Psychiatric Care in Tyler, TX | SPRAVATO® & Telepsychiatry
📞 (430) 288-5800 · 100 Independence Pl, Suite 307 · Tyler, TX 75703 · Mon–Fri 9am–5pm
Trusted by 1,000+ patients’ or ‘Licensed in TX

Compassionate Psychiatric Care for Adults Across East Texas

Expert treatment for depression, anxiety, and mental health conditions through personalized medication management, therapy, and innovative treatments like SPRAVATO® therapy—available in-person and via telepsychiatry throughout Texas.

Telepsychiatry Available Same-Week Appointments Breakthrough Treatments Integrated Care

Who provides psychiatric care in East Texas?

East Texas Psychiatry and Counseling provides board-certified adult psychiatric care in Tyler, TX and statewide telepsychiatry across Texas. We treat depression, anxiety, ADHD, and more—offering same-week appointments and SPRAVATO® therapy for treatment-resistant depression.

About East Texas Psychiatry and Counseling

Bringing Expert Psychiatric Care to East Texas

East Texas Psychiatry and Counseling was founded by experienced mental health professionals who witnessed too many individuals traveling hours for appointments or going without care entirely. They saw people whose depression and anxiety went untreated due to stigma, distance, or lack of available providers. Driven by a simple question—what if quality psychiatric care could be accessible and compassionate?—they created a practice serving as a beacon of hope for East Texas families.

Our purpose extends beyond symptom management. We help clients reclaim joy, rebuild relationships, and rediscover their potential through comprehensive, evidence-based care. Guided by compassionate clinical excellence, we combine personalized attention with innovative treatments like FDA-approved SPRAVATO® therapy. Unlike large institutions, we know our clients by name. Unlike solo practitioners, we offer a full team of specialists, telepsychiatry access throughout Texas, and breakthrough treatments for treatment-resistant depression.

Learn More About Our Approach
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General Psychiatry
Full-spectrum adult mental health care
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SPRAVATO® & Depression
Our deepest area of clinical expertise
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Telepsychiatry
Virtual care statewide across Texas
By the Numbers

Depression Treatment in East Texas, Built Around What Works

A snapshot of how our practice is structured and why our approach to depression can mean relief in days, not months.

Where We Focus

Our clinical time across core service areas.

100% Adult Care
60%  General Adult Psychiatry
25%  Depression & SPRAVATO® Therapy
15%  Telepsychiatry & Virtual Care

Speed of Relief

How symptom improvement can progress: SPRAVATO® therapy compared with traditional antidepressants.

High Low Day 1 Week 2 Week 6 Symptom improvement over time
SPRAVATO® therapy — relief in days Traditional antidepressants — weeks to months

Illustrative based on practice service mix and published onset timelines for esketamine vs. oral antidepressants. Individual results vary. Learn more at NIMH.

Our Services

SPRAVATO® Therapy in Tyler & Telepsychiatry Across Texas

Comprehensive, evidence-based psychiatric care—from breakthrough depression treatments to convenient virtual visits.

Breakthrough SPRAVATO therapy treatment room at East Texas Psychiatry

SPRAVATO® Therapy

Breakthrough FDA-approved treatment for adults with treatment-resistant depression, offering faster relief than traditional antidepressants.

  • Relief within days
  • Treatment-resistant depression focus
  • Monitored, comfortable setting
Statewide Telepsychiatry virtual appointment in Texas

Telepsychiatry & Virtual Care

Secure online psychiatric appointments throughout Texas, bringing expert mental health care directly to you.

  • Statewide Texas availability
  • Same quality as in-person
  • Convenient, private access
Full Spectrum Comprehensive adult psychiatry consultation

Comprehensive Adult Psychiatry & ADHD Testing in Tyler

Full-spectrum mental health care for depression, anxiety, ADHD, and other conditions through personalized medication management and therapy.

