How Can We Help You?

Getting started is simple. Fill out our online intake form on the Get Started page and we will contact you within one business day to schedule your first appointment. We will also verify your insurance benefits before your visit so there are no surprises.

We currently provide telepsychiatry, TMS therapy, and counseling services to residents of California, Florida, and New York. Your provider must be licensed in the state where you are physically located at the time of your appointment.

No referral is needed. You can contact us directly through our website or by phone to schedule an evaluation. If your primary care doctor has suggested a referral, we welcome that as well.

Telepsychiatry, or telemedicine, is a specifically defined form of video conferencing that provides psychiatric services to patients wherever they are. It is psychiatric care delivered through secure video appointments, allowing you to meet with a psychiatrist remotely to discuss symptoms, receive a psychiatric evaluation, and develop a treatment plan without needing to travel to an office. Learn more about telepsychiatry.

There is no startup cost associated with using our telepsychiatry platform unless you need to purchase a webcam and microphone. On average, both can be purchased for less than $200. There is no fee to use our platform itself.

All that is needed is a device with a camera and microphone (smartphone, tablet, laptop, or desktop) with internet access. Almost any third-party webcam or video conferencing equipment will work. We use a HIPAA-compliant, encrypted platform — no special software download is required.

Yes. All communications are sent using 256-bit AES encryption. We take appropriate measures to comply with all HIPAA privacy and security rules. Your sessions and records are fully protected. Read our Privacy Policy.

Yes. Research shows telepsychiatry can be just as effective as in-person care for many mental health conditions, especially for medication management and ongoing psychiatric follow-ups. The convenience of telehealth also improves treatment adherence and reduces missed appointments.

Telepsychiatry can support people experiencing anxiety, depression, ADHD, bipolar disorder, OCD, PTSD, mood struggles, sleep disorders, difficulty concentrating, emotional overwhelm, and many other mental health conditions that interfere with daily life. See all conditions we treat.

Facilities in remote or rural locations that have difficulty recruiting psychiatrists can benefit significantly from telepsychiatry. Benefits include: providers can be located anywhere in the US with proper licenses; fills part-time positions; provides vacation and leave coverage; and offers after-hours on-call support. We also offer 24-hour technical support, seven days a week. Learn about our clinic partnership program.

Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved treatment that safely delivers magnetic pulses to areas of the brain responsible for mood and function. The magnetic pulses are similar in strength to those used during a typical MRI. TMS not only mitigates depression in the short term but can also result in long-lasting relief — without the side effects of medication. Learn more about TMS Therapy.

Theta Burst Stimulation (TBS) is a newer form of TMS. Research studies with TBS have shown similar if not greater effects on brain activity compared to standard repetitive transcranial magnetic stimulation (rTMS), often in shorter treatment sessions.

Quantitative Electroencephalography (qEEG) is a procedure that processes recorded EEG activity from a multi-electrode recording using a computer. The qEEG information can be used as a clinical tool to evaluate brain function and guide TMS treatment targeting for more personalized results.

TMS treatment is performed in our California office while you sit fully awake in a comfortable chair. Because the magnetic pulses make a sound similar to a woodpecker, earplugs are provided. The device is placed on your head and pulses are delivered for a short time. The process takes between 20 and 40 minutes and you can return to daily activities immediately after — no anesthesia or downtime required.

A standard TMS course includes daily treatments Monday through Friday, each lasting 20–40 minutes, for approximately 4–6 weeks (20–30 total sessions). Some patients notice improvement in the first two weeks; others see the full effect toward the end of the course. We monitor your progress and adjust as needed. Get started with TMS.

In the United States, the FDA approved TMS in 2008 for treatment-resistant depression. It has since received approval and CE marking for depression, bipolar disorder, PTSD, OCD, chronic pain, anxiety, sleep disorders, ADHD, and autism-related symptoms. We offer TMS for depression, ADHD, anxiety, OCD, PTSD, sleep, and high-functioning autism. Note: TMS is currently available only at our California location.

TMS is generally very well tolerated. Some patients report slight headaches or mild discomfort at the treatment site during sessions. About one-third of patients notice a prickly or tingly sensation on their scalp during pulses. Unlike antidepressants, TMS has no systemic side effects such as nausea, weight gain, dry mouth, fatigue, insomnia, or decreased sexual function. Seizure risk is approximately 1 in 10,000 — comparable to that of some antidepressants.

People who have certain metal implants in or near their head should not have TMS. Exceptions include dental fillings, crowns, and braces. Items that prevent TMS include: pacemakers or implanted defibrillators, stents from the neck up, aneurysm clips, metallic implants in ears or eyes, ammunition fragments near the head, and facial tattoos with metallic ink. Your provider will screen you for all contraindications before beginning treatment. Contact us with questions.

Many major insurance plans cover TMS for treatment-resistant depression, including Anthem Blue Cross Blue Shield, Medicare, Aetna, MHN (HealthNet), and others. Coverage for OCD and other conditions is expanding. We verify your TMS benefits before your first appointment at no charge.

We accept most major insurance plans including Aetna, Blue Cross Blue Shield, Cigna, Optum/United Healthcare, Humana, Medicare, Medi-Cal, Beacon, BHS, Carelon, MultiPlan, Oxford, and Tricare. We also accept self-pay with a sliding scale available for uninsured or underinsured patients. Visit our Insurance page for the full list.

No. Segal Telepsychiatry does not accept any HMO plans. We accept most PPO and other major insurance plans. If you are unsure whether your plan is accepted, please contact us and we will verify your benefits.

We offer self-pay options with competitive rates and a sliding scale for patients who qualify. We are committed to making mental health care accessible regardless of insurance status. Please contact us to discuss your situation.

Our therapists are trained in a range of evidence-based modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT) for trauma, and mindfulness-based approaches. We match you with a therapist whose style and expertise fit your goals. Explore our therapy services.

Absolutely — and we encourage it. Research shows that combining therapy with medication management produces better outcomes than either alone for most conditions. Our integrated model means your therapist and psychiatrist communicate and coordinate your care for a comprehensive treatment approach.

Yes. We are fully HIPAA compliant. All video sessions use 256-bit AES encrypted, secure platforms. Your medical records are stored securely and are never shared without your written consent, except as required by law. We take appropriate measures to comply with all HIPAA privacy and security rules. Read our Privacy Policy.

If you are experiencing a psychiatric emergency, please call 911 or go to your nearest emergency room. You can also call or text the 988 Suicide & Crisis Lifeline (call or text 988) for immediate support. Our team will provide you with crisis resources and a safety plan as part of your care.