Telehealth Psychiatry
Thoughtful care,
wherever you are.
About Me
I'm glad you're here.
Hi, I'm Dr. Thomas Sargent. I take time to explain what I recommend and why, because every medication should truly earn its place in your treatment. Every visit includes focused psychotherapy alongside medication management, so we're always working on the full picture. My goal is for you to feel confident in your plan and like someone is paying close attention to how it's going.
Credentials
Education & Training
American Board of Psychiatry and Neurology
Board Certification in General Psychiatry
Icahn School of Medicine at Mount Sinai
Residency in General Adult Psychiatry, Morningside-West Hospital
Tulane University School of Medicine
Doctor of Medicine
Tulane University School of Medicine
Master in Pharmacology
Bucknell University
Bachelor of Arts in Biology
Services
How I can help
Areas of Expertise
- ADHDDifficulty focusing, staying organized, or managing time and impulses.
- Bipolar IICycles of depression and elevated mood that disrupt daily life.
- DepressionPersistent sadness, low energy, or loss of interest that won't lift on its own.
- Generalized AnxietyConstant worry or restlessness that feels hard to control.
- InsomniaTrouble falling asleep, staying asleep, or waking up feeling unrested.
- OCDUnwanted repetitive thoughts or behaviors that feel impossible to stop.
- Panic DisorderSudden, intense episodes of fear with physical symptoms like racing heart.
- Performance AnxietyStress or avoidance around work presentations, exams, or public speaking.
- PTSDIntrusive memories, avoidance, or hypervigilance after a traumatic experience.
- Seasonal DepressionLow mood and fatigue that return with the shorter, darker months.
- Social AnxietyOverwhelming self-consciousness or dread in social situations.
Medication Management & Integrated Care
Every visit combines personalized medication management with focused psychotherapy. You receive clear guidance on your treatment plan, ongoing medical supervision, and dedicated time to process what you're experiencing and build practical coping skills.
Insurance & Fees
Accepted Insurance Plans
Plus additional plans through Alma
Optum and UnitedHealthcare credentialing in progress
Out-of-Network & Self-Pay
Current Self-Pay Rates
Initial Psychiatric Evaluation
$500
60 minutes
Follow-up Visit
$250
30 minutes
For all other insurance plans, payment is due at the time of service.
Out-of-Network? You can still get reimbursed.
Many PPO plans reimburse 50-80% of treatment costs. I provide a monthly superbill with all CPT and ICD-10 codes your insurance needs to process your claim.
The Process:
- Pay the full session fee at the time of appointment.
- Receive your superbill via the secure patient portal.
- Submit it to your insurance (usually via their website or app).
- Get reimbursed and your insurance mails you a check.
Tip: Call the number on your insurance card and ask: "Do I have out-of-network benefits for outpatient mental health telehealth services?"
Get Started
Begin your care
Verify Coverage
Check if your plan is accepted above.
Request a Time
Select a time for your initial evaluation.
Quick Questionnaire
Check your email for a brief questionnaire so I can learn about you before we meet.
You're All Set
Once confirmed, you'll receive intake paperwork to complete before your first visit.
Questions before booking? Send me an email
FAQs
Frequently Asked Questions
Your first appointment is a 60-minute video evaluation via a secure, HIPAA-compliant platform. You must be physically located in New York or Texas at the time of our visit. We'll talk about what brought you in, your history, and what you've already tried. By the end, you'll have a clear picture of what I think is going on and a plan for next steps, whether that includes medication or not.
After that, follow-up visits are 30 minutes. Early in treatment, we typically meet every two to four weeks so I can monitor how things are going and make adjustments. Once you're feeling stable, we can space visits out further. Every visit includes dedicated time for focused talk therapy alongside any medication management.
That's very common. I'll review everything you're currently taking during your initial evaluation and we'll talk through what's working and what isn't. If your current regimen makes sense, I'm happy to continue it. If I have concerns, I'll explain why and we'll work on a plan together. Either way, I'll make sure there's no unsafe gap in your prescriptions during the transition.
Yes, when clinically appropriate. I take a careful, safety-first approach to prescribing. ADHD diagnoses require a thorough evaluation, and I generally do not prescribe long-term benzodiazepines as a first-line treatment. I review the Prescription Monitoring Program for all controlled substance prescriptions.
Please cancel or reschedule at least 48 hours in advance. Late cancellations and no-shows are charged $150.
I provide enough medication to last until our next appointment. Need a refill between visits? Contact me via the patient portal at least 3 business days before you run out. Controlled substances cannot be refilled early or after hours.
My practice is not an emergency service. If you are experiencing a crisis, call 911, go to your nearest ER, or call the Suicide & Crisis Lifeline at 988.