The Practice · 01
Psychiatry in Coral Gables · Telehealth across Florida
Psychiatry built around progress, not just appointments.
Thoughtful care for depression, ADHD, anxiety, OCD, insomnia and cycle-linked mood changes — with a clear plan, meaningful support between visits, and additional treatment options when appropriate.
In-person in Coral Gables · Telehealth across Florida · Most patients use insurance
Founder + Clinical Lead
Jay Borrego, DNP, MBA, PMHNP-BC, CRNA
Coral Gables •
Telehealth across Florida •
Most patients use insurance •
Psychiatric + interventional expertise
The Difference · 02
Your care shouldn’t disappear between appointments.
We built the practice around what happens after the visit — not only what happens inside it.
01 · Between-visit support
Keep the plan moving.
Goals, education, secure communication and structured follow-through help turn recommendations into action.
02 · Connected care
One team, one direction.
Psychiatric care, therapy and coaching can coordinate around the same plan instead of operating in separate silos.
03 · More options when needed
Care can evolve.
Medication management plus advanced and interventional pathways when clinically appropriate and available.
Care Areas · 03
Start with what feels familiar.
You do not need to know the diagnosis before you book. Start with the pattern you recognize.
The Thrive Approach · 04
A clear rhythm from your first visit.
We want you to understand what we think, what happens next, and who is helping you follow through.
1
Evaluate
We build the history, medication timeline, symptoms and full clinical picture.
2
Plan
You leave with a clear direction — not a vague list of possibilities.
3
Support
Depending on your care level, the plan can continue through goals, therapy coordination, coaching and secure communication.
4
Adjust
We keep what is working and change course when the clinical picture says we should.
Proof
We show you your progress.
Every few weeks, a one-page review of what changed and the reasoning behind the next step.
Sample. Shows the structure, not a promised result. Individual results vary.
Treatment · 05
Treatment that can evolve with you.
The right treatment depends on the diagnosis, history, previous response, preferences and what is clinically appropriate.
Psychiatric care
Comprehensive evaluation, medication management and longitudinal treatment.
Therapy + behavioral support
Coordinated therapy and structured behavioral support when part of the plan.
Spravato
For appropriate patients with treatment-resistant depression when available and clinically indicated.
Interventional pathways
Additional options such as IV ketamine as services become available and clinically appropriate.
Voices · 06
Trust should come from real people.
Use only real, permissioned patient and referral-partner reviews.
[Insert approved patient review]
Patient · first name + last initial if permissioned
[Insert approved referring clinician review]
Clinician colleague · real name + role if permissioned
[Insert approved therapist/colleague review]
Professional colleague · real name + role if permissioned
Add verified Google rating here only when the real rating + review count are confirmed
Between Visits · 07
Your care, organized between appointments.
The patient experience should make it easier to know what the plan is and what you are working on next.
Secure communication
Keep clinical communication in approved secure channels.
Goals + habits
Keep agreed goals and routines visible between visits.
Education + Thrive Tracks
Condition-specific education and structured follow-through where included.
Care coordination
Appointments, pharmacy support and next steps stay easier to navigate.
Sample screen — illustrative only, not a patient record. Features shown must match the live app configuration.
Access · 08
Wondering what your visit may cost?
We can verify insurance benefits before your first visit so you have a clearer idea of what to expect. Coverage and patient responsibility depend on the individual plan.
CRNA safety strip
"Isn't ketamine a party drug? Is it safe here?" — Fair question, and it deserves a real answer. I'm a nurse anesthetist. I've given ketamine and anesthesia in trauma bays, open-heart rooms, and pediatric surgery, where you have seconds to react and no margin for error. This isn't a drug I'm learning to use. It's one I use professionally, at the highest level of acuity, with full monitoring.
The Founder · 09
Precision without losing the human part.
Jay Borrego •
DNP · MBA · PMHNP-BC · CRNA •
Coral Gables •
Membership · 10
More support if you want it.
Membership is optional and never required to receive clinical care.
Included with active care
Connect
Thrive Community
Included
Reset Club community
Monthly live sessions
Education + wellness challenges
Thrive Miami Benefits
Most popular
Progress
Guided
$249 / month
Personalized Thrive Track
Monthly Care Coach checkpoint
Goals, habits + symptom tracking
Quarterly Thrive Review
Limited to 25
Anticipate
Concierge
$499 / month
Biweekly Care Coach
Monthly focused therapy
Personalized Thrive Dashboard
Priority + proactive care
Before You Book · 11
Common questions.
Do I need to know my diagnosis before I book?
No. The evaluation is designed to clarify what fits and what may be overlapping.
Can I use insurance?
Most patients use insurance. Benefits and patient responsibility should be verified before care begins.
Is membership required?
No. Membership is optional and adds additional structure, support and access around clinical care.
What if medication has not been enough?
The treatment plan can include additional options when clinically appropriate and available. The right pathway depends on the individual evaluation.