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Telehealth · VA
Telepsychiatry in Virginia
Adult psychiatric medication management by secure video for people living anywhere in Virginia — including Richmond, Virginia Beach, Northern Virginia — with no office visit required. NCNE is accepting new patients in Virginia.

Psychiatric care for adults in Virginia, without the commute
NCNE provides comprehensive psychiatric evaluations and ongoing medication management to adults across Virginia through secure telehealth. Whether you live in a city or a rural area, care starts with a 60-minute video evaluation and continues with focused follow-up visits — dose adjustments, side-effect monitoring, refills, and coordination with your therapist or primary care provider.
Psychiatric medication management in Virginia, by telehealth
Psychiatric medication management is the ongoing part of care: starting a medication where one is warranted, adjusting the dose, watching for side effects, handling refills, and deciding together when to hold, change or come off a medication. At NCNE it is delivered to Virginia residents entirely by video, so follow-up visits fit around work rather than around a drive. It is not the same as a pharmacy medication review or a residential medication-administration program — it is prescriber-led psychiatric care for anxiety, depression, mood disorders, ADHD, trauma and related conditions, and it works the same way in every state NCNE serves.
A psychiatric nurse practitioner licensed in Virginia, accepting new patients
Care at NCNE is provided by Laura Gabriel, PMHNP-BC, a board-certified psychiatric mental health nurse practitioner who holds an active license in Virginia and provides every visit herself. A psychiatric nurse practitioner evaluates, diagnoses and prescribes, and follows the same evidence base a psychiatrist does; the difference is training pathway, not the care you receive. Read more about what a psychiatric nurse practitioner is and how that compares with a psychiatrist. New patients in Virginia can usually be seen within days rather than the months a waitlist often means.
Who we help
Adults navigating anxiety and depression, mood disorders and emotional overwhelm, stress, burnout, and life transitions — including people seeking mental health care for the first time and those looking for a more thoughtful, personalized provider experience.
What you need
- To be physically located in Virginia at the time of your visit
- A phone, tablet, or computer with a camera and microphone, and a private space
- Your insurance card (in network with most major plans) — or, if you do not have insurance, see Insurance & Fees
Read more about how telehealth visits work, insurance & fees, and what to expect as a new client.
If you are in immediate danger, call 911. For urgent emotional support at any hour, call or text 988(Suicide & Crisis Lifeline). Telehealth visits and this website are not an emergency service.
Conditions we support
Anxiety
Anxiety can show up as constant worry, physical tension, trouble sleeping, or a mind that will not slow down.
Learn more →Depression
Depression is more than a bad week.
Learn more →Mood Disorders
Mood that swings, feels unpredictable, or stays stuck at an extreme can be exhausting — for you and for the people around you.
Learn more →Stress & Burnout
Stress and burnout are not character flaws.
Learn more →Life Transitions
New parenthood, a move, a diagnosis, a breakup, retirement, a job that changed under you — transitions can unsettle mood and sleep even when they are good changes.
Learn more →Trauma & PTSD
Trauma can keep showing up long after the events themselves — in sleep, in startle and vigilance, in mood, and in how safe the world feels.
Learn more →Alcohol Use & Recovery
Most people who wonder about their drinking are not at an extreme — they are somewhere in the middle, noticing that it has crept up, or that it has become the thing that handles their anxiety, low mood or sleep.
Learn more →Adult ADHD
ADHD in adults rarely looks like the child in the classroom.
Learn more →Grief & Loss
Grief is not a disorder and there is no medication for it — and any prescriber who suggests otherwise should be treated with caution.
Learn more →
Ready to talk with Laura Gabriel, PMHNP-BC about care in Virginia? Book a telehealth evaluation, or send a message and we'll respond within two business days.