Last reviewed: 8/2/2023
Psychiatrists at Counseling and Psychological Services are available to help evaluate problems, advise whether medication may be useful, and, when clinically indicated, prescribe medication. Please schedule a treatment planning session on the Patient Portal or by calling 212-854-2878.
Our psychiatrists work closely with our psychologists, social workers, and postdoctoral fellows to provide the best possible treatment. Our psychiatrists will work with students and our psychologists to help determine the best treatment option, but the final decision whether to try medication is up to the individual student. Many who meet with our psychiatrists don’t end up taking medication.
The psychiatrist may decide that medication is not the treatment of choice, or the student may decide not to take medication.
Prior to the First Visit
A student will usually meet with a counselor who will spend time inquiring about symptoms, personal history, and present circumstances. Having this background in advance enables our psychiatrists to provide the best-informed, most efficient care.
To accommodate all students who need counseling services, psychiatrists do not conduct psychotherapy, but instead focus on medication consultation and management. We have a large staff of psychologists and social workers for students seeking psychotherapy.
During the First Visit
Typically, a psychiatrist will already have a student’s background information and be able to focus on the aspects of the student’s health and health care needs. The psychiatrist will conduct a thorough assessment of symptoms and review the following:
- Personal medical history
- Family medical history
- Basic medical information, such as blood pressure or lab results
The initial visit may range from 30 minutes to one hour. Our psychiatrist will discuss the advantages and disadvantages of medication as a treatment choice, so that an informed decision about whether to try medication can be made. In some instances, our psychiatrist may conclude that medication is not appropriate.
Initiation and Monitoring Use of Medications
Students who elect to start medication will meet with a psychiatrist to monitor its therapeutic efficacy and any possible side effects. The psychiatrist may find it necessary to adjust the dosage of medication from time to time or, if indicated, may recommend changing or adding medications.
We encourage students to schedule appointments well in advance of the need for a medication refill, ideally at your current psychiatric appointment.
It is important that students do not abruptly discontinue psychoactive medications.
Many use our services and there may be a wait before a refill appointment is available.
Some students find medication so helpful, they take it for an extended period. In these instances, one of our psychiatrists will make a referral to an outside provider or facility, who can follow you for as long as necessary or useful.
Counseling and Psychological Services psychiatrists do not ordinarily continue to treat students beyond the initial consultation and stabilization period, which is typically no more than several months, but may vary from person to person. This is consistent with our aim to make resources readily accessible to the entire Columbia community.
Continuing on Medications Begun at Home or Elsewhere
If a psychiatrist outside of Counseling and Psychological Services has already prescribed medication, considerations for quality care dictate that a student still have a thorough assessment before our clinicians prescribe that medication for you.
It is important to obtain enough medication from your current psychiatrist to last until you are able to schedule an appointment with us. Even if the prescription you were given a few months ago was right for you then, it may not be right for you now. Our psychiatrists need to assess the therapeutic efficacy of your medication and the potential side effects before continuing the prescription. They will also periodically meet with and monitor students for whom they have prescribed medications.