Our psychiatry services in Warren, MI provide comprehensive psychiatric evaluation and medication management for adults through personalized, evidence-based care. Services are delivered by a licensed Psychiatric Mental Health Nurse Practitioner (PMHNP) and are available in-person and via telehealth.
Psychiatry Services
M
ichigan Counseling Group provides comprehensive psychiatric services in Warren, MI through our board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP). Our psychiatry services focus on medication management, psychiatric evaluation, and ongoing mental health treatment for adults experiencing depression, anxiety, bipolar disorder, ADHD, and other mental health conditions.
Psychiatric medication management involves careful assessment, diagnosis, medication selection, and ongoing monitoring to ensure safety and effectiveness. Our PMHNP works collaboratively with you to develop an individualized treatment plan based on your symptoms, medical history, and treatment goals. We prescribe and manage antidepressants, anti-anxiety medications, mood stabilizers, ADHD medications, and other psychiatric medications when clinically appropriate.
We understand that starting psychiatric treatment can feel overwhelming. Our approach emphasizes patient education, shared decision-making, and regular follow-up to monitor progress and adjust treatment as needed. Whether you’re seeking medication management for the first time or transferring care from another provider, our team provides professional, compassionate psychiatric care. Psychiatry services are most effective when combined with therapy, and we offer integrated care through our on-site counseling team. Schedule your psychiatric evaluation today by calling (586) 510-4992.
Psychiatric Evaluation and Diagnosis
A comprehensive psychiatric evaluation is the foundation of effective mental health treatment. During your initial appointment, our PMHNP conducts a thorough assessment of your mental health history, current symptoms, medical conditions, medications, and treatment goals.
The psychiatric evaluation typically includes:
– Detailed mental health history and symptom assessment
– Review of previous psychiatric treatment and medications
– Medical history and current medication review
– Family mental health history
– Substance use screening
– Risk assessment for safety
– Diagnostic evaluation using DSM-5 criteria
– Discussion of treatment options and recommendations
– Development of personalized treatment plan
Initial psychiatric evaluations typically last 45-60 minutes. This comprehensive assessment allows our PMHNP to accurately diagnose mental health conditions and recommend appropriate treatment, which may include medication management, therapy, or both.
Medication Management
Medication management is the ongoing process of prescribing, monitoring, and adjusting psychiatric medications to treat mental health conditions effectively while minimizing side effects. Our PMHNP provides expert medication management for adults with various mental health diagnoses.
Our medication management services include:
– Selection of appropriate psychiatric medications based on diagnosis and symptoms
– Education about how medications work and potential side effects
– Dosage adjustments based on response and tolerability
– Monitoring for medication effectiveness and side effects
– Management of medication interactions
– Regular follow-up appointments (typically monthly)
– Coordination with therapists and other healthcare providers
– Medication discontinuation planning when appropriate
Follow-up medication management appointments typically occur every 4-6 weeks initially, then may extend to every 8-12 weeks once your condition is stable. During follow-up visits, we review your symptoms, assess medication effectiveness, check for side effects, and make any necessary adjustments to your treatment plan.
Ongoing Psychiatric Care and Monitoring
Successful psychiatric treatment requires ongoing monitoring and adjustment. Mental health conditions are often chronic, and medication needs may change over time based on life circumstances, symptom changes, or side effects. Our ongoing psychiatric care includes: – Regular follow-up appointments to monitor progress – Symptom tracking and assessment – Side effect management and medication adjustments – Laboratory monitoring when required by specific medications – Crisis intervention support as needed – Coordination with emergency services if necessary – Communication with therapists for integrated care – Long-term treatment planning We encourage patients to maintain regular follow-up appointments even when feeling well, as consistent monitoring helps prevent relapse and ensures optimal mental health.
