Precision psychiatry · Coral Gables + Florida telehealth
Precision psychiatry.Built around the whole person.
Medication management, therapy, TMS, Spravato®, ketamine and select wellness programs—coordinated by one team, measured over time, and designed to give you a clearer path forward.
One chart
Psychiatric + relevant whole-body context
Measured
Validated scales and targeted diagnostics
Escalate
Advanced options when standard care is not enough
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The Thrive Standard
A plan that earns your confidence.
01
Establish a meaningful baseline.
02
Use labs when they are likely to change the decision.
03
Match treatment intensity to response.
04
Re-measure. Adjust. Keep moving.
In-network psychiatric services
Optum
UnitedHealthcare
TRICARE
Evolutions
Curative
Medicare
Coverage and benefits vary by plan and service; eligibility is verified before treatment.
Our approach
Mental health does not live in one lane.
Mood can overlap with sleep, hormones, metabolism, medications, relationships and physical health. We start with psychiatric fundamentals, then widen the lens only when it is likely to change the plan.
1
Measured
The clinical core: psychiatric evaluation, medication management, therapy and evidence-based escalation for difficult-to-treat symptoms.
Medication management
Therapy
IV ketamine & KAP
Spravato®
TMS
11
Body
When physiology is part of the story, we use targeted testing and clinician-managed programs rather than treating every symptom as purely psychiatric.
Hormones & mood
Medical weight
Performance
IV recovery
Diagnostics
11
Restoration
Select skin, hair and wellness services sit downstream of the clinical foundation—not in place of it.
Hair restoration
Skin from within
Curated supplements
Community support
Explore Let's Thrive
One visual language. One care philosophy.
Calm on the surface, clinically rigorous underneath. Start with the category that feels closest to what you need; your evaluation can redirect the plan if another path makes more sense.
01 · Recovery
IV Therapy
Clinician-directed in-suite infusions and recovery protocols.
02 · Precision
Advanced Labs
Targeted testing when more data is likely to change treatment.
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04 · Wellness
Supplements
Clinician-selected support with a restrained, evidence-minded
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04 · Restoration
Hair & Skin
Clinician-managed prescription and supportive options where
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05 · Mind
Psychiatry & Therapy
Thoughtful evaluation, real follow-up and coordinated psychotherapy.
06 · Interventional
TMS Therapy
Noninvasive brain stimulation for qualifying patients.
07 · Connection
Support Between Visits
Structure, education and community around the clinical
08 · Local Care
Coral Gables
In-person advanced care with Florida-wide telehealth access.
Clinical core · Mind
Psychiatry, done the way it should have always been done.
Real evaluations. Meaningful follow-ups. Validated symptom measures. Labs when clinically useful. A plan that can evolve without sending you to five disconnected offices.
Insurance + self-pay
01
Medication Management
Comprehensive psychiatric evaluation and ongoing medication care for common and complex mental health conditions.
Depression and anxiety
ADHD, OCD and PTSD
Bipolar-spectrum conditions
Sleep and medication side effects
Insurance + self-pay
02
Therapy
Evidence-based individual therapy as a standalone service or coordinated with psychiatric treatment so the plan stays coherent.
Goal-oriented treatment
Medication + therapy coordination
Trauma-informed care
Progress tracked over time
Selective add-on
03
Pharmacogenomics
A medication-DNA test may be useful in selected cases to add context about drug metabolism and potential medication considerations.
Simple swab
Used selectively
Interpreted with clinical history
Not a replacement for evaluation
Advanced care · calm setting · close monitoring
Interventional psychiatry
When standard care is not enough, the plan can escalate.
Let's Thrive brings advanced depression treatments into the same practice as your psychiatric care, reducing handoffs and keeping the clinical story in one place.
1
IV Ketamine & KAP
Ketamine infusions with psychiatric screening, preparation and integration planning, delivered under anesthesia-trained clinical leadership.
11
Spravato® (esketamine)
REMS-supervised esketamine treatment for eligible patients with treatment-resistant depression or other qualifying indications.
11
TMS Therapy
Noninvasive magnetic brain stimulation for qualifying patients, with no anesthesia and no routine post-treatment downtime.
Whole-body programs
Widen the lens when the story calls for it.
These programs are positioned as extensions of the psychiatric foundation—not shortcuts, not generic “optimization,” and not replacements for appropriate medical care.
Hormones & mood
Your labs are one part of the story.
Targeted hormone and thyroid evaluation when symptoms, history or treatment response suggest a physiologic contributor is worth investigating.
Medical weight
Weight care that does not ignore mental health.
Targeted hormone and thyroid evaluation when symptoms, history or treatment response suggest a physiologic contributor is worth investigating.
Performance
Discreet care for sexual health and performance.
Evaluation and treatment options for libido, sexual side effects and performance concerns, including medication-related contributors.
Hair & skin
Restoration, downstream of diagnosis.
Selected prescription and supportive options for hair and skin concerns when a clinician-managed approach is appropriate.
Thrive Recovery · In suite
The IV lounge with clinical restraint.
A quiet Coral Gables treatment space for selected clinician-directed infusions and injections. Protocols are chosen around history, goals, medications and relevant labs—not a laminated drip menu.
NAD+ and selected recovery protocols
IV nutrient therapy when clinically appropriate
Same-day injections for selected indications
Anesthesia-trained clinical leadership
Support between visits
Care works better when the plan doesn't disappear after the appointment.
