Solutions Psychiatry · San Francisco · New York · Austin · Beaverton · Ogden · Alexandria · New Orleans
One psychiatry practice, two ways in.
Solutions Psychiatry is a telehealth-first psychiatry practice with offices in San Francisco, New York, Austin, Beaverton, Ogden, Alexandria, New Orleans and New Orleans. Care comes through two doors: the full practice at psych.us, where one clinician handles both therapy and medication, and PsychMed Care, a dedicated home for medication management only. This site is the front desk for both. Locations, insurance, fees and booking live here.
One practice, two ways in
Start at the door that fits what you need.
One practice, two ways in. Therapy plus medication care lives at psych.us. Medication management only lives at psychmedcare.com. Locations, insurance, fees, and booking for both live here.
Therapy and medication care
Psychotherapy, or therapy and prescribing together, from one clinician who hears the whole story. This is the full practice, including OCD and trauma care.
Medication management only
A dedicated prescribing practice: careful evaluation, precise medication work, GeneSight testing and labs when they help, and Follow-up Appointments with real time in them.
How the practice runs
A small practice, run on purpose.
One clinician
Every visit is with Karel Winner, DNP, PMHNP-BC: a doctorate from Vanderbilt University, psychiatric training at the University of Tennessee, and two decades in medicine. No rotating roster, no handoffs between strangers. The person you meet at the Comprehensive Initial Appointment is the person who knows your chart at every visit after.
Telehealth first
Visits happen by secure video across 34 states and Washington DC, so care continues if you move, travel, or change jobs. Seven offices anchor the practice on the ground. One note for patients prescribed controlled substances: federal and DEA rules can require an in-person visit, typically once a year, and when that applies we arrange it in the state where you are, planned well ahead of time.
Verified before you start
Insurance is checked before the first appointment, and you hear your exact copay before you commit to anything. Fees are published, not negotiated. And because health information deserves better than a web form, booking and intake run through IntakeQ, a system built for medical privacy.
Offices
Seven offices, one phone number.
The practice keeps a local home in seven cities. Everywhere else, the same clinician reaches you by telehealth.
San Francisco
220 Montgomery St #600
San Francisco, CA 94104
Financial District, at Montgomery and the bay side of downtown.
New York
276 Fifth Ave Suite 604
New York, NY 10001
Midtown Manhattan, on Fifth Avenue at the edge of the Flatiron District.
Austin
5900 Balcones Drive STE 100
Austin, TX 78731
Northwest Hills, on Balcones Drive in northwest Austin.
Beaverton
10700 SW Beaverton Hillsdale Hwy, Suite 560
Beaverton, OR 97005
On Beaverton Hillsdale Highway. The in-person office for Oregon patients.
Ogden
707 24th St, Suite 1A
Ogden, UT 84401
On 24th Street. The in-person office for Utah patients.
Alexandria
1737 King St, Suite 330
Alexandria, VA 22314
On King Street. The in-person office for Virginia patients.
New Orleans
627 Opelousas Avenue
New Orleans, LA 70114
In Algiers Point, on Opelousas Avenue. The in-person office for Louisiana patients.
Not near an office? See how locations and telehealth fit together.
Insurance
In network with the majors, verified before visit one.
Send your insurance card when you book. We run the eligibility check, confirm whether the practice is in network for your specific plan, and tell you the exact copay before your first visit, not after. For most patients here, that copay lands between $0 and $40.
Plans we work with
See how coverage and verification work · Medicare psychiatry, state by state
Plan not listed? We also check out-of-network benefits for plans the practice is not contracted with, and self-pay rates are published below, so there is always a known number before you start.
Fees
Published prices. No surprises later.
New patient Comprehensive Initial Appointment
$350 self-pay
A full 60 minutes: your history, your current medications, your records, and a plan you help shape before the hour ends.
Follow-up Appointment
$250 self-pay
Thirty minutes, every time. Enough room to review how a medication is actually working and adjust it with care.
With insurance
$0 to $40 typical copay
Most in-network patients pay a copay in this range per visit. We confirm your number before the first appointment.
Your first month
How getting started actually goes.
Before the visit
You book on IntakeQ, complete the intake forms, and send your insurance card. We run the eligibility check right away and tell you your exact copay. If anything about coverage is unclear, you hear it from us before the appointment, while there is still time to decide.
The Comprehensive Initial Appointment hour
Sixty minutes with your clinician: your history, the treatments you have already tried, what helped, what did not, and what you want care to do for you. By the end of the hour there is a plan, and it is one you helped make.
Settling in
Follow-up Appointments are scheduled at a rhythm that matches the plan, usually every few weeks at first. Between visits, the patient portal and Spruce carry your messages, and your records, labs and medication history stay in one chart that your clinician actually reads.
Your clinician
One name on the door.
Solutions Psychiatry is the practice of Karel Winner, DNP, PMHNP-BC. A Vanderbilt doctorate, psychiatric training at the University of Tennessee, and two decades in medicine stand behind both doors of this practice. There is no call center and no intake department: the clinician who treats you is the clinician who runs the practice, and his standards are the ones every page of this site describes. More about the practice.
Ready when you are.
New patient Comprehensive Initial Appointments run 60 minutes. Follow-up Appointments run 30. Booking happens on IntakeQ, and every plan is verified before the first visit.