A good relationship between doctor and client is the basis of effective clinical care. It is important to meet regularly and communicate openly, so that a relationship develops, you trust the doctor enough to let her know when you are struggling or having untoward side effects and also feel comfortable presenting and sharing yourself when things are going well. The following are general guidelines for the frequency of visits, with the goal of developing a strong therapeutic relationship and providing you with the best possible care.
Medication management involves an initial appointment, usually 60-70 minutes, to provide comprehensive intake and evaluation. (In most cases, time is spent by the doctor outside of the session acquiring records and coordinating treatment plan with other providers).
After the initial appointment, frequency is determined by clinical need. If medication is started, ideally the client will contact the physician by phone within 2-3 weeks (at no cost) for a 5-10 minute check-in to inform the doctor of any progress or problems. A follow-up appointment will be scheduled for 4-6 weeks after the initial evaluation and approximately every 4- 6 weeks following, until satisfactory response to medication is achieved. After stability on medications is reached, the frequency of visits can be decreased to every 3 – 4 months. After a year of remission, appointments are recommended one or two times a year.