FAQ
Answers to the questions patients ask most
Everything from booking a first appointment to how medication management and telehealth work in Ohio.
Medical & psychiatry in West Chester, Ohio · Telehealth statewide
General
About the practice
Where is Stepping Stone Medical and Psychiatry located?
Our office is at 8080 Beckett Center Dr. #317, West Chester Township, OH 45069, in the Beckett Ridge area of Butler County — minutes from I-75 and convenient to Liberty Township, Mason, Fairfield, Hamilton and north Cincinnati. We also see patients anywhere in Ohio by secure telehealth.
How do I book an appointment?
Call 513-342-0853 during office hours, book online through our patient portal, or send a message through our contact form. New patients are typically scheduled within a week, and telehealth visits often have earlier availability.
What are your office hours?
The West Chester office is open Monday through Friday, 2:00 PM to 8:00 PM, and closed Saturday and Sunday. Evening appointments make it easier to be seen after work or school.
What ages do you treat?
We care for patients ages six and older, including children, adolescents, adults and older adults. Patients under 18 must be accompanied by a parent or legal guardian at the first appointment.
Do you accept insurance?
Yes. We accept most major insurance plans, including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Medicare and Ohio Medicaid managed care plans, and we also welcome self-pay patients. Contact us with your member ID and we will verify your behavioral health benefits before your visit.
Do you offer telehealth in Ohio?
Yes. Secure video visits are available to anyone physically located in Ohio at the time of the appointment. Telehealth is used for evaluations, therapy, medication management and follow-ups.
What conditions do you treat?
We diagnose and treat anxiety, depression, bipolar disorder, ADHD, PTSD and trauma, schizophrenia and other psychotic disorders, mood disorders, substance use disorders, and Alzheimer's disease and dementia-related behavioral symptoms.
What happens at a first psychiatric evaluation?
Your first visit lasts about 45 to 60 minutes. Your provider reviews your symptoms, history, medications, medical conditions, family history and goals, then discusses possible diagnoses and builds a treatment plan with you. Bring a photo ID, insurance card and a list of current medications.
Do you prescribe and manage psychiatric medication?
Yes. Our providers prescribe and monitor psychiatric medications, adjust dosing, manage side effects and coordinate with your primary care physician. All prescription requests and renewals require a scheduled appointment.
What is your cancellation policy?
Appointments cancelled with less than 24 hours' notice, and arrivals more than 15 minutes late, are subject to a $50 fee. Co-payments are due at the time of the visit.
Is my information confidential?
Yes. All care is delivered under HIPAA protections. Our contact form is not a secure messaging channel, so please do not include private health information in it — call the office instead.
What should I do in a mental health emergency?
If you or someone else is in immediate danger, call 911. For urgent support, call or text 988 to reach the Suicide and Crisis Lifeline, available 24/7. Our office is not an emergency or crisis service.
Care & Programs
Psychiatry Services
What does a psychiatric provider do?
A psychiatric provider diagnoses mental health conditions, rules out medical causes, prescribes and manages medication, provides or coordinates therapy, and builds a long-term treatment plan with you.
How long is a psychiatric evaluation?
Initial evaluations run about 45 to 60 minutes; follow-up visits are usually 15 to 30 minutes.
Do I need a referral to be seen?
No referral is needed for most plans. If your insurance requires one, we will let you know when we verify your benefits.
What should I bring to my first visit?
A photo ID, insurance card, list of current medications and doses, relevant records or lab results, and any questions you want answered.
Do you provide therapy as well as medication?
We provide supportive and motivational therapy and coordinate referrals to therapists for longer-term modalities such as CBT, DBT or EMDR.
Care & Programs
Mental Health Services
What mental health services do you offer?
Psychiatric evaluation and diagnosis, medication management, supportive and motivational therapy, telehealth visits, substance abuse maintenance, and care coordination for individuals ages six and older.
How soon can I be seen?
New patients are typically scheduled within about a week, with evening appointments Monday through Friday and often earlier telehealth availability.
Do you serve areas outside West Chester?
Yes. We serve Liberty Township, Mason, Fairfield, Hamilton, Monroe, Middletown, Sharonville, Blue Ash and greater Cincinnati in person, and all of Ohio by telehealth.
What if I am not sure what kind of help I need?
Start with a psychiatric evaluation. Your provider clarifies what you are experiencing and recommends the right level and type of care.
Do you offer crisis services?
No. We are an outpatient practice. In an emergency call 911, or call or text 988 for the Suicide and Crisis Lifeline.
Care & Programs
Medication Management
What is psychiatric medication management?
It is the ongoing process of selecting the right medication, dosing it safely, monitoring symptoms and side effects, checking interactions, and adjusting treatment over time to reach your goals.
How often are medication follow-ups?
Typically every 2 to 4 weeks when starting or adjusting a medication, then every 1 to 3 months once you are stable.
Can I get refills without an appointment?
No. All prescription requests and renewals require a scheduled appointment so we can review response, side effects and safety.
Can medication visits be done by telehealth?
Yes, for most medications, anywhere in Ohio. Some controlled substances require periodic in-person visits.
Will you work with my primary care doctor?
Yes. With your consent we coordinate with your PCP and other prescribers so your care is consistent and safe.
Care & Programs
Telehealth Psychiatry
Who can use telehealth at Stepping Stone?
Any patient physically located in Ohio at the time of the visit, ages six and older, for evaluations, therapy, medication management and follow-ups.
