Domingo leads the practice and sees children and teens for first sessions and follow-ups. He explains what he is thinking, and why, to the parent and the child before any change to a medicine, and sees families in Spanish.
Child and adolescent psychiatry
Psychiatry for children and teens, planned with the whole family
Preston Trail is four prescribers in Frisco. One long first session, short follow-ups on a schedule you can read first, one change to a medicine at a time, and fees explained in writing before you book.
Prescribers
Four prescribers who see children and teens
Every prescriber follows the same visit schedule and the same medication policy. Each license is listed at the foot of every page.
Karan sees children and teens for evaluations and follow-ups, in the office and by video, and makes room for the questions parents have about side effects, school and sleep.
Rasheeda Hardaway
Psychiatric-mental health nurse practitioner
- Advanced practice registered nurse, psychiatric-mental health nurse practitioner · TX Lic. # 000000
Rasheeda sees children and teens for evaluations and follow-ups, and works with each family's therapist and school when the parent asks her to.
Talar Papazian
Psychiatric-mental health nurse practitioner
- Advanced practice registered nurse, psychiatric-mental health nurse practitioner · TX Lic. # 000000
Talar sees school-age children and teens for follow-up visits, in the office and by video, and keeps the written plan current after each one.
Who we see
Who this is for, and who it is not
Care here starts with a parent or guardian, and a child or teen who is asked what they think.
Children and teens, with a parent or guardian
A parent or guardian takes part from the first message. If your child is younger than school age, write to us and we will say whether we can help or point you to someone who can.
Families who want a part in the plan
Parents are in the first session and in the plan. Teens are asked what they think, and have time on their own with the prescriber.
Not an emergency service
No one reads messages around the clock. If a child is in danger, call 911. In a crisis, call or text 988.
Not for court or custody questions
We do not write evaluations for custody, court or school-placement decisions. With a parent's written permission we can send a letter about a child's care.
Parents and teens
Parents consent, teens are heard
A parent or legal guardian consents to a child's care and to every medicine. We ask the teen, too, and we say what stays private and what does not before anything starts.
For parents and guardians
You sign consent for the evaluation and for each medicine, and you are in the first session. After every visit you get the plan in writing: what we are trying, the dose, what to watch for and when to call. You can ask to see your child's records.
Consent for every medicine is yours
A written plan after each visit
A reply from the office on business days
For teens
You spend part of every visit on your own with your prescriber, who asks what you think about a medicine before recommending one. What you say stays between you and your prescriber, unless someone's safety is at risk or the law requires us to share it. We tell you first.
Time on your own at every visit
You are asked about each medicine
We tell you before anything is shared
At 18
At 18, consent moves to the young adult. We talk it through with the family at 17 so the change is planned: who is in the room, what is shared and who handles the bills.
A planned handover, not a surprise
The young adult decides who is in the room
How visits are scheduled
One long session, then short visits on a schedule
Your prescriber sets the pace for your child. This is the usual shape, and the schedule is written on your plan after each visit.
| Stage | Length | How often | What happens |
|---|---|---|---|
| First session | Length75 minutes | How oftenOnce | What happensParents and child together, then time with each. History, school, sleep, family and current medicines. A written plan follows. |
| Starting a medicine | Length30 minutes | How oftenEvery few weeks at first | What happensOne change at a time. We ask about sleep, appetite, mood and school, and agree on what to watch for. |
| Adjusting | Length30 minutes | How oftenAbout monthly | What happensDoses and timing are reviewed with the child and the parent. Nothing changes without a conversation. |
| Steady | Length20 minutes | How oftenEvery two to three months | What happensA short check-in, with height and weight when a medicine calls for it. Refills are handled here. |
| Between visits | LengthA call or message | How oftenWhen you need it | What happensWrite to the office on a business day. A prescriber replies by phone or message; anything urgent follows the crisis line. |
Care
What care looks like here
Psychiatric evaluation
A 75-minute first session with parent and child, then time with each, and a written plan.
Your first sessionMedication visits
Short visits to start a medicine, adjust it and keep it steady, one change at a time.
How a visit worksVideo follow-ups
Follow-up visits from home for families in Texas, with the child in Texas at the time.
Where we practiceParent check-ins
A visit with parents only, to talk through routines at home and how the plan is going.
School and care team
With your written permission we speak with your child's therapist, pediatrician or school.
Working togetherLetters and records
A letter to a school or pediatrician, or a copy of your child's records, on a parent's written request.
Prescribing policy
How we prescribe
A medicine is one part of a plan, and the plan belongs to the family.
