Our Psychiatrists 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 Middle Schoolers and above	Adrian Kress, MD Ten year-olds and above

Request Appointment

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

At Kentlands Psychotherapy, our mission is to provide high-quality, evidence-based mental health care tailored to the unique needs of our clients. We do not meet with pharmaceutical representatives (AKA drug reps), accept promotional materials, or offer free sample medications to maintain our commitment to impartiality and integrity in treatment planning. Instead, we rely strictly on scientific information, not marketing, to decide the best treatment for you.

We Do Not Give Out Free Medication Samples

The above 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 the company’s medicines over other medication options.

This policy ensures that our clinicians base their treatment recommendations solely on current, peer-reviewed research and established clinical guidelines, free from marketing influences. We also choose not to distribute free medication samples because these samples are often provided for newer, brand-name medications that tend to be more expensive, lack generic alternatives, and have less of a proven treatment record.

By not affiliating with pharmaceutical reps and offering their free samples, we prioritize treatments with well-established safety and efficacy records while considering cost-effectiveness for our clients. This approach supports the best interests of our clients and reflects the high standard of impartial, evidence-based care that we strive to uphold.

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 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 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 mins	Follow-Up Medication Mgmt. 30 mins	Tel-Cons & Charges Outside of Sessions*
Russell Carr, M.D.	$494 - $536	$252	Prorated by the minute based on $494/ hr
Brent Donmoyer, PMHNP	$381 - $422	$190	Prorated by the minute based on $381/ hr
Adrian Kress, M.D.	$494 - $536	$252	Prorated by the minute based on $494/ hr
*Including: Medication refills between scheduled appointments (min $98 for MD; $72 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 contacting us for a refill, please check your prescription bottle to ensure you don’t have any remaining fills.
• During your appointments, please make sure 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.  You’ll see how close you are to the top psychiatrists in Maryland!