Mental Health FAQ
Find answers to common questions about mental health conditions, treatment options, and telehealth psychiatry.
Answers You Can Trust
We've compiled answers to the most frequently asked questions about mental health treatment. Whether you're exploring options for yourself or a loved one, these evidence-based answers will help you make informed decisions about your care.
ADHD
What is ADHD and how is it diagnosed?
Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning. Diagnosis involves a comprehensive clinical evaluation by a qualified provider like Dr. Waters, including a detailed history, symptom assessment, and often standardized rating scales. The evaluation considers how symptoms impact work, relationships, and daily life, while ruling out other conditions that might mimic ADHD.
Learn more about ADHD treatment →What are the common symptoms of ADHD in adults?
Adult ADHD symptoms often differ from childhood presentations. Common symptoms include difficulty focusing on tasks, frequent procrastination, poor time management, restlessness, impulsivity in decision-making, difficulty following through on commitments, forgetfulness in daily activities, trouble multitasking, and mood swings. Many adults with ADHD also experience low self-esteem due to years of struggling with these symptoms. Recognizing these signs is the first step toward getting effective treatment.
Read more about ADHD symptoms →What treatment options are available for ADHD?
ADHD treatment typically involves a combination of approaches. Medication options include stimulants (like methylphenidate and amphetamine-based medications) and non-stimulants (like atomoxetine). Behavioral therapy helps develop coping strategies and organizational skills. Psychoeducation helps patients understand their condition. Lifestyle modifications including exercise, sleep hygiene, and structured routines can significantly improve symptoms. Dr. Waters develops personalized treatment plans that may combine these approaches based on your specific needs and goals.
Explore ADHD treatment options →Can ADHD medication be prescribed through telehealth?
Yes, in Massachusetts, Oregon, and Washington, licensed providers can prescribe ADHD medication through telehealth after establishing a valid patient-provider relationship. This involves a comprehensive initial evaluation via secure video. For controlled substances like stimulants, providers follow federal and state regulations, which may include periodic in-person visits depending on the state. Dr. Waters ensures all prescribing follows legal requirements while maximizing the convenience of telehealth for ongoing medication management.
Read more about ADHD medication via telehealth →What are the side effects of ADHD medication?
Common side effects of stimulant medications may include decreased appetite, difficulty sleeping, dry mouth, headache, and mild increases in heart rate and blood pressure. Non-stimulants may cause drowsiness, upset stomach, or dizziness. Most side effects are mild and often improve over time or with dosage adjustments. Dr. Waters carefully monitors patients starting medication, starting with low doses and adjusting based on your response. Regular follow-ups ensure benefits are maximized while minimizing any side effects.
Anxiety
What is anxiety and when should I seek help?
Anxiety is a natural response to stress, but when it becomes persistent, excessive, and interferes with daily life, it may be an anxiety disorder. You should consider seeking help when anxiety causes significant distress, leads to avoidance of situations, affects work or relationships, causes physical symptoms like rapid heartbeat or shortness of breath, or when worry feels uncontrollable. Early treatment can prevent symptoms from worsening and improve quality of life.
Learn more about anxiety treatment →What are the different types of anxiety disorders?
Anxiety disorders include several distinct conditions: Generalized Anxiety Disorder (GAD) involves excessive worry about various aspects of life. Panic Disorder features sudden, intense episodes of fear with physical symptoms. Social Anxiety Disorder is intense fear of social situations and judgment. Specific Phobias are extreme fears of particular objects or situations. Agoraphobia involves fear of places where escape might be difficult. Each type has specific symptoms but all respond well to proper treatment.
Can anxiety be treated through telehealth?
Yes, numerous studies show that telehealth is as effective as in-person care for anxiety disorders. Cognitive Behavioral Therapy (CBT) delivered online has strong evidence for treating anxiety. Medication management can also be conducted effectively via telehealth. Many patients actually feel more comfortable discussing their anxiety from home, where they feel safer and more at ease. Dr. Waters provides comprehensive anxiety treatment through secure video, helping patients develop coping skills and, when appropriate, prescribing medication.
Read more about anxiety telehealth →What medications are used for anxiety?
Several medication classes effectively treat anxiety. SSRIs (selective serotonin reuptake inhibitors) like sertraline and escitalopram are first-line treatments that work well for most anxiety disorders. SNRIs (serotonin-norepinephrine reuptake inhibitors) like venlafaxine are also effective. Buspirone is a non-addictive medication specifically for anxiety. For short-term relief, benzodiazepines may be prescribed but are used cautiously due to dependence risk. Dr. Waters carefully selects medications based on your specific symptoms, medical history, and preferences.
What therapy approaches work best for anxiety?
Cognitive Behavioral Therapy (CBT) is the most research-backed therapy for anxiety. It helps identify and change thought patterns that fuel anxiety and develop coping behaviors. Exposure therapy gradually helps face feared situations. Acceptance and Commitment Therapy (ACT) teaches mindfulness and values-based action. Mindfulness-based stress reduction also shows strong benefits. Often, a combination of therapy approaches tailored to your specific anxiety type and personal preferences yields the best results.
Depression
What is depression and how is it different from sadness?
