Guided Transitions is an on-demand telehealth psychiatric urgent care service designed to provide timely mental health support when you cannot wait weeks or months for traditional psychiatric care.

Traditional psychiatry focuses on long-term treatment and ongoing medication management.Guided Transitions focuses on:Psychiatric urgent careShort-term stabilizationMedication concernsBridge refillsClarification and next stepsThis service does not replace an ongoing psychiatric provider.

Complete an intake request.Your request is reviewed.If appropriate, you will receive acceptance instructions.Payment is completed.A same-day telehealth visit is conducted.

Guided Transitions may be a good fit for individuals experiencing worsening symptoms, medication concerns, or difficulty accessing timely psychiatric care. Our service is designed for short-term psychiatric support and stabilization rather than ongoing long-term treatment.

Common reasons patients seek care include:AnxietyDepressionPanic symptomsStress-related concernsMood concernsSleep-related concernsMedication questions/concerns/side effectsTransitional mental health needs

No. While supportive therapeutic interventions may occur during a visit, this is not psychotherapy or counseling.

No. Prescriptions are never guaranteed. Medication decisions are based on clinical judgment, safety, and appropriateness.

Yes. Bridge refill visits may be available for individuals who are already established on a medication and need short-term assistance while transitioning to ongoing care.Please note:✓ You must already be taking the medication and be reasonably stable on your current treatment plan.✓ Approval of a bridge refill visit does not guarantee that a prescription will be issued.✓ Controlled substances, including stimulant medications, are not prescribed through Guided Transitions at this time.✓ Each request is individually evaluated based on clinical appropriateness and safety considerations.

No. Guided Transitions is a cash-pay practice. This allows for simplified pricing, increased flexibility, and reduced administrative barriers.

Because Guided Transitions provides on-demand psychiatric urgent care, there are no scheduled appointments.After you submit a request, it will be reviewed to determine whether the service is an appropriate fit for your needs. If approved, you will complete any required documents and payment before proceeding to your visit.Wait times vary based on demand and clinical capacity, but approved patients are generally seen as soon as possible during operating hours.

No. This service is designed for short-term psychiatric urgent care and stabilization.

At this time, Guided Transitions is focused exclusively on providing short-term psychiatric urgent care services.As the practice grows, additional service offerings may be considered. Any future expansion into ongoing outpatient psychiatric care will be announced on our website if and when it becomes available.

Guided Transitions is NOT an emergency service.If you are experiencing:Thoughts of harming yourselfThoughts of harming othersA mental health crisisA medical emergencyCall 911, contact 988, or go to the nearest emergency department.

Video visits typically last 30-60 mins. Every visit begins by listening to your concerns and gaining a clearer understanding of what brings you to care. Together, we will review your symptoms, relevant history, and treatment options to determine the most appropriate next steps.Whether you are experiencing a new mental health concern, a medication-related issue, or need a bridge refill, our goal is to provide thoughtful support, practical recommendations, and a clear path forward.

Guided Transitions Behavioral Health Urgent Care provides evidence-based psychiatric care to individuals of all backgrounds, beliefs, and faith traditions.For some individuals, faith and spirituality are important parts of their mental health journey. If a patient wishes to incorporate faith into their care, I am comfortable engaging in those conversations in a respectful and clinically appropriate manner. These discussions are always patient-led and never required.Examples of optional faith-sensitive support may include:Discussing how a patients faith, spiritual beliefs, or values intersect with their mental health concerns.Exploring spiritual strengths, sources of hope, or coping practices that are meaningful to the patient.Offering faith-based encouragement when requested.Providing relevant scripture passages for personal reflection.Recommending sermons, devotionals, podcasts, books, or other faith-based resources related to topics such as anxiety, depression, grief, fear, forgiveness, identity, or life transitions.Providing access to the practice Faith & Encouragement Resource Library, which contains optional educational and spiritual resources organized by topic.Including a patient on an optional prayer list maintained by the practice if they would like others to pray for a specific concern.Praying with or for a patient during a visit if the patient specifically requests it and it is clinically appropriate.Some patients appreciate receiving a Bible verse, devotional resource, orrecommendation to review later even if they do not wish to discuss faith during the visititself. Others may simply find comfort in knowing that spiritual support is available ifdesired. Participation is entirely voluntary.At the same time, Guided Transitions is not a religious counseling ministry, and faith- based discussion is not a routine component of treatment. Clinical evaluations, diagnoses, treatment recommendations, and medication decisions are grounded in evidence-based psychiatric practice and individualized to each patient needs.Whether you are a practicing Christian, belong to another faith tradition, are exploring spiritual questions, or do not identify with any faith background, you will be treated with dignity, respect, compassion, and without judgment.Faith-based resources and conversations are intended to complement—not replace—professional mental health treatment and are offered only at the patients request.

