Private Telepsychiatry · Vermont · Maine · Minnesota
You Need More Than a 15-Minute Medication Visit
I provide private-pay telepsychiatry medication management and therapeutic support for adults in Vermont, Maine, and Minnesota navigating anxiety, depression, burnout, caregiver stress, trauma, grief, and major life transitions.
- Board-certified psychiatric mental health nurse practitioner
- Board-certified family nurse practitioner
- 30+ years of nursing experience
- Private-pay telepsychiatry for adults in Vermont, Maine, and Minnesota
- Structured medication management and therapeutic support
Who This Is For
For adults who are holding everything together on the outside, but quietly running on empty
Many of the adults I work with look like they have it all together on the outside. They are working, caregiving, leading, parenting, studying, managing responsibilities, and showing up for everyone else. But internally, they may be overwhelmed, anxious, grieving, burned out, panicked, or quietly falling apart.
One of the most common reasons people begin to struggle is change. Some people adapt to change more easily than others, but even strong, capable, high-functioning people can reach a point where one more change becomes too much.
Change may look like
- Children leaving home
- The death of someone close
- Job loss or career change
- Financial stress or bankruptcy
- Going back to school
- Starting a business
- Leaving a secure job
- Becoming a caregiver
- A new medical diagnosis
- Hospitalization or facility placement
- Losing independence
- Relationship changes
- Retirement
- Grief, trauma, or identity shifts
If that sounds familiar, you are not alone — and there is a more thoughtful way to be cared for.
About My Approach
Care that slows down enough to actually help
PhD, DNP, PMHNP-BC, FNP-BC
I am Dr. Tiney Ray, PhD, DNP, PMHNP-BC, FNP-BC. I am a board-certified psychiatric mental health nurse practitioner, board-certified family nurse practitioner, educator, consultant, and founder of Lyght Bulb Moments.
I bring more than 30 years of nursing experience to this work, but I also bring something deeper: a lived understanding that people do not heal well when care feels rushed, disconnected, or surface-level.
Over the years, I have worked with people across many settings, including mental health, primary care, nursing homes, family support, dementia-informed care, education, and crisis stabilization. I have also seen, both professionally and personally, how difficult it can be to find care that is structured, thoughtful, and truly useful.
Many people do not need someone to simply listen while they talk in circles. They need help slowing things down, identifying patterns, understanding what is really underneath the distress, and leaving with practical steps they can actually use.
That is why I created this approach.
Why I Created the TIDE Stabilization Series
Because I kept seeing the same problem
People were showing up for therapy, medication visits, or mental health support, but still leaving without clarity. They liked their provider, but the sessions did not always feel structured. They talked about what was happening, but did not always leave with tools. They were prescribed medication, but did not always understand the bigger picture of what was contributing to their symptoms.
I understand this personally. In my own life, returning to school, building a business, leaving the security of traditional employment, and carrying multiple responsibilities required constant adjustment. From the outside, people may assume you are strong enough to handle it all. But internally, even strong people can feel stretched, anxious, uncertain, or emotionally exhausted. That lived understanding is part of why I created TIDE.
When I slowed down and did the deeper work, I realized that symptoms are not always random or separate. Anxiety, panic attacks, low mood, irritability, exhaustion, sleep problems, or feeling disconnected are often connected to a deeper transition, loss, identity shift, or unresolved stressor that has not yet been fully named or addressed.
TIDE is designed to help identify the transition or repeated theme underneath the distress.
The goal is not to keep you talking without direction. The goal is to help you identify what is really driving the distress, understand how it is affecting your mood, thoughts, body, relationships, and functioning, and then create practical steps toward stabilization.
What Makes This Different
Not a quick check-in. Not unstructured talk.
This is not a quick medication visit where we briefly check symptoms and move on. It is also not unstructured therapy where you leave wondering what you are supposed to do next.