While sadness is a normal emotion that passes, depression is a persistent condition lasting at least two weeks that affects how you feel, think, and function. Depression involves a combination of symptoms: persistent sad or empty mood, loss of interest in activities once enjoyed, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness, difficulty concentrating, and thoughts of death or suicide. These symptoms cause significant distress and impair daily functioning, requiring professional treatment.
Learn more about depression treatment →What are the treatment options for depression?
Depression treatment typically includes psychotherapy, medication, or a combination. Antidepressant medications like SSRIs, SNRIs, and others help regulate brain chemistry. Evidence-based therapies include Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, and Behavioral Activation. Lifestyle modifications including exercise, sleep hygiene, and nutrition support recovery. For treatment-resistant depression, options like transcranial magnetic stimulation (TMS) or esketamine may be considered. Dr. Waters develops personalized plans based on your specific symptoms and preferences.
How long does it take for antidepressants to work?
Antidepressants typically take 2-4 weeks to begin showing noticeable effects, with full benefits often taking 6-8 weeks. Some people may notice improvements in sleep and appetite earlier, while mood improvement may take longer. It's important to take medication consistently and attend follow-up appointments to monitor progress. If one medication isn't effective or causes side effects, there are many alternatives. Dr. Waters works closely with patients during this initial period to adjust treatment as needed.
Can depression be treated through telehealth?
Yes, research confirms that telehealth is effective for treating depression. Therapy delivered via video is as effective as in-person sessions. Medication management can be conducted safely through telehealth with appropriate monitoring. Telehealth actually removes barriers that often prevent people from seeking depression treatment, such as lack of energy to travel. Many patients find it easier to engage in treatment from the comfort of home. Dr. Waters provides comprehensive depression care through secure telehealth.
What should I do if I'm having thoughts of suicide?
If you're having thoughts of suicide, immediate help is available. Call the National Suicide Prevention Lifeline at 988 or 1-800-273-8255, text HOME to 741741, or go to your nearest emergency room. These thoughts are a symptom of depression and can be treated. Please don't wait—reaching out for help is a sign of strength. Dr. Waters and the Clarity Peak Health team are here to support you, and if you're in crisis, we want you to get immediate care.
PMDD (Premenstrual Dysphoric Disorder)
What is PMDD and how is it different from PMS?
Premenstrual Dysphoric Disorder (PMDD) is a severe, hormone-based mood disorder distinct from the more common PMS. While PMS may cause mild physical discomfort and mood changes, PMDD causes extreme irritability, depression, anxiety, and mood swings that significantly impair functioning. Symptoms appear in the week before menstruation and improve within days of bleeding starting. PMDD affects 3-8% of menstruating individuals and requires proper diagnosis and treatment for relief.
Learn more about PMDD treatment →What are the symptoms of PMDD?
PMDD symptoms include severe mood swings, intense irritability or anger, depressed mood, hopelessness, anxiety, tension, decreased interest in usual activities, difficulty concentrating, fatigue, changes in appetite, sleep disturbances, feeling overwhelmed, and physical symptoms like bloating or breast tenderness. At least five symptoms must occur, including one mood-related symptom, during the premenstrual phase and improve after menstruation begins. Tracking symptoms for at least two cycles helps confirm diagnosis.
How is PMDD treated?
PMDD treatment often includes SSRIs (antidepressants), which can be taken continuously or only during the luteal phase (the two weeks before menstruation). Hormonal treatments like oral contraceptives may help some individuals. Cognitive Behavioral Therapy helps develop coping strategies for mood symptoms. Lifestyle modifications including exercise, stress reduction, and dietary changes can support treatment. Dr. Waters develops personalized treatment plans based on your symptom pattern and treatment preferences.
Can PMDD be treated through telehealth?
Yes, PMDD can be effectively diagnosed and treated through telehealth. Dr. Waters conducts thorough evaluations via secure video, including reviewing symptom tracking and medical history. Medication management and therapy are both suitable for telehealth delivery. Many patients appreciate the convenience of virtual appointments, especially when PMDD symptoms make leaving home difficult. Regular follow-ups ensure treatment is working and adjustments are made as needed.
Trauma & PTSD
What is trauma and what is PTSD?
Trauma is the emotional response to a distressing event like an accident, assault, disaster, or loss. Post-Traumatic Stress Disorder (PTSD) develops when trauma symptoms persist and interfere with daily life. PTSD symptoms include re-experiencing the event through flashbacks or nightmares, avoiding reminders of the trauma, negative changes in mood and thinking, and being easily startled or constantly on guard. PTSD is treatable, and many people recover fully with appropriate care.
Learn more about trauma treatment →What treatments are effective for trauma and PTSD?
Evidence-based trauma treatments include Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Prolonged Exposure therapy. These approaches help process traumatic memories and reduce their impact. Medications like SSRIs can help manage symptoms. Somatic therapies address trauma stored in the body. Treatment is tailored to your specific trauma history and symptoms, always at a pace that feels safe. Dr. Waters provides compassionate, trauma-informed care.
Can trauma therapy be done through telehealth?
