Sometimes psychotherapy is enough to alleviate many symptoms of distress, often when caused by environmental factors like stress, relationship challenges, grief and loss, or major life changes and adjustments. For many, however, there is an underlying genetic / biological process that contributes to, or perpetuates symptoms of depression, anxiety and other disorders.
Research shows that often, both psychotherapy and medication are indicated to maximize health and well-being. Potential benefits of utilizing medications to address psychological discomfort may include a decrease in unwanted symptoms and improved daily functioning. Potential risks of utilizing such medications may include unwanted side effects. On rare occasions, medications used to treat psychological conditions may worsen mood or lead to thoughts of suicide. It is your responsibility to contact your provider immediately if your mood worsens when starting a new medication. Your provider will offer a description of the proposed medication selected for you, specific side effects that you may experience, as well as reasons she has determined that medication may benefit you. You have the right to refuse any medication recommended to you.
Medication Management Policies
We are able to prescribe medication for clients who are aged 18 and over. It is the policy of Women’s Counseling of Nashua that clients seeking medication management services also be engaged in a counseling relationship either by a provider from Women’s Counseling or elsewhere. A release of information will be required to be signed at the time the first appointment is scheduled. Communication between providers is considered best practice in a collaborative care environment.
We do not prescribe sedative-hypnotics (example: Ambien, Lunesta), chemical dependency medications (example: Suboxone or Methadone), medical cannabis or benzodiazepines (example: Xanax or Lorazepam). Should it be determined that you may benefit from any of these medications, every effort will be made to refer you to an appropriate provider.
Frequency of Appointments: Initial intake appointments are 30-45 minutes and follow up appointments are generally 15-25 minutes. Appointments may range from weekly to once every two months, depending on need. Clients are expected to meet with their medication provider a minimum of once every 60 days in order to be considered active clients of the practice.
Refill Requests: Refill requests should be made during your appointment. You will always be provided enough medication to get you to your next scheduled appointment. Should you require a refill outside of your appointment time, a minimum of 48 hours notice is required, during business hours only. Our practice does not provide “emergency” refills outside of normal business hours. We do not provide early refills for lost or stollen medication. Please also be aware that controlled medications such as those for treatment of ADHD or anxiety may be restricted at the discretion of your provider.
*Due to NH state laws and regulations, controlled substances may only be filled in NH.
Prior Authorizations: Your provider will process any prescription prior authorizations required by your insurance plan, however, clients should call their insurance to better understand the medications their plans will and will not cover.
A Release of Information A release is required from your PCP, mental health therapist, and OBGYN if currently pregnant.
At Women’s Counseling of Nashua, we are able to provide medication management services for women 18 and over for a variety of mental health concerns including adjustment disorders, depression, anxiety, obsessive compulsive disorder, ADHD/ADD, insomnia, PTSD, PMDD, perinatal mood disorders, mood disorders in menopause, compulsive over-eating, and binge eating disorder.
Make an Appointment
Services are provided by Danielle Smith, APRN. To read more about Danielle’s approach and her background, please click here: Danielle Smith, APRN
To schedule an appointment with Danielle, please call us at 603-821-0008 or complete the contact form on our website