Therapy and Medication management: We see clients that reside in the state of Virginia. You do not have to live permanently in VA, but you must be physically located within the borders of the state at the time of your appointment.

Tabitha offers skills building groups, and coaching services for anyone in the United States.

Both Tabitha and Natalie see clients ages 5-55.

Your first appointment is when you share your goals and get to know your provider. You will be asked about your background, medical information, and any life history that impacts your care.

Both Tabitha and Natalie specialize in ADHD. Tabitha further specializes in women’s issues, Autism, OCD, mood disorders, eating disorders, and PTSD. Natalie further specializes in OCD, mood disorders, anxiety, depression, military families, and healthcare workers. These are not comprehensive lists; please email us at hello@onwardgrowthpsychiatry.com if you have questions about your specific situation.

Yes, Tabitha offers autism assessments. Tabitha specializes in high masking adult women.

Both providers at Onward offer ADHD evaluations for ages 5 and up.

We believe in an integrative approach, meaning we provide medication management, therapy, and guidance on the right supplements and lifestyle changes for you. Tabitha also offers autism evaluations, groups, and coaching services.

We prescribe all categories of psychiatric medications.

We prescribe all categories of psychiatric medications.

No, medication is not for everyone. Some of our clients do take medications and instead see us for therapy and guidance on holistic healing, such as supplements and light therapy. We believe there is not “one size fits all” solution to mental health care.

We will work together to determine the appropriate frequency of appointments. We need to see you at least every 3 months to continue to prescribe medications. Your personal treatment plan and medications may require more frequent appointments.

Yes, we do, including stimulants.

We have open and transparent discussions to develop treatment plans and goals. It’s critical to be open and honest regarding your concerns and questions about medications.

Yes! Therapeutic services are a core aspect of PMHNP care. A benefit of seeing a PMHNP is being able to obtain therapy and medication management from a single provider.

We frequently use methods derived from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment therapy (ACT), and Solution Focused therapy. Depending on your unique needs, we may also incorporate aspects of Dialectic Behavioral therapy (DBT) and Psychodynamics.

It’s great you have a therapist! Our care can adjunct what you and your therapist are working on. Perhaps you need medication management and specific lifestyle or supplement interventions. Or perhaps you are seeking a definitive diagnosis or an ADHD assessment. We can help you gain clarity while you continue seeing your primary therapist.

Therapy allows us to gain insight into ourselves, process emotions and memories, and regulate our nervous system. Therapy offers us an opportunity to learn coping skills and find freedom from the worry, trauma, or depression holding us back from living our best life.

You are the client, so involving a family member or significant other in an appointment will be at your request and only if it is therapeutically beneficial to you. We do not offer family therapy or marital counseling.

All our appointments have an aspect of therapeutic communication and care, though we can focus primarily on medication management if that’s your preference.

We do not accept any insurance. Onward Growth is an “out of network” provider.

Often, insurance companies dictate how often clients can be seen, the duration of their appointments, and when treatment ends. We believe the best people to make those decisions are the provider and client together, not an insurance company. Being out of network also allows us to ensure total privacy, meaning we do not share any of your information with your insurance company, and by extension, your employer.

We can provide you a superbill after your sessions that you may use to request reimbursement from your insurance company. We cannot intervene with your insurance on your behalf, and we do not offer any advice regarding if they will reimburse you or not. Call your insurance company and tell them you are seeing an out-of-network provider, and you would like to file a behavioral health claim. They will provide further instructions.

Both Natalie and Tabitha offer limited evening and weekend appointments for established clients.

Payment is due 24 hours before your appointment.

Credit cards, debit cards, and HSA/FSA cards.

You can self-schedule here.

For standard appointments:

• New client appointments: $300
• 60-minute follow up session: $300
• 30-minute follow up session: $150

Yes, you can use any device that is connected to the internet. Please keep in mind that a good connection and stable device are needed. We cannot provide excellent service if we cannot see you, so please ensure you are in a well-lit space and your device is stationary.

We will work with you to determine an appropriate follow up schedule to meet your needs. Most clients meet with their provider every other week for therapy and every 4 weeks for medication management during the initial stage of treatment. Most clients gradually decrease the frequency of visits to once every one to three months, but you are welcome to see your provider every week or every other week for therapy.

All appointments are virtual.

Payments are due 24 hours before your appointment for standard services. If you need to reschedule your appointment, you can do so up until 24 hours prior to your appointment without incurring a late fee. Appointments cancelled or rescheduled within 24 hours are charged the full session fee. No-shows are charged the full session fee.

Appointments cancelled greater than 24 hours in advance do not result in a late cancel/no-show fee. Appointments cancelled 24 hours or less in advance will result in a late cancel/no-show fee.

Missed appointments are considered no-shows and will result in a no-show fee. If you no-show to greater than 2 appointments in a 90-day period, we will no longer be able to serve you.

We do not have a sliding fee schedule.

We use a secure HIPAA compliant electronic health record for all telehealth appointments, messages, and refill requests. We do not disclose your information to anyone unless required to do so by law.