My approach combines psychiatric medication management, therapeutic support, education, accountability, and whole-person care. When clinically appropriate, I may recommend labs, review medical history, and consider sleep, nutrition, stress, trauma, grief, hormones, cognition, and other factors that may be contributing to how you feel.
Medication can be helpful, but medication alone is not always the full answer. I practice thoughtfully and holistically. That means we look at the whole person, not just the diagnosis.
- Unhurried, whole-person visits
- Medication + therapeutic support, together
- A clear, written care plan
- Continuity with one trusted clinician
Signature Program
The TIDE Stabilization Series
8 sessions over 8–10 weeks · $2,400
Payment options
- Pay in full$2,400
- Two-payment option$1,250 per payment
A structured private-pay telepsychiatry program for adults who need more than a quick medication visit. This series helps clients stabilize, gain clarity, review medication needs, develop coping strategies, and move forward with a personalized care plan.
Includes
- 8 private telepsychiatry sessions
- Comprehensive psychiatric assessment
- Medication review and management as clinically appropriate
- Symptom, sleep, stress, and functioning review
- Therapeutic support and coping strategies
- Personalized care plan
- Progress review throughout the series
- Maintenance planning after completion
The Framework
What TIDE Means
TIDE is my structured approach to helping clients connect the dots between a life transition, how it has shifted their sense of self, how the stress is showing up, and what practical steps will help them stabilize and move forward.
Transition
What changed, or what keeps changing?
Identity
How has this change affected how you see yourself or your role?
Distress
How is the stress showing up in your mood, body, thoughts, relationships, and daily functioning?
Engagement
What practical steps can help you stabilize, reconnect, and move forward?
Individual Visit Options
Not ready for the full series?
Individual visits may be available for clients who are not ready to commit to the full series.
Initial Psychiatric Consultation
90 minutes
Follow-Up Visit
45 minutes
Extended Follow-Up Visit
60 minutes
Brief Medication Check-In
30 minutes
A Good Fit
Who this is — and is not — for
Who This Is For
This service may be a good fit if you are:
- An adult seeking structured mental health support
- Feeling stuck, overwhelmed, anxious, depressed, or emotionally exhausted
- Looking for more than a brief medication check-in
- Open to honest reflection and practical next steps
- Interested in understanding the root of what may be contributing to your symptoms
- Willing to participate actively in your own care
- Seeking private-pay psychiatric care that is thoughtful, structured, and personalized
Who This Is Not For
This service is not the right fit if you are looking for:
- Emergency or crisis care
- Immediate help for suicidal thoughts, self-harm, or safety concerns
- A provider to simply prescribe medication without deeper assessment
- A quick visit with no follow-up work or accountability
- Court-ordered treatment, disability evaluations, or forensic evaluations
- A guarantee of a specific medication
- A passive therapy experience where you are not ready to participate in change
If you are in crisis, call 988, call 911, or go to the nearest emergency room.
A Note About Private-Pay Care
Time for a more thoughtful approach
Private-pay care allows time for a more thoughtful, structured, and individualized approach. It gives us space to look beyond symptoms alone and focus on what is actually happening in your life, your body, your mind, and your daily functioning.
This type of care is not for everyone, and I understand that. But for the right person, it can create room for deeper assessment, clearer planning, and more meaningful support.
My goal is for you to leave each visit with more clarity than you came in with, along with practical steps you can begin using in your real life.
After the Series
Ongoing maintenance support
After completing the TIDE Stabilization Series, clients may transition into monthly maintenance support for ongoing medication management, relapse prevention, and continued therapeutic support as needed.
Service Details
What to know before booking
- Private-pay only
- Telepsych / remote care only
- Available to adults physically located in Vermont, Maine, or Minnesota at the time of the visit
- Medication management and therapeutic support available
- Free 15-minute consultation available
- Superbills may be provided upon request if applicable
- This service does not bill insurance directly
- Not for emergencies or crisis care
Ready for care that looks at the whole picture?
If you are ready for psychiatric care that combines medication management, therapeutic support, and a clear plan forward, schedule a free 15-minute consultation today.