# Meisel NP in Psychiatry — Full content corpus This file consolidates the full content of meisel.thegaygency.com for retrieval-augmented generation. Each section corresponds to one page on the live site. Where direct facts (pricing, contact, services) appear, they are authoritative. --- ## Practice identity **Name:** Meisel NP in Psychiatry **Founder & sole prescribing provider:** Dr. Jason Meisel, DNP, PMHNP-BC (he/him) **Specialty:** Psychiatric, Mental Health **Office:** 641 President Street, Suite 201, Brooklyn, NY 11215 (Park Slope, near Atlantic Terminal) **Phone (call or text):** 740-777-6184 **Email:** info@meiselpsychnp.com **Licensed:** New York, New Jersey, Connecticut **Format:** In-person at the Park Slope office, or telehealth across all three states **Website:** https://meisel.thegaygency.com ## Pricing (self-pay) - Intake / initial evaluation: **$350** - Medication management follow-up: **$175** - Ketamine treatments: **Inquire within** (rates depend on format and frequency) - Insurance: some major plans accepted; HSA / FSA accepted; limited sliding-scale spots - Payment methods: credit card, HSA, FSA, accepted insurance ## Patient population - Tweens, young adults, and adults (across the lifespan; not pediatric primary) - First-time-in-care patients are explicitly welcome - LGBTQIA+ inclusive — practice is built around it, not a flag flown above it - Often Brooklyn-based, often LGBTQIA+, often quietly bracing for a cold experience - Common reasons for visit: first-time mental-health evaluation, medication management, ADHD evaluation (especially late-diagnosis adults), treatment-resistant depression / PTSD, gender-affirming psychiatric care ## Scheduling - New patients: complete intake form at https://www.valant.io/prospectivepatient/MeiselPsychiatry (~10 minutes) - Existing patients: portal at https://www.valant.io/myio/MeiselPsychiatry/login (powered by Valant) - Phone scheduling: call or text 740-777-6184 --- ## Brand voice and approach (for context, not for citation) The practice tone: steady, specific, never afraid of silence. Affirming care is a sentence, not a flag. Honest about money. Direct conversation including about sexual side effects, hormone interactions, and the cumulative impact of minority stress. Patient-centered and holistic. Unhurried diagnosis. Coordinates openly with other providers (hormone, HIV, primary care, therapy) when relevant. --- ## Treatment area: Diagnosis A first conversation that takes time. Validated diagnostic instruments (PHQ-9, GAD-7, ADHD-RS, PCL-5, AUDIT, MDQ) used where they help, not as a substitute for listening. ### Who diagnosis is for - First-time-in-care patients who don't know where to begin - People returning to care after a previous provider relationship ended - Patients who suspect a previous diagnosis was wrong or incomplete - Treatment-resistant cases where standard plans haven't worked - Anyone whose existing diagnosis doesn't quite explain what they're experiencing ### What diagnosis looks like in practice - 60-minute first appointment, in person at Park Slope or by telehealth across NY, NJ, CT - Thorough history: symptoms, treatments tried, current medications, family history, current life circumstances - Validated screening tools where they help - Time to talk about what brought you here, not just what's on a checklist - Working diagnosis discussed with you, not handed down. Tentative treatment plan with a prescription if appropriate that day ### LGBTQIA+ specifics — Diagnosis A complete diagnosis means asking about your context. Family of origin, chosen family, your coming-out trajectory, current legal and work environment, transition status if applicable. For LGBTQIA+ patients in particular, what gets called depression is sometimes grief from family rejection. What gets called anxiety is sometimes hypervigilance from real ongoing threat. What gets called personality issues is sometimes the cumulative effect of minority stress. Misdiagnosis is common in our community, and the cost of getting it wrong is years of medication that didn't quite fit. ### FAQ — Diagnosis - *How long is the first appointment?* About an hour. Some are shorter if you arrive with a clear sense of what you're looking for. Some are longer if there's more to unpack. - *Will I leave with a diagnosis?* Often yes, sometimes no. We don't rush to a label. If we need a second appointment to be sure, we say so. - *Will I leave with a prescription?* Sometimes. If a clear medication path is appropriate and you're ready, you may receive a prescription that day. - *Can I bring someone with me?