Virtual/Online medication management — Telehealth in 34 states + DC

Functional Psychiatry, Integrated With Your Medication Care

Medication is one lever — an important one, but not the only one. At PsychMed Care, your prescription sits inside a whole-person plan: targeted labs, genetic testing, evidence-based supplements, brief focused therapy, and the foundations of sleep, nutrition, and movement.

The Whole-Person Lens

Functional psychiatry starts with a simple question: why are these symptoms happening? Before assuming the answer is only a medication gap, we look at the whole picture — sleep, nutrition, movement, and physical health alongside the prescription. Sometimes the most psychiatric thing we can do is find the thyroid problem, the B12 deficiency, or the sleep disorder driving the symptoms.

This is still medication management — precise, careful prescribing is the core of the practice. It is medication management that refuses to treat the rest of your health as someone else’s department.

Targeted Labs Through LabCorp

When the picture calls for it, targeted labs through LabCorp check the physical drivers that influence mental health:

  • Thyroid
  • Vitamin B12
  • Folate
  • Vitamin D
  • Iron
  • Metabolic Markers
  • Inflammatory Markers

Results feed directly into the plan — sometimes they change the prescription, sometimes they explain why the last one never quite worked.

GeneSight Pharmacogenomic Testing

Why did one antidepressant work for your sister and do nothing for you? Part of the answer is genetic. GeneSight is a simple cheek-swab test that shows how your genes may affect your response to psychiatric medications — which ones your body is likely to process well, and which deserve extra caution.

As a GeneSight provider, Dr. Winner uses those results to choose and dose medication with less trial and error — precision instead of guesswork.

An open journal, representing careful notes and a personalized treatment plan

Supplement Support, Where Evidence Supports It

Supplements are part of the plan where the evidence supports them — recommended deliberately, dosed deliberately, and reviewed at every visit like any other part of your treatment. The supplements most often part of a PsychMed Care plan include:

  • Magnesium Glycinate
  • L-Theanine
  • N-Acetylcysteine (NAC)
  • Low-Dose Lithium Orotate
  • Omega-3s

Recommended supplements are dispensed through Fullscript, so what you take is quality-controlled and tracked in your plan. Supplements support the plan — they don’t replace careful prescribing, and anything that isn’t helping gets stopped.

Brief Focused Therapy, Built Into Every Visit

Every visit at PsychMed Care — including 30-minute medication follow-ups — includes brief focused therapy: solution-focused work on what is actually happening in your life and what to do about it this week, not just a symptom checklist and a refill.

It is one reason follow-ups here are a full 30 minutes. Medication decisions get better when they’re made with the whole story in the room.

Ready When You Are

Book a 60-minute intake appointment with Karel Winner, DNP, PMHNP-BC. Follow-ups are a full 30 minutes — real visits, not refill stops.