Question 1

Do I need a referral to see a psychiatrist in Georgia?

Accepted Answer

No, you do not need a referral to see a psychiatrist in Georgia. You can schedule a consultation directly with a psychiatrist without a referral from your primary care physician. Dr. Kaiser's practice accepts patients by self-referral, and because she operates as a private pay practice, there are no insurance preauthorization requirements to navigate.

Question 2

What's the difference between a psychiatrist and a therapist?

Accepted Answer

A psychiatrist is a medical doctor who can prescribe medication, order lab work, and diagnose medical conditions that affect mental health, while a therapist (such as an LCSW, LPC, or psychologist) provides talk therapy but typically cannot prescribe medication. Some psychiatrists, like Dr. Kaiser, offer both psychotherapy and medication management, providing comprehensive treatment within a single provider relationship. This integrated approach eliminates the need for separate appointments with different providers.

Question 3

Can a psychiatrist prescribe medication on the first visit?

Accepted Answer

Yes, a psychiatrist can prescribe medication on the first visit if it is clinically appropriate. During the initial evaluation, the psychiatrist conducts a comprehensive assessment of your symptoms, medical history, and treatment goals to determine whether medication is warranted. Dr. Kaiser's initial consultation is 75 minutes plus record review, which provides ample time to make a thoughtful recommendation about whether medication, psychotherapy, or a combination approach is best.

Question 4

How long does a psychiatric evaluation take?

Accepted Answer

A psychiatric evaluation typically takes between 60 and 90 minutes. Dr. Kaiser's initial consultation is a 75-minute evaluation plus 15 minutes of record review, during which she takes a thorough history of your current concerns, personal and family psychiatric history, medical history, and treatment goals. This comprehensive approach allows for an accurate assessment and a personalized treatment plan from the very first visit.

Question 5

Does insurance cover psychiatry in Georgia?

Accepted Answer

Most insurance plans in Georgia do include some coverage for psychiatric care, though the extent of coverage varies by plan. Dr. Kaiser operates a private pay (out of network) practice, which means she does not bill insurance directly. However, she provides a superbill after each session that you can submit to your insurance company for potential out-of-network reimbursement. Many PPO plans cover a significant portion of out-of-network psychiatric visits.

Question 6

Can I do psychiatry appointments over telehealth in California?

Accepted Answer

Yes, psychiatry appointments are available via telehealth for patients located anywhere in California. Dr. Kaiser is licensed in both Georgia and California and provides secure video appointments for therapy and medication management to patients in the San Francisco Bay Area, Los Angeles, and throughout the state. Telehealth sessions offer the same quality of care as in-person visits.

Question 7

What should I expect at my first psychiatrist appointment?

Accepted Answer

At your first psychiatrist appointment, you can expect a thorough evaluation of your mental health history, current symptoms, medical background, and treatment goals. Dr. Kaiser's initial consultation lasts 75 minutes, during which she takes a comprehensive history and discusses whether psychotherapy, medication, or a combination approach is most appropriate. The goal of the first visit is to develop a clear understanding of your needs and outline a personalized treatment plan together.

Question 8

How often do you need to see a psychiatrist?

Accepted Answer

The frequency of psychiatric appointments depends on your individual treatment plan and current needs. During the early phases of treatment or when starting a new medication, weekly or biweekly sessions are common. As symptoms stabilize, many patients transition to less frequent visits, such as monthly check-ins. Dr. Kaiser works collaboratively with each patient to find a schedule that supports their progress and goals.

Question 9

Can a psychiatrist help with burnout?

Accepted Answer

Yes, a psychiatrist can help with burnout by addressing both the psychological and biological factors that contribute to it. Burnout often overlaps with anxiety, depression, and chronic stress, and a psychiatrist can distinguish between these conditions and recommend appropriate treatment. Dr. Kaiser specializes in treating high-functioning professionals experiencing burnout and uses psychodynamic therapy to explore the deeper patterns driving exhaustion and emotional disconnection.

Question 10

Is psychodynamic therapy effective for anxiety?

Accepted Answer

Yes, psychodynamic therapy is an evidence-based treatment for anxiety that has demonstrated lasting results in clinical research. Unlike approaches that focus only on managing symptoms, psychodynamic therapy helps uncover the underlying emotional conflicts and relational patterns that fuel anxiety. Dr. Kaiser uses this approach to help patients achieve not just symptom relief, but deeper insight and sustained emotional well-being.