Yes. Telehealth psychiatric evaluations generally require two-way audio and video so identity, safety, and clinical needs can be appropriately assessed.​‌

Open Mondays & Wednesdays9:30 AM – 1:30 PM ET | 8:30 AM – 12:30 PM CT

No. Visit requests are only accepted during operating hours.To ensure timely review and response, the request form becomes unavailable when Guided Transitions is closed. If you visit the site outside of operating hours, you will see a message inviting you to check back when services reopen.Current Operating HoursMonday: 9:30 AM – 1:30 PM ET (8:30 AM – 12:30 PM CT)Wednesday: 9:30 AM – 1:30 PM ET (8:30 AM – 12:30 PM CT)Thursday: 9:30 AM – 1:30 PM ET (8:30 AM – 12:30 PM CT)

Guided Transitions operates with a limited-capacity model to help ensure thoughtful, individualized care.When maximum capacity has been reached, the visit request form will temporarily close and a message will be displayed asking you to check back later. Availability may open and close throughout operating hours based on current demand and clinical capacity.

Guided Transitions currently provides telehealth services to patients located in Iowa during their visit.Expansion into North Carolina is planned by the end of 2026. Updates regarding additional service areas will be posted on our website as they become available.

No. Guided Transitions does not provide psychological testing or formal diagnostic assessments such as:Autism evaluationsLearning disability testingIQ testingNeuropsychological testingCourt-ordered evaluationsIf psychological testing is needed, recommendations for appropriate community resources may be provided when available.

Guided Transitions may prescribe or provide bridge refills for certain non-controlled psychiatric medications when clinically appropriate. Examples may include medications commonly used to treat:DepressionAnxiety disordersPanic symptomsPTSD-related symptomsOCDSleep difficulties related to mental health conditionsMood-related concerns Examples of medications that may be considered include:SSRIs: Sertraline (Zoloft), Escitalopram (Lexapro), Fluoxetine (Prozac)SNRIs: Venlafaxine (Effexor XR), Duloxetine (Cymbalta)Other antidepressants: Bupropion (Wellbutrin XL), Mirtazapine (Remeron)Anxiety medications: Buspirone (Buspar), HydroxyzineSleep medications: Trazodone, Melatonin, RamelteonOther psychiatric medications: Prazosin, Propranolol, Aripiprazole (Abilify) in limited situations Please note: Medication recommendations are individualized and based on your symptoms, treatment history, medical history, safety considerations, and clinical appropriateness. A visit does not guarantee that medication will be prescribed.

Guided Transitions does not prescribe, initiate, continue, or refill controlled substances, including:ADHD stimulant medications (Adderall, Vyvanse, Concerta, Ritalin, etc.)Benzodiazepines (Xanax, Ativan, Klonopin, Valium, etc.)Zolpidem (Ambien) and other controlled sleep medicationsOpioidsAny Schedule II-V controlled substanceSome medications require laboratory monitoring or ongoing medical oversight and may not be appropriate for management through a psychiatric urgent care model. Medication decisions are made on a case-by-case basis based on safety, monitoring requirements, and clinical appropriateness.