Medication Management
Thoughtful prescribing within a broader care plan.
Medication may be helpful for many people, but it works best when decisions are individualized, carefully monitored, and connected to the larger picture of your mental health.
Medication management at this practice is collaborative and careful. Dr. Zelisko considers your symptoms, diagnosis, treatment history, medical context, goals, values, and concerns before making recommendations.
The goal is not simply to prescribe medication, but to understand whether medication is appropriate, which options make sense, how to monitor response, and how medication fits into the rest of your care.
Medication decisions
Medication decisions made with care and clarity.
Treatment planning includes your symptoms, history, goals, preferences, medication response, and safety considerations.
Medication management may include
A careful prescribing philosophy
Medication can be one part of a thoughtful psychiatric treatment plan when clinically appropriate.
Use medication thoughtfully, not automatically
Review benefits, risks, alternatives, and side effects
Consider the whole person, not just the symptom checklist
Avoid one-size-fits-all prescribing
Reassess the plan as your life and symptoms change
Who it may help
Who medication management may be for
Medication decisions are strongest when they are paired with diagnostic clarity and whole-person planning.
Depression, anxiety, mood symptoms, trauma-related symptoms, or sleep concerns
ADHD and focus-related concerns after careful diagnostic evaluation
Medication questions, side effects, or uncertainty about your current regimen
A desire to combine medication decisions with psychotherapy and whole-person treatment planning
Process
What to expect
A clear process helps make medication decisions safer, more personalized, and easier to understand.
Comprehensive evaluation
Medication decisions begin with a careful psychiatric evaluation that reviews symptoms, history, diagnosis, medical context, current medications, prior medication trials, substance use, sleep, stress, and treatment goals.
Collaborative planning
Recommendations are discussed clearly, including potential benefits, risks, side effects, alternatives, and what to monitor over time.
Ongoing monitoring
Medication management is not just prescribing. Follow-up visits help assess response, tolerability, functioning, safety, and whether the plan still fits your needs.
Integration with therapy and lifestyle
When appropriate, medication is integrated with psychotherapy, sleep support, stress reduction, lifestyle changes, and broader psychiatric care.
About controlled substances
Requests for a specific medication do not guarantee that it will be prescribed. Stimulants, benzodiazepines, and other controlled medications are considered only after a comprehensive evaluation and when clinically appropriate.
Medication safety
Medication changes should be made under clinical supervision. Do not stop, start, or change psychiatric medications based only on website information.
Considering psychiatric medication or a medication review?
The first step is a comprehensive psychiatric evaluation so recommendations can be made safely and thoughtfully.
Schedule a New Patient Evaluation