  • Thorough diagnostic evaluations
  • Personalized treatment plans
  • Ongoing medication monitoring
Why Choose Us

Why Patients Choose our psychiatric providers in Tyler, TX

Advanced Depression Treatment Expertise

We're regional leaders offering SPRAVATO® therapy for treatment-resistant depression. When traditional antidepressants haven't worked, we provide breakthrough treatments that can deliver relief within hours or days rather than weeks. Learn more about depression from the NIMH.

Integrated, Team-Based Care Under One Roof

Unlike solo practitioners, our board-certified psychiatric providers and licensed therapists collaborate seamlessly on your treatment. You receive comprehensive care combining medication management and psychotherapy, addressing root causes for lasting recovery.

Accessible Care Without Compromise

We offer same-week consultations when you need help most, telepsychiatry throughout Texas eliminating travel barriers, extended evening hours, and responsive communication through our patient portal—making expert psychiatric care fit your life.

Our Process

Your Path to Wellness: Same-Week Psychiatrist Appointments

1

Initial Consultation

  • Schedule your comprehensive 90-minute psychiatric evaluation, usually within one week
  • Complete secure intake paperwork through our patient portal before your appointment
  • Discuss your concerns, history, and develop a personalized treatment plan together
2

Treatment Implementation

  • Begin your customized treatment with medication management, therapy, or both
  • Meet every two to four weeks early in treatment for close monitoring
  • Access your care team anytime through secure messaging for questions or refills
3

Ongoing Care

  • Transition to less frequent appointments as your symptoms stabilize and improve
  • Track progress using standardized screening tools to measure improvement objectively
  • Receive consistent care through flexible scheduling, telepsychiatry, and evening hours
Ready to Find Relief from Depression?

Take the First Step Toward Reclaiming Joy and Hope

  • Same-week consultations available so you don't have to wait weeks for help when struggling
  • Expert psychiatric providers offering breakthrough treatments like SPRAVATO® therapy for treatment-resistant depression throughout Texas
  • Compassionate, personalized care combining medication management and therapy to address root causes, not just symptoms
Testimonials

What Our Patients Say

★★★★★

“Getting an appointment within the same week was incredible. The telepsychiatry option means I don't miss work, and my psychiatric provider actually listens and knows me by name.”

Michael D.Michael D.Longview, TX
★★★★★

“After years of trying different antidepressants without success, SPRAVATO® therapy finally gave me relief. I started feeling better within days instead of waiting months. Life-changing.”

Sarah M.Sarah M.Tyler, TX
★★★★★

“I was skeptical about virtual appointments, but the quality is just as good as in-person. Having access to expert psychiatric care without driving hours has been amazing.”

Robert L.Robert L.Marshall, TX
★★★★★

“As a busy mom, I appreciate the evening appointments and secure messaging through the patient portal. My therapist and psychiatric provider work together, so I'm getting comprehensive care.”

Jennifer K.Jennifer K.Athens, TX
★★★★★

“After struggling with depression for years, I finally found hope. The personalized treatment plan, regular check-ins, and innovative treatments made all the difference in my recovery journey.”

Patricia J.Patricia J.Jacksonville, TX
★★★★★

“The team helped me manage my anxiety and postpartum depression with such compassion. They explained everything clearly, never made me feel judged, and genuinely care about my progress.”

Amanda T.Amanda T.Canton, TX

We Accept Most Major Insurance Plans

Ambetter insurance accepted Blue Cross Blue Shield accepted UnitedHealthcare accepted UMR accepted Evernorth accepted Optum accepted Medicare accepted Aetna accepted

Most appointments available within one week. Verify your insurance & payment options →

Get Started

Begin Your Healing Journey

Schedule your confidential consultation today—most appointments available within one week, and we accept most major insurance plans.

  • Call or inquire online to schedule your initial consultation
  • Complete secure intake forms through our patient portal before appointment
  • Meet your psychiatric provider for comprehensive evaluation and personalized plan
Our Co-Founders

Meet Our Expert Psychiatric Team

James Baughman, MSN, APRN, PMHNP-BC

James Baughman

MSN, APRN, PMHNP-BC

James Baughman is a board-certified psychiatric nurse practitioner and co-founder of East Texas Psychiatry and Counseling. With over 35 years of experience in the medical field, James brings a broad clinical background and a deep dedication to patient-focused care. He began his medical career in 1987, serving in the U.S. Navy as a hospital corpsman.

