Psychiatric Medication Management
Comprehensive evaluation and ongoing medication management for anxiety, depression, ADHD, mood disorders, and insomnia, with careful monitoring and ongoing follow-up.
Now accepting new adult patients in Virginia
Psychiatric care that looks at the whole you.
Telehealth psychiatric medication management and metabolic care for adults in Virginia, delivered with thoughtful follow-up.
- Secure, private video visits
- Dual board-certified
- Adults 18+
Hiral Patel
PMHNP-BC · FNP-BC
What we offer
Care for mind and body, together
Mental health, sleep, metabolism, and medications are deeply connected. Our care is designed around that reality.
Metabolic & Weight Care
Medical support for metabolic health and weight concerns, with attention to how medications, mood, sleep, and metabolism interact.
Safe & Thoughtful Prescribing
Emphasis on evidence-based treatment, appropriate dosing, side-effect monitoring, and clear communication to support long-term stability.
Collaborative, Patient-Centered Approach
Care plans are individualized and developed collaboratively, with respect for patient goals, preferences, and overall well-being.
Conditions we treat
Support for the concerns adults bring to us most
Not sure if your concern fits? Request an appointment and we'll help you figure out whether our care is the right match, or point you toward a better-suited resource.
Request an appointmentAnxiety
Generalized anxiety, panic, social anxiety, and persistent worry.
Depression
Low mood, loss of interest, fatigue, and treatment-resistant symptoms.
ADHD
Adult attention, focus, and executive-function challenges.
Mood Disorders
Bipolar spectrum and mood instability, with close monitoring.
Insomnia & Sleep
Difficulty falling or staying asleep and its effect on mood.
Metabolic & Weight
Weight concerns, including medication-associated weight gain.
Our approach
Thoughtful care, from first visit to follow-up
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01
Comprehensive Assessment
We take time to understand your symptoms, medical history, current medications, and overall health before recommending treatment.
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02
Thoughtful Care Planning
Treatment decisions are evidence-based and individualized, with attention to safety, clarity, and realistic expectations.
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03
Ongoing Support
Care includes consistent follow-up to monitor progress, address concerns, and adjust treatment as needed.
Telehealth visits
Expert care from wherever you are in Virginia
Visits take place over a secure, HIPAA-compliant video platform. No commute, no waiting room, just focused time with your provider.
Before your first visit
- Complete intake forms in the secure patient portal
- Have a list of current medications and doses ready
- Note your preferred pharmacy
- Gather recent lab results, if available
What you'll need
- A phone, tablet, or computer with camera and microphone
- A stable internet connection
- A quiet, private space
- To be physically located in Virginia during each visit
Meet your provider
Hiral Patel
MSN, APRN, PMHNP-BC, FNP-BC
Founder, Capital Behavioral Health
“Treatment decisions are made together, with close follow-up and ongoing support.”
I am a board-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner providing thoughtful, evidence-based psychiatric medication management for adults.
My approach is collaborative and patient-centered, with careful attention to how mental health, physical health, sleep, metabolism, and life stressors intersect.
I work with adults seeking care for anxiety, depression, ADHD, mood disorders, insomnia, and metabolic or weight-related concerns, prioritizing safe prescribing and long-term stability.
- PMHNP-BC
- Board-certified Psychiatric Mental Health Nurse Practitioner
- FNP-BC
- Board-certified Family Nurse Practitioner
Questions
Frequently asked questions
Who do you treat?
We see adults (18 and older) who are physically located in Virginia at the time of their appointment.
Do you provide therapy?
Our focus is psychiatric medication management and metabolic care. Many patients benefit from therapy alongside medication, and we're happy to coordinate with your therapist or help you find one.
How long are appointments?
Initial evaluations are longer so we can fully understand your history and goals. Follow-up visits are shorter and scheduled based on your treatment plan, typically more often when starting or adjusting medications.
Can you prescribe ADHD medications through telehealth?
ADHD care includes a thorough evaluation. Some ADHD medications are controlled substances, and prescribing follows current federal and Virginia regulations, which may include additional monitoring or requirements. We'll discuss all options, including non-stimulant treatments, during your visit.
What does metabolic and weight care include?
Care may include a review of your medications, sleep, and mood as they relate to weight; lab monitoring; lifestyle guidance; and medication options when appropriate. We pay particular attention to weight changes associated with psychiatric medications.
Do you accept insurance?
Please contact our office or check the patient portal for current insurance and self-pay information. We're happy to help you understand your options before your first visit.
What if I need help between appointments?
For non-urgent questions, message us through the secure patient portal. For emergencies, call 911, or call or text 988 for the Suicide & Crisis Lifeline. Please do not use the portal for urgent needs.
Book an appointment
Ready to take the next step?
Schedule your visit online through our secure patient portal.
Schedule an Appointment (opens secure patient portal in a new tab)
Please don't include medical details in email or social messages. Use the secure portal to protect your privacy.