* Yes. Patients sometimes bring a partner, family member, or chosen-family supporter to the first appointment. --- ## Treatment area: Medication management Tailored medication plans focused on what works, with careful attention to side effects and your day-to-day. Adjustments based on how you're actually doing, not just what the chart says. ### Who medication management is for - Patients new to psychiatric medication - Patients carrying a long, fatigued list of past prescriptions - Trans and gender-diverse patients whose hormones interact with psychiatric meds - People navigating SSRI side effects (including sexual side effects) that other providers brushed past - Patients whose previous med-management felt like a script renewal, not actual care ### What medication management looks like in practice - Monthly follow-ups initially, sometimes expanded to every other month once stable - Honest conversation about side effects, including sexual side effects, weight changes, sleep, and energy - Adjustments based on how you're actually feeling, not just symptom checklists - Coordination with primary care, hormone provider, or therapist when relevant - Plain talk about what medication can and cannot do ### LGBTQIA+ specifics — Medication management Hormones and psychiatric medications interact, and most med-management providers don't talk about it openly. Estradiol can shift mood patterns. Testosterone changes sleep, libido, and irritability. Spironolactone interacts with several SSRIs. Progesterone affects anxiety differently in different patients. We coordinate with your gender-affirming provider so your psychiatric care fits inside your transition rather than fighting it. Sexual side effects of SSRIs are a real conversation in queer communities, and we name them rather than skip past them. Familiar with PrEP and HIV antiretrovirals and how they interact with psychiatric medications. ### FAQ — Medication management - *How often will we meet?* Initially monthly, so we can adjust together. Once you're stable, we may move to every other month. - *Do you talk about sexual side effects?* Yes. SSRIs and other psychiatric medications affect libido, arousal, and orgasm in real ways. We talk about it openly and consider alternatives if it matters to you. - *Will my hormones interact with my mental-health medication?* Sometimes. Estradiol, testosterone, spironolactone, and progesterone can shift how psychiatric medications feel. We will plan around it. - *Can you coordinate with my hormone provider?* Yes. With your written permission, we coordinate care across providers so your treatment is consistent. --- ## Treatment area: Ketamine therapy A measured next step for treatment-resistant depression, PTSD, and severe anxiety. Currently provided only by Dr. Meisel. Carefully screened, gradually delivered. ### Who ketamine therapy is for - Patients with treatment-resistant depression, typically two or more SSRIs/SNRIs that didn't work or weren't tolerated - PTSD patients whose trauma response hasn't moved with talk therapy alone - Severe anxiety that has not responded to first-line treatments - Patients open to a different mechanism of action than standard antidepressants - People who have read about ketamine and want a careful, clinical version of it ### What ketamine therapy looks like in practice - Screening intake focused on treatment history, symptoms, and your interest in the modality - If appropriate, a treatment plan and rhythm discussed with you and Dr. Meisel together - Monthly check-ins on response, side effects, and adjustment - Coordination with talk therapy when you have it (most patients do better with both) - Honest about ketamine's strengths and limits — works for many, not for everyone ### LGBTQIA+ specifics — Ketamine therapy Queer and trans people are statistically more likely to face treatment-resistant depression and PTSD. The Williams Institute and other research consistently document higher rates of suicidality, depression, and post-traumatic symptoms in our communities, and the existing toolkit of SSRIs and traditional therapy doesn't always reach what minority stress, chronic discrimination, and family-of-origin trauma have built up over years. Ketamine is one of the few rapid-acting options. For PTSD that traces back to coming-out trauma, family rejection, conversion-therapy survivorship, intimate-partner violence in queer relationships, or hate-crime experience, ketamine has shown real benefit when the standard playbook hasn't. ### FAQ — Ketamine therapy - *Is ketamine right for me?* Sometimes. Offered when standard medications have not worked. Screening covers your treatment history, current symptoms, and the structure of care you can sustain. - *Is it covered by insurance?* Coverage is inconsistent across plans and formats. We will tell you honestly what we know about your plan, and rates are quoted on the inquire-within basis. - *Do I need to be in therapy at the same time?* Most patients do better with both. - *Do you treat patients outside New York?