SILVA PSYCHIATRIC CARE
  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • PATIENT REVIEWS
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • PATIENT REVIEWS
    • HEALTHGRADES: DR. SERGIO SILVA
    • TELEHEALTH REVIEWS
    • THE CONCIERGE EXPERIENCE
    • Midland Awards Program
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & FAMILIES
    • ARCHIVES
  • CONTACT: TEXT ME NOW
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • Frequency of Visits
    • CANCEL/NO-SHOW
    • PRIVACY
    • HYPERTENSION SCREENING PROTOCOL
    • FORMS
    • Texas Rx Monitoring Program
  • RECOMMENDED
    • COVID-19 VACCINATION
    • BEST PRODUCTS
    • READING
    • Apps
    • Decks
  • SPOTLIGHT
    • DIALECTICAL BEHAVIOR THERAPY
    • NEW YouTube CHANNEL
    • NOTICES & NEWSLETTER ARCHIVE

COUNSELING &
PSYCHOTHERAPY
​services

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"HOW TO ENGAGE IN MEANINGFUL,
SUCCESSFUL PSYCHOTHERAPY"

REQUEST A THERAPY SESSION

"choosing
​THE RIGHT therapist"

extended, half-hour appointments at a discounted rate are offered for those patients who require, or prefer, more face-to-face time with me, and individual, brief counseling sessions are always available upon request.

importantly, follow-up visits are approximately of 15 minutes' duration, and i pride myself on punctuality; patients are rarely kept waiting more than five minutes, but i routinely spend up to, and even beyond, 20 minutes when there is a lot to discuss, and patients are never charged for an extended visit without prior notice, unless we agree at the time that a 25-30+ minute appointment is warranted. infrequently, if there are no other appointments pending, or my schedule permits it, I have been known to spend up to 40 minutes in follow-up, but patients are never charged more than the extended visit fee for any follow-up appointment, no matter how much time is required to fully reassess the patient and address all outstanding concerns.

All other communication with me outside of the context of a formal appointment time, including telephone calls, e-mails and brief text exchanges regarding clinical matters (such as refills and minor dosage adjustments), as well as administrative matters (such as appointments, billing and documentation requests, etc.) are non-billed services that are part of the concierge-level of service offered to all patients who are incurring out-of-pocket costs in receiving treatment at Silva Psychiatric Care.

finally, I regularly schedule pro-bono follow-up calls, actually reserving time in my daily schedule to check in with patients who are undergoing major revisions to their treatment regimen, to touch base briefly and to monitor for complications or difficulties transitioning, while avoiding the cost of an extra formal follow-up visit, when a face-to-face reassessment is not necessary, and all patients are always encouraged to reach out to me between visits with questions, concerns, requests, or just to let me know they are doing well (those messages are actually the most gratifying).

​24/7, 7-day/week texting is encouraged as the fastest, simplest and most reliable way of getting a message to me, and if you need to send a longer message, or an e-mail with an attachment, notification texts are always a good idea. These exchanges are never billed, no matter how much time they require. i am always just a click away, and messages are always answered in less than 24 hours, but on average 2 hours or less.

See Dr. Silva's profile on Healthgrades.

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​SPC

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SERVICES

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  • Comprehensive Psychiatric Evaluations
  • Psychotropic Medication Management
  • Brief Counseling Sessions
  • Competency/Guardianship determinations
  • Pre-Surgical Clearances (elective bariatric and plastic surgery procedures)​
  • DOT Clearances
  • + other fitness-for-duty and focused psychiatric evaluations
  • Emotional Support Animal Documentation
  • + other medical endorsements

ABOUT SPC

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  • Dr. Silva, M.D.​
  • Résumé
  • ​Areas of Expertise
  • ​Treatment Cost
  • Patient Reviews
  • Payment Policy
  • No-Show Policy
  • Refill Requests
  • Refill Policy
  • Privacy Practices

SUPPORT/FAQS

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  • Contact Me
  • Set Up/How To
  • Telemed App
  • ZOOM Download
  • GoodRx/$4.00 Meds
  • Medical Record Copies
  • Medication Prior Authorizations
  • Patient Portal
  • FORMS
  • FAQ

OTHER RESOURCES

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  • COVID-19
  • American Psychiatric Association (APA)
  • Alcoholics Anonymous
  • Centers For Disease Control
  • La Hacienda Treatment Center
  • NAMI (National Alliance on Mental Illness)
  • Narcotics Anonymous
  • NutritionFacts.org
  • Physician's Desk Reference​
  • SPC Blog (2009)
  • Talbott Recovery Center
  • ​Texas PMP AwaRxe

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  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • PATIENT REVIEWS
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • PATIENT REVIEWS
    • HEALTHGRADES: DR. SERGIO SILVA
    • TELEHEALTH REVIEWS
    • THE CONCIERGE EXPERIENCE
    • Midland Awards Program
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & FAMILIES
    • ARCHIVES
  • CONTACT: TEXT ME NOW
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • Frequency of Visits
    • CANCEL/NO-SHOW
    • PRIVACY
    • HYPERTENSION SCREENING PROTOCOL
    • FORMS
    • Texas Rx Monitoring Program
  • RECOMMENDED
    • COVID-19 VACCINATION
    • BEST PRODUCTS
    • READING
    • Apps
    • Decks
  • SPOTLIGHT
    • DIALECTICAL BEHAVIOR THERAPY
    • NEW YouTube CHANNEL
    • NOTICES & NEWSLETTER ARCHIVE