Conditions We Treat
Our psychiatric services in Warren, MI provide medication management for adults with various mental health conditions. Our PMHNP has expertise in treating:
Depression and Mood Disorders
Clinical depression (major depressive disorder) affects millions of adults and can significantly impact daily functioning, relationships, and quality of life. We provide comprehensive medication management for depression, including major depressive disorder, persistent depressive disorder (dysthymia), and seasonal affective disorder. Treatment typically involves antidepressant medications such as SSRIs, SNRIs, or other classes of antidepressants selected based on your specific symptoms, medical history, and previous treatment response. Our PMHNP monitors your response carefully and adjusts treatment to achieve optimal symptom relief while minimizing side effects. Medication management for depression often works best when combined with individual therapy, and we offer coordinated care with our counseling team.
Anxiety Disorders
Anxiety disorders include generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, and specific phobias. When anxiety becomes overwhelming or interferes with daily life, medication management can provide significant relief.
We prescribe anti-anxiety medications when clinically appropriate, including SSRIs and SNRIs (which treat both depression and anxiety), buspirone, or short-term use of benzodiazepines in specific situations. Our approach emphasizes long-term anxiety management through medications with proven safety profiles.
Many patients with anxiety benefit from combining medication management with therapy, particularly cognitive-behavioral therapy (CBT) or exposure therapy.
Bipolar Disorder
Bipolar disorder involves episodes of depression and mania (or hypomania) and requires specialized psychiatric treatment. Medication management is essential for stabilizing mood, preventing episodes, and reducing symptoms.
Treatment for bipolar disorder typically includes mood stabilizers, atypical antipsychotics, or other medications depending on your specific diagnosis (bipolar I, bipolar II, or cyclothymic disorder). Our PMHNP has training in managing complex mood disorders and provides careful monitoring to prevent mood episodes and manage side effects.
Regular follow-up appointments are particularly important for bipolar disorder to ensure medication effectiveness and early detection of mood changes.
ADHD (Attention-Deficit/Hyperactivity Disorder)
ADHD in adults can impact work performance, relationships, organization, and daily functioning. Many adults with ADHD were never diagnosed as children and benefit from evaluation and treatment. We provide comprehensive ADHD evaluation and medication management for adults. Treatment may include non-stimulant options (such as Strattera or Wellbutrin) depending on your symptoms, medical history, and preferences. ADHD medication management includes careful dosage adjustment, monitoring for side effects, and regular cardiovascular monitoring as appropriate.
Other Mental Health Conditions
In addition to the conditions above, our psychiatric services treat:
– Obsessive-Compulsive Disorder (OCD)
– Post-Traumatic Stress Disorder (PTSD)
– Insomnia and sleep disorders
– Adjustment disorders
– Postpartum depression and anxiety
– Premenstrual dysphoric disorder (PMDD)
We also provide medication management for patients with co-occurring conditions (such as anxiety and depression together) and work collaboratively with primary care physicians for patients with both mental and physical health conditions.
Meet Our Psychiatric Mental Health Nurse Practitioner
Tejinder Singh, PMHNP-BC, is our board-certified Psychiatric Mental Health Nurse Practitioner providing psychiatric services at Michigan Counseling Group in Warren, MI.
As a PMHNP, Tejinder Singh has advanced training in psychiatric diagnosis and treatment, psychopharmacology (psychiatric medications), mental health assessment, medication management, and crisis intervention.
PMHNPs are advanced practice registered nurses with specialized education in psychiatric care. They are licensed to diagnose mental health conditions, prescribe psychiatric medications, and provide comprehensive psychiatric treatment. PMHNPs work collaboratively with therapists, psychologists, and other healthcare providers to deliver integrated mental health care.
Tejinder Singh provides compassionate, evidence-based psychiatric care with a focus on patient education and shared decision-making.
