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Coronado Wellness

Welcome to Coronado Wellness—where compassionate counseling meets expert psychiatric care.

So… What Is Personalized Medication Management?

  • Writer: Jamey Hughes
    Jamey Hughes
  • Nov 14
  • 6 min read

Healing starts here. 🌿 Let’s bust a myth together: psychiatric care is not just “pills and refills,” especially not at Coronado Wellness.


If you’ve ever felt like your mental health appointments were a rushed “How are the meds? Cool, see you in 3 months,” you’re not alone—and you deserve better. This is exactly where personalized medication management steps in.


At Coronado Wellness in Provo, medication isn’t the whole story. It’s one tool in a much bigger toolkit that also includes therapy, NeuroStar TMS, and ketamine treatments—all woven together to support real, long-term healing. Having therapy and medication management in one place means seamless coordination between your providers, giving you a comprehensive and cohesive path to wellness.


Personalized Medication Management


Let’s start with what it’s not:

  • Not a 7-minute appointment

  • Not “let’s just increase the dose and hope for the best”

  • Not a guessing game based on one bad week


Personalized medication management means we actually get curious about you:

  • Your symptoms (yes, the big ones and the weird little ones)

  • Your history with meds—what helped, what flopped, what caused side effects you swear you’ll never repeat

  • Your sleep, stress, relationships, routines

  • Your goals (not just “less depressed,” but “I want to enjoy my kids again” or “I want to actually feel like myself at work”)


From there, your provider builds a plan that fits your life—not the other way around.



The First Visit: More Conversation Than Prescription


Your initial appointment at Coronado Wellness is a deep dive, not a drive-thru.

You can expect things like:


1. A full story, not just a checklist

We’ll talk about:

  • When symptoms started

  • What’s helped or hurt in the past

  • Any trauma, big life transitions, or ongoing stress

  • Medical conditions, other medications, family history


This matters, because depression is rarely “just depression” and anxiety is rarely “just anxiety.” They’re often sitting in a bigger context—your body, your history, your environment.


2. Reviewing what you’ve already tried

Instead of tossing a new pill on top of the pile, we ask:

  • What worked even a little?

  • What made things worse?

  • Did you have side effects like weight gain, emotional numbness, insomnia, or feeling “not like yourself”?

This helps avoid repeating the same frustrating patterns and guides us toward better options.


3. Setting expectations (honest ones)

We’ll talk about:

  • How long certain medications usually take to work

  • What side effects to watch for

  • When we’ll follow up and adjust

No false promises, no “you’ll feel like sunshine in 3 days.” Just real timelines and realistic hope.



Tailoring Medications: Not One-Size-Fits-All


Two people can have “depression” and need completely different treatments. Same with anxiety, bipolar disorder, PTSD, OCD, or ADHD.


At Coronado Wellness, tailoring medication might include:

  • Choosing the type of medication carefully SSRIs, SNRIs, mood stabilizers, stimulants, non-stimulants, atypical antipsychotics—each has a different job. We match the medication to your symptom profile, not just the label.

  • Going slow (or faster) based on your body Some people are extremely sensitive and need a baby-step approach. Others have severe symptoms and need to move more quickly. We pay attention to both your biology and your comfort level.

  • Simplifying, not complicating If you’re on a cocktail of meds that no one seems to fully understand anymore, we help untangle that. Sometimes healing means de-prescribing or cleaning up a messy regimen so your brain and body can breathe.

  • Considering your whole life Night shifts, parenting, school, chronic illness, faith, values—your life context is not a sidebar. It’s central to which medications make sense for you.


Side Effects: We Don’t Shrug Those Off


Side effects are one of the biggest reasons people quietly stop their meds. At Coronado Wellness, we’d rather talk about them openly than pretend they don’t exist.


We’ll ask about:

  • Sleep changes

  • Appetite and weight shifts

  • Sexual side effects (yes, we’re adults, we can talk about it)

  • Emotional blunting (“I don’t feel sad, but I don’t feel anything”)


Instead of saying, “That’s normal, you’ll get used to it,” we consider options like:

  • Adjusting the dose

  • Switching medications

  • Adding a second medication very intentionally (not haphazardly)

  • Supporting side effects with therapy, lifestyle changes, or other treatments


You’re not “too sensitive” if a med makes you feel awful. Your body’s feedback is data, and we listen to it.



