Psychiatric Medication Management in Los Angeles

More Than a Prescription

Psychiatric medication management done well is not a fifteen-minute appointment and a refill. It is a careful, ongoing clinical process — one that requires understanding your full history, your treatment goals, and the ways your biology and life circumstances interact.

Julian approaches medication management as one part of a broader treatment picture. For some patients, the right medication combination is the foundation everything else is built on. For others, medications are a bridge to interventional treatments that can create more lasting change. In every case, prescribing is intentional and informed by the whole person — not just the diagnosis.

Conditions Managed

• Major depressive disorder — including treatment-resistant presentations where first and second-line agents have been inadequate
• Anxiety disorders — generalized anxiety, panic disorder, social anxiety, and related conditions
• PTSD — evidence-based pharmacotherapy alongside or between trauma-focused modalities
• Bipolar disorder — mood stabilization, acute episode management, and long-term maintenance
• OCD — including augmentation strategies for partial responders
• ADHD — comprehensive evaluation and stimulant or non-stimulant management

Prescriptive Authority

Julian holds a California NP furnishing license with an active DEA registration for Schedule II through V controlled substances — the same prescriptive scope as a physician in California mental health practice. This includes stimulants, benzodiazepines (when clinically appropriate), and ketamine-class medications in appropriate clinical settings.

Integration with Interventional Treatments

Many patients pursuing ketamine or TMS continue to benefit from adjunct psychiatric medications. Thoughtful coordination between these treatments is important — certain medications can affect ketamine response, and others are specifically beneficial during TMS courses. Julian manages this integration carefully, adjusting medication protocols to support rather than undermine the interventional work.

Telehealth Throughout California

Medication management appointments are available via secure telehealth for patients throughout California. Initial evaluations for new patients are typically conducted in-person in Los Angeles when possible, with follow-up appointments available remotely for established patients.