Credit Card on File Policy: Starting in October 2025, we are collecting credit cards on file to streamline your visits and billing. All patients will be required to have a card on file starting January 1, 2026. This helps us process co-pays, outstanding balances, and no-show/late reschedule fees efficiently, making your visits faster and more convenient. FAQ English | FAQ Spanish

Psychiatrist in Houston, TX — Psychiatric Services at Core Primary Care

Psychiatrist in Houston, TX — Psychiatric Services at Core Primary Care

Psychiatry Within Primary Care — Core Primary Care’s Psychiatric Services

Quick Answer: Core Primary Care’s Houston Galleria location offers psychiatry services delivered by board-certified psychiatric providers. We treat adults experiencing depression, anxiety, bipolar disorder, ADHD, mood disorders, PTSD, psychosis, and other psychiatric conditions through comprehensive psychiatric evaluation, medication management, psychotherapy, and personalized care plans. Call (713) 636-2621 or book an appointment online.

What is a psychiatrist?

A psychiatrist is a medical doctor who specializes in diagnosing, treating, and managing mental health conditions. Unlike therapists and counselors, psychiatrists are licensed to prescribe psychiatric medications and to manage complex psychiatric conditions that require clinical medication management alongside psychotherapy. At Core Primary Care Galleria, our psychiatric providers offer this specialist-level care within a primary care environment.

When you are looking for a psychiatrist in Houston, Texas, the quality of your care depends on the depth of your provider’s experience and the breadth of their clinical training. Dr. Richard B. Pesikoff, M.D. brings over 45 years of psychiatric practice in Houston to every patient he sees.

Board-certified in both adult and child psychiatry and a certified member of the American Psychoanalytic Association, Dr. Pesikoff offers comprehensive psychiatric evaluation and treatment for children, adolescents, and adults across a wide range of mental health conditions — from depression and anxiety to bipolar disorder, ADHD, psychosis, and forensic psychiatric evaluations. A professor of psychiatry and award-winning lecturer, Dr. Pesikoff has also appeared on CBS’ 60 Minutes and in other media outlets as a recognized psychiatric authority in Houston.

His practice at Core Primary Care — located at 19 Briar Hollow Lane, Suite 102, Houston, TX 77027 — offers the specialist-level psychiatric depth of a named physician with the integrated care advantage of a primary care practice. Call (713) 795-5424 or book an appointment online. New patients are welcome.

Psychiatric Conditions We Diagnose and Treat

Core Primary Care’s psychiatric providers at the Houston Galleria location specialize in treating a wide range of psychiatric conditions and mental illnesses in adult patients. Our areas of expertise include:

Depression

Major depressive disorder, persistent depressive disorder, postpartum depression, and treatment-resistant depression are assessed and treated through a combination of medications and psychotherapy. Our psychiatric providers conduct a thorough diagnostic evaluation, review your medical history, and recommend a treatment plan tailored to your individual needs — including the most appropriate antidepressant medication, psychotherapy modality, and follow-up schedule.

Anxiety Disorders

Generalized anxiety disorder, panic disorder, social anxiety disorder, and anxiety-related conditions respond well to both medication and psychotherapy. Our psychiatric providers assess and treat anxiety disorders with an approach that is collaborative and evidence-based — building coping skills, identifying triggers, and using psychiatric medications where clinically appropriate to reduce symptoms and improve daily functioning.

Bipolar Disorder

Bipolar disorder requires careful, ongoing psychiatric management. Our providers assess both the depressive and manic components of bipolar disorder, initiate and manage mood stabilizer medications, and coordinate psychotherapy to support long-term stability. Medication management for bipolar disorder includes regular monitoring of mood, sleep, energy levels, and medication side effects — with telehealth follow-up options available between in-person psychiatric sessions.

ADHD in Adults

Adult ADHD affects executive function, attention, emotional regulation, and impulse control in ways that significantly impact professional and personal life. Core Primary Care’s psychiatric providers conduct comprehensive ADHD evaluations, assess for co-occurring conditions such as anxiety and depression, and develop individualized treatment plans that may include psychiatric medication management, behavioral strategies, and psychotherapy referrals. ADHD medication management is available through in-person and telepsychiatry appointments.