Yes, trauma therapy via telehealth is effective and often preferred by patients who feel safer in their own environment. Many evidence-based trauma treatments have been adapted for virtual delivery. Telehealth allows patients to engage in trauma work from a comfortable, controlled space, which can actually enhance the therapeutic process. Dr. Waters ensures all sessions are conducted in a secure, private environment where you can feel safe discussing difficult experiences.
Medication Management
What is psychiatric medication management?
Psychiatric medication management is the ongoing process of prescribing, monitoring, and adjusting medications to treat mental health conditions. It involves initial evaluation to determine if medication is appropriate, selecting the right medication based on your symptoms and medical history, starting at an appropriate dose, monitoring for effectiveness and side effects, and making adjustments as needed. Regular follow-up appointments ensure treatment remains safe and effective. Dr. Waters provides comprehensive medication management as part of holistic care.
Learn more about medication management →How do I know if I need medication for my mental health?
Medication may be recommended when symptoms significantly interfere with daily functioning, when therapy alone hasn't provided sufficient relief, or when biological factors play a strong role in your condition. Moderate to severe depression, anxiety, bipolar disorder, and ADHD often respond well to medication. Dr. Waters conducts a thorough evaluation to discuss all treatment options, explaining the potential benefits and risks of medication so you can make an informed decision aligned with your preferences.
Are psychiatric medications addictive?
Most psychiatric medications used for depression, anxiety, and mood disorders are not addictive in the way substances like opioids or alcohol are. They don't produce a "high" or compulsive use. However, some medications like benzodiazepines (for anxiety) and stimulants (for ADHD) have potential for dependence and are prescribed carefully with close monitoring. Dr. Waters prescribes all medications responsibly, discussing any concerns about dependence and ensuring you understand your treatment plan fully.
How long will I need to take psychiatric medication?
Treatment duration varies by condition and individual. For a first episode of depression, guidelines often recommend continuing medication for 6-12 months after symptoms improve to prevent relapse. Some conditions like ADHD or bipolar disorder may require longer-term treatment. Others may benefit from medication during a specific stressful period. Decisions about continuing or stopping medication are made collaboratively with Dr. Waters, based on your progress, preferences, and what's best for your long-term wellness.
Telehealth Safety & Privacy
Is telehealth psychiatry safe and private?
Yes, telehealth psychiatry is safe, private, and confidential when conducted through proper platforms. Clarity Peak Health uses HIPAA-compliant video conferencing that encrypts all communication, protecting your health information. The same privacy laws that apply to in-person care apply to telehealth. You should participate from a private location where you won't be overheard. Dr. Waters is also in a private office setting. Telehealth has been proven safe and effective for most mental health conditions.
Learn more about telehealth services →What technology do I need for telehealth appointments?
You'll need a smartphone, tablet, or computer with a camera and microphone, and a stable internet connection. Most devices less than five years old work well. You'll receive a secure link before your appointment—no special software download is usually required. Find a private, quiet space with good lighting. If you have technology concerns, our office can help troubleshoot or provide guidance. We want to make telehealth accessible for everyone.
Is telehealth as effective as in-person care?
Research consistently shows that telehealth is as effective as in-person care for treating conditions like depression, anxiety, PTSD, and ADHD. Patient satisfaction with telehealth is high, and outcomes including symptom improvement are equivalent to in-person treatment. Telehealth also increases access to care, reduces missed appointments, and allows for more frequent check-ins. For many patients, telehealth is not just as good—it's preferred.
Insurance & Payment
What insurance plans does Clarity Peak Health accept?
We accept a wide range of insurance plans including Blue Cross Blue Shield, Cigna, Harvard Pilgrim, Optum, Oscar Health, Oxford, UnitedHealthcare, AllWays Health Partners, MassHealth (MBHP), Medicare, Tufts Health Plan, and many others. Coverage varies by state. Contact our office to verify your specific plan and understand any copays or deductibles. We're here to help you navigate insurance questions and make care accessible.
Contact us to verify your insurance →Does insurance cover telehealth psychiatry?
Yes, in Massachusetts, Oregon, and Washington, most insurance plans are required to cover telehealth services similarly to in-person care. This includes private insurance, Medicaid (MassHealth, Oregon Health Plan), and Medicare. Coverage specifics vary by plan, but telehealth parity laws ensure that virtual visits are covered. Our team can help verify your coverage and explain any out-of-pocket costs before your first appointment.
What if I don't have insurance or my plan isn't accepted?
We offer private pay options for those without insurance or whose insurance we don't accept. Competitive self-pay rates are available, and we can discuss payment plans if needed. Many patients find that investing in their mental health is worthwhile, and we strive to make care as affordable as possible. Contact our office to discuss private pay rates and options that work for your budget.
Still Have Questions?
Dr. Chioma Waters and the Clarity Peak Health team are here to provide compassionate, personalized answers to your mental health questions. Every individual's journey is unique, and we're committed to helping you find the information and care you need.
Schedule a consultation to discuss your specific situation and learn how telehealth psychiatry can support your mental wellness journey.
Ready to Take the Next Step?
Whether you're seeking answers or ready to begin treatment, we're here to support you with compassionate, evidence-based care.