FREQUENTLY ASKED QUESTIONS
At Dr. Jesalva’s practice, we believe that understanding your mental health care is the first step toward healing and growth. Below you’ll find answers to some of the most common questions people have about seeing a psychiatrist, how psychiatric care works, and how we can support you or your loved ones.
Why should I pick Dr. Jesalva as my psychiatrist?
Dr. Jesalva is a board-certified medical doctor with extensive experience in adult and adolescent psychiatry. He believes in finding the right diagnosis and treating both the main condition and any co-occurring issues until each person can function at their best. He uses a bio-psycho-social-spiritual approach that encourages you to take an active role and share feedback throughout your care. Dr. Jesalva often recommends pairing medication with talk therapy to address deeper psychological needs that medicine alone may not resolve. He also supports healthy lifestyle habits — like balanced nutrition and daily exercise — to help you build coping skills, manage stress, and work toward a more fulfilling life in the long term.
What will the first visit be like?
Please arrive about 15 minutes early to complete any paperwork. During your first visit, Dr. Jesalva will spend about an hour or more getting to know you and gathering details to make an accurate diagnosis — an essential part of mental health care. He may also ask to speak with a partner, parent, or other loved one to get a fuller picture. Together, you’ll discuss a treatment plan that could include medication, referrals for talk therapy, psychological testing, or support groups. Dr. Jesalva always takes time to answer your questions about diagnoses, medication side effects, and any other concerns, so you feel informed and supported.
Why is getting the correct diagnosis so important?
Many people who come to Dr. Jesalva have struggled with mental health concerns for years — often because a condition was missed, misdiagnosed, or only partly treated. Finding the right diagnosis is the foundation of effective care. For example, depression can look different for everyone — there are several types, including unipolar and bipolar depression — and each requires its own approach. To evaluate patients thoroughly, Dr. Jesalva may use questionnaires and gather information from loved ones. This careful process ensures your treatment truly matches what you need to heal and thrive.
What does a psychiatrist do?
A psychiatrist is a medical doctor trained to diagnose and treat a wide range of mental health conditions, from depression and anxiety to ADHD, bipolar disorder, substance abuse, and more. A psychiatrist works closely with individuals and families, using tools like talk therapy, medication, and other evidence-based treatments to help people build lasting mental wellness.
Can a psychiatrist prescribe medication?
Yes. Psychiatrists are medical doctors who complete medical school and specialized training in the field of psychiatry, so they can prescribe medications when needed. Many of Dr. Jesalva’s patients are referred by other physicians or therapists when conventional treatment hasn’t fully worked. They may have already tried several medications, but a fresh perspective can make a big difference. Often, medication helps therapy become more effective. Dr. Jesalva carefully combines medication, talk therapy, and other supportive care to help patients move forward with hope and confidence.
What’s the difference between a psychologist and a psychiatrist?
A psychiatrist is a medical doctor (MD or DO) who can diagnose mental health conditions and treat them with medication and therapy. A psychologist usually holds a PhD or PsyD in psychology and provides talk therapy and testing but generally does not prescribe medication (except in a few states). Psychiatrists, psychologists, and social workers often work together as a team to give you the best possible care.
Is a psychiatrist a doctor?
Yes. A psychiatrist is a fully licensed medical doctor who has finished medical school, residency in general psychiatry, and often additional specialized training in areas like child and adolescent psychiatry, geriatric psychiatry, forensic psychiatry, or consult liaison psychiatry.
Do I need a psychologist or psychiatrist?
It depends on what you need. If you’re looking for talk therapy only, a psychologist, counselor, or licensed clinical social worker may be a good fit. If you need a medical diagnosis, medication, or treatment for more complex mental health conditions, a psychiatrist can help you evaluate your options. Many people benefit from seeing both.
How much does a psychiatrist cost?
The cost of psychiatric care varies based on location, insurance, and the services you need. At Dr. Jesalva’s practice, we’re happy to explain fees, insurance coverage, and payment options upfront. Our goal is to make mental health care accessible and support you for the long term.
Can a psychiatrist diagnose ADHD?
Yes. Psychiatrists are trained to diagnose and treat ADHD in children, teens, and adults. Dr. Jesalva carefully evaluates patients through interviews, behavior checklists, and, when helpful, information from family or teachers.