Question 11

What's the difference between psychodynamic therapy and CBT?

Accepted Answer

CBT (Cognitive Behavioral Therapy) is a structured, time-limited approach that targets specific thought patterns and behaviors, while psychodynamic therapy takes a deeper look at unconscious patterns, past experiences, and relational dynamics that shape how you feel and function. Both are evidence-based, and the best choice depends on your goals and the nature of your concerns. Dr. Kaiser can help determine which approach is most appropriate during your initial consultation.

Question 12

Can I see a German-speaking psychiatrist in the US?

Accepted Answer

Yes, German-speaking psychiatrists are available in the United States, though they are rare. Dr. Paulina Kaiser was born in Germany and is fully fluent in both German and English, offering psychiatric care in either language. She is licensed in Georgia and California, providing in-person sessions in Atlanta and telehealth appointments throughout both states for German-speaking patients who prefer treatment in their native language.

Question 13

How do I know if I need medication for depression?

Accepted Answer

You may benefit from medication for depression if your symptoms are significantly affecting your daily functioning, relationships, or quality of life, or if psychotherapy alone has not provided sufficient relief. A psychiatrist can conduct a thorough evaluation to determine whether medication is appropriate for your situation. Dr. Kaiser takes a collaborative approach, discussing the potential benefits and side effects of medication so you can make an informed decision together.

Question 14

What is a superbill and how does out-of-network reimbursement work?

Accepted Answer

A superbill is a detailed receipt that includes your diagnosis codes, procedure codes, and session fees, which you submit to your insurance company to request reimbursement for out-of-network care. After submitting a superbill, your insurer processes the claim and reimburses you according to your plan's out-of-network benefits, which often cover 50% to 80% of the allowed amount. Dr. Kaiser provides a superbill after each session, and her office can help guide you through the submission process.

Question 15

Can a psychiatrist treat ADHD in adults?

Accepted Answer

Yes, psychiatrists are qualified to diagnose and treat ADHD in adults, including prescribing stimulant and non-stimulant medications. Adult ADHD is often underdiagnosed and can present alongside anxiety, depression, or burnout, making a comprehensive psychiatric evaluation important for accurate diagnosis. If you suspect you may have ADHD, a consultation with a psychiatrist can clarify the diagnosis and explore treatment options tailored to your needs.

Question 16

What is the difference between a psychiatrist and a psychologist?

Accepted Answer

A psychiatrist is a medical doctor (MD) who specializes in mental health. This means a psychiatrist can prescribe medication, order medical tests, and evaluate the interplay between physical health and mental health. A psychologist holds a doctoral degree in psychology (PhD or PsyD) and provides psychotherapy but cannot prescribe medication in most states. Dr. Kaiser offers both psychotherapy and medication management, providing integrated care within a single treatment relationship.

Question 17

Do I need a referral to see Dr. Kaiser?

Accepted Answer

No referral is necessary. You can contact the office directly to schedule a consultation. Because Dr. Kaiser's practice is private pay, there are no insurance preauthorization requirements. If you are working with a primary care physician or therapist, Dr. Kaiser is happy to coordinate care with your existing providers with your consent.

Question 18

What should I expect at my first appointment?

Accepted Answer

The initial consultation is a 75-minute evaluation plus 15 minutes of record review. During this session, Dr. Kaiser will take a comprehensive history, including your current concerns, personal and family psychiatric history, medical history, and treatment goals. Together, you will discuss whether psychotherapy, medication, or a combination approach is most appropriate. The goal is to develop a clear understanding of your needs and outline a personalized treatment plan.

Question 19

Who does Dr. Kaiser treat?

Accepted Answer

Dr. Kaiser works with adults aged 18 and older. She specializes in treating high-functioning professionals experiencing anxiety, depression, and burnout, as well as individuals navigating peripartum mental health concerns, including fertility challenges, pregnancy, and postpartum adjustment. She also offers bilingual care in German and English.

Question 20

How long does treatment typically last?

Accepted Answer

Treatment duration depends on your goals and the nature of your concerns. Some patients benefit from a focused course of treatment lasting several months, while others choose to engage in longer term therapy to explore deeper patterns and sustain ongoing growth. Dr. Kaiser will discuss expected timelines during your initial consultation and will regularly reassess treatment goals with you.

Question 21

Do you prescribe medication?

Accepted Answer

Yes. As a board-certified psychiatrist, Dr. Kaiser can prescribe and manage psychiatric medication when clinically appropriate. Medication is always part of a thoughtful treatment plan, never a quick fix. For many patients, the combination of psychotherapy and medication management provides the most effective and lasting results.

