Psychiatrists In North Potomac

Our Philosophy on Psychopharmacology

Psychopharmacology can be indispensable in successful treatment outcomes. Our Psychiatrists begin with a comprehensive evaluation, a discussion of treatment options, and a shared decision-making process to determine an optimal plan. 

Russell Carr, MD

Middle Schoolers and above

Brent Donmoyer, PMHNP

High Schoolers and above

Adrian Kress, MD

Adults 18 and above

Dr. Russell Carr Dr. Brent Donmoyer Dr. Adrian Kress

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If you’re considering including psychiatric medication in your treatment plan, we have the experts you can trust.  Our Psychiatrists and Psychiatric Nurse Practitioners have extensive expertise in coordinating, monitoring, and adjusting treatments that include psychiatric medication use.

All of our prescribers follow evidence-based prescribing practices. Our award-winning seven-step process for medication evaluations and management results in optimal treatment outcomes for our clients.

Each prescriber brings a wealth of experience to collaboratively help patients determine when and how medications should be a part of their treatment.


We Don’t Meet with Drug Reps

Our office does not allow visits from pharmaceutical salespeople. Instead, we rely strictly on scientific information, not marketing, to decide what treatment is best for you. This policy also means that we don’t provide drug samples. “Free” drug samples cost you money. Samples are often only available for the most expensive, most-promoted drugs and are a tactic to get you to use drugs that may not be the best therapy for you.

We Follow the Science

Additionally, at this point, our office is not offering gene testing for antidepressants and other psychiatric medications for treatment decision-making. Based on the available research and our beta testing, we believe that although the science of pharmacogenetic testing is appealing and holds promise, for several reasons, more work needs to be done before we will be comfortable relying on it to guide treatment decisions.

From the American Medical Association’s task force on this question:

“Although some of the preliminary published data sound promising…there is insufficient evidence to support widespread use of combinatorial pharmacogenetic decision support tools at this point.”

Should we determine that a change in the state of the science warrants offering this service, we will update this page with details.


Standalone Medication Management

Our Psychiatrists and Psychiatric Mental Health Nurse Practitioners are now available to serve the greater community’s needs beyond just the practice’s psychotherapy patients!

We offer standalone medication management to adults and teens for services such as diagnostic evaluations, second opinions on the use of a particular medication or for diagnostic clarification, psychiatric drug tapers, discontinuation protocols, and for ongoing medication management in treating adolescents and adults.

Several spots are available for standalone medication management for patients, high schoolers and above, who are not otherwise clients of the practice receiving psychotherapy (i.e., talk therapy), couples therapy, executive functioning therapy, or testing services. Feel free to call us if you need medication management/psychiatric services alone.

On the other hand, if you are seeing one of our Kentlands Psychotherapy clinicians, please speak with them about your needs. They are prepared to discuss how a psychopharmacology consultation can help in your care and will guide you on booking an initial medication evaluation appointment.


Medication Management Fees

CLINICIAN Initial Medication Evaluation 60-90 minsFollow-Up Medication Mgmt. 30 minsTel-Cons & Charges Outside of Sessions*
Russell Carr, M.D.$460-495$235Prorated by the minute based on $460/hr
Brent Donmoyer, PMHNP$350-385$175Prorated by the minute based on $350/hr
Adrian Kress, M.D.$460$235Prorated by the minute based on $460/hr
*Including: Medication refills between scheduled appointments (min $85 for MD; $60 for PMHNP); insurance pre-authorizations; extended discussions about treatment plans.

Tips for Keeping Your Medication Management Charges Down

  • If you need your medication immediately, please ensure your pharmacy of choice has it in stock before contacting us. Then, when we let you know it’s been called in, please pick up your meds as soon as possible to reduce the chance they run out, and you have to request we call another pharmacy.
  • Before you contact us for a refill, please check your prescription bottle to ensure you don’t have any remaining fills.
  • During your appointments, please ensure you have adequate prescriptions with refills that will last until your next appointment.


Beautiful North Potomac Location with Free and Easy Parking

Our office is in the heart of the Kentlands, in Gaithersburg and North Potomac, Maryland. Thus, we’re close to Potomac, Poolesville, Clarksburg, and Rockville, Maryland. We are convenient to many Montgomery County communities.

Map the drive time from your house to our office and see how close you are to the top psychiatrists in Maryland!

 

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