What to Expect in a Medication Management Appointment

If you’re considering medication for your mental health, you might already be feeling overwhelmed. Maybe you’ve had a bad experience in the past, or maybe this is all completely new. You might be wondering:

  • Will they actually listen to me?

  • Am I going to be pushed to take something I don’t want?

  • How much of my story do I have to tell all over again?

  • What if I don’t even know what to ask?

These are real, valid questions. And at Nashville Therapy Group, we want you to feel informed, supported, and respected as you take this step. So here’s what you can expect.

First, It’s a Conversation—Not a Prescription Pad

Your initial appointment isn’t about diagnosing and prescribing as quickly as possible. It’s a conversation. You’ll meet with our integrative physician and talk through your experiences, symptoms, health history, and any questions or concerns you’re carrying.

This is your space to share what’s been going on in your life—emotionally, physically, mentally—and to be met with curiosity and care. You don’t have to show up with the perfect language. Just bring yourself.

You’ll Talk About What You’ve Tried and What You’ve Noticed

Your provider will ask about past or current medications, how your body has responded, and what side effects or benefits you’ve experienced. If you’ve never taken psychiatric medication before, that’s completely fine. The goal is to build a full picture of what you’ve been through and what support might be most helpful now.

You’ll also talk about sleep, appetite, energy, mood, attention, and anything else that feels relevant. If something doesn’t feel safe to talk about yet, that’s okay too. We move at your pace.

You’ll Never Be Pressured

This part matters. You are not expected to commit to anything you’re not comfortable with. You can ask questions, take time to think, and even decide to try something else first. Your provider will offer their clinical opinion, explain the reasoning behind it, and make space for your preferences and values.

This is your care, and your voice matters in every decision.

If Medication Is Recommended, You’ll Get a Clear Plan

If you and your provider decide to move forward with medication, they’ll walk you through the options and explain how each one works, what the starting dose will be, what side effects to watch for, and when to check in.

We keep the plan simple and transparent. You’ll always know what’s being prescribed, why it was chosen, and how to reach out with any questions between appointments.

Follow-Up Matters

Medication management is not a one-and-done appointment. It’s a process that includes follow-up care, ongoing check-ins, and collaboration with your therapist if you have one. We believe the best outcomes happen when therapy and medication work together, not in isolation.

You won’t be left to figure it out on your own. We’re here to help you adjust, track how you’re doing, and make changes if something isn’t working.

It’s Okay to Feel Uncertain

Starting a conversation about medication can bring up a lot. Fear, stigma, confusion, frustration, hope. Whatever you’re feeling is completely normal.

You don’t have to know what you want before you walk in the door. You just have to be willing to explore the possibility that support might help.

We’re here to talk it through with you, honestly and respectfully.

We Are Here For You

Dr. Megan Galaske

Integrative Physician

Finding the right mental health treatment can be a complex and personal process. For some, that includes medication, and it’s important to work with someone who listens closely, explains clearly, and respects your goals. Our Medication Management program offers thoughtful, collaborative support from an integrative physician who works in partnership with your therapist and other providers. Whether you’re starting medication for the first time or re-evaluating an existing plan, we’re here to help you make informed, empowered decisions about your care.

When you’re ready, reach out to us. We’d be honored to support you.


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