ADHD & Neurodivergent Care
Adult ADHD evaluation and ongoing treatment, with care that respects autistic and neurodivergent experiences.
LGBTQ+ affirming psychiatry for adults across Florida.
What we treat.
Anxiety
Generalized anxiety, panic, and social anxiety, including the constant scanning that comes with not knowing where you're safe.
Depression
Persistent low mood, burnout, and loss of interest, with a plan that fits your life.
PTSD & Trauma
Trauma-informed care for PTSD, complex trauma, and experiences of rejection, discrimination, or religious harm.
Medication Management
Careful prescribing, regular follow-up, and real conversations about side effects and goals.
Who we help.
LGBTQ+ adults.
A provider who's part of the community, so you never have to explain yourself first.
Transgender and nonbinary adults.
Your name and pronouns, respected. We coordinate with your gender-affirming care team.
Neurodivergent adults.
ADHD, autistic and AuDHD adults, with care that doesn't pathologize how your brain works.
Veterans.
Care from a provider who served.
Unhurried 60-minute first visits by secure video, anywhere in Florida. LGBTQ+ forward, everyone welcome.
Tyler R. Nieves, APRN, PMHNP‑BC, ADHD‑CCSP
Board-certified psychiatric nurse practitioner, military veteran and member of the LGBTQ+ community.
Read Tyler's story →How getting started works.
- 01
Book online.
Pick a time that works for you. It takes a few minutes.
- 02
Complete your intake.
Fill out a short questionnaire and consent forms online before your visit.
- 03
Your first visit.
A 60-minute psychiatric evaluation by secure video. We talk about your history, goals, and what has or hasn't worked.
- 04
Your plan.
Together we decide on next steps, which may include medication, supportive therapy, lifestyle changes, or a referral.
- 05
Ongoing care.
Regular follow-up visits to adjust your plan as you go.
Self-pay rates.
| Service | Length | Rate |
|---|---|---|
| Initial psychiatric evaluation | 60 min | $300 |
| Follow-up visit | 30 min | $150 |
| Extended follow-up | 45 min | $200 |
Common questions.
Do you take my insurance?
We're in-network with Cigna, UnitedHealthcare/Optum, Oscar, AvMed (Florida Marketplace plans) and UMR. Self-pay is welcome. HSA/FSA and superbills for out-of-network plans are also available.
Do I need to live in Florida?
You need to be physically located in Florida during each appointment.
Is this a crisis service?
Schema is not a crisis service. Call or text 988, call 911, or go to the nearest emergency room.