Services

Comprehensive psychiatric care providing expert diagnosis, evidence-based treatment, and compassionate support throughout East Texas and all of Texas via telepsychiatry—helping you achieve lasting mental wellness through accessible, personalized, and innovative treatment approaches.

Expert Psychiatric Care Tailored to Your Mental Health Journey

  • Comprehensive evaluations, accurate diagnosis, and collaborative personalized treatment planning
  • Evidence-based medication management and psychotherapy addressing symptoms and long-term recovery
  • Board-certified psychiatric providers specializing in adult mental health and depression treatment

Treatment for Depression, Anxiety, and Complex Mental Health Conditions

Collaborative Treatment Planning and Integrated Care Model

  • Transparent discussions about treatment options, medication choices, therapy modalities, and expected outcomes
  • Shared decision-making between you and your psychiatric provider at every step
  • Psychiatric providers and therapists collaborating under one roof supporting comprehensive recovery

Integrated Mental Health Care Addressing Root Causes and Symptoms

  • Thorough assessment considering medical history, life circumstances, relationships, and functional impacts
  • Coordination between psychiatric providers and therapists ensuring seamless integrated care
  • Evidence-based recommendations combining medication management, psychotherapy, and lifestyle strategies

Convenient Care Options Accessible Throughout East Texas and Beyond

  • Same-week consultations available when you’re struggling and need help most
  • Secure telepsychiatry appointments throughout Texas eliminating geographic barriers to expert care
  • Extended evening hours, patient portal access, and responsive communication

Our Comprehensive Psychiatric Services

Psychiatric Evaluation & Diagnosis

Thorough 90-minute comprehensive diagnostic assessments establishing accurate diagnoses and personalized treatment plans through detailed clinical interviews, symptom evaluation, and evidence-based diagnostic criteria.

Medication Management

Expert ongoing psychiatric medication oversight including dosage optimization, side effect management, and treatment monitoring ensuring optimal therapeutic benefits with minimal adverse effects throughout recovery.

Anxiety & Depression Treatment

Specialized evidence-based treatment for anxiety disorders and depression combining medication management with therapy coordination addressing both acute symptoms and long-term recovery and wellness.

SPRAVATO® Therapy

FDA-approved breakthrough treatment for treatment-resistant depression working differently than traditional antidepressants, often providing relief within hours or days administered in comfortable monitored settings.

Mood Disorder Management

Comprehensive psychiatric care for bipolar disorder, major depression, and other mood conditions requiring specialized medication management and ongoing monitoring supporting mood stability and functioning.

Addiction Psychiatry

Expert dual-diagnosis treatment for substance use disorders including medication-assisted treatment, psychiatric management of co-occurring conditions, and coordinated addiction recovery support throughout treatment.

Telepsychiatry

Secure virtual psychiatric care delivering all services through HIPAA-compliant video platforms providing convenient, accessible mental healthcare from anywhere in Texas with same quality as in-person.

Common Questions About East Texas Psychiatry Services and Counseling

What psychiatric services does East Texas Psychiatry offer to Texas residents?

We provide comprehensive psychiatric care including diagnostic evaluations, medication management, anxiety and depression treatment, SPRAVATO® therapy for treatment-resistant depression, mood disorder management, addiction psychiatry, psychotherapy, and telepsychiatry services. Our board-certified providers treat adults throughout East Texas and all of Texas for depression, anxiety, ADHD, bipolar disorder, PTSD, substance use disorders, and many other mental health conditions.

Yes, most services are available through HIPAA-compliant telepsychiatry throughout Texas. Comprehensive psychiatric evaluations, medication management, psychotherapy, and ongoing treatment occur effectively via secure video platforms. SPRAVATO® therapy requires in-person administration at our Tyler or Longview locations due to FDA monitoring requirements, but all other services work seamlessly through telepsychiatry.

Your comprehensive 90-minute evaluation includes detailed symptom assessment, psychiatric and medical history review, mental status examination, and diagnostic formulation. We collaboratively develop personalized treatment plans discussing medication options, therapy approaches, and innovative treatments like SPRAVATO® when appropriate. Prescriptions are sent electronically to your pharmacy, with follow-up appointments scheduled before concluding your evaluation.

