Medication care, connected to your therapy.
Vitality Counseling offers psychiatric medication management in Madison and Starkville, Mississippi, and by telehealth, with a board-certified psychiatrist and 3 board-certified psychiatric nurse practitioners. They evaluate, prescribe and follow up for concerns including anxiety, depression, ADHD, trauma & ptsd, bipolar disorder, OCD and life transitions.
- Madison & Starkville, MS
- In person & telehealth
- Adults, adolescents & children
- Therapy & medication under one roof
- Minimal wait times
What medication management includes.
Medication management at Vitality means an evaluation with a psychiatric prescriber, a plan built with you, and regular follow-ups, coordinated with your therapy when you have both.
Evaluation
Your prescriber reviews your history, symptoms and goals to decide whether medication is appropriate.
Treatment plan
If medication can help, you agree on a plan together, including what to watch for and when to check in.
Follow-up
Regular visits to see how you're doing and adjust as needed, in person or by telehealth.
Meet our psychiatric prescribers.
Select a prescriber to see their specialties, credentials and insurance.
Our prescribers
Anxiety, ADD/ADHD, Depression
View profile →
Anxiety, ADHD, Bipolar disorder
Also offers telehealthView profile →
ADHD, Anxiety, Depression
Also offers telehealthView profile →
ADHD, Anxiety, Depression
Also offers telehealthView profile →Under one roof with your therapist.
Some clients benefit from medication alongside counseling. At Vitality you don't need to visit separate practices: your prescriber and therapist work in the same clinic and can coordinate your care.
Already a patient?
Send routine requests to care@vitalitycounsel.com. For anything urgent, call your office: Madison 601-775-2144 or Starkville 662-366-3221.
Medication and refill policies.
These policies keep prescriptions safe and on time for every patient.
- Keep a follow-up appointment on your schedule. Refills, including maintenance medications, need an active follow-up appointment.
- If you miss or cancel an appointment and don't reschedule, refills can't be provided.
- Schedule II medications (such as Adderall, Vyvanse and Ritalin) and benzodiazepines can't be refilled after a missed or canceled visit.
- Check with your pharmacy first: ask them to look at "prescriptions on file" and "future-dated prescriptions." If we have to troubleshoot an issue this step would have caught, a $30 administrative fee applies.
- Urgent refills (less than 24 hours' notice, for example for travel or lost medication) are at your provider's discretion, with a $100 urgent processing fee if approved.
- We don't accept refill requests sent by pharmacies.
Conditions our prescribers treat.
The number shows how many prescribers list each area as a specialty.
Medication management questions.
What is psychiatric medication management?
Medication management is ongoing care with a psychiatric prescriber: an evaluation, a treatment plan, prescribing when medication is appropriate, and regular follow-up visits to see how you're doing and adjust as needed.
Who are Vitality's prescribers?
Rosalie Casano, MD, a board-certified psychiatrist, and board-certified psychiatric nurse practitioners Gracie Smith, Rachael Stout, Danielle Pugh.
Can I see a prescriber by telehealth?
Yes. Gracie Smith, Rachael Stout, Danielle Pugh offer telehealth. Rosalie Casano sees patients in person in Madison.
How do I request a refill?
Refills need an active follow-up appointment, and medication changes are made during scheduled visits. Before you send a refill request, ask your pharmacy to check "prescriptions on file" and "future-dated prescriptions"; controlled medications don't show up under "refills," and this step prevents most delays. Then send routine requests to care@vitalitycounsel.com. We don't accept refill requests sent by pharmacies.
Will I be billed for messages to my prescriber?
Messages that take five minutes or more of medical expertise, such as medication changes or new symptoms, may be billed to insurance; the most you could owe is $50. Scheduling and follow-ups on care from the last seven days are free. See the details.
Do I also need to be in therapy?
Many clients benefit from both, and because therapy and medication management are under one roof, your therapist and prescriber can coordinate. Ask our team what makes sense for you.
Ready when you are.
Book online in a few minutes, or call and we'll find a time that works, often within days.