Answers

Frequently asked questions

The questions people ask before they book, answered plainly. If yours is not here, send it through the contact form.

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Booking

Getting an appointment

How do I book?

Use any booking button on this site. After a short contact step, you will continue to Headway, where you can see current availability and add your insurance for a cost estimate.

Do I need a referral?

No. You can book directly without a referral from another provider.

How soon can I be seen?

Availability changes week to week and is shown live on the Headway page, so that is the accurate place to check rather than a claim on this site.

What if I would rather ask something before booking?

Use the contact form. Send a short note with your question and your state. Please leave out medical details - the form is for general questions, not clinical information.

Appointments

How visits work

Are appointments in person or virtual?

Virtual. All appointments happen by secure video.

Where do I need to be during the appointment?

Somewhere private, and physically located in a state where Steven is licensed - New York or New Jersey. Licensure follows your location during the visit, not your mailing address.

How long is the first appointment?

Longer than follow-ups, because it covers background and history. Follow-up visits are typically shorter and more focused.

What do I need to prepare?

Nothing formal. A list of current medications and doses helps, along with a rough sense of when things started, but you can arrive with none of that and it still works.

Treatment

Medication and therapy

Do I have to take medication?

No. Medication is one option among several, and some people work with Steven for therapy alone. Where medication is appropriate, the aim is the least amount that genuinely helps.

Can Steven provide both therapy and medication?

Yes. Both are available from the same provider, which means what comes up in therapy can inform prescribing directly.

Can prescriptions be sent to my pharmacy?

Yes, electronically to the pharmacy you already use. Some categories of medication carry additional requirements, and Steven will tell you directly if something cannot be handled this way.

What if my current medication is working?

Then the priority is keeping it stable. Nothing gets changed without discussing it with you first.

Cost and privacy

Insurance, cost and confidentiality

Is insurance accepted?

Yes, through Headway, which handles verification, claims and billing. Participation can differ by state and change over time, so confirm your specific plan on the Headway profile before booking.

What if my plan is not accepted?

Self-pay is available. Current rates are confirmed directly before scheduling.

What happens to what I share in the contact form?

It is used to answer your question and follow up with you about care. It is a general inquiry form, not a clinical record, which is why we ask you not to include medical details. Clinical information belongs in Headway and in your appointment.

Can I stop receiving follow-up messages?

Yes, at any time. Reply STOP to a text or use the unsubscribe link in an email and messaging ends.

Two ways forward

You do not have to be certain to take a step

Some people are ready to put an appointment on the calendar. Others want to understand the details first. Both are welcome here.

If you are ready

Start your booking

Headway is where appointments, insurance and billing are handled. You will see current availability, add your insurance for a cost estimate, and choose a time that works.

Book an appointment

A short contact step comes first, then Steven’s live Headway schedule.

If you have questions first

Ask before you commit

Plenty of people want to understand how virtual care works, whether their plan is accepted, or what a first appointment is like before booking anything. Send a short note and we will answer.

Ask a question

No appointment required. Please leave out medical details.

Helpful reading for your next step

Clear, clinically responsible answers to questions patients ask before and during psychiatric care.

Browse all articles
Anxiety and Stressarticle

Burnout vs Depression in Working Adults: Signs That Deserve Attention

Burnout is usually tied closely to chronic work stress, while depression can affect mood and functioning across settings. They can occur together, and persistent hopelessness, major impairment, or thoughts of self-harm require prompt support. This article explains how the two overlap, what differences a clinician explores, and when to seek help.

Anxiety and Stressarticle

Why Do I Feel Anxious for No Reason? What a Psychiatric Evaluation Explores

Anxiety can feel unexplained even when contributing factors exist. A psychiatric evaluation may explore symptom patterns, stress, sleep, health conditions, substances, medications, trauma, and how anxiety affects daily life. This article explains what a thorough evaluation looks for—and when to seek routine or urgent help.

Steven Smith, PMHNP-BC

Clinical review

Medically reviewed by Steven Smith, PMHNP-BC

Psychiatric Mental Health Nurse Practitioner, board-certified and licensed to provide care in New York and New Jersey. Last reviewed August 24, 2026.

View credentials and licensure

Next step

Take the next step when you feel ready

If you would like to schedule, Headway handles booking, insurance and billing. If you have questions first, send them over and we will get back to you.

Public provider feedback

Care that feels unhurried

Brief excerpts from a public provider review profile tied to Steven’s NPI. Individual experiences vary.

“Attentive and knowledgeable. Does not rush through appointments.”
Adrian B.January 2025
View the public review source

Prefer to ask a question first?

Call (732) 415-4384