Telehealth Psychiatry for Montana Patients

Home > Montana Telehealth Psychiatrist

I hold an active Montana medical license (#MED-PHYS-LIC-156069) and see Montana patients by telehealth.

Why this exists

Montana has a genuine psychiatric access problem, and child and adolescent psychiatry is the sharpest version of it. Much of the state is federally designated as a mental health professional shortage area, several counties have no psychiatrist at all, and families routinely drive hours for an appointment — or wait months, or never go.

Board-certified child and adolescent psychiatrists are scarce in Montana in absolute terms. That's the gap this fills. It isn't a marketing angle; it's the reason a New York psychiatrist bothered to get licensed in Montana.

What Montana patients get

• ADHD evaluation and treatment across the lifespan — my published research area
• Child and adolescent psychiatry — board-certified, which is the scarce credential here
• Adult ADHD evaluation — full 60–90 minute assessment
• Anxiety, depression, treatment-resistant depression
• OCD with ERP — rarely available regionally
• Second opinions and medication review
• Psychotherapy — CBT, DBT-informed work, EMDR

What telehealth doesn't solve

Being straight about this matters more in an underserved state, because the alternative to me is often nothing and that raises the stakes on honesty.

Telehealth is not the right setting for acute psychiatric crises, for first-episode psychosis, or for anyone needing hospital-level care. If that's the situation, you need local emergency services, and I'll say so directly rather than take the appointment.

In crisis: call or text 988.

Some evaluations are also better in person — particularly younger children and complex developmental questions. I'll tell you when I think that's the case even though it means recommending someone you'll have to drive to.

Licensure and location

Telehealth is governed by where you are during the appointment. My Montana license is what makes treating you lawful while you're in Montana. If you travel, tell me — I can also see patients in New York, Virginia, and Florida under telehealth registration.

Controlled substances

Stimulant and other controlled substance prescribing by telehealth is subject to federal requirements and Montana state law, and those rules have changed repeatedly since 2020. I'll tell you what applies to your situation before you book, not after.

Practical

Initial evaluation: 60–90 minutes. What to expect.
Insurance: out-of-network. What that costs and how superbills work.
Booking: request a consultation.

In a Psychiatric Emergency

Telehealth is not the setting for a psychiatric emergency. If you are in Montana, use local emergency services — go to your nearest emergency department or call 911.

Frequently Asked Questions

Can an out-of-state psychiatrist treat me in Montana?

Only with a Montana medical license. Telehealth is governed by the state where the patient is physically located during the appointment, not where the clinician is based. I hold an active Montana license.

Is there a shortage of child psychiatrists in Montana?

Yes. Much of Montana is designated a mental health professional shortage area, and board-certified child and adolescent psychiatrists are scarce statewide. Telehealth is one of the few ways to reach subspecialty care without long-distance travel.

Can you prescribe ADHD medication by telehealth in Montana?

Controlled substance prescribing by telehealth is subject to federal requirements and Montana law, and those rules have changed repeatedly. I'll tell you exactly what applies to your situation before you book.

What if I need in-person care?

For acute crises, first-episode psychosis, or hospital-level needs, you need local services and I'll say so. Some evaluations — particularly younger children — are also better in person, and I'll tell you when I think that's true.

Do you take Montana insurance?

No. The practice is out-of-network in all states. Superbills are provided for submission to your insurer for possible partial reimbursement.

How does a telehealth appointment work?

Video, from wherever you are in Montana. The initial evaluation is 60 to 90 minutes — the same depth as in person, with the same developmental history and differential screening.