Psychiatry vs. Therapy: Understanding the Difference
Many people wonder about the difference between psychiatry and therapy (counseling/psychotherapy). Both are essential components of mental health treatment, but they serve different purposes:
Psychiatry (Medication Management):
– Focuses on the medical/biological aspects of mental health
– Involves psychiatric evaluation and diagnosis
– Prescribes and manages psychiatric medications
– Monitors for medication side effects and effectiveness
– Typically shorter appointments (15-30 minutes for follow-ups)
Therapy (Counseling/Psychotherapy):
– Focuses on thoughts, emotions, behaviors, and relationships
– Involves talk therapy and evidence-based therapeutic techniques
– Addresses psychological and social factors in mental health
– Teaches coping skills and behavioral strategies
– Typically longer appointments (45-60 minutes)
The Most Effective Approach: Integrated Care
Research consistently shows that combining medication management with therapy produces better outcomes than either treatment alone for most mental health conditions. This integrated approach addresses both the biological and psychological aspects of mental illness.
At Michigan Counseling Group, we offer both psychiatry services and individual therapy under one roof, making integrated care convenient and accessible. Our PMHNP and therapists communicate regularly (with your permission) to coordinate your care and ensure the best possible outcomes.
The Psychiatry Appointment Process
Call our Warren office at (586) 510-4992 to schedule your initial psychiatric evaluation. Our scheduling staff will verify your insurance coverage (Medicare and Blue Cross Blue Shield accepted), provide self-pay pricing if needed, schedule your appointment (in-person or telehealth available), and email intake paperwork to complete before your appointment.
We recommend scheduling your first appointment 1-2 weeks in advance when possible, though we also offer urgent appointments for those experiencing acute symptoms.
Step 1: Schedule Your Initial Psychiatric Evaluation
Before your first appointment, you’ll receive electronic intake forms to complete, including demographic information, current symptoms and concerns, mental health history, medication history, medical conditions, and family mental health history.
Please complete these forms 24-48 hours before your appointment. Thorough completion helps our PMHNP conduct a comprehensive evaluation.
What to Bring:
– Photo ID
– Insurance card (if using insurance)
– List of current medications (including supplements)
– Any previous psychiatric records (if available)
– List of questions or concerns
Step 2: Complete Intake Paperwork
Before your first appointment, you’ll receive electronic intake forms to complete, including demographic information, current symptoms and concerns, mental health history, medication history, medical conditions, and family mental health history.
Please complete these forms 24-48 hours before your appointment. Thorough completion helps our PMHNP conduct a comprehensive evaluation.
What to Bring:
– Photo ID
– Insurance card (if using insurance)
– List of current medications (including supplements)
– Any previous psychiatric records (if available)
– List of questions or concerns
Step 3: Attend Your Initial Evaluation (45-60 minutes)
Your first psychiatric appointment is a comprehensive evaluation where our PMHNP will review your intake paperwork, discuss your current symptoms in detail, review your mental health and medical history, conduct a mental status examination, provide a diagnosis, recommend treatment options, discuss medication options if appropriate, and answer all your questions.
This appointment is collaborative—your input about symptoms, concerns, and treatment preferences is essential. Be prepared to discuss when symptoms started, how they affect your daily life, previous treatments, your goals for treatment, and any concerns about medications.
Step 4: Begin Treatment and Follow-Up Care
If medication is recommended and you agree to proceed, your PMHNP will explain the medication, how it works, and expected timeline, discuss potential side effects and how to manage them, prescribe the medication and send it to your pharmacy, and schedule your first follow-up appointment (typically 2-4 weeks).
Follow-up appointments typically last 15-30 minutes and focus on symptom improvement, medication effectiveness, side effects, and any needed adjustments. Initially, follow-ups occur every 2-4 weeks. Once your condition is stable, appointments may extend to every 8-12 weeks.
Insurance and Payment Options
Insurance Accepted
We currently accept:
– Medicare (including some Medicare Advantage plans)
– Blue Cross Blue Shield commercial plans (PPO, HMO, and other BCBS products)
– Priority Health (all products)
Most insurance plans cover psychiatric services, including initial evaluations and follow-up medication management appointments. We are always adding new insurances to our offerings, our staff is happy to verify your insurance coverage when you call to schedule.
Self-Pay Options
If you don’t have insurance, prefer not to use insurance, or your plan isn’t accepted, we offer competitive self-pay rates. Contact our office at (586) 510-4992 for current pricing information.
