Coast to Coast Health Group Telehealth psychiatric care in Oregon

What we do

Psychiatric medication management

Psychiatric medication management across Oregon: a full evaluation, a plan you build together with your provider, and the same provider at every visit.

First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.

Book a first visit

Meredith personally reviews every appointment request and confirms within one business day.

What psychiatric medication management is

Medication management means the diagnosis, prescription, and ongoing monitoring of psychiatric medications: antidepressants, anti-anxiety medications, mood stabilizers, sleep medications, ADHD medications, and others. It's a medical service, distinct from therapy.

A good medication management relationship is an ongoing conversation about how you're doing, what's working, what isn't, and how to adjust. The medication is the intervention; the ongoing relationship is how it gets monitored, adjusted, and reconsidered over time.

This is what we do, and it's all we do: focused psychiatric medication management, not therapy or crisis care. That focus is the point.

How our approach is different

A full 60-minute first visit

Your first visit is a full hour. Meredith will ask about your symptoms, your history, what you've tried, and everything around the symptoms: sleep, relationships, life circumstances, medical history. There's time to understand your medication and the plan before you leave.

The same provider, every visit

You see Meredith. Every time. She knows your name, your history, and your story.

Decisions made together

Medication is one option among several, and whether to start is a decision you make together. You'll understand why a particular medication is being considered, what it does, what side effects to watch for, and what the plan looks like before anything is prescribed.

Coordinated care

If you have a therapist and you'd like them included, Meredith coordinates with them with your consent. If you have a PCP, she can coordinate with them too.

Transparent pricing

You know what it costs before you book. No insurance surprises. Cash-pay with superbills provided (upon request) for out-of-network reimbursement on commercial plans.

Conditions we treat

Psychiatric medication management across the conditions below. These are the ones we see most, not a complete list, so if you don't see your concern here, reach out and ask. Each condition page explains how we approach treatment specifically.

Anxiety
Generalized, panic, social, perimenopause-related
Depression
Major, treatment-resistant, grief-related, caregiver
ADHD
ADHD with or without co-occurring conditions
PTSD
Single-event, complex, moral injury, co-occurring
OCD
Coordinated with ERP therapy when you have it
Bipolar disorder
Bipolar I, II, cyclothymia: mood stabilizer management
Insomnia
Chronic insomnia, anxiety-driven, perimenopause-related
Life transitions and grief
Divorce, loss, empty nest, retirement, caregiver burnout

Pricing and logistics

First visit: 60 minutes, $400

Follow-up: 30 minutes, $250

Extended follow-up: 60 minutes, $375 (when you want more time)

Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.

Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.

No referral needed. Book directly.

Adults and minors. We see adults and minors; in Oregon, teens 14 and older can consent to their own outpatient mental-health care. Whether we're the right fit is confirmed at booking, person by person.

See full pricing details →

Questions about medication management

What's the difference between medication management and therapy?
Therapy is an ongoing conversation focused on processing, insight, and skills, usually with a psychologist or licensed therapist. Medication management is the medical side: diagnosis, prescribing, monitoring. Many people do both at the same time, with different providers. Meredith is not a therapist and won't replace one. If you have a therapist and want them kept in the loop, she can coordinate with them with your written permission.
What's the difference between a PMHNP and a psychiatrist?
The main difference is training. A psychiatrist is a physician (MD or DO) who completed medical school and a psychiatry residency. A PMHNP is a registered nurse with a master's or doctoral degree in psychiatric-mental health nursing, plus national board certification. Both diagnose psychiatric conditions and prescribe and manage medication, and in Oregon a PMHNP does that independently, without physician supervision. Here, care starts with a full 60-minute initial evaluation and continues with the same provider at every visit.
How does telehealth medication management work?
You meet with Meredith by video from anywhere in Oregon. Prescriptions go to the pharmacy of your choice electronically. Labs are ordered at a local lab if needed.
How often will I have follow-up visits?
Typically every 4 to 6 weeks early on, while we're finding the right medication and dose. Once you're stable, visits can be spaced to every 8 to 12 weeks, and sometimes further. The schedule reflects what you actually need.
What if my current medication is working and I just want to transfer care?
That's a common reason people come here. Maybe your prescriber retired, moved, or stopped taking your insurance. Maybe you want longer visits and the same provider each time. The first visit establishes your history and baseline; after that, maintenance continues at whatever interval fits your situation.
Is this a crisis service?
No. Coast to Coast is a scheduled outpatient practice. If you are in acute psychiatric crisis (thoughts of suicide or harm, severe inability to function), call 988 (the Suicide and Crisis Lifeline) or go to your nearest emergency department. For ongoing, scheduled care, this is the right place.

Your provider

Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she looks beyond the symptoms themselves and considers the stress, life circumstances, relationships, and other factors that may be affecting your mental health and daily life.

Read Meredith's full story →

Let's start with a conversation.

If you're looking for unhurried psychiatric care with the same provider each visit, we'd like to meet you.

Book a first visit Get in touch

Meredith personally reviews every appointment request and confirms within one business day.

See what to expect at your first visit →