Compassionate psychiatric care
AccessMind Psychiatry provides virtual psychiatry and therapy for adults across New York and New Jersey - thoughtful medication management, real conversation, and a plan you help build.
Steven Smith, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Two ways forward
Some people are ready to put an appointment on the calendar today. Others want to understand how it works, what it costs, or whether their plan is accepted. Both are a reasonable place to start.
Headway is where appointments, insurance and billing are handled. You will see current availability, add your insurance for a cost estimate, and choose a time that works.
Book an appointmentA short contact step comes first, then Steven’s live Headway schedule.
Plenty of people want to understand how virtual care works, whether their plan is accepted, or what a first appointment is like before booking anything. Send a short note and we will answer.
Ask a questionNo appointment required. Please leave out medical details.
How we can support you
Some people come for medication management alone. Some want therapy. Many want both, from the same person, without repeating their story twice.
Careful prescribing with the goal of using the least amount of medication that genuinely helps. Options are explained, questions are welcome, and the plan is decided together.
Learn moreIndividual talk therapy drawing on cognitive behavioral, interpersonal and motivational approaches, matched to what you actually want to work on.
Learn moreA structured first conversation about symptoms, history and goals, so any recommendation rests on a clear picture rather than a guess.
Learn moreYour provider
Steven is a double board-certified Psychiatric Mental Health and Family Nurse Practitioner with roughly five years of nurse practitioner experience, including hybrid palliative and psychiatric care before completing his psychiatric training.
Before nursing, he was a firefighter. He is a veteran and a retired first responder, and he brings that background into the room: he has sat with people in genuinely hard moments, and he does not startle easily.
His approach is collaborative by design. You will be asked what you want out of treatment, and the plan gets built from there - not the other way around.
Page updated . Clinical content last reviewed .
What guides the care
Steven does not hand down a plan. You are part of choosing what to try, what to change and what to stop.
A retired firefighter and veteran, he has spent years with people on their worst days. That steadiness carries into every appointment.
Sleep, work, relationships and physical health all shape mental health. The conversation covers more than a symptom list.
Whether this is your first appointment or your fifteenth year of treatment, you will be met where you are.
How virtual care works
Every appointment happens by secure video. No commute, no waiting room, no rearranging your week around a drive across the city.
You join from home, from a parked car between shifts, or from anywhere private where you can talk freely and you are physically located in a state where Steven is licensed.
Paying for care
AccessMind accepts insurance through Headway. Participation and your estimated cost depend on your plan and the state where you receive care, so Headway confirms the details before you book.
Plan participation can differ by state and can change over time. The Headway profile always shows the current list, and adding your insurance there gives you a cost estimate before you commit. Self-pay is also an option.
Who Steven works with
Anxiety, depression, ADHD, OCD, PTSD, mood concerns, stress and burnout, emotional regulation, grief and life transitions. First responders and veterans. People transferring care from another prescriber who want continuity without starting over.
Common questions
No. You can start booking without a referral from another provider, then choose a time through Headway.
What matters is where you are physically located during the appointment, and Steven is licensed in both states. If you split time between them, mention it when you book so scheduling is set up correctly.
Yes. Transferring care is common. Bring your current medications and doses to the first appointment so nothing gets disrupted while care moves over.
No. Medication is one option among several, and the goal is to use the least amount that genuinely helps. Some people work with Steven for therapy alone.
Patient resources
Carefully sourced, plain-language guides about virtual appointments and psychiatric medication management.
A practical guide to preparing for a first online psychiatric appointment, what you may discuss, and what happens after the visit.
Read the guideLearn what psychiatric medication management includes: evaluation, shared decisions, monitoring, follow-up, side-effect discussions, and safe medication changes.
Read the guideHow adults in New York can prepare for virtual anxiety care, verify provider licensure, understand treatment options, and know when urgent support is needed.
Read the guideA practical checklist for moving psychiatric care to a new virtual provider without losing medication history, records, or continuity.
Read the guideRead practical guidance about medication, changing providers, and preparing for psychiatric care.
Burnout is usually tied closely to chronic work stress, while depression can affect mood and functioning across settings. They can occur together, and persistent hopelessness, major impairment, or thoughts of self-harm require prompt support. This article explains how the two overlap, what differences a clinician explores, and when to seek help.
Panic attacks are sudden intense fear; anxiety builds or persists. Symptoms can overlap. New chest pain or breathing trouble needs urgent care. A psychiatric assessment explores patterns and overlap.
Can anxiety cause anger? Explore the link between anxiety and irritability, the brain science, common triggers, and evidence-based ways to manage it.
Anxiety can feel unexplained even when contributing factors exist. A psychiatric evaluation may explore symptom patterns, stress, sleep, health conditions, substances, medications, trauma, and how anxiety affects daily life. This article explains what a thorough evaluation looks for—and when to seek routine or urgent help.
Compare seven SSRIs used for anxiety, including sertraline and escitalopram. See evidence, side effects, and how to find the best SSRI for anxiety for you.
Burnout vs depression explained: how symptoms, causes, and treatment differ, and when to seek a full mental-health assessment via telehealth.
Clinical review
Psychiatric Mental Health Nurse Practitioner, board-certified and licensed to provide care in New York and New Jersey. Last reviewed August 24, 2026.
View credentials and licensureNext step
If you would like to schedule, Headway handles booking, insurance and billing. If you have questions first, send them over and we will get back to you.
Public provider feedback
Brief excerpts from a public provider review profile tied to Steven’s NPI. Individual experiences vary.
“Attentive and knowledgeable. Does not rush through appointments.”
Prefer to ask a question first?
Call (732) 415-4384
