Thoughtful medical care for complex mental health.
Board-certified psychiatric evaluation, medication management, and supportive therapy tailored to your lived experience.
Clinical Focus & Services
Comprehensive evaluations that consider biological, psychological, and lifestyle factors impacting your mental health.
Comprehensive Evaluation
A 60-to-90 minute initial assessment to review physical health history, current stressors, family history, and detailed symptom patterns.
- • Diagnostic clarification
- • Lab order review if needed
Medication Management
Carefully calibrated psychotropic prescriptions with regular follow-ups to evaluate efficacy, minimize side effects, and adjust protocols.
- • Conservative prescribing approach
- • Ongoing safety monitoring
Integrated Psychotherapy
Combining supportive and insight-oriented therapy alongside medical treatment for depression, anxiety, ADHD, and life transitions.
- • Cognitive-behavioral strategies
- • Mindfulness-based techniques
What to expect in your care
- • Direct Physician Access: You work directly with Dr. Vance at every appointment, not a mid-level practitioner.
- • Collaborative Decisions: Treatment plans are built together based on your personal comfort levels and goals.
- • Modern Patient Portal: Secure messaging, digital prescription refills, and easy scheduling.
A evidence-based, human approach to psychiatric medicine.
Navigating mental healthcare can often feel clinical and detached. My practice is designed around the understanding that biological interventions work best when paired with genuine human connection and steady ongoing support.
Whether you are seeking a second opinion on a long-standing condition, re-evaluating current medications, or experiencing severe anxiety or low mood for the first time, we work at a pace that feels safe and structured.
Insurance & Payment Structure
Dr. Vance is an out-of-network provider for commercial insurance plans. Providing out-of-network care allows us to spend significantly more time with each patient and tailor visit lengths based on clinical need rather than insurance constraints.
Superbill Documentation Provided
We provide itemized monthly superbills which you can submit directly to your insurance company for potential out-of-network reimbursement.
Standard Out-of-Pocket Fees
Request an Initial Consultation
Select a preferred time below. Our intake coordinator will reach out within 1 business day to verify details and finalize your visit.
Frequently Asked Questions
Do you prescribe controlled substances?
Yes, when clinically appropriate and following an in-depth evaluation. Controlled medications (such as certain ADHD treatments or benzodiazepines) are prescribed conservatively and require regular in-person or state-compliant telehealth follow-ups.
What is the difference between a psychiatrist and a therapist?
A psychiatrist is a licensed Medical Doctor (MD) who attended medical school and residency training in brain chemistry and body systems. Psychiatrists can evaluate physical causes of mental health symptoms, conduct complex medical diagnostics, and prescribe medications.
What is your cancellation policy?
Because appointment times are reserved solely for you, we require 48 hours notice for cancellations or rescheduling to avoid being charged the full visit fee.