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. Comprehensive lab work is included, drawn at a Quest Diagnostics site near you and reviewed with you at your initial visit. The full panel is listed under The lab panel at the bottom of this page. 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 $450 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.
An integrative psychiatric intake conducted in your own home, anywhere in Middle Tennessee. The $1,200 fee covers the intake evaluation along with travel and the additional time it asks of the practice. Availability is limited and arranged case by case.
While we do not bill insurance, we provide a detailed superbill after each visit that you may submit to your insurer. Many patients with PPO plans are reimbursed for a meaningful portion of out-of-network psychiatric care. We are glad to answer questions about the process, though reimbursement is determined by your plan and we cannot guarantee it.
Your initial consultation includes a comprehensive laboratory panel, drawn at a Quest draw site near you. We order lab work thoughtfully and pass it through at wholesale rates, with no markup of any kind. The full panel is listed under The lab panel below.
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.
Initial lab work
The lab panel.
Every initial consultation includes a comprehensive laboratory panel, drawn at a Quest draw site near you and reviewed in full at your initial visit. The panel looks beneath symptoms at the whole metabolic picture: kidney and liver function, iron stores, thyroid antibodies, lipids, and key nutrients such as vitamin D, B12, folate, magnesium, and zinc.
- Alanine Aminotransferase (ALT)
- Albumin
- Albumin/Globulin Ratio
- Alkaline Phosphatase (ALP)
- Aspartate Aminotransferase (AST)
- BUN/Creatinine Ratio
- Blood Urea Nitrogen
- Calcium
- Carbon Dioxide
- Chloride
- Creatinine
- Estimated Glomerular Filtration Rate
- Ferritin
- Folate
- Free T4 Index (T7)
- Globulin (Calculated)
- Glucose (Blood)
- HDL Cholesterol
- Iron % Saturation
- Iron, Total
- LDL Cholesterol
- Magnesium (RBC)
- Non-HDL Cholesterol
- Potassium
- Protein, Total
- Sodium
- T3, Uptake
- T4 (Thyroxine), Total
- Thyroglobulin Antibodies
- Thyroid Peroxidase Antibodies (TPO)
- Thyroid-Stimulating Hormone
- Total Bilirubin
- Total Cholesterol
- Total Cholesterol / HDL Ratio
- Total Iron Binding Capacity (TIBC)
- Triglycerides
- Vitamin B12 (Cobalamin)
- Vitamin D, 25-OH, Total
- Zinc, RBC
Drawn at a Quest location near you, billed through the practice at wholesale rates.
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 37027
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 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.
Concierge home visit intake: $1,200
The process
How a patient relationship begins.
The inquiry
You submit an inquiry through our form. The practice reviews each one and follows up with an invitation to a brief phone consultation or a note about current capacity.
The phone consultation
If we look like a fit, we schedule a brief complimentary 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 $450 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.
Questions
Common questions.
Why is the initial consultation ninety minutes?
Because a psychiatric evaluation done well cannot be done in twenty. The first visit covers your full psychiatric and medical history, your nutritional context, prior treatment and prior labs, and the shape of your life right now. Most patients have never been asked these questions in one sitting.
Do you work alongside my current therapist?
Yes, and gladly. Much of the best psychiatric care happens in coordination with a therapist who knows you well. With your written consent, Dr. McLaughlin communicates directly with your therapist.
Do I have to be a Christian to be a patient here?
No. Dr. McLaughlin is openly Christian and that conviction shapes how she practices, but faith is integrated into care only for patients who want it. Every patient receives the same attention.
What if I am already on medication?
That is common and welcome. Part of the initial consultation is a careful review of what you are taking, why, and whether it is still serving you. For some patients that means adjusting. For others it means thoughtful tapering. For others it means leaving a working regimen alone.
What happens between visits?
You have secure messaging through the patient portal for brief clinical updates and logistical questions. Extended treatment discussions and lab interpretation are reserved for scheduled visits, so that they get the attention they deserve.
How is care being scheduled right now?
Inquiries are reviewed as capacity allows. Because the practice is small, capacity is limited and the panel closes when full.
“Come to me, all who labor and are heavy laden, and I will give you rest.”
Matthew 11:28