Thoughtful psychiatric care.
Directly from your physician.
Dr. Nikki Westbrook is a board-certified psychiatrist providing personalized psychiatric medication care for adults ages 18 to 64 in Fort Mill and Rock Hill, South Carolina.
Specialty psychiatric care should be approachable to start and sustainable to stay in. Meadow Psychiatry's membership model makes that possible — a small, intentional patient panel means more time during appointments and direct communication with Dr. Westbrook between visits when questions or concerns arise, all for one predictable monthly fee.
Personalized care. One simple monthly fee.
Accessing Psychiatric Care Shouldn’t be Another Obstacle
You may wait weeks or months for an initial appointment, only to find yourself waiting months again between follow-ups. When questions come up in the meantime, it can be even more difficult to contact your provider.
Appointments can also feel rushed, leaving little time to talk through what’s changing, what isn’t, or what comes next. Yet, mental health doesn’t always fit neatly into scheduled appointments. Sometimes you need an extended scheduled visit; other times, you simply need a quick question answered.
Care should be flexible enough to make room for questions, conversation, and continuity.
Nikki Westbrook, MD
Why Meadow Psychiatry?
Meadow Psychiatry Mind & Body is a small, monthly membership-based practice founded by board-certified General Psychiatrist Nikki Westbrook, MD.
The membership model is designed to make specialty psychiatric care more approachable. It is built around a straightforward premise: a limited patient panel allows for longer scheduled visits, continuity with the same psychiatrist, and flexible comprehensive care.
Your initial evaluation is a flat $250, and ongoing care is spread across an affordable monthly fee rather than concentrated in large per-visit charges, making high quality care easier to begin and easier to sustain.
The practice focuses on psychiatric evaluations and continued medication management for adults ages 18 to 64 and coordinates with your therapist and primary care provider so that your care is well connected. Between visits, you can directly reach your provider through secure messaging for non-urgent questions and concerns.
Lower cost to start, predictable cost to continue.
Benefits of Membership
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With membership, you have direct messaging access to Dr. Westbrook for non-urgent clinical care needs.
There is no middle man between you and your provider and can expect a typical response within 1-2 business days.
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A smaller patient panel allows for Dr. Westbrook to get to know your individual circumstances better and allows Dr. Westbrook more time to coordinate care with other care team members such as your therapist or primary care provider.
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The membership model was created to help meet the care needs for those starting out with new medications or requiring medications adjustments.
The active adult tier memberships include 8 follow-up visits a year and the maintenance tier includes 5 follow-up visits a year.
At the start of treatment, visits are typically scheduled every 4 to 8 weeks while making medication adjustments.
As symptoms improve, visits often occur every 8 to 12 weeks.
The goal of treatment is to help get you to a point of maintenance.
Life and circumstances change and additional visits can be requested as clinically indicated beyond the included visits with membership.
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The initial consultation is purposefully longer than traditional intake appointments to allow time to thoroughly understand your concerns and discuss your care needs.
If clinically indicated, two of the included 25-minute follow-up visits can be combined to allow for a longer 50-minute appointment without an additional fee.
Telehealth appointments may also be available based on individual care needs.
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The membership model is specifically designed to eliminate unexpected costs related to your care with a predictable recurring monthly fee.
There is no required longterm contract.
Membership is month to month and can be cancelled in writing at any time.
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At the patient’s discretion, Dr. Westbrook will communicate with your care team including your therapist or primary care provider
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non-controlled medication refills are provided in-between visits to members who are actively engaged in care
For those receiving controlled substances, appointments are required at a minimum of every 90 days.
How it Works
1
Discovery Call
Begin by completing a brief questionnaire and scheduling a complimentary 15-minute phone call with Dr. Westbrook.
This is an opportunity to learn more about Meadow Psychiatry and ask questions about the membership-based approach.
This call is not a medical appointment, no diagnosis, treatment, or prescribing takes place, and no physician–patient relationship is established.
The goal is simply to determine whether the practice model may be a good fit. If it is, you'll be invited to schedule your initial consultation.
Free | 15 minutes | By phone
2
Consultation
Your first visit with Dr. Westbrook is an in-depth, in-person 75-minute comprehensive psychiatric consultation. This appointment allows time to explore your current concerns, previous history, and goals of care.
Rather than rushing to a diagnosis or medication, Dr. Westbrook uses this time to understand the broader picture to begin developing a thoughtful treatment plan tailored to you.
At the end of your visit, Dr. Westbrook will review together whether Meadow Psychiatry’s membership model is the right approach for your current mental health care needs.
$250 | 75–90 minutes | In-person
3
Membership
If membership is offered, the decision to enroll is entirely yours.There is no obligation to continue.
Dr. Westbrook wants you to have the information you need to decide whether Meadow Psychiatry feels like the right fit for you.
Membership includes an allotted number of scheduled follow-up visits per membership year, ongoing medication management, secure messaging between visits, and coordination with your other providers, all for one simple, predictable monthly fee that you can cancel at any time.
One monthly fee | No long-term contract
Membership Tiers
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A $250 non-refundable consultation fee is due at time of scheduling an in-person new patient consultation appointment
This covers the initial intake visit (75-90 minutes), chart setup, records review and initial treatment planning
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Monthly fee: $145/month
In the first membership year, includes one 45-minute follow-up after the initial consultation and up to seven (7) 25-minute follow-up appointments
After the first membership year, includes up to eight (8) 25-minute follow-up visits during each membership year
Option to combine two (2) 25 minute follow-up appointments for a 50-minute visit as needed
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Monthly fee: $165/month
In the first membership year, includes one 45-minute follow-up after the initial consultation and up to seven (7) 25-minute follow-up appointments
After the first membership year, includes up to eight (8) 25-minute follow-up visits during each membership year
Option to combine two (2) 25 minute follow-up appointments for a 50-minute visit as needed
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Monthly fee: $125/month
Includes up to five (5) scheduled 25-minute follow-up visits during each membership year
Available only to established patients after a minimum of 12 months of active membership and will be reviewed for eligibility at the Provider’s discretion at the membership anniversary
Eligibility is based on clinical stability. This tier is not available at enrollment and cannot be self-selected
If clinical status changes (relapse, new symptoms, medication changes), the Provider may recommend returning to the active membership tier