Question 22

What is psychodynamic therapy?

Accepted Answer

Psychodynamic therapy is a depth-oriented form of psychotherapy that explores how unconscious patterns, past experiences, and relationships shape your current emotions and behaviors. Unlike approaches that focus primarily on changing surface-level thoughts, psychodynamic therapy helps you understand the root causes of your distress. It is particularly effective for individuals with recurring relational patterns, chronic anxiety, and a sense that something feels off despite outward success.

Question 23

What is the difference between psychodynamic therapy and CBT?

Accepted Answer

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing specific thought patterns and behaviors, typically in a structured, time-limited format. Psychodynamic therapy takes a broader and deeper approach, exploring the underlying emotional and relational patterns that give rise to symptoms. Both are evidence-based, and the best approach depends on your specific needs. Dr. Kaiser can help determine which modality is most appropriate during your consultation.

Question 24

Is it safe to take psychiatric medication during pregnancy?

Accepted Answer

This is one of the most common and important questions in peripartum psychiatry. The answer depends on the specific medication, the severity of your condition, and your individual risk factors. Certain medications have extensive safety data in pregnancy, while others carry known risks. Importantly, untreated mental illness during pregnancy also carries risks for both mother and baby. Dr. Kaiser specializes in peripartum mental health and will work with you to weigh the benefits and risks of treatment options, helping you make an informed decision in collaboration with your OB/GYN.

Question 25

What is the difference between baby blues and postpartum depression?

Accepted Answer

The baby blues affect up to 80% of new mothers and typically involve mood swings, tearfulness, and anxiety in the first two weeks after delivery. These symptoms resolve on their own. Postpartum depression is a clinical condition that persists beyond two weeks and significantly affects daily functioning. Symptoms include persistent sadness, difficulty bonding with the baby, overwhelming guilt, and in some cases, thoughts of self harm. If your symptoms last beyond two weeks or are interfering with your ability to care for yourself or your baby, it is important to seek professional evaluation.

Question 26

Can I continue breastfeeding while taking psychiatric medication?

Accepted Answer

Many psychiatric medications can be used safely during breastfeeding. Certain SSRIs, for example, have extensive research showing minimal transfer into breast milk. The decision requires careful, individualized assessment that considers the specific medication, dosage, your breastfeeding goals, and the severity of your symptoms. Dr. Kaiser can help you navigate this decision based on the latest evidence and your personal circumstances.

Question 27

Do you accept insurance?

Accepted Answer

Dr. Kaiser's practice is private pay (out of network), which allows for longer sessions, greater scheduling flexibility, and more individualized care. She provides a superbill after each session that you can submit to your insurance company for potential out-of-network reimbursement. Many PPO plans offer partial reimbursement for out-of-network providers.

Question 28

What are your office hours?

Accepted Answer

Dr. Kaiser sees patients by appointment Monday through Friday. Specific hours may vary. Please contact the office to check current availability and schedule your appointment.

Question 29

Do you offer telehealth?

Accepted Answer

Yes. Dr. Kaiser provides secure telehealth appointments to patients located in Georgia and California. Telehealth allows the same quality of care as in-person visits and is available for both therapy and medication management appointments. In-person sessions are available at the Atlanta office.

Question 30

What is your cancellation policy?

Accepted Answer

**Medication Management:** By scheduling an appointment, you commit to attending. If you need to reschedule, please provide at least 48 business hours notice and rebook within one week of the original appointment. If not rescheduled within one week, the full session fee applies. Appointments are typically monthly during active medication changes, or every three months once things are stable.

**Therapy:** Weekly patients receive 5 excused absences per year; twice weekly patients receive 10. An excused absence requires more than 48 hours advance notice. Cancellations with less than 48 hours notice are subject to the full session fee.

Question 31

Where are you located?

Accepted Answer

Dr. Kaiser's in-person office is located at 519 Memorial Drive SE, Suite B-10, Atlanta, GA 30312. Telehealth services are available throughout Georgia and California, serving the San Francisco Bay Area and Los Angeles.

Resources & Frequently Asked Questions

Common Questions

General

Treatment

Peripartum

Practical

Mental Health Resources

National Institute of Mental Health (NIMH)

American Psychiatric Association

988 Suicide & Crisis Lifeline

Postpartum Support International

Crisis Text Line

Still Have Questions?