Can a psychiatrist diagnose autism?
Yes. Psychiatrists can diagnose autism spectrum disorder (ASD), often as part of a team that may include psychologists, developmental pediatricians, or neurologists. Early, accurate diagnosis helps families build a personalized care plan.
Do you need a referral to see a psychiatrist?
In most cases, you don’t need a referral to see a psychiatrist, but some insurance plans may require one. We’re happy to help you understand your options and make the process easy.
When should you see a psychiatrist?
You might consider seeing a psychiatrist if you’re experiencing ongoing sadness, anxiety, mood swings, trouble functioning day-to-day, or concerns about ADHD, bipolar disorder, or substance abuse. It’s never too soon to reach out — Dr. Jesalva is here to listen, guide you, and help you find the best next steps for your mental health.
How do psychiatrists diagnose?
Psychiatrists evaluate patients using detailed interviews, medical histories, behavioral checklists, and sometimes lab tests. They look at biological, psychological, and social factors to build an accurate picture and develop a clear plan for diagnosis, treatment, and prevention.
Do psychiatrists drug test on the first visit?
Routine drug testing isn’t always needed, but sometimes it’s an important step, especially when treating substance abuse or prescribing certain medications. If a test is helpful, Dr. Jesalva will explain why and answer your questions with respect and compassion.
Can a psychiatrist help with anxiety?
Absolutely. Treating anxiety is one of the most common reasons people see a psychiatrist. Dr. Jesalva works with you to create a plan that may include therapy, medication, and practical coping strategies to help you feel more calm and in control.
Can a psychiatrist diagnose bipolar disorder?
Yes. Psychiatrists are specially trained to diagnose bipolar disorder and develop a treatment plan that can help stabilize mood swings and support your long-term mental health.
What does a psychiatrist do for depression?
A psychiatrist helps people with depression by carefully assessing symptoms, offering talk therapy, and prescribing medication if needed. Dr. Jesalva monitors your progress and adjusts your plan as needed to help you feel better and regain balance in your life.
Do psychiatrists treat alcoholism?
Yes. Many psychiatrists, including Dr. Jesalva, have experience treating substance abuse and alcohol use disorder. Treatment may include medication, therapy, and coordination with other professionals to help you work toward recovery.
Does Dr. Jesalva do individual, group, or couples psychotherapy?
No — Dr. Jesalva focuses on medical evaluation and treatment, but he works closely with trusted psychotherapists in the community. He can help connect you with excellent counselors who offer individual, couples, or group talk therapy, so your care is complete and well coordinated.
Can Dr. Jesalva discuss my case with my other doctors or therapists about the medications, or if I’m having problems with them?
Yes. Dr. Jesalva strongly believes in teamwork. With your permission, he can communicate with your therapists, other physicians, social workers, or specialists to make sure everyone is on the same page. This collaborative approach helps you get the safest, most effective care.
How often do you see a psychiatrist?
How often you see a psychiatrist depends on your needs and where you are in treatment. Many people see Dr. Jesalva monthly for medication management. Visits may be more frequent at first, or during times of change. If you’re also in therapy, sessions may be weekly or biweekly. Together, you’ll decide on a schedule that best supports your goals and mental health.
Is telepsychiatry effective?
Yes — telepsychiatry can be very effective for many people. Meeting with Dr. Jesalva virtually allows you to receive high-quality mental health care from the comfort and privacy of your own home. Through secure video sessions, Dr. Jesalva can carefully evaluate patients, provide an accurate diagnosis, adjust medications if needed, and coordinate with your therapist or social workers — just as he would in person. Telepsychiatry can be especially helpful for follow-up visits and for people with busy schedules or limited access to local care.
Can you see a psychiatrist online?
Absolutely. Dr. Jesalva offers online appointments to make seeing a psychiatrist more convenient and accessible. You’ll receive the same thoughtful, compassionate care — whether you need help managing medication, want to discuss new symptoms, or need support coordinating with your talk therapy provider. Many patients appreciate the flexibility of online visits, and Dr. Jesalva works hard to ensure your experience feels personal, supportive, and effective.