Education, structured tracks, messaging and community are designed to reinforce clinical care between visits—not replace it.
Thrive Connect
Structure around the treatment plan.
A practical layer for follow-through, education, goals and connection.
01
Structured education and recovery content organized around common care goals.
02
Messaging
Secure care-team communication according to the access level of your program.
03
Community
Reset Club events and connection-focused support with clear clinical boundaries.
Diagnostics
More data only helps when it can change a decision
Testing is selected deliberately. We avoid “test everything” medicine and focus on information that adds useful context to symptoms, medication response or treatment planning.
Precision without over-testing.
Targeted labs, medication genetics and structured second opinions can be added when appropriate.
Annual
Thrive 360
Comprehensive review combining relevant labs with psychiatric and wellness baselines.
Genetics
Medication DNA
Pharmacogenomic context for selected medication decisions.
Records
Second Opinion
A structured review for complex histories, multiple prior trials or uncertainty about next steps.
How it works
Four steps. However you come in.
01
Assess
Start with an evaluation or consultation and clarify the highest-value next step.
02
Measure
Use validated scales and targeted diagnostics to establish the baseline that matters.
03
Treat
Build the right combination of psychiatry, therapy, intervention or select wellness care.
04
Re-measure
Track response. If the clinical picture is not improving, revisit the plan rather than repeating it indefinitely.
Membership
Care between visits is where the structure lives.
Membership adds education, support, access and care-navigation around treatment. Medical visits remain separate and are billed according to insurance or self-pay arrangements.
Community
Free
Reset Club community access
Monthly education events
Newsletter and self-assessment tools
MOST POPUAR
Guided
$199/mo
Everything in Community
Structured recovery tracks
Care-team messaging
Member rates on selected programs
Concierge
$399/mo
Everything in Guided
Priority scheduling and access
Faster messaging
Preferred rates across selected services
The Thrive Standard
High-touch without high-hype.
I
Measured, not performative.
Validated measures and targeted diagnostics create a baseline, then the plan is revisited against the response.
II
One clinical story.
Psychiatric symptoms, medications and relevant whole-body context live inside one coordinated care model.
III
Advanced when appropriate.
TMS, Spravato®, ketamine and other higher-intensity options are tools—not branding—and are used only when they fit.
Coral Gables · quiet-luxury clinical environment
About the founder
Built at the intersection of psychiatric and procedural medicine.
Let's Thrive was founded by Jay Borrego, DNP—a doctorally prepared psychiatric nurse practitioner and board-certified nurse anesthetist. The model brings psychiatric depth, physiology, procedural safety and operational simplicity into one practice.
That combination is especially relevant for interventional care: patients can move from standard psychiatric treatment to advanced options without losing continuity of the clinical story.
DNP
PMHNP-BC
CRNA
MBA
Spravato® REMS certified
Patient stories
Numbers move. So do lives.
Individual experiences vary. Testimonials should never be interpreted as a promise or guarantee of outcome.
“Three psychiatrists in five years and no one ever checked my thyroid. Twelve weeks here and I have my mornings back.”
“The ketamine series gave me distance from thoughts I'd carried for a decade. The procedural background made my family more comfortable.”
“Every weight program I tried ignored the fact that I eat when I'm anxious. This one started there.”
Use only verified testimonials with documented permission before publishing.
The Thrive Shop
Only what earns a place on the shelf.
Clinician-selected products and prescription formulations can support the plan when appropriate.
Essentials
Core support
Selected foundational supplements with a simple, evidence-minded rationale.
Sleep
Wind-down support
Selected non-prescription options that may complement a broader sleep plan.
Hair & skin
Restoration
Clinician-managed prescription and supportive formulations for selected patients.
Questions
Asked often. Answered clearly.
Psychiatric services follow our practice's insurance policies, and Spravato is often covered. Wellness programs, drips, and the assessment are cash-pay — that's how visits stay long and honest. We'll gladly provide a superbill for out-of-network reimbursement, and Good Faith Estimates come standard at booking.
Start with a psychiatric evaluation if mental health is the main concern. Choose the $249 Precision Assessment if the picture is broader or unclear, or use the 2-minute fit assessment for a quick directional starting point.
Because it's unregulated product, and we don't put that in patients. We prescribe branded, FDA-approved GLP-1 medications only — the same rule that keeps gray-market peptides and unapproved "research" drugs off our menu entirely. If a deal elsewhere looks too cheap, it isn't the same medicine.
That's literally our specialty. Weight gain, hair changes, and sexual side effects from psychiatric medication are treated here in the same chart, by the same team — no phone tag between your psychiatrist and a wellness clinic.
Yes — and refills pause without them. Monitoring is the difference between medicine and a subscription box. It's also how we prove, in your own numbers, that something is working.
A licensed RN administers every drip under physician-signed standing orders, after a safety screening, with emergency medication on site and a provider available. The comfortable chair is a choice; the clinical spine is not.
Most program visits, yes — anywhere in Florida. Blood draws, drips, ketamine, TMS, and body scans happen in person in Coral Gables. Mornings are best for draws.
Assessments typically book within the week; results are reviewed days later, and many programs begin the same day as your review. The quiz takes two minutes and tells us where to look first.
Start here
Ready for a more coherent plan?
Book a psychiatric evaluation or consultation and we'll help identify the most appropriate place to begin—standard psychiatric care, an advanced intervention, or a coordinated wellness program.