PTSD and Trauma-Related Disorders

Post-traumatic stress disorder and trauma-related conditions require a trauma-informed approach to both assessment and treatment. Our psychiatric providers assess PTSD symptoms, prescribe psychiatric medications where appropriate to reduce hyperarousal, nightmares, and intrusive symptoms, and coordinate trauma-focused psychotherapy referrals for patients who benefit from specialist-level therapeutic intervention.

Mood Disorders and Mood Stabilization

Mood disorders — including cyclothymia, dysthymia, premenstrual dysphoric disorder, and other mood-related conditions — are assessed and treated with a combination of psychiatric medication management and psychotherapy. Our providers specialize in mood stabilizing medication management in Houston, monitoring your response and adjusting your care plan as your clinical presentation evolves.

Psychosis and Schizophrenia Spectrum Conditions

For patients experiencing psychosis, schizophrenia spectrum conditions, or first-episode psychotic symptoms, our psychiatric providers conduct a thorough diagnostic evaluation, initiate appropriate antipsychotic medication management, and coordinate inpatient and outpatient care pathways as clinically indicated. Ongoing psychiatric follow-up is essential for these conditions, and our team provides continuity through regular scheduled appointments.

Sleep Disorders and Psychiatric Insomnia

Sleep disorders are closely linked to psychiatric conditions — insomnia, hypersomnia, and disrupted sleep architecture are both symptoms of and contributors to depression, anxiety, and bipolar disorder. Our psychiatric providers assess sleep disorders in the context of your full psychiatric presentation, prescribe sleep medications where appropriate, and coordinate referrals to sleep medicine specialists when a sleep study or specialist evaluation is needed.

What to Expect at Your First Psychiatric Appointment

Your first psychiatry appointment at Core Primary Care Galleria is a comprehensive psychiatric evaluation. Here is what the process looks like:

  1. Intake and records review — Your psychiatric provider reviews your medical history, prior psychiatric treatment, current medications, and any prior diagnoses.
  2. Psychiatric evaluation — A structured psychiatric assessment evaluates your current symptoms across mood, thought, behavior, and cognitive domains.
  3. Diagnosis — Your provider determines a psychiatric diagnosis based on your clinical presentation, history, and diagnostic criteria.
  4. Treatment plan — An individualized psychiatric care plan is developed collaboratively, including medication recommendations, psychotherapy referrals, lifestyle guidance, and follow-up schedule.
  5. Prescription — If psychiatric medication is part of your treatment plan, your prescription is sent electronically to your pharmacy before you leave.
  6. Follow-up appointment — Regular psychiatric follow-up appointments are scheduled to monitor your progress, assess medication response, and adjust your care plan as needed. Telepsychiatry appointments are available for follow-up visits.

Psychiatric Services Offered at Core Primary Care Galleria

Psychiatric Evaluation and Diagnosis

A comprehensive psychiatric evaluation at Core Primary Care Galleria includes a full mental health counseling , review of medical and psychiatric history, mental status examination, and diagnosis. Our board-certified psychiatric providers use evidence-based diagnostic criteria to assess and treat mental health conditions accurately and efficiently.

Psychiatric Medication Management

Medication management is a core component of psychiatric treatment for many conditions. Our psychiatric providers prescribe and manage a full range of psychiatric medications — antidepressants, mood stabilizers, antipsychotics, anti-anxiety medications, ADHD medications, and sleep medications. Ongoing medication management includes monitoring for effectiveness, side effects, and drug interactions with your other medications — coordinated with your Core Primary Care primary care physician.

Psychotherapy and Talk Therapy

Core Primary Care’s psychiatric providers incorporate psychotherapy into psychiatric treatment where clinically appropriate — including supportive therapy, psychoeducation, and brief interventions during psychiatric appointments. For patients who benefit from more intensive talk therapy modalities — cognitive behavioral therapy, dialectical behavior therapy, or trauma-focused psychotherapy — our providers coordinate referrals to licensed therapists in the Houston area who specialize in your specific condition.

Telepsychiatry

Telepsychiatry appointments are available at Core Primary Care for psychiatric follow-up visits, medication management, and ongoing care. Virtual psychiatric appointments are conducted through a secure, HIPAA-compliant video platform — no app download required. Telepsychiatry provides the flexibility to receive high-quality psychiatric care from home between in-person appointments at the Galleria location.