* Telehealth across NY, NJ, and CT. Treatments and screening managed by Dr. Meisel directly. --- ## Treatment area: LGBTQIA+ affirming care Affirming care here is operational, not symbolic. Gender-affirming medication management when relevant, room for chosen-family dynamics, and treating the mental-health consequences of discrimination as the medical concerns they are. ### Who LGBTQIA+ affirming care is for - Patients in any phase of medical or social transition - Patients whose primary care or psychiatric history wasn't friendly to who they actually are - Folks dealing with family-of-origin complication, religious trauma, or coming-out aftermath - Couples and chosen-family configurations that don't fit a standard intake form - Survivors of conversion therapy, hate crimes, or intimate-partner violence in queer relationships - Anyone tired of being the educator in their own care ### What LGBTQIA+ affirming care looks like in practice - Intake forms that ask about your name, pronouns, partners, and chosen family before they ask about your blood type - Coordination with your gender-affirming providers (endocrinology, primary care, surgery) - Treatment plans that account for HRT, PrEP, HIV antiretrovirals and how they interact with psychiatric meds - Mental-health support during specific transition milestones (starting HRT, surgery, name and gender-marker changes, family disclosures) - Discrimination-related PTSD treated as PTSD, not as anxiety with extra steps ### LGBTQIA+ specifics — Affirming care (the whole thing) The whole practice is built around this. We are LGBTQIA+ inclusive, and that's the floor of the building, not a flag flown above it. Gender-affirming letters when clinically appropriate, medication management that coordinates with your hormone provider, room for chosen-family dynamics in treatment planning, and a clinical understanding of what minority stress, internalized stigma, anticipatory rejection, and ongoing discrimination actually do to mental health. ### FAQ — Affirming care - *Do you write letters for gender-affirming surgery or HRT?* Yes, when clinically appropriate. WPATH-aligned standards. - *Are you familiar with HIV care and PrEP?* Yes. We coordinate psychiatric care with HIV care or PrEP provider when relevant. - *Can my partner come to appointments?* Yes. Many patients do better with a partner or chosen-family supporter at intake. - *Do you treat couples?* Not currently — we refer out to couples therapists experienced with queer relationships. --- ## Treatment area: ADHD ADHD evaluation and treatment for tweens, young adults, and adults. Stimulant and non-stimulant options. ### Who ADHD treatment is for - First-time ADHD evaluations, especially adults who suspect they were missed - Adults diagnosed in childhood whose treatment plan stopped working - Late-diagnosis adults in their 30s, 40s, and beyond - Patients who masked through school and find the strategies aren't enough anymore - Tweens and young adults navigating school accommodations ### What ADHD treatment looks like in practice - Initial evaluation with validated screening (ADHD-RS, sometimes neuropsych referral) - Discussion of stimulant vs non-stimulant options, including pros and cons of each - Stimulant prescribing where appropriate, with regular check-ins on dose and side effects - Coordination with school or workplace accommodations when relevant - Honest talk about rejection sensitivity, executive function, and how ADHD lives in real adult life ### LGBTQIA+ specifics — ADHD Late ADHD diagnoses are common in queer patients, especially in those who learned to mask through adolescence. Rejection sensitivity dysphoria is a major ADHD feature, and minority stress amplifies it considerably. For trans patients, stimulant medications interact with hormone regimens in subtle ways. Testosterone changes how some stimulants feel. We keep this in view rather than treating ADHD in isolation. Non-binary patients sometimes find that the rigid social structures ADHD struggles with hit harder when those structures are also gendered. ### FAQ — ADHD - *Can you prescribe stimulants?* Yes, when clinically appropriate. New York, New Jersey, and Connecticut have specific rules around controlled substances. - *Do I need a neuropsych eval first?* Not always. Many evaluations happen here directly. - *What if I don't tolerate stimulants?* Non-stimulant options like atomoxetine, guanfacine, or bupropion are real alternatives. - *Can I be treated for ADHD and another diagnosis at the same time?