Initial evaluation
The first visit focuses on your history, current concerns, prior treatment response, safety, functioning, and goals for care.
Medication with context
Medication decisions work best when the whole picture is visible.
Psychiatric medication can be helpful, but it should not be a rushed checkbox. Meadowlark reviews current symptoms, medication history, side effects, sleep, stress, safety, family history, medical history, labs when relevant, and the goals that matter most to you.
Brandon Jaggi, PMHNP-BC, provides medication management with one foot in traditional psychiatry and one foot in whole-person care. Some patients want a medication-forward plan. Others want to understand sleep, nutrition, exercise, hormones, labs, supplements, and lifestyle factors before making changes. The plan is built around what is clinically appropriate and what you can realistically follow.
Evaluation and medication planning for depression, anxiety, ADHD, sleep concerns, mood instability, trauma-related symptoms, and related concerns
Traditional prescribing with careful monitoring for benefit, side effects, and safety
Lab-informed and hormone-informed discussion when symptoms suggest a broader medical pattern
In-person care in Evanston, WY, and telehealth in Wyoming and Nebraska when clinically appropriate
What to expect
A clearer process for medication decisions.
Medication planning
Medication options are discussed with benefits, risks, side effects, alternatives, and practical monitoring steps.
Follow-up
Follow-ups track what is improving, what is not, and whether the plan should be adjusted, simplified, or expanded.
Medication safety
Controlled medications are handled carefully.
Meadowlark provides individualized prescribing when medication is clinically appropriate. Specific medications, including controlled medications, are never guaranteed and are considered only after an appropriate evaluation, safety review, and follow-up plan.
Some situations require primary care, urgent care, emergency evaluation, specialty referral, psychotherapy, substance-use treatment, or a higher level of care instead of a medication change.
Need therapy instead?
Meadowlark also offers dedicated psychotherapy with Gena Caldwell, LCSW, for patients who want ongoing therapy support.
Learn about therapyReady to start psychiatric care?
Text register to 307-300-5885 to begin intake. Messages are generally reviewed within 1 to 2 business days.