Our Approach
One clinician, your whole course of care
The clinician who starts your care is the one who stays with it, through every visit, not just the first. No rotating panel of prescribers, no retelling your history to a stranger every few months.
Care at Cognia is built on three things: continuity, depth, and a real plan you can watch take shape over time.
Three commitments behind every visit
The same clinician, every visit
Your history lives in one person's memory, not a chart skimmed for ninety seconds before the call. The clinician who completes your evaluation is the clinician you see at every follow-up. Over months and years, that means less re-explaining and more progress, because the person across the screen already knows your story.
Time to understand, not just adjust
Evaluations run 60 to 90 minutes and follow-ups run 30 to 60. That is time to understand the person, not only the prescription. We talk about your relationships, your work, your history, and how all of it connects to what you are feeling, because lasting change rarely comes from a dose change alone.
A plan you build, and return to
Care here is a long-term, considered treatment plan, not a prescription-renewal loop. We set it together, revisit it as your life changes, and refine it with you. You always understand what we are doing and why, and where the plan goes next.
What a course of care looks like
Care begins with an unhurried evaluation: a long first conversation about your life, your history, and what brings you here. Nothing about that first visit is rushed, because the rest of the work depends on getting the understanding right.
From there, we build a treatment plan together. You bring the knowledge of your own life; I bring clinical training and pattern recognition. When medication has a role, I explain the reasoning and what to expect.
Follow-ups are with the same clinician, every time. We track how the plan is working, revisit it as your circumstances change, and adjust with you rather than around you.
Questions patients ask
A few things worth knowing before care begins. For fees and out-of-network reimbursement, see fees and insurance.
Yes. Cognia is a solo practice, so the clinician who completes your evaluation is the one you see at every follow-up. There is no rotating panel of prescribers and no handoff between visits. Your history stays with one person who knows it.
Initial evaluations run 60 to 90 minutes and follow-up appointments run 30 to 60 minutes. That is considerably longer than a typical medication check, which leaves room to understand the whole picture rather than only adjusting a dose.
Cognia is a private-pay, out-of-network practice. Working outside insurance networks keeps appointments long and keeps care decisions between you and your clinician rather than shaped by panel quotas. You receive a superbill after each visit to submit to your insurer for any out-of-network reimbursement your plan allows.
More about Cognia
Join the waitlist
Cognia is not accepting new patients right now. Completing a brief pre-screening form adds you to the waitlist, and we will reach out when we are able to take new patients. Your information goes straight to our secure records system.