Frequently Asked Questions

What should I do in a mental health emergency or crisis?  

If you are experiencing a psychiatric or medical emergency — including thoughts of suicide or harming yourself —call 911, call or text 988 (the Suicide and Crisis Lifeline), or go to your nearest emergency room. After-hours phone calls and portal messages are typically returned within 1–2 business days. We are an outpatient practice, not an emergency service. Cobalt Psychiatry does not provide emergency care, after-hours care, or weekend coverage.

What psychiatric services does Cobalt Psychiatry provide?

Cobalt Psychiatry provides adult psychiatric medication management for conditions including depression, anxiety, PTSD, bipolar disorder, insomnia, and ADHD, with limited supportive psychotherapy during medication visits. We see patients in Norman, OK and Frisco, TX, and by telehealth.  

Do you treat adults only, and what ages do you see?

At this time we work with adults aged 18 or older.  We do not provide services to anyone age 17 or younger.  

Do you offer therapy, or only psychiatric medication management?

Cobalt Psychiatry specializes in psychiatric evaluation and medication management for adults. We do not provide weekly psychotherapy as a primary service.

Our medication management visits often include supportive therapeutic conversation about coping strategies, life stressors, sleep, relationships, and overall functioning — but this is not a substitute for ongoing therapy with a trained therapist.

If you’re seeking ongoing psychotherapy as a primary treatment, we are happy to send you a list of experienced therapists in your area. Many patients do best with a combination: medication management at Cobalt Psychiatry plus ongoing psychotherapy with a separate therapist. This split-treatment model is well-established and often produces the best outcomes.

Do you accept insurance for psychiatry appointments?

Cobalt Psychiatry is in-network with Aetna, Blue Cross Blue Shield of Oklahoma, Blue Cross Blue Shield of Texas, Cigna, Healthcare Highways, HealthChoice, UnitedHealthcare, and Optum. HealthChoice is the plan carried by many Oklahoma state and education employees. Self-pay is welcome, and we verify your benefits before your first visit. Please note: Cobalt Psychiatry is not enrolled with Medicare and does not bill Medicaid, SoonerCare, or Texas Medicaid, and cannot accept patients whose only coverage is Medicaid, so tell us your coverage before scheduling.

Do you offer self-pay, and how does the cost work?

Self pay is accepted without insurance. If you use your insurance you may be required to provide a co-pay, but the majority of the cost will likely be paid by your insurance provider.

Do you offer in-person psychiatry visits in Norman and Frisco?  

Yes. In person visits and telehealth visits are both options.

How does telehealth (online psychiatry) work?

Telemedicine is provided for patients located in Oklahoma and Texas, and when needed due to unforeseen circumstances. Telemedicine, also referred to as telehealth medicine, is the use of information technology to provide clinical health care from a distance.  A link will be sent to you via email or text (your preference).  Prior to the appointment time you will click on this link, which will take you to a virtual meeting room.  At the appointment time your provider will meet you via video and conduct a visit, similarly to a visit conducted in person.  This link provides instructions on setting up Zoom: Getting started guide for new users – Zoom Support

Do you prescribe controlled substances like Adderall or Xanax?

Cobalt Psychiatry can prescribe controlled substances such as stimulants for ADHD and, on a limited basis, benzodiazepines, when clinically appropriate and decided case by case at your provider’s clinical judgment. New stimulant prescriptions require formal psychological testing by a psychologist first; details are in the stimulant question below. Long-term controlled-substance treatment requires at least one in-person visit at our Norman, OK or Frisco, TX office. We do not prescribe opioids or medications for opioid use disorder.

Do you provide medical marijuana card recommendations?

We do not provide this service. A thorough listing of other mental health providers can be found by contacting your health insurance provider or other internet search engines

Do you provide letters or recommendations regarding the following: Disability evaluations, Social security claims, Forensic evaluations, Ability to own a firearm, Attorney letters, Autism testing, ADHD testing? 

When clinically appropriate, we may provide brief treatment summaries. However, we do not perform independent disability, forensic, custody, immigration, or fitness-for-duty evaluations, and we do not complete those specialized forms. For that paperwork, we can refer you to a psychiatrist or psychologist who specializes in such evaluations.

Do you prescribe stimulants for ADHD?  

Yes, and the best first step is simply to meet with Dr. Holsey. Trouble focusing, forgetfulness, or restlessness is often driven by depression, anxiety, poor sleep, or something else entirely, and a first visit sorts out what’s really going on. You don’t need any testing to schedule. Many patients do well with treatment that requires no testing at all, including non-stimulant ADHD medication. Formal psychological testing is required only before a stimulant such as Adderall, Vyvanse, Ritalin, or Concerta is started, because stimulants are controlled substances closely regulated by the DEA. If a stimulant is a reasonable option for you, Dr. Holsey will refer you to a local psychologist for testing, and you’ll meet again afterward to review the results and decide on treatment together. Testing you’ve already had counts, even from childhood. If another prescriber already has you on a stimulant, Dr. Holsey will review their records and can often continue it. Testing doesn’t guarantee a stimulant will be prescribed.

Do you prescribe benzodiazepines (Xanax, Klonopin, Ativan, Valium)?  

Only on an extremely limited, short-term basis. We generally do not provide ongoing daily benzodiazepine prescriptions, because chronic use carries significant risks and there are usually better long-term options. Exceptions exist for some clinical situations, which your provider will discuss with you.

Do you treat opioid use disorder or prescribe Suboxone?  

No. If you need medication-assisted treatment for opioid use disorder, we will refer you to a specialist who focuses on that care so you receive the right expertise.

Do you accept Medicare or Medicaid?  

Cobalt Psychiatry is not currently enrolled with Medicare, and we do not bill Medicaid, SoonerCare, Texas Medicaid, or Medicaid managed-care plans. We also cannot accept patients whose only coverage is Medicaid. If you have Medicare, Medicaid, or dual coverage, please tell us before scheduling so we can give you accurate information for your situation.

Do I need an in-person visit for a controlled substance?  

Yes. If you are prescribed a controlled substance long-term, such as a stimulant for ADHD or a benzodiazepine, you will need at least one in-person visit at our Norman, OK or Frisco, TX office. After that, follow-ups may continue by telehealth. This supports diagnostic accuracy, safety, and compliance with changing federal rules.

What states are you licensed in?  

Cobalt Psychiatry provides care in Oklahoma and Texas. We see patients in person at our Norman, OK and Frisco, TX offices, and offer telehealth visits to patients located anywhere in those two states.

What is your cancellation or no-show fee?  

Appointments missed or cancelled with less than 24 hours notice are charged a $100 fee to the card on file, for both new and follow-up visits, telehealth or in person. The fee is not billable to insurance, and documented emergencies are generally waived. Two missed or late-cancelled appointments within six months may result in discharge.