The Afresh difference
More than medication. Care that sees you.
Too often, psychiatric care means a rushed visit, a new prescription and little else. Afresh was built to work differently. Jessica gets to know the person behind the diagnosis, explains the reasoning behind every recommendation, and stays with you as your care evolves.
Your story matters.
We begin with a conversation, not a checklist, so your concerns, experiences and goals help guide your care.
Understand your options.
You'll know the reasoning behind each recommendation and what to expect as we work toward your goals.
Your mental health doesn't exist in isolation.
We consider sleep, stress, relationships, daily routine and other factors that affect your well-being.
Care that fits who you are.
Culturally responsive care that respects your background, values and lived experience.
What Jessica can help with
Mental health care for ages 12–65.
Not sure where your concerns fit? That's what the first visit is for.
- Anxiety and panic
- Depression and low mood
- ADHD (evaluation and treatment)
- Trauma and PTSD
- Bipolar disorder and mood swings
- Sleep problems and insomnia
- OCD
- Burnout and work stress
- Life transitions
Services
Comprehensive Psychiatric Evaluation
45–60 minutesThe first evaluation focuses on understanding you, your history and your goals to build a treatment plan that fits your needs.
Medication Management
Follow-up visits provide an opportunity to assess your progress, answer your questions and adjust your treatment plan if needed. Supportive conversation is built into every visit.
Psychiatric Consultation
A second opinion, help clarifying a diagnosis, or a review of your current medications.
Specialty Support
ADHD evaluations, plus lab-guided (GeneSight) medication support when it's clinically appropriate.
Back-to-School Evaluations & Pre-Op Clearances
$150 · Private payBack-to-school mental health evaluations and pre-op mental health clearances for surgery. These services are private pay and are not billed through Headway.
How it works
Getting started is simple
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1
Book online.
Pick a time on Jessica's Headway page. Headway checks your insurance coverage up front, or you can choose self-pay.
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2
Meet by secure video.
Your first visit is a full evaluation, from anywhere private in Texas.
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3
Follow your plan.
Follow-up visits keep your care on track, with every change explained along the way.
Meet Jessica K. Johnson, MSN, PMHNP-BC
Jessica is a board-certified psychiatric mental health nurse practitioner and the founder of Afresh Psychiatry & Wellness. She has spent nearly 20 years in psychiatry, more than five of them prescribing, across a wide range of psychiatric care settings.
As Jessica puts it, "Feeling like your diagnosis is the only thing anyone wants to talk about can be its own kind of lonely." Her approach pairs careful medication management with real conversation. She helps you examine thoughts that feel like facts, tests small changes between visits, and explains the why behind every adjustment.
“I want you to feel heard the first time we talk, not just managed.”
Member, American Psychiatric Nurses Association · Member, American Nurses Association
Insurance and payment
Scheduling, billing and insurance are handled through Headway, so you can see your coverage before your first visit.
Insurance
Accepted insurance plans can be verified through Headway. When you book, Headway checks your plan and shows your coverage before your first visit.
Check your coverage on HeadwaySelf-pay
Prefer not to use insurance? Self-pay is available. HSA cards and major credit cards are accepted.
Reduced-fee appointments [optional]
A limited number of reduced-fee appointments are reserved for clients facing financial hardship. Email care@afreshpsychiatry.com to ask.
Bring Jessica to your organization
Jessica speaks to and partners with employers, schools, colleges, churches, healthcare practices and community organizations on burnout, anxiety, ADHD, emotional resilience and more.
Questions, answered
Do you take insurance?
Yes, through Headway. You can verify whether your plan is accepted when you book, and Headway shows your coverage and cost before your visit.
Can I pay without insurance?
Yes. Self-pay is available when you book through Headway.
Are visits in person or online?
All visits are by secure video, so you can be seen from home, work or anywhere private.
Where do I need to be during my visit?
You need to be physically located in Texas at the time of each visit, because that is where Jessica is licensed to provide care.
Who do you see?
Teens and adults, ages 12 to 65.
Do you offer therapy?
Visits include supportive conversation, but Afresh focuses on psychiatric evaluation and medication management. If ongoing therapy would help, Jessica can refer you to a trusted therapist, and she's glad to work alongside a therapist you already see.
What happens at the first visit?
A 45–60 minute evaluation covering your symptoms, history, health and goals. You'll leave with a clearer picture, your treatment options and a plan for next steps.
What if I need to cancel?
Please give at least [24 hours'] notice so someone else can use the time. Late cancellations may be charged a [$30] fee.
What if I'm in crisis?
Afresh is not an emergency service. If you're in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.