TMS — Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation (TMS) is an FDA-approved, non-invasive psychiatric treatment for treatment-resistant depression and certain other psychiatric conditions. TMS uses focused magnetic pulses to stimulate areas of the brain involved in mood regulation. Ask your Core Primary Care psychiatric provider whether TMS is appropriate for your treatment plan and whether a referral to a TMS provider in the Houston area is indicated.

Frequently Asked Questions — Psychiatry at Core Primary Care

What is the difference between a psychiatrist and a therapist?

A psychiatrist is a medical doctor who specializes in diagnosing and treating mental health conditions, and is licensed to prescribe psychiatric medications. A therapist or counselor provides talk therapy but does not prescribe medication. Core Primary Care’s psychiatric providers can prescribe medications and provide psychiatric evaluation — and coordinate referrals to licensed therapists when ongoing psychotherapy is part of your treatment plan.

Does Core Primary Care accept Medicare for psychiatry visits?

Yes. Core Primary Care accepts Medicare for psychiatry services at the Houston Galleria location. Contact our office before your first psychiatric appointment and our team will verify your specific Medicare coverage for psychiatric evaluation and medication management visits.

Can I get a psychiatric evaluation at Core Primary Care if I have never seen a psychiatrist before?

Yes. New patients are welcome at Core Primary Care’s Galleria psychiatry services. Your first visit is a comprehensive psychiatric evaluation — your provider reviews your history, assesses your current symptoms, and develops a treatment plan. No prior psychiatric history is required. Call (713) 636-2621 or book an appointment online.

Is telepsychiatry available at Core Primary Care?

Yes. Telepsychiatry appointments are available for follow-up psychiatric visits, medication management, and ongoing psychiatric care. Virtual psychiatric appointments are conducted through a HIPAA-compliant video platform. New patient evaluations may require an initial in-person visit at the Galleria location — contact our office to confirm availability.

How long does a psychiatric evaluation take?

A comprehensive psychiatric evaluation at Core Primary Care Galleria typically takes 45 to 60 minutes. Follow-up psychiatric appointments for medication management are generally 20 to 30 minutes. Your provider will take the time your care requires — there is no rush during a psychiatric evaluation.

What psychiatric medications can Core Primary Care prescribe?

Core Primary Care’s psychiatric providers can prescribe a full range of psychiatric medications, including antidepressants, anti-anxiety medications, mood stabilizers, antipsychotics, ADHD medications, and sleep medications. All prescriptions are coordinated with your Core Primary Care primary care physician to ensure no interactions with your existing medications.

Should I see a psychiatrist or my primary care doctor for anxiety and depression?

For mild to moderate anxiety and depression presenting for the first time, your Core Primary Care primary care physician can provide assessment, diagnosis, and initial medication management. If your symptoms are severe, persistent, or have not responded to first-line treatment — or if you need a specialist-level psychiatric evaluation — the psychiatry team at Core Primary Care Galleria is the appropriate next step. Call (713) 636-2621 and our team will direct you to the right level of care.

How is Core Primary Care’s psychiatry service different from a standalone psychiatric clinic?

Core Primary Care’s psychiatry service is integrated within a primary care practice — meaning your psychiatric provider has direct access to your complete medical record, your primary care physician is involved in your overall care coordination, and your mental and physical health are managed together. This is different from a standalone psychiatric clinic where your psychiatric care is managed entirely separately from your physical health. The integrated approach reduces medication conflicts, improves treatment coordination, and gives your psychiatric provider the complete clinical picture needed to provide high-quality psychiatric care in Houston.

Book a Psychiatric Appointment at Core Primary Care Galleria

If you are looking for a psychiatrist in Houston, Texas who delivers personalized, compassionate psychiatric care within an integrated primary care practice — Core Primary Care Galleria is accepting new patients.

Whether you need a first psychiatric evaluation, a second opinion, or a provider to manage your ongoing psychiatric care with the clinical depth your condition requires — our team is ready. Call (713) 636-2621 or book an appointment online today.

Call Us

(713) 636-2621

Book Appointment Online

coreprimarycare.com

Virtual Visit

Telehealth available same-day

Offered in

Core Primary Care
✆ Phone : (713) 636-2621