What do I need for a video visit?
A smartphone, tablet or computer with a camera, a stable internet connection, and a private space. You will receive a secure link before your appointment.
Is telehealth covered by insurance?
Most Ohio plans cover behavioral telehealth at the same rate as in-office visits. We verify your benefits before the appointment.
Is telehealth as effective as in-person care?
Research shows video-based psychiatric care produces outcomes comparable to in-person care for most conditions, including anxiety, depression and ADHD follow-up.
When is an in-person visit required instead?
When a physical exam or labs are needed, for certain controlled-substance prescribing, or when symptoms are severe enough to require closer evaluation.
Conditions We Treat
Anxiety Treatment
How do I know if my anxiety needs treatment?
Anxiety warrants professional care when worry is persistent, hard to control, and interferes with work, school, sleep or relationships for six months or more — or sooner if you have panic attacks or are avoiding daily activities.
How is anxiety treated at Stepping Stone?
Treatment usually combines psychotherapy such as cognitive behavioral therapy with medication management when indicated, plus sleep, exercise and stress-management strategies tailored to you.
How long does anxiety treatment take to work?
Many people notice improvement within 4 to 8 weeks of consistent treatment. Therapy skills build gradually, and medications such as SSRIs typically need 4 to 6 weeks at an effective dose.
Can anxiety be treated by telehealth in Ohio?
Yes. Anxiety is one of the conditions best suited to video visits, and we provide evaluation, therapy and medication management by telehealth to patients anywhere in Ohio.
Do you treat anxiety in children and teens?
Yes. We see patients ages six and older, and we work with parents on school accommodations, routines and family support strategies.
Conditions We Treat
Depression Treatment
When should I seek help for depression?
Seek care if low mood, loss of interest, fatigue, sleep or appetite changes, or hopelessness last two weeks or longer. Seek help immediately — call or text 988 — if you have thoughts of harming yourself.
What treatments for depression do you offer?
Comprehensive psychiatric evaluation, antidepressant medication management, supportive and motivational therapy, referral for psychotherapy, and treatment of contributing medical issues such as thyroid or vitamin deficiency.
How long before antidepressants help?
Sleep and energy often improve within 1 to 2 weeks, while mood usually improves over 4 to 6 weeks. We follow up closely and adjust the plan if you are not responding.
What if the first medication doesn't work?
That is common and manageable. We adjust the dose, switch medication classes, or add a second agent, always alongside therapy and lifestyle supports.
Do you treat postpartum and seasonal depression?
Yes. We treat postpartum depression, seasonal affective disorder, and depression related to grief, chronic illness or major life change.
Conditions We Treat
ADHD Treatment
How is ADHD diagnosed in adults?
Diagnosis is clinical: a detailed history of childhood and current symptoms, standardized rating scales, collateral information when available, and a review of medical or psychiatric conditions that can mimic ADHD.
Do you prescribe stimulant medication for ADHD?
Yes, when it is clinically appropriate. We follow Ohio prescribing regulations, monitor response and side effects, and also offer non-stimulant options for patients who prefer or need them.
Can adults be diagnosed with ADHD for the first time?
Yes. Many adults are diagnosed after years of difficulty with focus, organization, deadlines or impulsivity, often after a child in the family is evaluated.
Is ADHD treatment more than medication?
Yes. We combine medication with behavioral coaching, organization and time-management strategies, sleep support, and school or workplace accommodation letters when needed.
Can ADHD be evaluated over telehealth?
Initial evaluation and ongoing management can be done by video for Ohio patients, though certain controlled-substance rules may require periodic in-person visits at our West Chester office.
Conditions We Treat
Bipolar Disorder Treatment
What are the early signs of bipolar disorder?
Distinct periods of elevated or irritable mood, decreased need for sleep, rapid speech, impulsive spending or risk-taking, alternating with depressive episodes of low mood and energy.
How is bipolar disorder treated?
With mood-stabilizing medication, careful monitoring including labs when indicated, psychotherapy, sleep and routine stabilization, and a written relapse-prevention plan.
Is bipolar disorder often misdiagnosed as depression?
Yes. Because people usually seek help during depressive episodes, we screen carefully for past hypomanic and manic symptoms before starting an antidepressant alone.
Can someone with bipolar disorder live a full life?
Yes. With consistent treatment, sleep regulation and support, most people work, study and maintain relationships successfully.
Do you coordinate with family members?
With your written consent, we involve family or supporters in recognizing early warning signs and supporting your plan.
Conditions We Treat
Substance Abuse Maintenance
What is substance abuse maintenance treatment?
It is ongoing, medically supervised care that supports recovery after stabilization — including medication-assisted treatment when appropriate, monitoring, counseling and relapse-prevention planning.
Do you treat both addiction and mental health conditions?
Yes. Co-occurring conditions such as depression, anxiety, PTSD and bipolar disorder are treated alongside substance use, because treating one without the other rarely holds.
Is medication-assisted treatment right for me?
Your provider reviews your substance use history, medical conditions and goals to determine whether medication-assisted treatment is appropriate and which option fits best.
Is treatment confidential?
Yes. Substance use treatment records receive strict federal and HIPAA confidentiality protections.
What if I relapse?
Relapse is treated as clinical information, not failure. We reassess the plan, adjust supports and continue care without judgment.
Take the next step — care starts with one conversation
Same-week appointments are often available in West Chester or by secure telehealth anywhere in Ohio.

