Ongoing psychiatric care
Psychiatric Medication Management in Miami
Individualized medication decisions, monitoring, and follow-up through care led by board-certified psychiatrist Dr. Brian Villa, MD.
Psychiatric medication management is an ongoing clinical process, not simply writing a prescription. Decisions consider the diagnosis being evaluated, symptom burden, medical history, current medications, prior treatment, side effects, daily functioning, and patient preferences.
Care led by Dr. Brian Villa, MD
Appointments are available with Dr. Brian Villa, MD, and Azkena Rios, PMHNP-BC, a board-certified psychiatric-mental health nurse practitioner. All appointments with Azkena are provided under the clinical supervision of Dr. Brian Villa, MD.
A careful starting point
Medication recommendations begin with a psychiatric evaluation. Your treating clinician reviews what has and has not helped before, possible interactions or contraindications, relevant medical concerns, and nonmedication options. Treatment is individualized rather than based on a single symptom or online checklist.
Thoughtful medication use over time
Dr. Villa emphasizes sustained recovery and ongoing review of whether each medication remains necessary. After sustained stability, gradual reduction may be considered when clinically appropriate, with monitoring for withdrawal symptoms or return of the condition. Some patients benefit from long-term medication. Changes are individualized and should be planned with the treating clinician; stopping medication is not a promised outcome.
What follow-up visits may include
Follow-up care may include:
- Reviewing symptom change and day-to-day functioning
- Monitoring side effects, adherence, sleep, appetite, and safety
- Discussing expected benefits, limitations, and alternatives
- Adjusting a medication only when clinically appropriate
- Coordinating with a therapist, primary-care clinician, specialist, or family when authorized
- Reviewing whether the current plan should continue, change, or be simplified
Medication and talk therapy
Medication may be used alone or alongside talk therapy, behavioral strategies, sleep improvement, medical care, school or workplace support, or another specialized treatment. Renova Health can provide talk therapy within psychiatric treatment and coordinate referral when longer-term or specialized psychotherapy is needed.
In-person and Florida telehealth visits
Appointments are available in Miami and by telehealth for eligible patients located in Florida. Prescribing requirements, clinical needs, age, and safety may affect which visit format is appropriate.
Self-Pay Visit Fees
For patients receiving care without using insurance. Fees are per appointment and listed in U.S. dollars.
| Appointment with | Initial evaluation | Follow-up |
|---|---|---|
| Dr. Brian Villa, MD | $500 | $250 |
| Azkena Rios, PMHNP-BC | $300 | $150 |
Azkena Rios, PMHNP-BC, is a board-certified psychiatric-mental health nurse practitioner. All appointments with Azkena are provided under the clinical supervision of Dr. Brian Villa, MD.
Limited financial assistance may be available for self-pay patients experiencing financial hardship. Please contact our office before scheduling to discuss available options.
Patients who are uninsured or choosing self-pay have the right to receive a written Good Faith Estimate of expected charges. Learn about your right to a Good Faith Estimate.
To confirm your clinician, appointment details, and expected cost, call 786-794-2655.
Frequently asked questions
Will medication be prescribed at the first visit?
Not necessarily. The first priority is an appropriate evaluation. Medication may be discussed when the available information supports it.
How often are follow-up visits?
Frequency depends on the medication, symptoms, age, safety, treatment stage, and clinical response. Your treating clinician discusses an individualized follow-up plan.
How much does a follow-up appointment cost?
Self-pay follow-up appointments cost $250 with Dr. Brian Villa, MD or $150 with Azkena Rios, PMHNP-BC, who practices under the clinical supervision of Dr. Brian Villa, MD. These rates apply when you are not using insurance. If you use insurance, your responsibility depends on your specific plan and benefits; contact the office for verification before your visit.
Can Renova Health coordinate with my therapist?
Yes, when clinically appropriate and with the patient or legal representative authorizing the exchange of information.
Emergency notice
If you are experiencing a medical or psychiatric emergency, call 911 or go to the nearest emergency room. If you are in emotional distress or suicidal crisis, call or text 988.
Renova Health | Miami, Florida
Start with a thoughtful psychiatric evaluation.
Request an in-office or telehealth appointment with Dr. Brian Villa MD.