Medication Management
Our prescribers provide psychiatric evaluations and ongoing medication management. We take a collaborative, whole-person approach to prescribing, considering your mental health, physical health, and relationship with food and body as connected, not separate.environment with a specific focus in several areas.

Areas of Focus
- Eating disorders and co-occurring mental health concerns
- Perinatal mental health, including pregnancy and postpartum care
- Mood disorders and other psychiatric concerns
What To Expect
Your first appointment is an opportunity to share what brings you in, discuss your symptoms and health history, and review any medications you currently take. Together, we explore treatment options, including whether medication may be helpful, and discuss potential benefits and side effects. Follow-up visits provide time to check in on how you are feeling, monitor your response to medication, and adjust your treatment plan as needed. For clients navigating eating disorder recovery, we also consider how medication may affect appetite, energy, and your experience of food and body. With your permission, we coordinate with your therapist, dietitian, and other healthcare providers to support consistent care.
At a Glance
AGES SERVED
Medication management is available for clients ages 8 and up.
FORMAT
Sessions are currently available through telehealth, with in-person appointments at our Holliston location beginning in spring 2027.
INSURANCE
We accept Blue Cross Blue Shield, Cigna, and Aetna for medication management, with Mass General Brigham Health Plan, UnitedHealthcare, and Harvard Pilgrim Health Care pending. Contact us to confirm your coverage, or visit our locations and insurance page for details.
Care and expertise
MEET KAYLA
Kayla Thomas, DNP, MS, RN, PMHNP-BC
Kayla is a board-certified psychiatric mental health nurse practitioner with experience providing outpatient psychiatric evaluations and medication management to children, adolescents, and adults. She trained at UMass Chan Medical School and has a background in nutrition and integrative human physiology. Her clinical work includes collaboration with medical providers around mental health care during pregnancy and postpartum. Kayla’s doctoral project focused on implementing trauma-informed care training in a community health center, reflecting her interest in care that respects each person’s history and experience.
CLINICAL CONSULTANT AND REFERRAL PARTNER
Robyn Kievit, NP, RD, CEDS, MSCP
Robyn is a psychiatric and hormone therapy consultant & NP clinical supervisor for Metrowest Collaborative Care. She is an experienced nurse practitioner with expertise in eating disorders, perimenopause and menopause. She provides clinical supervision and consultation to nurse practitioners at Metrowest Nutrition and Therapy, supporting thoughtful care for clients with complex needs. She is also a preferred referral provider for clients seeking specialized psychiatric and hormone therapy care through her independent practice.
Appointments, fees, and insurance arrangements are handled directly through her practice.
Ready To talk with a prescriber?
Reach out today to schedule your first appointment.