WEST PALM BEACH, FL · IN-NETWORK ADULT PSYCHIATRY
Trust Psychiatry & Wellness
Adult psychiatric care in West Palm Beach + Florida-wide telepsychiatry
Evidence-based outpatient psychiatry for adults — one clinician, one chart, one cadence. Josie Desmarais, PMHNP-BC delivers medication management + supportive psychotherapy in-person at our Belvedere Rd office or via secure telepsychiatry statewide. In-network with major Florida plans.
- ✓MAT/Suboxone for substance use disorder
- ✓ADHD treatment + medication management
- ✓Anxiety, depression, PTSD, bipolar, insomnia
- ✓Supportive psychotherapy + psychiatric oversight
SERVICES · ADULT PSYCHIATRIC CARE
Mood, anxiety, attention, trauma, and sleep — the core territory of outpatient adult psychiatric care.
Psychiatric evaluation, ongoing medication management, MAT, telepsychiatry, supportive psychotherapy, refills, cognitive testing, and hormone therapy — pick what fits your situation.
WHY TRUST PSYCHIATRY
Three reasons West Palm Beach adults pick Trust.
Most outpatient psychiatry in Palm Beach County is out-of-network or cash-pay only. Trust is built differently — in-network billing, statewide telepsychiatry, and medication paired with supportive psychotherapy under one clinician.
The in-network moat
Direct in-network billing across 12 Florida plans — Aetna, Cigna, UnitedHealthcare, Optum, Medicaid (Florida), AvMed, Evernorth, TRICARE, M-Care, Cuare, HP, and Paramount. BCBS Florida and Humana are in active credentialing; those members are seen today via Trust’s Grow Therapy bridge at in-network rates. Benefits verified before the first visit so the eligible-but-not-covered surprise never happens.
FL-statewide telepsychiatry
Adults anywhere in Florida — Wellington, Boca Raton, Boynton Beach, Lake Worth, Orlando, Tampa, Jacksonville, Tallahassee — can switch between in-person at Belvedere Rd and secure video visit-by-visit without a new intake.
Medication + therapy under one clinician
Most prescribers refer therapy out. Josie pairs psychiatric medication management with supportive psychotherapy in the same visit — one chart, one plan, no duplicate intakes between a prescriber and a separate counselor.
IN-PERSON OR TELEPSYCHIATRY · YOUR CHOICE
In-person at Belvedere Rd, or telepsychiatry across Florida — same care either way.
Pick your modality visit-by-visit. Most adults do their initial evaluation in person and then mix in-person and telepsychiatry depending on the week. Same clinician, same plan, same fees.
Belvedere Rd
FL statewide
CONDITIONS WE TREAT
Adult mental-health conditions Josie works with.
Across mood, anxiety, attention, trauma, sleep, and substance use — the diagnoses Josie sees most often. Tap any condition to read how the evaluation, medication options, and follow-up cadence work for that diagnosis.
OUR CLINICAL MODEL
How adult outpatient psychiatry actually works at Trust.
Three principles shape every visit: medication management paired with supportive psychotherapy, measurement-based care that tracks symptoms with validated rating scales, and one clinician — Josie Desmarais, PMHNP-BC — across the full arc of treatment. Adult psychiatric outcomes improve when the prescriber, the rating scales, and the conversation about how things are going all sit in the same room.
“Most adults see meaningful symptom improvement within four to eight weeks of starting evidence-based medication management.”
Serotonin receptor downregulation, dopamine pathway titration, and HPA-axis adjustment cycles all peak between weeks 4–8 — which is why we wait before judging response.
“Long-term stabilization typically takes three to twelve months, depending on diagnosis and prior treatment history.”
Major depressive episodes stabilize fastest. Bipolar maintenance, PTSD recovery, and SUD remission trajectories require the longest titration windows.
“Florida-wide telepsychiatry preserves continuity: same provider, same chart, same care plan — visit by visit.”
Continuity of care is the strongest predictor of treatment adherence and remission outcomes in outpatient adult psychiatric populations.
Measurement-based care + evidence-based modalities. Validated rating scales — PHQ-9 for depression, GAD-7 for anxiety, ASRS for adult ADHD, PCL-5 for PTSD, MDQ for bipolar spectrum, and ISI for insomnia — sit alongside the clinical interview at every visit. Supportive psychotherapy integrates CBT, DBT, ACT, and mindfulness-informed approaches matched to your symptom pattern. Symptom scores track over time so medication adjustments respond to data, not just impression. Insurance plans increasingly require this measurement-based standard; Trust uses it because it is how evidence-based outpatient psychiatry should run.
