Telepsychiatry for El Dorado County, CA

Photo of undefined - Mindful Health Solutions - Krishna Bezwada, MD, MD, Psychiatrist
Mindful Health Solutions - Krishna Bezwada, MD
Psychiatrist, MD
Verified Verified
My area of focus includes depression, mood disorders, anxiety disorders, and substance abuse. Recognizing the promising recovery and remission rates with neurostimulation, I am pleased to integrate Transcranial Magnetic Stimulation (TMS) into my patient care. TMS may help patients who have not found relief from medications alone and TMS has minimal to no side effects.
My area of focus includes depression, mood disorders, anxiety disorders, and substance abuse. Recognizing the promising recovery and remission rates with neurostimulation, I am pleased to integrate Transcranial Magnetic Stimulation (TMS) into my patient care. TMS may help patients who have not found relief from medications alone and TMS has minimal to no side effects.
(916) 655-0718 View (916) 655-0718
Photo of Joe Hibbeln, MD, Psychiatrist
Joe Hibbeln
Psychiatrist, MD
Verified Verified
I am a board-certified Psychiatrist with a focused interest in people struggling with major depression disorder, bipolar disorders, aggressive disorders, ADHD and addictions. I also have a special interest in the field of nutritional psychiatry. Different diets have different affects on the mind and body, and taking that into account is something I find crucial to a wholistic form of treatment along with medications and other alternatives. I feel it is critical to ensure that everyone’s brain receives adequate and fundamental nutrition when looking at their overall mental health.
I am a board-certified Psychiatrist with a focused interest in people struggling with major depression disorder, bipolar disorders, aggressive disorders, ADHD and addictions. I also have a special interest in the field of nutritional psychiatry. Different diets have different affects on the mind and body, and taking that into account is something I find crucial to a wholistic form of treatment along with medications and other alternatives. I feel it is critical to ensure that everyone’s brain receives adequate and fundamental nutrition when looking at their overall mental health.
(916) 758-9479 View (916) 758-9479
Photo of Melissa Fisher, PMHNP, NP, Psychiatric Nurse Practitioner
Melissa Fisher
Psychiatric Nurse Practitioner, PMHNP, NP
Verified Verified
Pilot Hill, CA 95664
Melissa Fisher is a psychiatric mental health nurse practitioner who is committed to providing compassionate and empathetic care. She has been practicing medicine since 2003. Melissa is dual-certified as a family nurse practitioner and a psychiatric mental health nurse practitioner. After working several years in hematology/oncology, she transitioned into psychiatry and completed a post-master’s certificate as a psychiatric mental health nurse practitioner. She has been working in psychiatry for 10+ years and has experience treating adults of all ages in inpatient/skilled nursing and outpatient settings.
Melissa Fisher is a psychiatric mental health nurse practitioner who is committed to providing compassionate and empathetic care. She has been practicing medicine since 2003. Melissa is dual-certified as a family nurse practitioner and a psychiatric mental health nurse practitioner. After working several years in hematology/oncology, she transitioned into psychiatry and completed a post-master’s certificate as a psychiatric mental health nurse practitioner. She has been working in psychiatry for 10+ years and has experience treating adults of all ages in inpatient/skilled nursing and outpatient settings.
(916) 571-1399 View (916) 571-1399

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Online Psychiatrists

Is online therapy as effective as in-person?

Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.

What are the advantages and disadvantages of therapy conducted online?

One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialized therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.

Is online therapy suitable for children and adolescents?

Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.

Can I receive prescriptions and medication management with online therapy?

The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.