Telehealth Psychiatry in Stratford, CT — What Can Really Be Managed Remotely?

One of the most common questions people have before trying telehealth psychiatry: can my provider actually prescribe and manage my medications without seeing me in person? The short answer is yes — and for most psychiatric medications, telehealth is a completely appropriate way to handle prescription management. Sindhia Shyras, APRN is a board-certified Psychiatric Nurse Practitioner with over nine years of experience who manages psychiatric medications remotely for patients across Connecticut, including Stratford. Here's a clear-eyed look at what that covers.

What Sindhia Can Prescribe and Manage via Telehealth

Antidepressants — SSRIs and SNRIs like sertraline, escitalopram, fluoxetine, venlafaxine — are among the most commonly managed medications via telehealth, and there's no restriction on prescribing or refilling them remotely. The same applies to mood stabilizers used for bipolar disorder, non-stimulant ADHD medications like Strattera or Intuniv, most anti-anxiety medications including buspirone, and atypical antipsychotics used as adjuncts for depression or mood disorders. For most patients managing one of these medications, the entire relationship with Sindhia — evaluation, prescribing, follow-up, refills — can happen by video with nothing in person required.

What About Controlled Substances?

Stimulant medications for ADHD — Adderall, Vyvanse, Ritalin, Concerta — are controlled substances and have historically had more restrictions around telehealth prescribing. Federal rules have been updated in recent years, but the specifics can change. Sindhia will talk through your situation during your evaluation and let you know exactly what's possible given current regulations. In many cases, stimulant management via telehealth is entirely workable. And if your situation requires any in-person component, our New Britain office is about 45 minutes from Stratford.

How Prescription Refills Work Remotely

Electronic prescribing. Sindhia sends your prescription directly to your pharmacy of choice — CVS, Walgreens, a local independent, it doesn't matter. No paper prescription to pick up, no gap waiting for a fax. For refills, you check in at a follow-up appointment, she reviews how things are going, and the refill goes out. The scheduling cadence depends on the medication and how stable you are — typically every one to three months for most patients. You don't have to call and chase a refill; it's part of the regular follow-up structure.

Frequently Asked Questions