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Depression Symptoms and Psychiatric Care

A psychiatric visit looks at mood, energy, sleep, medical causes, and safety, then builds a plan you can understand.

Depression is more than a bad week. It can flatten interest in things you used to care about, make mornings feel heavier than they should, and turn ordinary tasks into a climb. Some people feel sad. Others feel numb, irritable, or simply “not themselves.” Sleep, appetite, concentration, and self-talk often change together. Friends may notice before you do.

Online psychiatric care for depression is available throughout Florida with SteadyMind. You must be physically in Florida during each telehealth visit. Alexeis Menendez-Suarez, PMHNP-BC, sees adults in English and Spanish and welcomes eligible Medicare patients after plan verification. Rosemarie A. Zoet, PMHNP-BC, sees adults in English with self-pay or select insurance plans through Headway. Neither clinician is a physician psychiatrist. Both can evaluate and, when clinically appropriate, provide medication management. No diagnosis or medication is guaranteed.

Why a full picture matters

Low mood has many neighbors. Grief after a loss can look like depression and still deserve support. Thyroid disease, anemia, sleep apnea, chronic pain, and some medicines can drain energy. Bipolar spectrum symptoms, trauma, and substance use change the treatment plan. ADHD can leave a person exhausted from catching up, which is not the same as a primary mood disorder. A careful history protects you from a plan that treats only one layer.

The first visit is 60 minutes. You will talk about how long this has lasted, what a typical day looks like, whether you have had similar episodes before, family history, medical conditions, and what has helped or not helped. Safety is part of every thoughtful evaluation. If you are thinking about suicide or you are in danger, call 911 or call or text 988. This website and this clinic are not crisis lines.

Treatment is a plan, not a product

When depression is present, options may include education, therapy, daily structure, addressing sleep, and medication when it is clinically appropriate. Medicines differ in how they feel, how they interact with other prescriptions, and how they should be monitored. None is promised in advance. Some people improve with therapy and practical changes alone. Others need a combined approach. The point of a 15- or 30-minute follow-up with the same provider is to see what is actually happening in your life, not to lock you into a first guess.

Self-pay prices are posted because cost should not be a surprise: $139 for the current introductory evaluation (regularly $179), $75 for 15 minutes, and $100 for 30 minutes (regularly $120). Alexeis also books select commercial plans through Headway and welcomes eligible Medicare adults after plan verification.

You can try the original depression educational checklist, then read depression care in Florida or depresión en español. Book when you are ready. A conversation is the starting point, not a guaranteed outcome.

Work, family, and the Florida calendar

Depression often hides inside high function. You may still go to work, still care for your family, and still answer messages while feeling as if you are acting a part. Weekends can feel empty. Humidity, hurricane season stress, and isolation after a move to Florida can add weight without being the whole story. Naming those pressures in a visit does not mean they are “just situational.” It means the plan should fit the life you actually have.

If language is part of care, use it. Alexeis offers the entire adult evaluation in Spanish. Rosemarie offers adult visits in English with self-pay or select insurance plans through Headway. Each provider maintains a separate clinical relationship and protects patient privacy.

Bring questions. Ask what else could explain the symptoms. Ask how soon follow-up should happen. Ask what to do if you feel worse before you feel better. Those questions belong in the room.

Book

Same provider for follow-up

Alexeis Menendez-Suarez, PMHNP-BC, psychiatric mental health nurse practitioner at SteadyMind Psychiatry

Alexeis Menendez-SuarezPMHNP-BC

Adults 18+ · English & Spanish

Psychiatric evaluations and medication management by Florida telehealth.

Participating insurance plans through Headway, or self-pay.

Medicare and TRICARE East: plan check first

Alexeis welcomes eligible adults with Medicare or TRICARE East. We check your exact plan before you book, because not every Medicare Advantage plan is in network.

Medicare: verify your plan first

TRICARE East: verify with Alexeis

Ready when you are.

Choose a provider, or text (813) 534-5584 with a quick appointment, insurance or fee question. A provider will text you back during office hours.

Find your appointment

Video appointments for adults 18 and older. You must be physically in Florida during your visit.

Quick question? Text usAsk about appointments, insurance or fees. A provider will text you back during office hours.Office hours: 9 a.m.–5 p.m. Eastern Time. Use your secure portal for clinical information.In-person appointments: Wednesdays, 9 a.m.–6 p.m., by appointment →

Find your appointment

Two choices to find your next step: payment option and appointment language.

Self-pay prices per visit

Initial evaluation60 minutes
$139Special · Regularly $179
Medication follow-up15 minutes
$75
Medication follow-up30 minutes
$100Regularly $120

Follow-ups are for established patients. With insurance, your cost depends on your plan.$100 follow-up rate: one-year commitment →

Book self-pay

Pay directly without insurance. Choose your provider and time in the secure portal.

Compare our listed plans or use the provider links below.

Plan matching is a guide, not a coverage or appointment confirmation. Your provider or booking service confirms benefits, cost, and available times. No member numbers are entered here.

Compare all plans and prices

Choose a provider directly

Alexeis Menendez-SuarezPMHNP-BC

English & Spanish · Adults 18+

Psychiatric evaluations and medication management.

For self-pay, select your provider in the shared scheduling portal. For listed commercial plans, Headway checks your coverage and expected cost.

Medicare with AlexeisVerify your plan first
TRICARE East with AlexeisVerify before booking