FAQ

Frequently Asked Questions

Straight answers about becoming a patient, visits, medication, TMS, insurance, and the office in Cedar Park.

Paper question marks on a notebook

Getting started

How do I become a new patient?

Fill out the appointment request form or call (512) 689-0386. You will hear back within 2 business days, and we will set up an initial evaluation.

Do you offer telehealth?

Yes. We see adults both in person and by telehealth, as long as you are located in Texas.

Who do you treat?

Adults 22 and older.

What happens at the first visit?

The first evaluation can last up to 90 minutes. We take a detailed psychiatric and social history and review your general medical history. We cover your current symptoms and how they affect work and relationships, family history and temperament, thinking patterns and beliefs, medical conditions and medications, sleep, alcohol and substance use, daily habits, and what has and has not helped before.

How long are follow-up visits, and how often will I be seen?

Follow-ups are generally 30 to 45 minutes. How often depends on your situation, and ranges from weekly or every other week to monthly or quarterly for established patients. We will give you a recommendation after your initial evaluation.

What should I know before my first appointment?

Plan to arrive about 15 minutes early if you can. When you come in, have a seat in the reception area and we will come out to greet you.

The practice

Who will I see?

You will see our physician, Dr. Mathews, at every visit. He is a board-certified psychiatrist (American Board of Psychiatry and Neurology), completed his residency at Johns Hopkins Hospital and a clinical research fellowship at the NIH, and is licensed in Texas.

What makes this practice different?

You see the same physician at every visit, and visits are unhurried. First evaluations can last up to 90 minutes, and follow-ups are generally 30 to 45 minutes. Therapy approaches are built into most appointments rather than a quick med check, and medication is used selectively, with no single pill or style of therapy assumed to fit everyone.

Do I have to be a professional or business owner to be seen?

No. The practice is built with busy professionals in mind, but any adult who wants in-depth, consistent care and is ready to take an active part in treatment is welcome.

Medication and therapy

Will I have to take medication?

No. Medication is one option among several. When we use it, the goal is the least amount that works, with the risks, benefits, and alternatives explained. We will share information and literature when it helps you decide.

Can I see you for therapy only, or medication only?

Not every patient needs medication, and your preference is respected. If you are not using medication, we set the focus and goals together. When we do prescribe, therapy approaches are ideally part of your visits. If you already have a therapist, we are glad to work with them collaboratively.

Can you refill a prescription from my previous doctor?

Not before an initial evaluation. Every new patient starts with a full evaluation before any prescription is written or refilled. That is considered good medical practice.

Do you prescribe stimulants or benzodiazepines?

We talk through risks, benefits, and alternatives for every medication. If a stimulant or benzodiazepine may be appropriate, we review that during the initial evaluation. These medications are not automatically refilled, and we are generally conservative with them. They are not prescribed to patients who are misusing drugs or alcohol, and urine drug screens are part of care.

Do you offer Suboxone or ketamine?

No. The practice does not provide Suboxone or Subutex, or IV or intranasal ketamine. If one of those is the right fit, we can point you to other clinics.

TMS therapy

What is TMS?

TMS (transcranial magnetic stimulation) is a non-invasive, evidence-based treatment that gently targets the brain circuits involved in depression. It usually comes up when medication has not helped enough. It does not cause weight gain, sexual side effects, or memory loss. The practice uses the FDA-cleared Magstim Horizon system.

Is TMS covered by insurance?

Often it is, for patients who have already tried certain medications. Coverage depends on your plan's criteria. The practice is in network only with Blue Cross Blue Shield and Aetna, so check with your plan and the office.

Insurance and cost

What insurance do you accept?

The practice is in network with Blue Cross Blue Shield (BCBS) PPO and most Aetna plans. It is out of network with all other plans, including United, Cigna, and Magellan, and HMO plans. If you have BCBS PPO, it is worth calling your plan ahead of time to understand your deductible and any fees due at the time of service.

Do you accept Medicare or Medicaid?

No. The practice has opted out of Medicare and Medicaid. Medicare patients sign a private fee-for-service opt-out contract, which means neither we nor the patient bills Medicare.

Can I use out-of-network insurance?

Yes. For out-of-network plans, the office can provide superbills that you submit to your insurance company for possible reimbursement.

What does a visit cost without insurance?

Self-pay rates are in line with other psychiatrists in the Austin area, though likely higher than average. Call (512) 689-0386 for details. The office can provide good faith estimates.

The office

Where is the office?

2901 Caballo Ranch Blvd, Suite 3B, Cedar Park, TX 78641, serving Leander and the greater Austin area. Some GPS apps label the office as Leander; the address is in Cedar Park.

What are the office hours?

The phone line is answered 9am to 4pm, Monday through Thursday, at (512) 689-0386. Appointments themselves are by appointment.

Can I text you between appointments?

No. The practice does not offer on-demand access, texting, or crisis management. Appointments are scheduled in advance. If you are in crisis, call or text 988 or call 911.

Is what I tell you kept confidential?

Yes. Nothing from your sessions is shared unless you sign an authorization to disclose it. If sharing information with your other medical providers would help, we discuss it first and it requires your consent. If you are in danger of harming yourself or another person, the practice is required by law to notify authorities.

What should I do in a mental health crisis?

This practice does not provide crisis or emergency services. If you are in crisis, call or text 988, call 1-800-841-1255, or call 911.

Conditions treated

What conditions do you treat?

Depression, anxiety (including generalized anxiety, panic, social anxiety, perfectionism, and performance anxiety), ADHD, bipolar disorder, OCD, PTSD, insomnia, post-partum depression, grief and loss, anger and irritability, self-esteem, relationship issues, and life transitions or stress. Burnout and chronic work stress are also common reasons people come in.

Fit

Is this the right practice for you?

A good fit comes first. If another setting would serve you better, you will hear that early, and the office can point you elsewhere.

This practice is a good fit if you

Are an adult who wants to take an active part in your care. Value time with one physician over short visits. Want medication, when it is used, to be thoughtful and conservative.

Another setting may serve you better if you

Need on-demand access, texting, or crisis management services. Expect a stimulant or benzodiazepine refill without a full evaluation. Have acute substance use issues, including frequent drinking or frequent marijuana use. Are looking for Suboxone, Subutex, or IV or intranasal ketamine treatment. Use Medicare or Medicaid.
If you are in crisis, call or text 988 or call 911. The office does not provide crisis or emergency services.

Ready to schedule a first evaluation?

Request an appointment