Medication Is One Tool. We Use the Whole Toolbox.

Here’s where Coronado Wellness really pulls back the curtain: We don’t stop at the prescription pad.


1. Medication + Therapy: The Classic Power Couple


Research backs this up: for many people, meds + therapy together work better than either one alone for conditions like major depression and anxiety.

So if you’re on medication but:


  • Still feel stuck in the same patterns

  • Struggle with boundaries, trauma, or grief

  • Keep ending up in the same emotional loops


We may recommend pairing your medication management with therapy to address the mental, emotional, and relational layers of what you’re going through.



2. Medication + NeuroStar TMS: When Depression Doesn’t Move


Sometimes, no matter how carefully we adjust medication, depression stays heavy. That’s where NeuroStar TMS therapy comes in.


TMS (Transcranial Magnetic Stimulation):

  • Is non-invasive (no anesthesia, no surgery)

  • Uses magnetic pulses to stimulate specific areas of the brain involved in mood

  • Is FDA-cleared for treatment-resistant depression

  • Is done right here in Provo at Coronado Wellness


Medication management here includes knowing when it’s time to say:

“We’re not getting the relief you deserve from meds alone. Let’s talk about adding TMS, not as a last resort, but as the next right step.”


Sometimes we keep your medications steady while adding TMS. Sometimes, as people improve, we’re able to reduce or simplify their meds under careful supervision.



3. Medication + Ketamine: When You Need Relief Sooner, Not Later


For some people, waiting 4–8 weeks to see if a medication works is simply too long.


That’s where ketamine treatments and Spravato (esketamine) can help:

  • They’re often used for treatment-resistant depression

  • They can bring relief much faster than typical antidepressants for many patients

  • Sessions are done in a carefully monitored, supportive setting at Coronado Wellness


Here, medication management means:

  • Making sure ketamine is appropriate and safe for you

  • Considering how it fits with your current meds

  • Adjusting your ongoing plan based on how you respond


We’re not chasing a “quick fix.” We’re using ketamine as part of a broader strategy to get you out of crisis and into a more stable place where other treatments (meds, therapy, TMS, lifestyle changes) can really take root.



Whole-Person Healing: You Are Not Just a Diagnosis


At Coronado Wellness, we’re interested in more than symptom scores. We care about:

  • Your energy

  • Your relationships

  • Your sense of meaning and purpose

  • The small joys returning to your life


So, personalized medication management may involve conversations about:

  • Sleep hygiene and routines

  • Substance use (including alcohol, cannabis, and prescriptions)

  • Exercise you actually like, not punishment workouts

  • Nutrition and how it affects mood

  • Stress, boundaries, and burnout


No, we’re not going to tell you “just drink water and go outside” and call it a day. But we are going to help you build a life where your meds are supporting you—not carrying the entire weight of your healing alone.



A Few Honest FAQs


“What if I’ve tried a bunch of medications and nothing’s worked?”

First: we believe you. Second: that’s exactly when it may be time to take a more integrated approach—reviewing your full history, considering TMS, ketamine, or a carefully revised medication plan instead of just “trying another antidepressant.”

“Will I have to be on medication forever?”

Not necessarily. Some people benefit from long-term medication; others use it as a season of support while therapy, TMS, or ketamine opens up space for deeper healing.


We revisit this question with you over time. There’s no shame in long-term meds, and no rush to quit before you’re ready.

What if I’m nervous about starting medication at all?”

Totally normal. We’ll talk openly about:

  • Risks

  • Benefits

  • Alternatives

  • Your values and concerns

You’re never just handed a script and pushed out the door. You’re part of every decision.



If You’re Tired of Feeling Like a Number, You’re in the Right Place


“Not just pills and refills” isn’t a slogan for us—it’s how we practice.


At Coronado Wellness in Provo, personalized medication management means:

  • Time to tell your story

  • Thoughtful, evidence-based medication choices

  • Real conversations about side effects

  • Integration with therapy, TMS, and ketamine when needed

  • A focus on your whole life, not just your chart


If you’re feeling stuck, overwhelmed, or just plain tired of white-knuckling your way through each day, you don’t have to figure this out alone.


Healing starts here at Coronado Wellness. When you’re ready, we’re here to help you explore what personalized medication management—and whole-person mental health care—can look like for you.


 
 
 

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