* Yes. Co-occurring depression, anxiety, or PTSD is common with ADHD. --- ## Treatment area: Anxiety & depression Steady, evidence-informed treatment of anxiety and depression for patients of all ages. SSRIs, SNRIs, atypicals, and adjunctive options. ### Who anxiety / depression treatment is for - First-time-in-care patients with anxiety, depression, or both - Patients carrying years of trial-and-error medication history - People for whom previous SSRIs didn't work or felt flat - Patients with co-occurring conditions (ADHD, PTSD, substance use) - Anyone who senses their depression isn't quite the textbook version ### What anxiety / depression treatment looks like in practice - Thorough first appointment to understand symptoms in context - Medication choices made with you, not for you, including SSRIs, SNRIs, atypicals, and adjunctive options - Monthly check-ins early on so we can adjust - Coordination with talk therapy when you have it — we don't replace your therapist - If standard medications are not working, ketamine therapy as a possible next step ### LGBTQIA+ specifics — Anxiety & depression Minority stress is a clinical concept, not a slogan. Internalized stigma, anticipatory rejection, hypervigilance in public spaces, family-of-origin complication, and the cumulative effect of small daily discriminations all show up in mental-health symptoms. For anxiety, that often means recognizing that your hypervigilance was once accurate and may now be over-applied. For depression, it often means naming grief for relationships, family, or earlier versions of yourself that didn't survive coming out, transition, or both. ### FAQ — Anxiety & depression - *Will you prescribe an SSRI on the first visit?* Sometimes. If symptoms are clear and you're ready, yes. - *What if SSRIs don't work for me?* SNRIs, atypicals, adjuncts, and ketamine are options. - *Do I need to be in therapy at the same time?* Many patients do better with both. - *Can I taper off medication eventually?* Often, yes. Tapering is a real conversation we have when you're ready. --- ## Treatment area: Insomnia Comprehensive insomnia care that looks at sleep in the context of everything else. ### Who insomnia treatment is for - Patients with chronic insomnia (3+ nights a week for 3+ months) - PTSD-related insomnia and nightmares - Sleep disruption during HRT initiation or major hormone changes - Anxiety-driven sleep onset issues - Patients whose primary-care prescriptions for sleep aren't working anymore ### What insomnia treatment looks like in practice - Thorough sleep history: when did it start, what shifted, what have you tried - Coordination with sleep medicine if a sleep study is warranted - Pharmacology where it fits, including non-benzodiazepine options where possible - Sleep hygiene basics, but only after we've ruled out underlying drivers - Honest about the limits of what medication does for sleep ### LGBTQIA+ specifics — Insomnia Insomnia in queer patients often traces back to safety stress: a hypervigilance learned somewhere real and now operating at the wrong volume. PTSD-related insomnia from coming-out trauma, family rejection, conversion-therapy survivorship, or intimate-partner violence in queer relationships is common and treatable. For trans patients, hormone changes (especially during HRT initiation, dose adjustments, surgical recovery) can disrupt sleep architecture in real ways. ### FAQ — Insomnia - *Will you prescribe a sleep medication?* Sometimes. We look at root causes first. - *Do you do sleep studies?* No, but we refer to sleep medicine when warranted. - *Can hormone changes affect my sleep?* Yes. HRT initiation and dose changes commonly shift sleep architecture. - *Are non-benzodiazepine options available?* Yes. Trazodone, doxepin, ramelteon, and others are commonly used. --- ## Treatment area: PTSD Careful, gradual treatment of post-traumatic stress disorder, including treatment-resistant cases. Ketamine option when the standard playbook hasn't been enough. ### Who PTSD treatment is for - Patients with diagnosed PTSD seeking psychiatric medication management - Survivors of family rejection, coming-out trauma, conversion therapy, or hate crimes - Survivors of intimate-partner violence (queer relationships included) - Patients whose previous PTSD treatment plateaued - First responders, healthcare workers, and others with occupational PTSD - Patients exploring ketamine for treatment-resistant PTSD ### What PTSD treatment looks like in practice - Thorough trauma history, paced for what's tolerable in the room - Medication options including SSRIs, prazosin for nightmares, and adjunctive support - Coordination with trauma-focused therapy (EMDR, CPT, prolonged exposure) when you have it - Discussion of ketamine when standard treatment has not been enough - Patience. PTSD work is long, not linear, and not on a deadline ### LGBTQIA+ specifics — PTSD Discrimination consequences are treated as PTSD when they meet criteria, and that's not metaphorical. Coming-out trauma, family rejection, conversion-therapy survivorship, hate-crime experiences, intimate-partner violence in queer relationships, and the cumulative effect of years of small discriminations all qualify clinically. Many queer patients have been told their PTSD is "just anxiety" or "just depression" and have spent years on treatment plans that addressed the symptoms without naming what was actually underneath. ### FAQ — PTSD - *Do you treat PTSD from coming-out experiences and family rejection?