Self-pay patients receive the same high-quality care as insured patients. Payment is due at time of service.
Telehealth Services
Both in-person and telehealth appointments are available for psychiatry services. Telehealth appointments offer convenience of attending from home, no travel time or parking concerns, access to care for those with transportation challenges, and the same quality of care as in-person visits through our secure, HIPAA-compliant video platform.
Telehealth is particularly convenient for medication management follow-up appointments once your condition is stable.
Frequently Asked Questions About Psychiatry Services
Do I need a referral to see your psychiatrist?
No referral is required to schedule psychiatric services at Michigan Counseling Group. You can call directly to schedule an initial psychiatric evaluation. However, some insurance plans may require a referral from your primary care physician for coverage—our staff will verify your specific plan requirements when you schedule.
What's the difference between a psychiatrist and a PMHNP?
Both psychiatrists and Psychiatric Mental Health Nurse Practitioners (PMHNPs) are licensed to diagnose mental health conditions and prescribe psychiatric medications. The main difference is their educational path: psychiatrists are medical doctors (MD or DO) who completed medical school and psychiatric residency, while PMHNPs are advanced practice nurses (APRN) with master’s or doctoral degrees in psychiatric nursing.
Both provide expert psychiatric care including evaluation, diagnosis, and medication management. Research shows equivalent outcomes between psychiatrists and PMHNPs for most mental health conditions.
Tejinder Singh, PMHNP-BC, is board-certified by the American Nurses Credentialing Center (ANCC) in psychiatric-mental health nursing.
How long does it take for psychiatric medications to work?
The timeline varies by medication type and individual:
– Antidepressants (SSRIs/SNRIs): 2-6 weeks for initial improvement, 6-12 weeks for full effect
– Anti-anxiety medications: Buspirone takes 2-4 weeks; some medications work faster
– Mood stabilizers: 1-2 weeks to several weeks depending on medication
– ADHD medications: Stimulants work within 30-60 minutes; non-stimulants take 2-4 weeks
– Sleep medications: Usually work the first night
It’s important to give medications adequate time to work before adjusting. Our PMHNP will discuss expected timelines and schedule follow-up accordingly.
Will I have to take medication forever?
Not necessarily. The duration of medication treatment depends on your diagnosis, number of previous episodes, symptom severity, response to treatment, and your personal preferences and goals.
Some people take psychiatric medications short-term (6-12 months) for a specific episode, while others benefit from longer-term treatment to prevent relapse. Many mental health conditions are chronic, and ongoing medication helps maintain stability—similar to how people with diabetes or high blood pressure take medication long-term.
We discuss treatment duration at your initial evaluation and revisit it regularly. Any medication discontinuation is done gradually under medical supervision.
What if I experience side effects?
Most psychiatric medications can cause side effects, especially when starting or adjusting dosage. Common side effects often improve within the first 1-2 weeks as your body adjusts.
If you experience side effects, contact our office between appointments if they’re concerning. Don’t stop medications suddenly without medical guidance, as this can cause withdrawal. We can adjust dosage, change timing, or switch medications if needed.
Call immediately for severe allergic reaction, worsening depression or suicidal thoughts, severe side effects interfering with daily functioning, or any symptoms that concern you.
Can I see a therapist and psychiatrist at the same time?
Yes! In fact, we strongly encourage it. Research shows that combining therapy with medication management produces better outcomes than either treatment alone for most mental health conditions.
Michigan Counseling Group offers both psychiatry services and individual therapy, making integrated care convenient with the same location for both appointments, coordinated care between your PMHNP and therapist, streamlined scheduling, and one comprehensive treatment plan.
Our PMHNP and therapists communicate regularly (with your written permission) to ensure your treatment is coordinated and effective.
How often will I need follow-up appointments?
Follow-up frequency depends on whether you’re starting new medication, how stable your condition is, complexity of your treatment, and your preferences.
