Premium psychiatric care is a breezewhen you’re in the right place

In California, care is private pay and we provide a detailed superbill on every visit that you can submit to your insurer for possible out-of-network reimbursement. In New Jersey, care is insurance based: we're in credentialing with Horizon BCBS NJ, Aetna NJ, and Cigna/Evernorth NJ, with an out-of-network superbill bridge until each panel finalizes. We confirm your specific plan on the intake call.

California patients are seen by Dr. Ramy on a concierge basis. In New Jersey, most adults are seen by Katherine Halpern, our Board-Certified Psychiatric Mental Health Nurse Practitioner. Children and adolescents under eighteen are seen by Dr. Ramy, and Dr. Ramy provides medication-assisted treatment (MAT) for alcohol or opioid use. We confirm who you'll see on your intake call.

As long as your care needs. A first evaluation runs longer because there's more to understand. After that, some follow-ups take a focused fifteen minutes and others take longer. We don't force every visit into the same block of time, and we don't pad a visit just to fill a slot. You get the time the moment calls for.

Yes. We provide confidential, non-judgmental treatment for alcohol and opioid use, including medication-assisted treatment (MAT) when it's the right fit. Care is individualized and coordinated with any therapy or other support you have. If you ever need a higher level of care than telehealth can safely provide, we'll help you find it.

We support people with autism, ADHD, and other developmental differences by treating the co-occurring challenges that often come with them, such as anxiety, attention, irritability, sleep, and mood. We don't treat autism itself, and we aren't a replacement for developmental, behavioral, speech, or occupational therapies, but we can manage the psychiatric pieces alongside them.

Yes, when clinically appropriate and within the law. The rules depend on the medication, your age, and your state. New Jersey is telehealth only for us, and the rules require an in-person relationship before an adult can be prescribed certain controlled medications, including stimulants for adult ADHD. For that reason we don't treat adult ADHD with stimulants in New Jersey; adults who need that care are seen in California. New Jersey children and adolescents under eighteen can be treated for ADHD, including stimulants, entirely by secure video with a parent or guardian's written consent. We also offer medication-assisted treatment for alcohol and opioid use. We explain exactly what applies to you on your intake call before anything is prescribed.

Children, teens, college students, and adults, for ADHD, anxiety, depression, mood symptoms, trauma and PTSD, OCD, sleep problems, stress, life transitions, alcohol or opioid use with MAT, and the psychiatric challenges that come with autism and developmental differences.

California patients are seen on a concierge basis, often within a day, though exact timing varies with demand. New Jersey patients are scheduled promptly during business hours, usually within about two weeks. We confirm the soonest option on your intake call. Sigma isn't an emergency or 24/7 service.

If you're experiencing a mental health emergency, please call or text 988 or go to the nearest emergency department. Sigma Psychiatry is not an emergency service and is not available 24/7.