What to expect at your first appointment

Send an appointment request through our website. Tell us how to reach you and, if you're using insurance, which plan you have. Nicholas reviews every request. We reach out within a few business days; first appointments are typically scheduled within 1–2 weeks for non-urgent requests.

Before your appointment, you'll complete a brief intake questionnaire covering your medical and psychiatric history, current symptoms, and goals. This helps Nicholas prepare for your evaluation so the session can be focused on you — not on forms.

All appointments are conducted via a HIPAA-compliant telehealth platform — no downloads or accounts required. You'll receive a link before your appointment. Simply test your camera and microphone in advance. You'll need a device with a camera, a stable internet connection, and a private space.

Your first appointment is a comprehensive psychiatric evaluation. Nicholas will ask about your current concerns, mental health history, family history, medications, sleep, and day-to-day functioning. This is a conversation, not an interrogation — there are no right or wrong answers. You can ask as many questions as you'd like.

At the end of the evaluation, Nicholas will share his initial impressions, discuss possible diagnoses, and outline treatment options. Together, you'll agree on a starting plan — whether that's therapy, medication, lifestyle recommendations, or a combination. You are always an active participant in your care decisions.