Brian Burns

I specialize in psychiatric medication management for adults, with over 12 years of experience as a board-certified psychiatric nurse practitioner. My practice is primarily focused on psychiatric evaluation, medication selection and adjustment, monitoring treatment response and side effects, and ongoing medication management.

I work best with adults who are seeking a psychiatric provider to evaluate their symptoms and manage psychiatric medications, whether starting treatment, considering a medication change, or continuing an established medication regimen. I take a collaborative, individualized approach and provide education regarding treatment options, expected benefits, potential side effects, and alternatives.

I treat a range of psychiatric conditions, including depression, anxiety disorders, bipolar disorder, OCD, PTSD and other trauma-related disorders, sleep disorders, PMDD, adjustment disorders, and other mood and psychiatric conditions when appropriate.

Medication management is the primary focus of my practice. For individuals who are seeking both medication management and therapy, I can incorporate therapeutic interventions into medication-management visits when clinically appropriate. My practice is best suited for individuals who view medication management as an important component of their overall psychiatric care.

My goal is to provide thoughtful, evidence-based psychiatric care focused on diagnostic clarity, symptom improvement, medication optimization, and improved day-to-day functioning.

My approach to care is centered on structured psychiatric evaluation and evidence-based medication management. I focus on accurate diagnosis, thoughtful medication selection, and ongoing treatment optimization based on each patient’s clinical response and treatment goals.

I provide comprehensive medication management, including medication initiation, adjustment, and ongoing monitoring. This includes assessing symptom progression, functional improvement, medication effectiveness, side effects, adherence, and laboratory monitoring when clinically indicated to support safe and appropriate prescribing.

My practice emphasizes clear communication and collaboration. I discuss diagnostic considerations, treatment recommendations, the rationale for medication choices, potential benefits and risks, and available alternatives so patients can make informed decisions about their care. Medication management is the foundation of treatment, and I may incorporate brief, focused therapeutic interventions during medication-management visits when clinically appropriate.

I work with adults experiencing a broad range of psychiatric conditions, including anxiety and mood disorders, bipolar disorder, OCD, trauma-related disorders, sleep disorders, PMDD, adjustment disorders, and more complex presentations such as schizoaffective disorder and other psychotic disorders when appropriate.

My practice is primarily focused on psychiatric medication management rather than therapy-focused treatment. Patients seeking medication management as a central component of their care are the best fit for my practice.

I provide care exclusively through telepsychiatry and do not prescribe controlled substances.

The first visit is focused on completing a comprehensive psychiatric evaluation and establishing a clear foundation for medication management and ongoing treatment. You can expect a structured but conversational appointment where we review your current symptoms, mental health history, prior treatment experiences, current medications, and relevant medical background.

We will discuss what you are currently experiencing, what medications you have taken in the past, what has or has not been effective, any side effects or concerns, and what you hope to achieve through treatment. This information helps establish diagnostic clarity and guides the development of an individualized treatment plan.

At the conclusion of the evaluation, we will review diagnostic impressions and treatment options, including medication recommendations when appropriate. Depending on your clinical needs, we may initiate, continue, or adjust medications during the first visit. Laboratory testing may also be recommended when clinically indicated to support safe and effective prescribing.

The goal of the first session is to develop a clear clinical understanding of your concerns and establish a targeted, evidence-based treatment plan. You do not need to prepare anything in advance beyond being ready to discuss your symptoms, treatment history, medications, and goals. The visit is designed to organize this information, answer your questions, and begin the treatment process in a structured and collaborative way.