Start where you are
Two clear ways to begin.
You do not need to know which service you need. Choose the entry point that fits how you want to start, and the clinical plan can become more specific from there.
Insurance or self-pay
Psychiatric Evaluation
Best if your primary concern is mood, anxiety, attention, sleep, trauma, medication management, or another psychiatric condition.
Self-pay
Precision Assessment
Best if the picture feels broader — mood plus energy, weight, hormones, sleep, performance, medication side effects, or uncertainty about where to begin.
Not ready to book? Take the 2-minute fit assessment first →
Conditions We Treat
Start with the pattern you recognize.
A
Validated symptom measures and targeted labs when they are likely to improve the decision.
We accept: Aetna Florida Blue Cigna Optum UnitedHealthcare Medicare Oscar AvMed and more. See all plans →
D
Mood and momentum. PHQ-9
tracked
Depression
A
A Calm and confidence - GAD-7
Anxiety and panic
F
Full rule-out evaluation
tracked
ADHD, child and adult
C
Ages 6+, parents in the room
Children and teens
O
ERP-informed care
OCD
P
At your pace
PTSD and trauma
$249 self-pay
Precision Assessment
Best if the picture feels broader — mood plus energy, weight, hormones, sleep, performance, medication side effects, or uncertainty about where to begin.
Whole-picture symptom and medication review
Identify the highest-value next step
Targeted testing recommendations when clinically useful
Written pathway into psychiatry, wellness, or advanced care
Insurance + self-pay
Psychiatric Evaluation
Best if your primary concern is mood, anxiety, attention, sleep, trauma, medication management, or another psychiatric condition.
Comprehensive psychiatric assessment
Medication review and treatment plan
Validated symptom measures when appropriate
Telehealth across Florida or Coral Gables in person
Coming soon · Advanced treatment
IV ketamine, Spravato®, and TMS are coming to our Coral Gables suite. Join the waitlist and we'll text you first.
Hours, not weeks
Antidepressant effects have emerged within hours in controlled research. NIMH ↗
55.4% response
Response rate in a large randomized 3-week trial of adults with treatment-resistant depression.
32.3% remission
Remission in the same randomized trial. Individual results vary. Published trial ↗
Hours, not weeks
Antidepressant effects have emerged within hours in controlled research. NIMH ↗
55.4% response
Response rate in a large randomized 3-week trial of adults with treatment-resistant depression.
32.3% remission
Remission in the same randomized trial. Individual results vary. Published trial ↗
Membership
Three levels of access. One standard of care.
Clinical visits stay separate — membership adds the structure, speed, and member pricing between them.
Start
Community
A place to begin before you’re ready to book.
Free — join the community, meet the practice, upgrade whenever you’re ready.
Most popular
Guided
Structure that keeps the plan moving between visits.
For patients in active treatment who want momentum between appointments — most members start here.
Application-based
Concierge
Front-of-line access with a monthly drip credit built in.
A limited number of seats, reviewed by application — for patients who want the practice on speed dial.
The Thrive Standard · our whole philosophy
Measure. Treat. Re-measure.
Every plan here follows three steps, in order. It's why we can tell you honestly whether a treatment is working — and change it when it isn't.
01
Assess
A real evaluation — history, medications, and what has actually been tried.
02
Measure
Validated scales and targeted labs only when they change the decision.
03
Treat
The right combination of psychiatry, therapy, advanced treatment, or wellness care.
04
Prove
Numbers side by side on a schedule. What worked stays. What didn't gets changed.
The Thrive App
Your whole treatment, in your pocket.
Every patient gets the secure app on day one — the place your care actually lives between visits.
See your own numbers — the same trend we review together
Message the practice securely — HIPAA-secure, never regular text
Goals, booking, journaling — tracked between visits
Proof
We show you your progress.
Every few weeks, a one-page review of what changed and the reasoning behind the next step.
-Questions
Asked often. Answered clearly.
Psychiatric visits are billed to participating insurance plans or self-pay. Wellness programs use transparent flat self-pay pricing reviewed with you before enrollment — no surprise bills. Optional membership is $199 or $399 per month, published right on this page.
Dr. Borrego is a doctorate-prepared psychiatric nurse practitioner (DNP, PMHNP-BC) and certified registered nurse anesthetist (CRNA) — licensed in Florida to evaluate, diagnose, and prescribe for psychiatric conditions. The dual training in psychiatry and anesthesia is exactly what allows IV ketamine and Spravato® care to be delivered in-house by the same clinician who manages your psychiatric plan.
Start with a psychiatric evaluation if mental health is the main concern. Choose the $249 Precision Assessment if the picture is broader or unclear, or use the 2-minute fit assessment for a quick directional starting point.
Many psychiatry, therapy, and wellness services can be delivered by telehealth to eligible patients in Florida. IV ketamine, Spravato®, TMS, and IV lounge services require in-person care in Coral Gables.
Let’s Thrive provides outpatient care and is not an emergency service. If you are in suicidal crisis or emotional distress and need immediate support in the United States, call or text 988. For an immediate medical emergency, call 911.
Start here
Ready to feel like yourself again?
Book your first visit. We'll review your history and goals and tell you
honestly what will help. Benefits checked before you're charged anything.
Booking a first visit commits you to nothing beyond it — benefits verified before you’re charged anything.
Prefer to talk first? Call (786) 933-9143