Typical schedule:
– Weeks 1-8: Follow-ups every 2-4 weeks when starting or adjusting medication
– Months 3-6: Follow-ups every 4-6 weeks as symptoms stabilize
– Long-term: Follow-ups every 8-12 weeks once condition is stable
Even when feeling well, regular follow-up appointments are important for preventing relapse and monitoring for long-term side effects.
Can you refill medications prescribed by my previous psychiatrist?
Yes, we can continue medications prescribed by your previous provider once we complete an initial psychiatric evaluation and establish care.
Transfer of care process: Schedule initial psychiatric evaluation, bring current medication list to appointment, we’ll review your medications and treatment history, and if medications are appropriate, we’ll continue them.
For immediate medication needs before your first appointment, contact your previous provider for a short-term refill. We cannot prescribe medications without first conducting an evaluation.
What if I need urgent psychiatric care?
If you’re experiencing a psychiatric emergency or crisis:
Call 911 if you’re in immediate danger, having suicidal thoughts with a plan, or experiencing severe symptoms.
Call National Suicide Prevention Lifeline: 988 for 24/7 crisis support.
For urgent (non-emergency) psychiatric needs, call our office at (586) 510-4992. We offer urgent appointments for established patients when available.
Do you treat children or adolescents?
Currently, our psychiatry services are for adults only (ages 18 and older). We do not provide psychiatric medication management for children or adolescents at this time.
If you’re seeking psychiatric services for a child or teen, we recommend asking your pediatrician for a referral to a child psychiatrist or contacting Community Mental Health.
Our individual therapy services do include some therapists who work with adolescents.
Why Choose Michigan Counseling Group for Psychiatric Care?
Our PMHNP, Tejinder Singh, is board-certified in psychiatric-mental health nursing through the American Nurses Credentialing Center (ANCC). Board certification demonstrates advanced knowledge, clinical expertise, and commitment to ongoing professional development in psychiatric care.
Board-Certified Psychiatric Expertise
Our PMHNP, Tejinder Singh, is board-certified in psychiatric-mental health nursing through the American Nurses Credentialing Center (ANCC). Board certification demonstrates advanced knowledge, clinical expertise, and commitment to ongoing professional development in psychiatric care.
Integrated Care Approach
Unlike standalone psychiatric practices, Michigan Counseling Group offers both psychiatry services and individual therapy. This integrated model allows coordinated care between your psychiatrist and therapist, one location for all mental health services, comprehensive treatment addressing both medication and therapy needs, and better communication and treatment planning.
Research consistently shows that integrated care produces better outcomes than separate, uncoordinated services.
Convenient Location and Telehealth Options
Located in Warren, MI, we serve residents throughout Macomb County including Sterling Heights, Troy, Royal Oak, Madison Heights, Clinton Township, and surrounding communities. Our convenient location offers easy access, ample parking, professional office environment, and both in-person and telehealth appointment options.
Medicare, BCBS and more Accepted
We accept Medicare and Blue Cross Blue Shield commercial plans, making psychiatric care affordable and accessible. Many residents struggle to find psychiatric providers who accept insurance, particularly Medicare.
Our acceptance of major insurance plans means lower out-of-pocket costs, no need to pay upfront and wait for reimbursement, ability to use HSA/FSA funds, and coverage for both initial evaluation and ongoing care.
Getting Started with Psychiatry Services in Warren, MI
Taking the first step toward psychiatric treatment is an important decision. Whether you’re seeking medication management for the first time, transferring care from another provider, or exploring whether psychiatric treatment is right for you, we’re here to help. Next Steps:
1. Call to Schedule: Contact our Warren office at (586) 510-4992
2. Ask Questions: Our scheduling staff can answer questions about the process, insurance, and what to expect
3. Complete Intake: We’ll email intake paperwork before your appointment
4. Attend Evaluation: Meet with our PMHNP for comprehensive assessment 5. Begin Treatment: Start your personalized treatment plan Don’t wait to get the help you need. Mental health conditions are treatable, and medication management can significantly improve your quality of life. Contact Michigan Counseling Group today to schedule your psychiatric evaluation.
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