Psychiatric evaluation
Explore your symptoms, medical and mental health history, previous treatment and goals.
Online mental health care in FloridaOnline mental health care
Online mental health care
in your language.
If anxiety, low mood, sleep changes or everyday challenges are weighing on you, start with a conversation. Meet with Sheyla Cunha, PMHNP-BC, in English or Portuguese.
Room to be yourself
Your story matters here.
You don’t need a diagnosis or a perfectly organized explanation to ask for help.
Your appointment gives you time to discuss symptoms, relationships, life changes and the things that feel difficult. Sheyla will explain the options and help you understand what comes next.
Care built around you
Different needs. Thoughtful options.
Your care may include therapy, medication when appropriate, or a combination, based on your individual assessment.
Individual therapy
Work through stress, anxiety, relationships and life changes in a supportive conversation.
Ongoing care
Review progress and adjust your care plan. Medication management is available when clinically appropriate; specific prescriptions are not guaranteed.
Self-pay appointments
Clear prices for your next step.
Initial psychiatric evaluation
$20060 minutes
For new mental health patients. Discuss symptoms, medical and mental health history, previous treatment, medications and goals for care.
Book an evaluationPsychiatric follow-up
$11030 minutes
For patients who completed an initial evaluation. Review progress, symptoms and the treatment plan, with adjustments when clinically appropriate.
Book a follow-upIndividual psychotherapy
$12060 minutes
A full therapy session. Work through emotions, stress, relationships, life changes and everyday challenges in a supportive conversation.
Book therapyPrices are in U.S. dollars. Confirm the service and final price when booking.
Your payment options
Self-pay care. Insurance options for mental health.
Clinical visits are self-pay. For mental health care, eligible patients may use participating Aetna, Ascension, Carelon Behavioral Health, Cigna, UnitedHealthcare (Optum), Oxford (Optum) and Oscar (Optum) plans through Headway.
Check your specific plan, copay and deductible before booking.
Check insurance with HeadwayAetnaAscensionCarelonCignaUnitedHealthcare (Optum)Oxford (Optum)Oscar (Optum)
Payment & cancellations
Private appointments are paid by card when you book. Cancellations more than 24 hours before the appointment carry a $40 administrative fee. Cancellations less than 24 hours before the appointment and missed appointments forfeit the amount paid. Review the full policy when booking. Headway appointments follow the policies shown on that platform.
Before your first visit
Understand the different services.
Read how therapy and psychiatric evaluation differ, then prepare with the first-visit checklist.
Mental health questions
Choose your starting point.
Care in English or Portuguese with Sheyla Cunha, APRN, PMHNP-BC, FNP-C.
Do I need a diagnosis before booking?
No. You can start by describing what has changed in your mood, sleep, worries or daily routine. Sheyla will review your history and discuss what needs further evaluation.
Is individual therapy the same as a psychiatric evaluation?
They are different services. The initial psychiatric evaluation is 60 minutes and explores symptoms, health history, previous treatment and care options, which may include medication when appropriate. Individual therapy is also 60 minutes and focuses on emotions, relationships, life changes and everyday challenges. Compare the services or choose a self-pay appointment.
Does an appointment guarantee medication for anxiety, insomnia or depression?
No. Sheyla Cunha, APRN, PMHNP-BC, FNP-C, assesses your symptoms, history and goals before discussing care options. Prescriptions and medication changes depend on the clinical assessment and applicable requirements. The next step may include therapy, follow-up, testing, an in-person visit or a referral. When a prescription is clinically appropriate, Sheyla sends it electronically to the pharmacy you choose. No specific medicine or outcome is guaranteed.
Which insurance plans may cover mental health care?
Eligible patients may use participating Aetna, Ascension, Carelon Behavioral Health, Cigna, UnitedHealthcare (Optum), Oxford (Optum) and Oscar (Optum) plans through Headway. Verify your specific plan, copay and deductible before booking. Rio Breeze clinical visits are self-pay. Check coverage and book through Headway.
How can care in Portuguese help me discuss life in the United States?
Using the language you feel most comfortable with can make it easier to describe feelings, concerns and everyday experiences. Originally from Brazil, Sheyla has lived in the United States for more than 20 years and completed all of her higher education here. You can discuss cultural adjustment, distance from family, work and other concerns at your own pace.
How does follow-up work after the first psychiatric evaluation?
Follow-up appointments review your progress, symptoms and response to the care plan, including medication effects or concerns when relevant. Psychiatric follow-up is 30 minutes and costs $110 for self-pay care. Timing and any changes to treatment depend on your needs. Book a self-pay follow-up; for insurance, check coverage and costs through Headway.
Can I attend mental health appointments from outside Florida?
No. For care through Rio Breeze, you must be physically in Florida during your video appointment. This applies to both self-pay care and mental health appointments through Headway. Compare the booking options.
What happens after I book and pay for a self-pay visit?
After you complete your IntakeQ booking and payment, the system automatically emails your confirmation, intake forms and video-visit link. Complete the forms before your appointment. Check your spam folder if the email is missing, and contact Rio Breeze for scheduling help before booking or paying again. See the appointment steps.
Need urgent help?
Rio Breeze does not provide emergency care. For immediate danger or a medical emergency, call 911 or go to the nearest emergency department. For emotional crisis or suicide support, call or text 988.
Make time for your health.
Choose your appointment or ask us a scheduling question. We’ll help you find the right place to start.