We offer same-week consultations throughout East Texas, typically within one week of your call. This rapid access ensures you receive expert care when symptoms are most severe, preventing unnecessary suffering while awaiting evaluation. Simply call (903) 430-288-5800 or schedule online for prompt availability with our board-certified providers.

Appointments occur every two to four weeks early in treatment for close monitoring. As symptoms stabilize, visits become less frequent based on your individual needs. Our providers adjust dosages as clinically needed, prevent drug interactions, and ensure optimal therapeutic benefits. Between appointments, our patient portal enables secure messaging for medication questions requiring prompt attention.

We treat depression, anxiety disorders, ADHD, bipolar disorder, PTSD, OCD, panic disorder, social anxiety, substance use disorders, postpartum depression, perimenopausal depression, PMDD, eating disorders, and many other psychiatric conditions. Our board-certified providers specialize in general adult psychiatry and depression treatment, offering comprehensive care for both common and complex mental health presentations.

SPRAVATO® (esketamine nasal spray) is an FDA-approved breakthrough treatment for adults with treatment-resistant depression who haven’t responded to at least two different antidepressants. It works differently than traditional medications, often providing relief within hours or days rather than weeks. Our specially trained staff administers SPRAVATO® in comfortable, monitored settings at our Tyler and Longview locations.

Yes, integrated treatment combining medication with psychotherapy often produces superior outcomes for moderate to severe mental health conditions. Our psychiatric providers and licensed therapists collaborate under one roof, providing seamless coordinated care. We offer evidence-based psychotherapy including Cognitive Behavioral Therapy (CBT) alongside medication management, addressing both biological and psychological factors supporting comprehensive recovery.

Take the first step toward better mental health with expert psychiatric care.

Our Services

Psychiatric services
built around your life

From first evaluation to long-term support, every service Dr. Farkas offers is designed around you — your schedule, your preferences, your goals. No cookie-cutter care. No 15-minute med checks.

60–90
Minute initial evaluations
Top 5%
Of psychiatrists by credential
3 States
SC · NY · VA telehealth
4.7★
Patient rating
Service Details

What to expect from each service

🧠

Individual Psychiatry

A comprehensive psychiatric evaluation is the foundation of good care. Dr. Farkas takes 60–90 minutes for new patient consultations — twice the industry standard — to understand not just your symptoms but your whole person: medical history, family history, medication trials, life context.

Follow-up appointments are 30–45 minutes and focus on your progress, adjusting treatment as needed, and addressing new concerns. This is a genuine therapeutic relationship — not a prescription mill.

60–90 minute new patient evaluations
Comprehensive diagnostic assessment using validated tools
Investigation of medical contributors (thyroid, B12, hormonal factors)
Personalized treatment planning with collaborative decision-making
Coordination with your therapist, PCP, and other providers
Second opinions welcomed and handled with full rigor
Session Details
New Patient Eval60–90 min
Follow-Up30–45 min
Frequency2–4 wk → monthly
InsuranceAetna, Cigna
Self-PayAvailable
Book Evaluation
💻

Telehealth Psychiatry

Secure, HIPAA-compliant video appointments that make expert psychiatric care accessible wherever you are in South Carolina, New York, or Virginia. No commute, no waiting rooms, no compromise on quality.

Telehealth is appropriate for the vast majority of psychiatric conditions. Dr. Farkas delivers the same thorough, attentive care online as she does in-person. Many patients prefer it — and the outcomes are equally strong.

HIPAA-compliant, professional-grade video platform (not Zoom)
Evening and weekend slots available by request
Licensed in SC, NY, and VA — expanding to additional states
Same comprehensive evaluation quality as in-person visits
E-prescriptions sent directly to your pharmacy
Ideal for patients with limited mobility or rural locations
Coverage Area
South Carolina✓ Available
New York✓ Available
Virginia✓ Available
Other StatesContact Us
Book Telehealth
💊

Medication Management

When medication is part of your treatment plan, Dr. Farkas approaches prescribing as both a science and an art. Her PhD neuroscience training means she understands how psychiatric medications work at the molecular level — enabling strategic choices beyond standard trial-and-error.

Her "no harm" philosophy means treatment success requires symptom relief and preserved quality of life. A medication that works but causes weight gain, sexual dysfunction, or cognitive fog is not success.

