Frequently Asked Questions

  • VitaNova provides comprehensive psychiatric evaluations, personalized medication management, hormone and metabolic assessment, concierge psychiatry, and advanced neuromodulation through Deep TMS. 

  • Deep Transcranial Magnetic Stimulation (Deep TMS) is an FDA-approved, noninvasive treatment that uses magnetic pulses to activate neural pathways involved in mood regulation, motivation, and emotional processing. Deep TMS is offered in-office in Northwest Reno. Learn More about Deep TMS

  • VitaNova is a self-pay, concierge-style psychiatric practice. This model allows for longer appointments, more comprehensive evaluations, and expanded treatment options that are often restricted in insurance-based settings. Superbills may be available upon request for potential out-of-network reimbursement. 

    Insurance coverage may apply only to FDA-cleared Deep TMS indications when eligibility criteria are met.

  • Yes. Recommended lab testing can typically be completed through insurance at commercial labs like LabCorp or Quest - depending on your plan. 

    A foundational lab panel is included in the Comprehensive Psychiatric Evaluation. Ongoing or additional labs may be ordered separately and can often be billed through insurance. 

  • Yes. VitaNova offers secure telepsychiatry services across Nevada. In-person visits and Deep TMS treatments are available at the Northwest Reno location. 

  • Appointments are intentionally unrushed:

    • Initial Comprehensive Evaluation: 75–90 minutes

    • Follow-ups: 30–45 minutes

    • Deep TMS sessions: typically 20–25 minutes, 5 days per week during the active treatment phase (session length and frequency may vary depending on protocol and clinical needs)

  • Integrative psychiatry at VitaNova is evidence-based psychiatric care that combines standard diagnosis, medication management, and advanced treatment with a comprehensive evaluation of medical factors that influence mental health.

    Every new patient completes a comprehensive laboratory panel as part of the initial evaluation to identify contributors such as iron or folate deficiency, thyroid dysfunction, or hormone imbalance that can affect mood, energy, sleep , cognition, and treatment response.

    Integrative psychiatry is not alternative or anti-medication care. Medications are prescribed when clinically indicated, and all treatment decisions follow established psychiatric guidelines.

  • Concierge psychiatry emphasizes depth, access, and continuity of care. This includes longer appointments, secure portal messaging for established patients, more responsive scheduling, individualized treatment plans, and expanded interventional options when clinically appropriate. 

  • VitaNova treats a wide range of psychiatric concerns, including:

    • Depression (including treatment-resistant depression)

    • Anxiety and panic disorders

    • Obsessive-compulsive disorder (OCD)

    • ADHD

    • Bipolar-spectrum disorders

    • Binge eating disorders

    • Trauma-related conditions

    • Burnout and chronic stress

    • Hormone -or metabolic-related mood symptoms

  • Yes. VitaNova provides outpatient medication-based treatment for specific substance use disorders when clinically appropriate, including:

    • Alcohol Use Disorder

    • Opioid Use Disorder, including treatment with FDA-approved medication such as buprenorphine/Suboxone

    VitaNova does not provide detoxification or manage active withdrawal.

    If you are experiencing withdrawal symptoms or require a higher level of care, please seek immediate evaluation at the nearest emergency room or a dedicated detox facility.

  • Controlled medications are prescribed when clinically appropriate and aligned with best-practice guidelines. 

    Some controlled substances cannot be prescribed via telehealth alone and may require an in-person visit depending on regulations. 

    VitaNova also practices controlled-substance compliant care when clinically indicated.

  • VitaNova focuses on advanced psychiatric care, metabolic evaluation, and neuromodulation. The practice does not provide weekly psychotherapy, but may integrate brief psychotherapy during visits and collaborate with a client’s therapist as needed.

  • VitaNova primarily treats adults (18+)

    Deep TMS may be offered to adolescents ages 15 and older when clinically appropriate, as it is FDA-cleared for specific indications in this age group. Learn More about Deep TMS

  • All new patients begin with a Comprehensive Psychiatric Evaluation which includes an in-depth clinical assessment, review of medical and psychiatric history, sleep and stress evaluation, and relevant metabolic or hormonal considerations. 

    This evaluation includes a foundational laboratory panel that is completed before the first appointment. 

  • VitaNova does not provide crisis or emergency services.

    If you or someone else in immediate danger or experiencing an emergency, they should call 911, go to the nearest emergency room, or contact 988 for the Suicide & Crisis Lifeline.

  • VitaNova may not be an appropriate setting for individuals who require a higher level of care or services outside the practice scope, including:

    • Individuals under age 18 (exception for Deep TMS)

    • Those requiring PHP, IOP, residential, or inpatient care

    • Active suicidal ideation with intent and/or plan

    • Active psychosis

    • Uncontrolled bipolar mania or hypomania

    • Eating disorders requiring structured or higher-level treatment (high-risk)

    • Substance use disorders requiring detox or formal programming

    • Court-ordered evaluations

    • Clients seeking benzodiazepines or controlled substances as the primary goal

    When a client’s needs fall outside our scope, VitaNova provides appropriate referrals whenever possible.

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