We change one thing at a time, so you can tell what each change does. Before the first dose, we explain to the parent and the child what the medicine is for, the common side effects, the unusual ones to call about, and what is known and not known about it in children.
Some medicines are controlled substances, such as certain stimulants. We prescribe them only after an in-person evaluation, with a parent's consent and a plan to review them in person on a schedule. We do not start a controlled medicine at a video visit, which we offer in states where we are licensed (Texas).
Please do not stop a medicine suddenly. Call us first, and we will talk through how to change it.
Fees
How fees work
The answers to what nearly every family asks before a first visit.
Insurance we work with
Preston Trail is out of network with insurance plans, so you pay for each visit yourself. We do not bill Medicare or Medicaid. If you would rather have a prescriber who bills your plan, we will give you the names of colleagues who do.
Out of network with insurance plans
No Medicare or Medicaid billing
If you pay yourself
You pay at the end of each visit by card, and HSA and FSA cards work. Your fee is set by the length of the visit, and you get it in writing before the first visit. A limited number of reduced-fee visits are held each month; ask when you write. We ask for 24 hours' notice to change or cancel a visit, and your written estimate says what a late cancellation costs.
Receipts for reimbursement
After a visit you can have an itemized receipt (a superbill) with the date, the kind of visit and a diagnosis code, to send to your plan. Your insurer can see the code. Your plan decides whether it reimburses any of the cost, so ask it before you start.
An estimate in advance
If you pay without insurance, you have the right to a written Good Faith Estimate of what care will cost, before you start. We send yours after you write and before the first visit. If a bill comes to $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Checking your benefits
We do not check benefits, because we do not bill your plan. To find out whether it reimburses out-of-network care, call the number on your card before the first visit and ask about out-of-network mental health benefits for your child.
Questions
Questions families ask first
Do you take my insurance?
Preston Trail is out of network with insurance plans, so you pay for each visit yourself, and we do not bill Medicare or Medicaid. We can give you a receipt to send to your plan, and the names of colleagues who bill plans if you prefer that.
What is a Good Faith Estimate?
If you pay without insurance, you have the right to a written estimate of what care will cost before you start. We send yours before the first visit. If a bill comes to $400 or more above it, you can dispute it. The estimate is not a contract. See cms.gov/nosurprises for your rights.
How do fees work, and can I use an HSA or FSA card?
Your fee is set by the length of the visit, and you get it in writing before the first visit. HSA and FSA cards work. A limited number of reduced-fee visits are held each month, so ask when you write. The fees page explains the rest.
What is a superbill, and how do I use it?
It is an itemized receipt with the date, the kind of visit and a diagnosis code. You send it to your plan, which decides whether to reimburse any of the cost. Your insurer can see the code, so ask your plan about out-of-network mental health benefits first.
What happens in the first session?
It is 75 minutes. A parent or guardian and the child come together, then the prescriber spends time with each. We ask about history, school, sleep, family and current medicines. You leave with a written plan, and you decide what to start.
Are you licensed where I live?
Every prescriber is licensed in Texas. We see families in the office in Frisco, and by video for follow-up visits when your child is in Texas at the time of the visit. Licenses are listed at the foot of every page.
What do I do in a crisis?
Call or text 988, any time, or call 911 in an emergency. We do not monitor messages around the clock, so please do not use the contact form for anything urgent.
Can you see my teen, and how does consent work?
A parent or legal guardian consents to a child's care and to each medicine, and takes part in the first session. Teens are asked what they think, and have time on their own at each visit. The consent page explains what stays private and what does not.
What is confidential, and what are the limits?
We keep your child's records private and share them only as the law allows. A teen's words stay with the prescriber unless someone's safety is at risk or the law requires us to share them, and we tell the teen first.
Do you prescribe controlled medication by video?
We do not start a controlled medicine at a video visit, which we offer only in states where we are licensed (Texas). Controlled medicines follow an in-person evaluation and are reviewed in person on a schedule. Other follow-up visits can be by video.
Will my child need lab work?
Sometimes. Some medicines call for a blood test or for height, weight and blood pressure checks, and your prescriber says so before the first dose and explains why. Labs are done at a lab, and results come to us.
How soon can we be seen?
We cannot promise a date. When you write, the office tells you the next first-session times, and if we are not the right fit or cannot see your child soon, we point you to someone who can.
Write to us
Write to us
A person at the office replies within one business day, by the method and at the time you choose.
Phone(469) 555-0100
Hours
- Monday – ThursdayToday
- 9 a.m. – 6 p.m.
- FridayToday
- 9 a.m. – 2 p.m.
- Saturday and SundayToday
- Closed