Old Georgetown Mental Health Associates in Baltimore: Psychiatry and Talk Therapy in One Practice
Old Georgetown Mental Health Associates is a private outpatient psychiatric practice in Baltimore that combines medication management and therapy under one roof, avoiding the coordination gaps many patients face when psychiatrist and therapist work separately. The practice operates independently rather than as part of a hospital system, which shapes its scheduling flexibility and how it handles insurance.
What this practice actually is
A small, provider-owned group practice focused on adult mental health, Old Georgetown Mental Health Associates offers both psychiatric evaluation and ongoing psychotherapy. The setup means a patient can see a psychiatrist for medication decisions and a licensed therapist for talk therapy without managing two separate office locations or having providers who've never communicated about treatment goals. The practice does not serve children or adolescents, and does not handle crisis or inpatient psychiatric care; it is built for outpatient management of conditions like depression, anxiety, bipolar disorder, and ADHD.
Services and pricing
The practice bills for psychiatric evaluation (typically required at intake) and follow-up medication management appointments, which psychiatrists at private practices in Baltimore range from $200 to $350 per visit depending on complexity and time. Therapy sessions (50 minutes) run $150 to $250 per session at comparable Baltimore private practices, though some therapists in the group may work on a sliding-fee or reduced-rate basis; confirm directly before booking, as pricing structure is not uniformly published.
Most visits are billable to insurance. Many major plans (Cigna, Aetna, United, Anthem Blue Cross) accept referrals to the practice, though out-of-network visits may require out-of-pocket payment until a deductible is met. The practice does not appear to take Medicare or Medicaid directly; ask at intake whether your coverage applies.
How this practice compares to other Baltimore psychiatry options
Private group practices like Old Georgetown Mental Health Associates differ from hospital-affiliated clinics (Johns Hopkins, University of Maryland, Mercy) in availability and wait time. A hospital clinic often has a wait of 6 to 12 weeks for new patients because they absorb all referrals; private practices sometimes move faster, booking new psychiatric evaluations within 2 to 4 weeks depending on provider load. The trade-off is that a hospital system offers integrated care if you need inpatient admission or specialty consultation, while Old Georgetown operates as a standalone referral resource.
Community mental health centers like Southeast Health Services offer therapy and psychiatry at low or sliding cost and accept Medicaid, making them the choice for uninsured or underinsured patients; Old Georgetown suits those with good private insurance and a preference for a small, established practice setting. Baltimore also has therapist-only practices (many in Canton, Fells Point, and Federal Hill) that do not employ psychiatrists; if you need both talk therapy and medication management, Old Georgetown eliminates the handoff burden.
Who this practice suits and who it does not
Old Georgetown is a fit for adults already diagnosed with a mental health condition (or seeking a first psychiatric evaluation) who have private health insurance or the ability to pay out-of-pocket. It suits people who want continuity across medication and talk therapy, and who prefer a smaller practice environment over a large hospital clinic.
It is not the right choice for anyone who needs emergency psychiatric care, inpatient hospitalization, or treatment for active substance use (which requires specialized addiction medicine programs). It is not appropriate for minors. Uninsured patients or those on Medicaid should seek community mental health centers or public hospital psychiatry clinics.
What the first visit involves
A new-patient psychiatric evaluation typically lasts 60 to 90 minutes and covers personal and family psychiatric history, current symptoms, medical history, medications, and substance use. The psychiatrist will ask about stressors and goals for treatment, and may order lab work (thyroid, vitamin levels) if relevant. At the end of that visit, the psychiatrist usually recommends a treatment plan: therapy, medication, both, or a referral to another specialist. If therapy is recommended and a therapist is available within the practice, a second appointment can be scheduled; if not, the psychiatrist can suggest an external referral.
Follow-up medication management appointments are briefer, typically 20 to 30 minutes every 4 to 8 weeks, focused on how medications are working and side effects.
Hours, parking, and logistics
Verify current hours before scheduling, as private practices adjust staffing seasonally. The practice is located in Baltimore; parking is available on-site or in nearby street lots (Baltimore's lot system varies by neighborhood, so confirm your specific location). Telehealth appointments are available for follow-up visits in many cases, though initial psychiatric evaluations may require an in-person visit.
Call ahead to confirm new-patient availability, as waitlists can extend depending on provider schedules.
Why this practice earns its place in Baltimore
Old Georgetown Mental Health Associates fills a real gap for Baltimore patients with private insurance who need psychiatry and therapy coordinated by providers who know each other's work. In a city where mental health care gaps are common, a practice that eliminates the "my therapist and my doctor don't talk" problem is a practical advantage worth knowing about.
