Our care
How the practice works.
What we treat, what it costs, what to expect.
Fees.
Vine & Branch is a cash-pay practice. We do not accept insurance. We publish our fees openly because patients deserve to make informed decisions about their care.
A ninety-minute integrative psychiatric evaluation. We review your full psychiatric and medical history, hormonal and nutritional context, and prior labs. You receive targeted recommendations and a personalized plan addressing the biological, psychological, and lifestyle contributors to your symptoms. A $900 deposit is required to schedule. You may be seen in person at our Brentwood office, by secure tele-visit, or through a concierge home visit.
A forty-five-minute follow-up visit to review labs, reassess symptoms, and refine the treatment plan. Most patients are seen every four to twelve weeks depending on the trajectory of care.
A twenty-five-minute focused follow-up for established patients requiring medication review, symptom reassessment, and targeted treatment adjustments.
We order lab work thoughtfully and pass it through at wholesale rates, with no markup of any kind.
Secure messaging is for brief clinical updates and logistical questions. Extensive treatment discussions, symptom reassessments, and laboratory interpretation are reserved for scheduled follow-up visits. Please submit refill requests at least three business days before you need them.
What to expect
Typical first-year investment.
A new patient should expect to invest approximately $5,000 to $7,000 in the first year. This includes the initial consultation and four to six follow-up visits depending on clinical needs. Most lab work runs $200 to $600 depending on what is ordered.
Patients in stable maintenance can expect annual costs of $3,500 to $5,000 in subsequent years. We do not negotiate fees, and we do not offer sliding scales — the practice is structured around the work we do, and the work requires the fees we charge.
Conditions
What we treat.
Vine & Branch focuses on the psychiatric conditions most relevant to women in their adult life. The list below is not exhaustive; if you are uncertain whether we are a fit, please inquire.
- Major depression
- Generalized anxiety disorder
- Postpartum depression and anxiety
- Perinatal mood disorders
- Premenstrual dysphoric disorder (PMDD)
- Perimenopausal mood symptoms
- Obsessive-compulsive disorder
- Trauma-related conditions
- Adjustment disorders
- Insomnia (non-pharmacological approaches)
- Hormonal-mood interactions
- SSRI and SNRI tapering
Where we meet
Two settings, both unhurried.
The setting of care matters. We offer two.
Our office
Brentwood, Tennessee.
A quiet, considered space designed for the unhurried conversations this work requires. Most patients are seen here, conveniently located for those across Middle Tennessee.
1604 Westgate Circle
Suite 150
Brentwood, TN 37026
Virtually
Secure tele-visit.
For patients throughout Tennessee who prefer or require the flexibility of remote care. All visits are conducted through a secure, HIPAA-compliant platform with the same attentiveness as an in-person meeting.
In your home
Throughout Middle Tennessee.
For patients for whom traveling is difficult, or for whom the home is the more honest setting for the work, Dr. McLaughlin offers select in-home visits within Middle Tennessee. Availability is limited and arranged case by case.
The process
How a patient relationship begins.
The inquiry
You submit an inquiry through our form. Dr. McLaughlin reads each one personally and responds within two business days — either with an invitation to a phone consultation or with a clear note about current capacity.
The phone consultation
If we look like a fit, we schedule a complimentary fifteen-minute call to discuss your situation in greater depth. The call is for both of us to determine whether this practice can serve you well.
The intake
If we are proceeding, you receive the patient agreement, pay the $900 deposit for the initial consultation, and schedule your ninety-minute visit. We typically see new patients within two to four weeks of inquiry.
The work begins
Your initial consultation includes full psychiatric history, medical context, and the beginnings of a treatment plan. Subsequent visits are scheduled based on the trajectory of your care. Between visits, you have access to secure messaging through our patient portal.
What the work asks of you
This is real work.
The practice asks something of patients. We ask you to come unhurried, to share honestly, to follow through on the labs and the reading we may recommend, and to give the work the time it requires. We are not a quick prescription mill, and we are not a wellness boutique. We are practicing psychiatry — slowly, attentively, and with the full attention you deserve.
“Come to me, all who labor and are heavy laden, and I will give you rest.”
Matthew 11:28