Prescriber Services / Medication Management
Collaborative, holistic psychiatric care — thoughtfully integrated with therapy
At Alliance Counseling Works, we believe mental health care is most effective when it is personalized, relational, and holistic. Our prescriber services are designed to support clients through comprehensive psychiatric evaluation and medication management while honoring the whole person — not just symptoms.
Medication can be a helpful tool for some individuals, but it is never treated as the only solution. Our goal is to provide care that feels balanced, informed, and empowering, whether someone is exploring medication for the first time, seeking ongoing management, or hoping to reduce reliance on medication when appropriate.
What Are Prescriber Services?
Prescriber services include psychiatric evaluation, diagnosis, and medication management provided by a Psychiatric Mental Health Nurse Practitioner (PMHNP). These services may be helpful for individuals who are:
- Considering whether medication may be beneficial
- Needing medication adjustments or monitoring
- Experiencing new or changing mental health symptoms
- Seeking a more coordinated approach alongside therapy
Prescriber services can be used on their own or integrated with counseling services at Alliance Counseling Works.
Telehealth Prescriber Services Across Texas
All prescriber appointments are provided via secure telehealth, allowing clients to access care from the comfort and privacy of their own space.
Because services are delivered virtually, prescriber appointments are available to clients located anywhere in the state of Texas. This model allows for greater flexibility, accessibility, and continuity of care — without the need to travel to an office.
Telehealth visits are conducted using a HIPAA-compliant platform and are designed to feel personal, supportive, and easy to navigate.
Our Approach to Medication Management
Our approach is patient-centered, trauma-informed, evidence-based, and holistic.
We believe effective mental health care considers the whole person, including emotional well-being, physical health, relationships, lifestyle, stressors, and personal values. Medication is approached as one tool among many, not a default or quick fix.
We prioritize:
- Thorough psychiatric evaluations
- Education and transparent discussion of options
- Shared decision-making
- Careful consideration of benefits, risks, and side effects
- Ongoing review and adjustment over time
When appropriate, treatment focuses on helping clients reach their goals in ways that feel healthy, sustainable, and not overly dependent on medication alone.
Ready to Start Your Healing Journey?
A Holistic, Balanced Perspective
Our prescriber works from a holistic perspective, supporting clients in building long-term stability and well-being — not just symptom relief.
This may include:
- Using the lowest effective dose when medication is indicated
- Regularly reassessing whether medication remains necessary
- Supporting clients who wish to reduce medication reliance when clinically appropriate
- Collaborating with therapists to strengthen coping skills, insight, and emotional regulation
When medication reduction is appropriate, this is done thoughtfully, gradually, and safely, always prioritizing the client’s well-being.
The goal is not simply to manage symptoms, but to support clients in developing a foundation for lasting mental and emotional health.
Meet Our Prescriber – Anil Nagpal
Psychiatric Mental Health Nurse Practitioner (PMHNP)
Our Psychiatric Mental Health Nurse Practitioner provides compassionate, evidence-based mental health care to children (ages 6 and older), adolescents, adults, and older adults.
They specialize in the assessment, diagnosis, and treatment of a wide range of mental health concerns, including:
- Anxiety disorders
- Depression
- Obsessive-Compulsive Disorder (OCD)
- Bipolar disorder
- ADHD
- Other mood and behavioral concerns
Their clinical approach is collaborative, respectful, and non-judgmental. They take time to listen carefully, understand each client’s lived experience, and develop treatment plans that align with individual goals, values, and needs.
Medication management is approached thoughtfully and intentionally, with an emphasis on education, partnership, and ongoing support.
Conditions We Commonly Treat
Prescriber services may be helpful for individuals experiencing:
- Persistent anxiety or panic symptoms
- Depressive symptoms or mood changes
- Difficulty with focus, attention, or impulsivity
- Intrusive thoughts or compulsive behaviors
- Emotional regulation challenges
- Mental health changes related to life transitions or stressors
An initial evaluation can help determine whether prescriber services are a good fit.
What to Expect
Initial Psychiatric Evaluation
- Comprehensive assessment of symptoms, history, and concerns
- Discussion of diagnosis and treatment options
- Collaborative development of a care plan
Ongoing Medication Management
- Regular follow-up appointments
- Monitoring effectiveness and side effects
- Adjustments as symptoms, goals, or life circumstances change
Collaborative Care
With client consent, the prescriber can coordinate with therapists to ensure care feels integrated rather than fragmented.
Ready to Start Your Healing Journey?
Prescriber services are currently accepting new clients. If you’re curious about whether psychiatric evaluation or medication management may be helpful — or if you’re seeking a more balanced, holistic approach — we’re here to help.
Frequently Asked Questions About Prescriber Services
Do I have to take medication to work with a prescriber?
No. Medication is never required. Prescriber services include evaluation, education, and discussion of options. Some clients choose medication, others do not.
Can I work with a prescriber if I’m already in therapy?
Yes. Many clients find prescriber services helpful alongside therapy. With your consent, care can be coordinated with your therapist.
Can this prescriber help me reduce or come off medication?
Yes — when clinically appropriate. Medication reduction is approached thoughtfully, gradually, and safely, with careful monitoring and shared decision-making.
Does the prescriber take a holistic approach?
Yes. Care considers emotional health, physical well-being, lifestyle factors, stressors, relationships, and personal goals — not just symptoms.
What ages do you serve?
Prescriber services are available for children ages 6 and older, adolescents, adults, and older adults.
Is medication the main focus of treatment?
No. Medication is viewed as one possible tool within a broader mental health plan. The focus is on supporting long-term well-being and healthy functioning.
How do I get started?
To begin prescriber services:
- Contact our office directly, or
- Complete an intake request through our website
Our team can help determine next steps and answer any questions you may have.