Getting started

What to expect

Reaching out is often the hardest part. Knowing what happens next makes it smaller.

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A calm corner with a lamp and soft seating

The first appointment

Steven describes initial sessions as simple and laid back. You explain what has been going on and what you want out of treatment. He asks questions to fill in the picture. Together you set goals that are achievable rather than aspirational.

You do not need to have your thoughts organized in advance. You do not need the right vocabulary. Saying "I do not really know how to describe it" is a completely normal way to begin.

Roughly how it flows

A first appointment usually runs longer than later ones. Expect time on background and history, time on what is happening now, and time at the end on what to do next. Follow-up appointments are typically shorter and more focused.

Worth having ready

Helpful, but not required

Current medications

Names and doses of anything you take, including from other providers. A photo of the bottles works fine.

A rough timeline

When things started, what has changed, and anything that seemed to make it better or worse.

What you want

Even loosely. "Sleep through the night" or "stop dreading Mondays" is a perfectly good starting goal.

What you will not get

Things that will not happen here

  • Being rushed through a symptom checklist
  • Being handed a plan you had no say in
  • Being judged for what you say or have not done
  • Being pushed onto medication you are not comfortable with
  • Being told a guaranteed outcome or timeline
  • Being made to repeat your whole history at every visit

If you are in crisis right now

Do not wait for an appointment. Call or text 988 to reach the Suicide & Crisis Lifeline, or call 911 if there is immediate danger. This practice does not provide emergency or around-the-clock care.

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