Antonio Brigham, MSN, APRN, PMHNP-BC

Antonio Brigham

MSN, APRN, PMHNP-BC

Antonio Brigham is a board-certified psychiatric nurse practitioner and co-founder of East Texas Psychiatry and Counseling. With over 15 years of experience in the mental health field, Antonio's professional journey is rooted in compassion, resilience, and a commitment to holistic patient care.

FAQs

Frequently Asked Questions About Our Services

Still have questions?

Our intake coordinators are here to help you understand your options, verify insurance, and get scheduled—often within one week.

Book a Psychiatric Appointment Call (430) 288-5800

Medically reviewed by James Baughman, MSN, APRN, PMHNP-BC, co-founder of East Texas Psychiatry & Counseling · Last reviewed June 2026

You can book a psychiatric appointment with a psychiatrist in Tyler, TX—or by telepsychiatry anywhere in Texas—and most initial consultations are available within one week of your call. We prioritize accessibility and understand that when you're struggling with mental health concerns, timely care matters for your wellbeing and recovery.

We accept most major insurance plans including employer-sponsored coverage and Medicare. Our intake coordinators verify your benefits upfront and provide transparent financial information. Self-pay options are also available for uninsured patients.

SPRAVATO® works through a different brain mechanism than traditional antidepressants, often providing relief within hours or days rather than weeks. It's specifically FDA-approved for treatment-resistant depression when other medications haven't worked.

Yes, telepsychiatry provides the same quality of care as in-person visits. It's ideal for medication management follow-ups and therapy sessions, offering convenience and privacy while maintaining clinical effectiveness throughout Texas.

We treat the full spectrum of adult mental health conditions including ADHD, bipolar disorder, PTSD, OCD, substance use disorders, postpartum depression, eating disorders, and more through comprehensive psychiatric evaluation and treatment.

Yes, we believe in relationship-based care. You'll work with the same psychiatric provider throughout your treatment journey. Unlike large institutions, we know our clients by name and provide personalized, consistent attention.

Your initial comprehensive psychiatric evaluation lasts approximately 90 minutes. This allows time to thoroughly discuss your concerns, medical history, symptoms, and collaboratively develop a personalized treatment plan addressing your unique needs.

Early in treatment, appointments occur every two to four weeks for monitoring. As symptoms stabilize, visits become less frequent. Between appointments, our patient portal provides secure messaging and prescription refill requests.

Get Started Today

Book a Psychiatric Appointment

Reach out and take the first step toward restoring balance and renewing hope.

Book a Psychiatric Appointment

Tell us a little about what you need—we'll reply within 24 hours, and most consultations are available within one week.

Visit Us or Connect Online

Fax800-797-3780
Address100 Independence Pl, Suite 307
Tyler, Texas 75703
HoursMonday–Friday 9:00am–5:00pm
Closed weekends & major holidays
In crisis or need immediate help? If you or someone you know is struggling, call or text 988 — the 988 Suicide & Crisis Lifeline, available 24/7.
SPRAVATO treatment at East Texas Psychiatry
Advanced Depression Care

Struggling with Treatment-Resistant Depression?

If traditional antidepressants haven't worked, SPRAVATO® (esketamine) nasal spray may be the breakthrough you've been waiting for—administered in our monitored, comfortable Tyler, TX clinic.

Learn More About SPRAVATO®
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SPRAVATO® Treatment at East Texas Psychiatry
Advanced Depression Care

Struggling with Treatment-Resistant Depression?

If traditional antidepressants haven't worked, SPRAVATO® (esketamine) nasal spray may be the breakthrough you've been waiting for. Experience a new path to healing in East Texas Psychiatry and Counseling.

Learn More About SPRAVATO®

Administered in our monitored, comfortable Tyler, TX clinic.