Scope honesty. Trust is outpatient adult psychiatric care — medication management plus supportive psychotherapy under one clinician. For patients who need a higher level of care — inpatient stabilization, intensive outpatient programming, residential treatment, or harm-reduction services beyond medication-assisted treatment — referrals route through Trust’s partner network. The scope is honest because outcomes depend on matching patients to the right setting from intake. Adults across Florida access this model in-person on Belvedere Rd or via secure telepsychiatry.
WHAT ADULTS IN FLORIDA SAY
In adult patients’ own words.
Placeholder section — Trust will populate with verified Google reviews once the practice has migrated patient feedback collection to the GBP listing. Section currently hidden via GP Disable Elements until real reviews exist.
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YOUR CLINICIAN
Meet Josie Desmarais, PMHNP-BC.
Josie Desmarais, PMHNP-BC
Psychiatric Mental-Health Nurse Practitioner · Diplomate, American Nurses Credentialing Center
NPI 1255877932 · FL-licensed telepsychiatry
Josie founded Trust Psychiatry & Wellness to deliver evidence-based, in-network adult psychiatric care to West Palm Beach — medication management paired with supportive psychotherapy, not one or the other. Her clinical focus covers mood and anxiety disorders, ADHD, PTSD, and sleep disruption, with deep work in geriatric psychiatric care for the surrounding 55+ communities. She sees patients in person on Belvedere Rd and via telepsychiatry anywhere in Florida.
View Full Profile →OUR LOCATION
Visit us in Haverhill, West Palm Beach.
Mental Health West Palm Beach
4500 Belvedere Rd, Suite D
West Palm Beach, FL 33415
Hours
Mon–Fri: 9:00 AM – 5:00 PM
Sat: By appointment
Sun: Closed
FREQUENTLY ASKED
Questions adults ask before booking.
Which insurance plans does Trust accept?
We bill 12 Florida plans in-network directly: Aetna, Cigna, UnitedHealthcare, Optum, Medicaid (Florida), AvMed, Evernorth, TRICARE, M-Care, Cuare, HP, and Paramount. BCBS Florida and Humana are in active credentialing — those members are covered today via Trust’s Grow Therapy bridge (same clinician, same office, in-network rates). Benefits are verified before your first visit; if your plan isn’t listed, self-pay rates are transparent and superbills are available.
How does the first visit work?
Initial evaluations are 60 minutes — medical history, current symptoms, prior medications, treatment goals. You can do this in person at our 4500 Belvedere Rd office or via secure telepsychiatry. If medication is part of the picture, Josie will walk through evidence-based options with clear side-effect markers to watch. Follow-up visits run 30 minutes and can be in-person or telehealth, your choice each time.
Can I see Josie via telepsychiatry if I’m elsewhere in Florida?
Yes — any Florida resident can do secure video visits with Josie. Wellington, Boca Raton, Boynton Beach, Palm Beach, Lake Worth, Miami-Dade, Orlando, Tampa, Jacksonville, Tallahassee — 67+ Florida counties and growing. Same evaluation, same medication management, same fees. You can switch between in-person and telehealth visit-by-visit.
Does Trust treat children, adolescents, couples, or families?
No — Mental Health West Palm Beach is an adults-only practice (18 and older). Josie does individual psychiatric care — medication management plus supportive psychotherapy. For adolescents, couples work, or family therapy, we’re happy to refer you to West Palm Beach colleagues who specialize in those modalities.
How does prescribing work — controlled substances, refills, prior auths?
Josie prescribes evidence-based medications including SSRIs, SNRIs, mood stabilizers, non-stimulant ADHD options, and stimulants when clinically appropriate. Controlled substances follow Florida state monitoring rules and require regular follow-ups. Refills, dosage adjustments, and prior-authorization paperwork are handled in-house — you don’t need to chase a separate prescriber or pharmacy department.
How quickly can I schedule a first appointment?
New patient evaluations are typically scheduled within 7–10 business days. Call (561) 849-4449 or submit the contact form — we’ll verify your Florida insurance benefits and book your evaluation on the same call. Initial evaluations run 60 minutes; follow-ups are 30 minutes.
SCHEDULE FROM ANYWHERE IN FLORIDA
The first step is the hardest. We’ll meet you there.
If you’ve been thinking about psychiatric care for a while, this is your sign. In-network, in-person on Belvedere Rd or via telepsychiatry across Florida — benefits verified before your first visit.
Adults only · In-network · New evaluations within 7–10 business days · Telepsychiatry available across Florida