Depression
Personalized medication options may help reduce persistent low mood, loss of interest, sleep changes, and other symptoms of depression.
Explore DepressionNavigating psychiatric medications can feel overwhelming, but you don't have to do it alone. Whether you're currently on medication or exploring it for the first time, professional medication management ensures that your treatment is safe, effective, and fully aligned with your mental health goals.

When you're already taking psychiatric medications, ongoing support helps you stay on track. Regular check-ins ensure your treatment continues to work as intended, with adjustments made when needed. Side effects and concerns are carefully addressed to ensure your medications enhance your overall well-being.
Starting psychiatric medication can feel overwhelming. Medication management makes the process easier by helping you understand your options, setting realistic expectations, and tailoring recommendations to your unique circumstances. Professional support ensures that the medications prescribed align with your goals and fit seamlessly into a larger mental health plan.
If you're managing multiple diagnoses or facing treatment-resistant symptoms, personalized care is critical. Medication management ensures that your treatment plan considers every detail, providing a careful approach to medication selection and adjustments. This specialized focus ensures your care is as effective and safe as possible.
The result is a personalized diagnosis (if applicable) and tailored recommendations, which may include therapy, lifestyle adjustments, or medication options. This collaborative process ensures you feel supported every step of the way.
Conditions we commonly support
Medication can be one part of a thoughtful treatment plan. Our psychiatric providers evaluate symptoms, medical history, goals, benefits, and possible side effects with each client before recommending or adjusting medication.
Personalized medication options may help reduce persistent low mood, loss of interest, sleep changes, and other symptoms of depression.
Explore DepressionWe help clients consider evidence-based medication options for excessive worry, panic symptoms, and anxiety that interferes with daily life.
Explore AnxietyWhen clinically appropriate, medication management can support attention, organization, impulse control, and day-to-day functioning.
Explore ADHDOngoing monitoring and careful medication decisions can support mood stability while accounting for each client’s response and priorities.
Explore Bipolar DisorderTreatment recommendations are individualized and may include therapy, lifestyle support, or coordination with other clinicians. A psychiatric evaluation is the first step.
Learn about psychiatric evaluations
Justin T. Ray, PMHNP-BC, is a highly experienced psychiatric nurse practitioner and founder of South Chesapeake Psychiatry and Transforming Minds Interventional Psychiatry in Chesapeake, Virginia. A retired Navy veteran, he is known for his innovative approach to mental health care and dedication to improving the lives of individuals with complex psychiatric needs.

Amanda is a Psychiatric Mental Health Nurse Practitioner Board Certified (PMHNP-BC). She has over eight years experience as a PMHNP-BC and twenty-five years experience in mental health. Amanda is a Retired Navy Nurse.

I am a board-certified Psychiatric Mental Health Practitioner that provides comprehensive and holistic medication management and therapeutic interventions for clients experiencing psychiatric distress. My primary goal is to provide care that is specifically tailored to your needs and goals and create an environment where you feel understood and supported.
Book an initial appointment to discuss your mental health and medication needs.
Get tailored advice on the best medication options for your situation.
Attend follow-up appointments to ensure your treatment remains effective and safe.
Ensure your medications are optimized for your specific symptoms, benefit from expert adjustments to your treatment plan, and have access to compassionate care whenever you need it.
Find answers to common questions about our medication management process and what to expect.
Medication management involves monitoring and adjusting psychiatric medications to ensure they are safe, effective, and tailored to your needs.
It’s important to have professional guidance to manage dosages, monitor side effects, and make adjustments based on how the medication is working for you.
Your provider will review your current medications, discuss any symptoms or concerns, and adjust your treatment plan as needed.
Not necessarily. Your provider will assess your current regimen and only recommend changes if they’re needed.
Improvement in symptoms, better functioning, and regular feedback from you help determine effectiveness.
Let your provider know immediately. Adjustments can be made to minimize or eliminate side effects while maintaining effectiveness.
Stopping medications abruptly can lead to withdrawal symptoms or symptom relapse. Always consult your provider before making changes.
Medications prescribed under professional supervision are safe and tailored to your needs. Your provider will discuss risks and benefits.
It depends on your condition. Some people use medications temporarily, while others may benefit from long-term treatment.
Medication is just one option. Your provider will discuss all treatment options, including therapy and lifestyle changes, to find what works best for you.
Your provider will carefully review your history and work with you to find alternatives that may be more effective and tolerable.
Yes, with your consent, we can collaborate with other professionals involved in your care to ensure a comprehensive treatment approach.
Always discuss supplements or alternative treatments with your provider to ensure they don’t interact with your medications.
Spravato (esketamine) is a nasal spray medication derived from ketamine, used for treatment-resistant depression and acute suicidal ideation or behavior.
You can learn more on our SPRAVATO® treatment page.
Schedule an appointment today to get diagnosed, receive a prescription, and continue your journey towards mental peace.
