SILVA PSYCHIATRIC CARE
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Texas
​PRESCRIPTION
MONITORING PROGRAM


at spc, stimulant prescriptions, such as adderall, ritalin, or Nuvigil, and including phentermine, are also monitored.

each time a sedative/ benzodiazepine, BARBITURATE, stimulant, narcotic Pain MEDICINE (OPIATES/opioids) or other medicine with abuse potential is prescribed, including soma, a muscle relaxer and prodrug to a latent, habit-forming sedative compound, and lyrica, a medication effective at mitigating neuropathic pain, from damaged nerves themselves
(NEUROPATHIES),
the Texas PMP AwaRxe nationwide database is accessed, showing all controlled substances being prescribed to a particular patient at all Pharmacies nationwide, and data is readily available for a span of years.

narcotic pain medications (opiates and opioids, including tramadol and tylenol with codeine, and buprenorphine, in addition to hydrocodone, oxycodone, etc.) cannot legally be prescribed via telemedicine for purposes of pain management in texas, but these medications, which you may be obtaining from another provider, are also tracked, as they may interact dangerously with certAin psychotropic medications.

it is of critical importance that patients disclose all medications they are taking and the patient must agree to consolidate all psychotropic agent management (except pain mediCation), allowing me to assume primary responsibility for selecting and directing the psychopharmacologic regimen, providing options when possible, of course, and at all times engaging, educating and collaborating directly—and exclusively—with the patient, and/or family members, caretakers, and guardians, to select the best agents, the right doses, and the best long-term plan. The patient is at a distinct disaDvantage with too many cooKs in the kitchen: two chefs is one too many. There are almost always options because there’s usually more than one right way to proceeD witH pharmacotheraPy. The medical management of psychotropic agenTs is, nonetheless, a SCIENTIFIC endeavor, and there are DEFINITELY more than a few wrong ways to prOceed as well!

failure to disclose all of the medications you are being prescribed, or failure to notify me of a new prescription in these categories is usually grounds for immediate termination of the DOCTOR-PATIENT RELATIONSHIP.

FOR TREATMENT PHILOSOPHY,
​PLEASE SEE ARCHIVES

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 >
      • STUDENTS
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
    • STUDENTS
  • 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