Persistent sadness or emptiness
Low mood, hopelessness, guilt, numbness, tearfulness, or feeling disconnected.
Based in San Diego · Telehealth across California
Psychiatric care for adults with low mood, persistent worry, panic, irritability, sleep problems, loss of interest, or changes in daily functioning. Care for patients age 6+ is also available when appropriate.
Recommendations follow an individualized evaluation. This telehealth practice does not provide emergency services. If you are in immediate danger, call 911 or go to the nearest emergency department. Call or text 988 for crisis support.
Symptoms can affect concentration, sleep, appetite, energy, relationships, work, school, and physical comfort. An evaluation considers the overall pattern.
Low mood, hopelessness, guilt, numbness, tearfulness, or feeling disconnected.
Pulling away from activities, people, responsibilities, or routines that previously felt meaningful.
Persistent worry, fear, tension, overthinking, or expecting something to go wrong.
Episodes of racing heart, shortness of breath, dizziness, trembling, chest discomfort, or fear of losing control.
Fatigue, restlessness, muscle tension, headaches, sleep disruption, appetite changes, or feeling unrefreshed.
Symptoms affecting work, school, relationships, self-care, decisions, attendance, or routine tasks.
Low mood and anxiety can have psychiatric, medical, situational, sleep-related, or substance-related causes. The evaluation clarifies the pattern before treatment.
The first visit reviews the symptom pattern, safety, medical factors, and reasonable next steps. Records, laboratory testing, medical follow-up, or another assessment may be needed.
Share symptoms, treatment history, medications, substance use, medical history, and goals.
Discuss what changed, how daily life is affected, and what you have tried.
Recommendations may include medication, therapy, practical strategies, medical follow-up, or another level of care.
Follow-up reviews symptoms, daily functioning, side effects, sleep, safety, medication use, and goals.
Similar symptoms can have different causes. Treatment depends on diagnosis, severity, medical history, prior response, side effects, preferences, therapy needs, and current stressors.
When medication is appropriate, options are reviewed in plain language, including benefits, common risks, alternatives, and follow-up.
Therapy, sleep, physical health, substance-use changes, daily structure, social support, and treatment of medical conditions may all matter.
The practice primarily serves adults. Patients age 6+ may also be evaluated when telehealth care is appropriate and a parent or legal guardian participates.
Evaluation may consider work, caregiving, relationships, trauma, medical conditions, reproductive factors, sleep, and prior treatment response.
Care includes a parent or guardian and may use school information, pediatric records, rating scales, or coordination with other clinicians.
Telehealth is not a substitute for emergency, inpatient, or intensive treatment when safety or daily functioning requires more support.
Brent Edwards is a board-certified Psychiatric Mental Health Nurse Practitioner with experience in crisis psychiatry, military medicine, and outpatient care. He provides telehealth appointments throughout California.
Care emphasizes careful listening, plain-language education, shared decisions, and practical follow-up based on the full clinical picture.
Yes. They commonly overlap. An evaluation reviews the symptom pattern, timing, severity, effect on daily life, sleep, medical factors, substance use, and other possible explanations.
No. Treatment depends on the diagnosis, severity, prior care, medical history, preferences, and effect on daily life. Options may include medication, therapy, practical changes, medical follow-up, or a combination.
Appointments focus on psychiatric evaluation and medication management. Supportive discussion, education, and practical strategies may be included, while ongoing therapy may be recommended separately.
The evaluation asks about unusually elevated or irritable mood, increased energy, less need for sleep, racing thoughts, impulsivity, medication reactions, family history, and past episodes that disrupted daily life.
Appointments are available to patients who are physically located in California at the time of the visit.
Insurance appointments are scheduled through Headway, where you can check plan participation and estimated costs. Self-pay appointment requests are handled securely through SimplePractice.
Insurance appointments are booked through Headway. Self-pay requests are submitted through SimplePractice. Both pathways use secure scheduling.