Services at RiverStep Health

Thoughtful psychiatry that helps you feel seen, supported, and truly heard.

What I Offer

At RiverStep Health, I provide comprehensive, personalized psychiatric care that goes beyond symptom control. Every service is grounded in collaboration, transparency, and deep respect for your story and your body’s unique needs.

Safe Psychiatric Medication Tapering

Many of my patients come to me feeling stuck on multiple medications—or fearful about trying to stop without help. My tapering plans are:

  • Hyper-personalized – no one-size-fits-all protocols

  • Gradual & safe – using tiny, strategic reductions based on your response

  • Holistically supported – with therapy, nervous system care, and natural alternatives when appropriate

  • Collaborative – you’ll always know what’s happening and why

This is about more than just getting off medication. It’s about finding freedom, clarity, and confidence on the other side.

Root Cause Investigation

If psychiatric medications aren’t the long-term answer, what is?

We will dig deep to explore the why behind your symptoms—often hidden in:

  • Chronic inflammation or immune dysregulation

  • Trauma and unresolved emotional patterns

  • Nutritional and hormonal imbalances

  • Nervous system dysregulation

  • Life misalignment and occupational burnout

  • Medication withdrawal effects that need careful, supported navigation

Together, we uncover the hidden drivers—including safely transitioning off medications when appropriate—so your healing can finally begin at the roots, not just the surface.

True recovery happens when we address what created the distress in the first place, while providing proper support through every step of your journey, including withdrawal.

Natural Alternatives Exploration

Not everyone wants medication. And even for those who have used it for a crisis, it shouldn’t be the only tool.

I help you explore options like:

  • Targeted supplements and nutritional strategies

  • Grounding techniques to support mood regulation

  • Lifestyle interventions and habit shifts

  • Nervous system tools for anxiety, dissociation, or overwhelm

We create a roadmap that aligns with your values and your biology.

Therapy for Dissociation & Nervous System Issues

Symptoms like brain fog, emotional numbing, detachment, or overwhelm. They also can be nervous system adaptations to a variety of causes (e.g., substance or pharmaceutical reactions, disease, traumatic stress).

I offer integrated therapy that includes:

  • Support for depersonalization and derealization

  • Understanding trauma-based coping patterns

  • Strategies for building emotional presence and resilience

  • Tools for self-regulation, grounding, and reconnection

We focus on helping you feel more in your body and in your life.

Complex Psychiatric-Medical Cases

Many of my clients have seen multiple doctors, been on multiple meds, and still feel unwell.

I specialize in polypharmacy cases (on 3+ psychiatric meds), and those with overlapping physical and mental health concerns. I help make sense of:

  • Drug interactions and withdrawal risks

  • Medical-psychiatric crossovers (e.g., autoimmune, gastrointestinal, endocrine, and neurological conditions)

  • Safe sequencing of medication tapers

  • Developing whole-person care plans

  • Collaborative care with your other specialist doctors

If you’ve been told “it’s all in your head”—you deserve better.

Pricing

  • 15-Min Consulation Call – FREE

    15-Min Consulation Call – FREE

    Ask questions and decide if we’re a good fit. Required before booking full sessions.

    Book here

  • Initial Psychiatric Evaluation – 90 minutes – $500

    An in-depth intake exploring your full physical and mental health history, current symptoms, goals, and what’s truly going on beneath the surface. Includes written treatment summary and time for questions.

    Book here

  • Therapy Session – 50 minutes – $350

    (with or without medication management) Ongoing support with or without active prescriptions. Focused on nervous system regulation, tapering support, and building long-term healing strategies.

    Book here

  • Medication Management Session – 30 minutes – $250

    For patients who are actively tapering or remaining on meds. We track symptoms, progress, and side effects—always with transparency and care.

    Book here

I don't accept insurance so I can focus completely on your care without restrictions on our time together, treatment decisions, or the need to assign diagnostic labels that put you in a box.

I can provide you with a superbill after each session that you can submit to your insurance company for potential reimbursement. Please note:

  • Insurance companies may not reimburse for all services or codes

  • Any diagnostic codes used reflect session content rather than formal diagnoses - we'll discuss what fits best

  • Coverage varies by plan - I recommend calling your insurance first to understand your out-of-network benefits and deductible

Let’s Take the First Step Together

Wondering if RiverStep Health is the right fit?

Schedule a free 15-minute Call to explore your options.

If you're reaching out on behalf of someone else, please email me directly at DrRachael@riverstephealth.com

📍Accepting virtual patients in New York and Pennsylvania.