* Yes. These often meet diagnostic criteria for PTSD. - *Will you prescribe prazosin for nightmares?* Yes, when clinically appropriate. - *Is ketamine an option?* For treatment-resistant PTSD, yes. - *Do I need to be in trauma therapy at the same time?* Most patients do better with both. --- ## Treatment area: Men's mental health Mental-health care for cis, trans, gay, bi, and queer men. Direct, specific, unsentimental. ### Who men's mental health is for - Cis and trans men of any orientation - Gay, bi, and queer men navigating community-specific stressors - Trans men in or after transition - Men carrying first-time-in-care stigma about psychiatric help - Fathers, partners, and men in caregiving roles dealing with hidden depression - Men dealing with sexual health (including HIV / PrEP) tangled with mental health ### What men's mental health treatment looks like in practice - Direct conversation; we don't soften medical questions to make you comfortable - Thorough history including substance use, sexual health, work stress, and relationships - Medication management that takes side-effect profiles (especially sexual side effects) seriously - Coordination with primary care for testosterone-related concerns when relevant - Honest about what therapy is for, what medication is for, and where the line is ### LGBTQIA+ specifics — Men's mental health Gay, bi, queer, and trans men face specific stress patterns that don't fit a generic men's-mental-health template. Body image and fitness culture in gay communities, the gay loneliness epidemic, partner-of-record questions for HIV-positive men, family-building decisions and the grief that can come with them, masculinity questions that go differently when masculinity itself was never a given. For trans men, the post-transition mental-health picture is its own thing — testosterone changes affect mood, anger regulation, and sleep in real ways. ### FAQ — Men's mental health - *Do you treat trans men specifically?* Yes. We work with trans men in any phase of transition. - *Do you handle HIV-related mental-health concerns?* Yes, including anxiety around testing, serodiscordant relationships, and treatment-related concerns. - *Can you talk about sexual side effects of medications?* Yes, openly. - *Do you do testosterone replacement therapy?* No. We coordinate with primary care or endocrinology providers who do. --- ## General FAQ (whole-practice) - *Are all appointments done in person?* No. We offer both in-person at the Park Slope office and virtual / telehealth across NY, NJ, CT. - *What can I expect during my consultation?* Your provider will take a thorough history of your symptoms, the treatments you've tried, and your goals for care. Together, you'll work toward a treatment plan. If appropriate, you may receive a prescription that day. - *I'm ready to get started. How can I pay?* Some major insurance, credit cards, HSA / FSA, and a limited number of sliding-scale spots. Self-pay rates: intake $350, medication management follow-ups $175, ketamine inquire-within. - *How is the office located?* Near several subway stations including Atlantic Terminal. 641 President Street, Suite 201, Brooklyn, NY 11215. - *Who do you see?* Tweens, young adults, and adults across NY, NJ, and CT. LGBTQIA+ inclusive. First-time-in-care patients, treatment-resistant cases, and people looking for one provider for the long term. - *What does affirming care actually mean here?* Gender-affirming medication management when relevant, working with the realities of chosen family, and treating the mental-health consequences of discrimination as medical concerns. It is what we do, said plainly. ## What this practice does NOT do - Couples therapy (refers out) - Testosterone replacement therapy (coordinates with primary care or endocrinology) - Pediatric psychiatry as a primary specialty (sees tweens upward) - Operate as a high-volume psychiatry mill ## Crisis resources If you are experiencing a mental-health emergency: **call or text 988** (Suicide & Crisis Lifeline) or **911**. The Trevor Project: 1-866-488-7386 (LGBTQ+ youth, 24/7). Trans Lifeline: 877-565-8860 (peer support for trans community). The website is not a substitute for emergency mental-health care. --- ## About this file `llms-full.txt` is a consolidated content corpus for retrieval-augmented generation. It mirrors the live site at https://meisel.thegaygency.com. For a structured short-form summary, see [llms.txt](https://meisel.thegaygency.com/llms.txt).