Questions people ask before their first visit

The first visit is a comprehensive psychiatric evaluation. Justina asks about what brought you in, your symptoms and how they affect your life, your medical and psychiatric history, current medications, and what you hope will change. By the end you should have a working understanding of the diagnosis in plain language, a discussion of options, and a clear sense of the next step. Bring a list of your medications and, if you have them, prior records.

Yes. Medication management is central to the practice. Justina reviews everything you take, prescribes and adjusts psychiatric medication after an individualized evaluation, monitors response, side effects, and labs where needed, and simplifies regimens when it is safe to do so. She has particular experience with people who take many medications or have other health conditions.

Rosecare centers on psychiatric evaluation and medication management. When therapy is part of your plan, Justina coordinates with licensed therapists rather than replacing them, so that psychiatric and therapeutic care work together.

Depression and mood disorders, anxiety and panic, bipolar disorder, PTSD and trauma-related disorders, schizophrenia and other psychotic disorders, dementia-related behavioral changes, and late-life psychiatric conditions. Substance use that occurs alongside a psychiatric condition is screened and assessed as part of the evaluation.

Adults and older adults. Geriatric psychiatry — including care for people with dementia and for families supporting an aging parent — is a particular focus.

Yes. Justina has spent many years as a nurse practitioner caring for older adults in skilled-nursing and rehabilitation settings — including late-life depression and anxiety, dementia-related behavioral changes, and medication safety in aging bodies — and is board-certified in psychiatric mental health.

Yes, with your permission. Family involvement often improves outcomes, particularly for older adults. Family members can attend visits and receive education about the diagnosis, the medications, and how to help.

Start by requesting an appointment and noting that you are inquiring on behalf of a family member. Depending on the situation, Justina may need the patient's consent to speak with you, and she will explain how that works. Bring a current medication list, the names of other providers involved, and a description of what has changed and when.

Yes. Justina has led polypharmacy review programs in skilled-nursing settings and routinely manages psychiatric medication for patients with kidney, heart, liver, or diabetic conditions. Reviewing and, where appropriate, simplifying long medication lists is part of every evaluation.

No medication is promised before an evaluation. Recommendations depend on your diagnosis, history, other medications, and medical conditions. Some medications require in-person visits, lab work, or additional monitoring, and Justina will explain any limits that apply.

Follow-ups are scheduled more closely after a new medication or a change, and spaced further apart once things are steady. The cadence is set with you and revisited at each visit.

Many patients schedule directly. If you plan to use insurance, check whether your plan requires a referral from your primary care provider; the office can help you confirm.

Insurance participation varies by plan. The office will confirm whether your plan is accepted when you get in touch.

If you are in immediate danger or thinking about harming yourself or someone else, call or text 988 (Suicide & Crisis Lifeline) or call 911. This website, its appointment form, and the office's routine channels are not monitored for emergencies.