Regina Morales in Baltimore: Individual Therapy and Medication Management

Regina Morales is a licensed clinical professional counselor and board-certified psychiatric nurse practitioner operating a solo private practice in Baltimore, offering individual psychotherapy and psychiatric medication evaluation and management to adults. She works by appointment only, does not accept insurance, and maintains a limited caseload, typically with lead times of two to four weeks for new clients depending on the season and her current patient load.

What she actually offers

Morales provides two overlapping services. As a LCPC (licensed clinical professional counselor), she conducts individual therapy, typically using cognitive-behavioral and psychodynamic approaches. As a psychiatric nurse practitioner with board certification through the American Nurses Credentialing Center, she conducts psychiatric evaluations and manages medication treatment for conditions including depression, anxiety, attention deficit disorders, and bipolar disorder. These services are often paired within her practice, so a patient may see her both for talk therapy and for medication monitoring in the same treatment relationship, or may use her for one service only. This dual credentialing is common among advanced psychiatric practitioners in Baltimore but not universal; some therapists do not prescribe, and some prescribers do not offer therapy.

Pricing and session structure

Morales charges on a per-session basis rather than through insurance billing. Her therapy rate is $180 per 50-minute session; her psychiatric evaluation (typically a two-hour initial appointment that includes history, assessment, and diagnostic formulation) is $400; and ongoing medication management appointments (usually 30 to 45 minutes) are $120 per session. These rates, like most private-practice therapy fees in Baltimore, are subject to confirmation before booking. Many private practices in the city charge between $150 and $200 per therapy session, and Morales falls in the middle-to-lower range for that spectrum. Psychiatric evaluations across Baltimore private practices typically range from $300 to $500 for the initial appointment.

Patients are expected to pay out of pocket at each session. Morales does not file insurance claims on behalf of clients, though she does provide a receipt and a diagnostic code that clients can submit to their insurer themselves if their plan covers out-of-network mental health care and includes a reimbursement option. This arrangement means her rates must be evaluated against what your insurance might reimburse you, not against your copay.

How she compares to other Baltimore-based individual therapists

Baltimore has a large and varied mental health provider landscape. The University of Maryland Medical Center, Johns Hopkins Medicine, and Sinai Hospital all operate psychiatry departments and outpatient clinics where you can receive therapy, psychiatric evaluation, and medication management under one roof, usually through insurance. These settings offer the advantage of integrated medical records, shorter wait times in some cases, and in-network billing, but typically involve less continuity with a single provider and less flexibility in appointment scheduling. University-affiliated practices also serve as training centers, so you may be seen by residents or fellows rather than fully independent practitioners.

Morales's solo practice model differs in that appointments are with her directly, the therapeutic relationship is often longer-term and more stable, and there is no training-hospital context. However, if you need psychiatric hospitalization, emergency psychiatric evaluation, or medical care that overlaps with mental health treatment, a large health system can coordinate more seamlessly than a solo practitioner can.

A patient seeking therapy only, without medication management, might also choose a therapist from Baltimore's pool of LCSWs (licensed clinical social workers) or LPCs (licensed professional counselors), who typically charge $150 to $180 per session and often have shorter wait lists because the pool is larger. If you need medication management from someone who does not provide therapy, Baltimore-based psychiatric nurse practitioners and psychiatrists in both health-system and private practices offer that service separately, though finding an independent psychiatrist who accepts new patients is often more difficult than finding a therapist.

Morales's integration of both services in one person suits patients who want continuity between medication and talk therapy but do not need the medical complexity that a hospital system offers, and who are comfortable paying out of pocket rather than using insurance.

Who suits this practice, and who does not

Morales is appropriate for adults with mild to moderate depression, anxiety, adjustment issues, and medication-responsive psychiatric conditions who can afford private-pay rates and are willing to wait two to four weeks for an intake appointment. She works best for patients who value a stable, long-term therapeutic relationship and who may benefit from having the same clinician manage both psychological and pharmacological aspects of their care.

This practice is not a fit if you require immediate crisis evaluation, are in psychiatric acute distress, need care covered primarily by insurance, cannot afford $300 to $500 out of pocket monthly, or have severe or complex medical conditions that require hospital-level psychiatric coordination. Patients in crisis should go to the Johns Hopkins Hospital emergency department or call the National Suicide Prevention Lifeline at 988.

What a first appointment involves

For new patients seeking therapy alone, the first session is a standard 50-minute intake. Morales will ask about your presenting concern, personal and family psychiatric history, substance use, medical history, and current medications. She will discuss what you hope to achieve, her approach to treatment, and logistics of ongoing care.

For patients seeking psychiatric evaluation, the initial appointment is typically two hours. Beyond the questions above, she will conduct a more detailed assessment of psychiatric symptoms, may use rating scales, and will discuss diagnostic impressions, medication options, potential side effects, and monitoring requirements if medication is started. Follow-up medication management appointments are scheduled typically every three to eight weeks depending on how recently medication was started or changed.

Hours, location, and access

Morales operates by appointment Monday through Friday during standard business hours. Her office is located in Baltimore city; the specific address should be confirmed through her practice contact information. There is no walk-in availability. Parking at her location is street parking; this should be verified when you schedule an appointment, as parking difficulty varies by neighborhood within Baltimore.

Morales's private practice and dual credentials address a gap in Baltimore's mental health market between fully insured primary care, which can be rushed, and the long wait lists at academic medical centers.