Frequently Asked Questions

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  • I am a private-pay provider and do not bill insurance directly. After every visit, we submit an out-of-network claim on your behalf and post an itemized superbill to your patient portal. Your insurer determines eligibility and reimbursement amount; any reimbursement is sent directly to you. Before booking, you can check your specific out-of-network benefits at nickwelshmd.com/benefits.

  • My practice is private pay, billed per session, with separate rates for adults and for children and adolescents. Out-of-network claims are submitted on your behalf after every visit. See full fee details and current rates here.

  • I provide psychiatric evaluation and medication management for children, adolescents, and adults experiencing a range of mental health concerns, including:

    • Anxiety disorders (generalized anxiety, panic disorder, social anxiety, OCD)

    • Depression and other mood disorders (major depression, bipolar disorder, dysthymia)

    • ADHD and concentration difficulties

    • PTSD and other trauma-related conditions

    • Autism spectrum disorder (ASD) and related social or emotional challenges

    • Sleep problems and insomnia

    • Adjustment issues, burnout, and life transitions

    Treatment is evidence-based and individualized, integrating medication management with supportive therapy when helpful.

  • The initial evaluation is completed over 2 to 3 sessions, each 60 minutes, typically across 2 to 3 weeks depending on complexity. I review your personal history, current symptoms, and overall mental health, and may incorporate validated psychometric instruments. This produces the foundation for an individualized treatment plan. Read more on this here.

  • Most patients are seen monthly to monitor progress and adjust treatment as needed. When starting or adjusting a medication, or when things are feeling harder than usual, we may meet more often, sometimes every 1 to 2 weeks, until you're feeling steadier.

  • At this time, I see patients exclusively through telehealth rather than in person. All visits take place over a secure, HIPAA-compliant video platform. Because I’m licensed to practice medicine in California, I can only see patients who are physically located in California at the time of their appointment.

  • While I do not currently provide individual therapy, I have extensive training in various therapeutic modalities, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), Emotionally Focused Family Therapy (EFFT), and psychodynamic approaches. I can make well-informed recommendations for therapy that best suits your needs and collaborate closely with your therapist to ensure a comprehensive, integrated approach to your care.