Start with what life feels like now
How can medication decisions account for your whole day?
We help people with depression or anxiety that disrupts daily life by considering mental and physical symptoms together so that they can work toward participating in relationships and routines again.
How we look at the whole picture
You have tried to explain how difficult ordinary days have become, and you may have already tried more than one approach.
Sleep, concentration, energy and physical symptoms may be adding to what you are carrying.
You do not need to know which treatment to ask for. Start with what has changed and what you want to be able to do again.
The 7 Domains of Recovery™
Your symptoms may belong in the same conversation.
Psychological health is one of seven domains, not an isolated part of you. We consider how mood, cognition, sleep, physical symptoms and circumstances affect each other.
Neuregen's proprietary 7 Domains of Recovery framework organizes that conversation around seven connected parts of your life and health. We consider all seven, then focus the evaluation on the questions your history raises.
Explore our clinical framework- 1Brain function & neural networks
What has changed in your memory, concentration, balance or sensory tolerance?
- 2Autonomic & nervous system regulation
What happens when you stand, move, rest or encounter stress?
- 3Immune function & neuroinflammation
What immune history, reactions or symptoms need a closer look?
- 4Brain energy & metabolic health
What affects your energy through the day and after activity?
- 5Structure, stability & body-to-brain signals
How do pain, posture, movement and stability affect what you can do?
- 6Psychological flexibility & behavioral recovery
How are mood, stress and patterns of coping affecting your day?
- 7Life, relationships & environment
What demands, relationships and support shape your recovery?
A plan starts with the things you want to do again.
We review your history, current symptoms, previous responses and priorities. You and the clinical team discuss the options, tradeoffs and how progress will be assessed.
01
Tell us what you want your life to look like
We start with what has changed, what you have tried, and the activities you most want to return to.
02
Answer the questions the history leaves open
We review prior reports and select relevant assessments. You should understand what each assessment is meant to clarify.
03
Agree on the priorities and the first steps
We discuss the findings, possible approaches, costs and practical constraints. The plan sets an order that fits your situation.
04
Check what changes and adjust together
We compare your response with the starting point, including daily function. If something is not helping, we discuss what needs to change.
Only then do we discuss which therapies, if any, belong in your plan. The choice depends on the findings, the evidence, your preferences and how you respond.
Talk through your situationIntegrative Psychiatry
Psychiatric Medication Management
Prescribing, adjusting, and where appropriate reducing psychiatric medication from inside the rehabilitation plan, so the medication decisions and the neurologic work inform each other.
Clinically: Psychiatric medication review and prescribing by a qualified clinician, coordinated with rehabilitation and your existing prescribers.
Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.
Why medication decisions belong inside the plan
Many patients arrive on several psychiatric medications, often started by different prescribers at different points in a long illness. Some of those medications are doing important work. Others were added to manage symptoms that had a neurologic, autonomic, or inflammatory driver nobody had identified. A few may be contributing to fatigue, cognitive slowing, or autonomic symptoms that look like the condition being treated.
Medication management starts with what you take, why it was started and what it is doing now. We discuss possible changes alongside your physical and cognitive assessment findings and confirm the clinician responsible for prescribing.
The result is a regimen that is reviewed as the plan progresses. As autonomic regulation improves or a trauma-focused course completes, the case for a given medication can change. Deprescribing, when appropriate, is done gradually and with monitoring. Neuregen coordinates with your existing psychiatrist or primary care prescriber so nobody is changed without the people who know your history being informed.
Domains most involved:
Every plan starts from the same map: the 7 Domains of Recovery.
How it fits your plan
Medication review includes what you take now, what you have tried, benefits, side effects and your priorities. We discuss changes in the context of your broader care and arrange appropriate follow-up.
Mood, sleep, concentration and physical symptoms can affect the same parts of your day. We consider them together before discussing a specific psychiatric approach, so psychotherapy or medication decisions fit the wider care plan.
We review your history, explain the findings, agree on next steps and check how you respond.
What medication management includes
We use established medicine where it works, and emerging medicine where it makes sense.
These are options to discuss after evaluation, not a predetermined treatment plan. Each label refers to the condition or indication described beside that therapy; evidence can differ for another use. An evidence label does not mean FDA approval.
- Intake medication reviewEvidence: Established
A structured review of every psychiatric and neurologic medication, its original indication, current effect, and interactions with the rest of the plan.
- Prescribing and dose adjustmentEvidence: Established
Psychiatric prescribing within the PMHNP-BC scope, chosen for relevance to your neurobiology and recovery goals rather than symptom suppression alone.
- Gradual deprescribing with monitoringEvidence: Established
Where a medication no longer serves the plan, tapering is done stepwise, with validated symptom tracking (PHQ-9, GAD-7, PCL-5) and coordination with your other prescribers.
- Coordination with existing prescribersEvidence: Established
Neuregen communicates medication changes to your psychiatrist or primary care clinician so the record stays consistent across your care team.
Where the evidence stands
Psychiatric medication management is provided by a qualified prescriber within their scope of practice. We coordinate medication decisions with the rehabilitation plan and review the response over time.
How we grade evidence
Pricing
| Service | Price |
|---|---|
| Initial psychiatric evaluation | Confirmed in writing at your Strategy Consultation |
| Medication management follow-up | Confirmed in writing at your Strategy Consultation |
| Psychotherapy session | Confirmed in writing at your Strategy Consultation |
Neuregen is an out-of-network specialty clinic. Most therapies listed here are not covered by insurance; we provide itemized documentation you can submit to your insurer, and we tell you before any therapy which parts, if any, are typically reimbursed.
Financing options are reviewed at your Strategy Consultation before any plan is finalized.
The training behind this care
Neuregen combines integrative psychiatric care with nervous-system rehabilitation. Our team can discuss psychological and physical concerns in the same clinical context, while explaining the qualifications and role of each treating clinician.
Dr. David George: Board certifications and training in functional neurology, integrative psychiatry, and mental health; certified brain injury specialist.
Training most relevant to this area
- Certified Clinical Trauma Professional (CCTP)
- PMHNP-BC
- Active Psychotherapist
- Certified Hypnotherapist
- CBT-I (Cognitive Behavioral Therapy for Insomnia) trained
These are the founder’s qualifications. We confirm the treating clinician and their role when discussing your plan.
See Dr. George’s full credentialsRelated pages
modality
Frequently asked questions
Who manages psychiatric medication?
We confirm the qualified prescriber responsible for your medication care when building the plan. We discuss the purpose, possible benefits, risks and monitoring for any proposed medication change.
Do I have to stop seeing my current psychiatrist?
No. Many patients keep their existing prescriber. Neuregen reviews your medications in the context of the rehabilitation plan and coordinates any recommended changes with the clinician who currently manages them. Who holds the prescription going forward is decided at the Strategy Consultation.
Will Neuregen take me off my medications?
Only when a medication no longer serves the plan, and only gradually. Some medications are doing essential work and stay in place. Where tapering makes sense, it is done stepwise with symptom tracking and with your other prescribers informed. Nothing is stopped abruptly.
Is medication management offered on its own?
Medication management at Neuregen is part of the Integrative Psychiatry program and the wider rehabilitation plan. Patients whose needs are limited to routine medication refills without a neurologic or autonomic component are better served by a general psychiatry practice, and we will say so at the consultation.
Start with a Strategy Consultation
When distress or poor sleep keeps affecting relationships and everyday responsibilities, putting off a conversation leaves those concerns unresolved. You can ask about next steps without committing to medication or a procedure.
8090 N. 85th Way, Suite 100, Scottsdale, AZ 85258 · Mon–Thu, 9:00 AM – 5:30 PM