluation alongside ongoing psychotherapy
- Diagnostic uncertainty or overlapping psychiatric symptoms
- Partial response, side effects, or questions about medication direction
- Review of prior medication trials
- Attention or executive-function concerns when stimulant treatment is not the goal
- Patients seeking private telepsychiatry in New York, Washington, DC, or Virginia
Likely not a fit
- Requests for controlled substances, including stimulants, benzodiazepines, or Z-drugs
- Current crisis or need for frequent safety monitoring
- Recent psychiatric hospitalization, recent suicide attempt, or active safety concerns requiring closer care
- Psychosis, mania, or conditions requiring local community-based treatment
- Primary substance use disorder requiring addiction-focused treatment
- Requests primarily for FMLA, disability, workplace, school, court, custody, or medical leave paperwork
- Children, adolescents, or patients seeking geriatric-focused specialty care
Collaboration
How coordination can work.
Clear roles
Sattva Psychiatry provides psychiatric evaluation, medication consultation, medication management, clinical review, and follow-up care. Ongoing psychotherapy remains with the treating therapist when that relationship is in place.
Consent-based communication
With patient consent, brief clinically relevant updates can be shared when useful for coordination, such as diagnostic impressions, medication changes, treatment recommendations, or concerns about fit.
Defined outpatient scope
Patients needing emergency treatment, intensive monitoring, addiction-focused care, controlled-substance-focused treatment, or local community-based support should be referred to a more appropriate setting.
Practice details
Key details for referrals.
Services
Psychiatric evaluation, medication consultation, medication management, follow-up psychiatric treatment, medication review, and prior-treatment review.
Payment
Private-pay and out-of-network. Payment is due at the time of service. Superbills are available for possible out-of-network reimbursement.
Location
Patients must be physically located in New York, Washington, DC, or Virginia at the time of each telepsychiatry appointment.
Controlled substances
Controlled substances, including stimulants, benzodiazepines, Z-drugs, opioids, and other controlled medications, are not prescribed.
Documentation
The practice does not complete disability, FMLA, workplace, school, court, custody, or medical leave paperwork-focused evaluations.
Emergencies
Sattva Psychiatry does not provide emergency services or crisis management.
How to refer
Referral process.
Send a brief referral question
Email contact@sattvamd.com with the general referral question and your contact information. Avoid sending protected health information by regular email unless secure and patient-authorized.
Direct the patient to request review
Patients may submit a new patient request through www.SattvaMD.com. Requests are reviewed before scheduling is finalized.
Coordinate with consent
If the patient is accepted for evaluation and provides consent, clinically relevant coordination can occur after the initial review.
Contact
Questions about a potential referral?
Clinicians may email general referral questions. Patients should begin through the new patient request process.