Evidence-based prescribing grounded in neuroscience, not pattern-matching
Pharmacogenomic testing when clinically appropriate
Careful side-effect monitoring and aggressive management
Strategic deprescribing when medications no longer serve your goals
Transparent explanation of how and why each medication is chosen
What to Expect
First PrescriptionAfter eval
MonitoringRegular follow-ups
RefillsPatient portal
Side EffectsSecure messaging
Get Started
🤱

Postpartum & Perinatal Psychiatry

Postpartum depression, anxiety, OCD, and bipolar disorder triggered by pregnancy require a specialist — not a general psychiatrist with vague reassurances about breastfeeding safety. Dr. Farkas has deep, specific expertise in perinatal psychiatry and can answer detailed questions most clinicians cannot.

Untreated postpartum psychiatric illness is harmful to both mother and infant. Expert treatment that enables breastfeeding, when desired, is not just possible — it's the standard here.

Comprehensive perinatal psychiatric evaluation
Evidence-based guidance on medication safety during breastfeeding
Recognition of postpartum-triggered bipolar disorder (commonly misdiagnosed)
Compassionate, non-judgmental — postpartum illness is medical, not moral
Coordination with OB/GYN and pediatrician when appropriate
Conditions Treated
Postpartum Depression
Postpartum Anxiety
Postpartum OCD
Postpartum Bipolar
Book Consultation
🔧

Medication Review & Optimization

If you're on 4+ psychiatric medications, uncertain why you're taking each one, or experiencing a cumulative side-effect burden that is affecting your quality of life, a strategic medication review can be transformative. Dr. Farkas's pharmaceutical research background makes her uniquely equipped for this work.

Detailed analysis of each medication: indication, value, necessity
Objective assessment of what each medication is actually contributing
Strategic deprescribing — safely stopping medications no longer needed
Simplification: fewer medications, better-coordinated, lower side-effect burden
Clear explanation of the rationale for keeping, changing, or stopping each drug
Ideal Candidates
On 4+ psych medications
Unclear why on each med
Cumulative side effects
Wants simplification
Request Review
🔍

Psychiatric Second Opinions

Uncertain about your diagnosis? Considering a major medication change but want expert verification first? Dr. Farkas provides independent, comprehensive psychiatric evaluations for patients seeking a second opinion — with a written summary you can share with other providers.

Comprehensive independent psychiatric evaluation
Review of prior records, medication history, and previous diagnoses
Expert opinion on whether recommended treatment is appropriate
Alternative approaches if applicable
Written consultation summary available to share with other providers
Common Reasons
Uncertain about diagnosis
Before major med change
Treatment not working
Conflicting opinions
Request Second Opinion
Why Dr. Farkas

How we compare to
other options

FeatureDr. FarkasGeneral PsychiatristTelehealth PlatformAcademic Center
CredentialsMD + PhD (Neuroscience)MD or DOMD (varies)MD ± fellowship
NIH Research Training✓ (1 of 4 nationally)Varies
Initial Evaluation Time60–90 minutes15–30 minutes15–30 minutes30–45 minutes
Treatment-Resistant Specialty✓ Core focusGeneral onlyAlgorithm-drivenVaries
Telehealth Available✓ SC, NY, VALimited✓ Multiple statesLimited
Wait Time2–4 weeks2–8 weeksDays3–6 months
Continuity of CareSame provider alwaysUsually same providerVaries per visitResident rotation
In-Network InsuranceAetna, CignaVariesVariesMost major plans

Expert care, wherever you are

Dr. Farkas actively uses professional telehealth to serve patients across three states — eliminating the geographic barriers that normally restrict access to MD/PhD-level psychiatric expertise.

South Carolina New York Virginia Expanding Soon
Insurance & Payment

We accept your
insurance

Dr. Farkas is in-network with Aetna and Cigna. Self-pay patients are also welcomed, and superbills are provided for out-of-network reimbursement.

Aetna
Cigna
Self-Pay
Superbill Available

Not sure if your plan covers Dr. Farkas? Call us at 917-267-9678 and we'll help you verify your benefits before your first appointment.

New Patients

Currently accepting
new patients

Most new patients are seen within 2–4 weeks. Telehealth available throughout SC, NY, and VA. In-person available in Hilton Head Island, SC.

Request an Appointment

Not sure which service
is right for you?

Call or send a message — we'll help you figure out the best next step. No obligation, no pressure.

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