Precision Psychiatry + Interventional Care · Coral Gables, FL
Precision care.
Deeply human.
Psychiatry, advanced treatments, and whole-body wellness — one clinical team, one measurable plan, with Florida-wide telehealth and in-person care in Coral Gables.
🟡 Dual-licensed founder · PMHNP-BC + CRNA
🟡 Spravato® REMS-certified site
🟡 In-network with major plans
🟡 Florida-wide telehealt
The Thrive Standard
Measure. Treat. Re-measure.
01
Establish a clinical baseline
02
Build a targeted care plan
03
Track symptoms, labs, and goals
04
Adjust when the data says to
Clear access. No guessing.
Psychiatry: insurance + self-pay
Wellness: transparent self-pay programs
Advanced treatments: eligibility and coverage vary
Start where you are
Two clear ways to begin.
You do not need to know which service you need. Choose the entry point that fits how you want to start, and the clinical plan can become more specific from there.
Insurance + self-pay
Psychiatric Evaluation
Best if your primary concern is mood, anxiety, attention, sleep, trauma, medication management, or another psychiatric condition.
Comprehensive psychiatric assessment
Medication review and treatment plan
Validated symptom measures when appropriate
Telehealth across Florida or Coral Gables in person
$249 self-pay
Precision Assessment
Best if the picture feels broader — mood plus energy, weight, hormones, sleep, performance, medication side effects, or uncertainty about where to begin.
Whole-picture symptom and medication review
Identify the highest-value next step
Targeted testing recommendations when clinically useful
Written pathway into psychiatry, wellness, or advanced care
Not ready to book? Take the 2-minute fit assessment first →
Why book online?
Booked in 2 minutes
Intake happens in the app before day one
Your first visit starts at the decision — not the paperwork
Prefer to talk? (786) 933-9143
Start where you are
Not sure where to start?
Answer four quick questions. This is not a diagnosis; it simply points you toward the most relevant part of the practice.
- No medical record is created by this on-page tool.
One practice · Three pillars
Whole-person care, without the fragmented chart.
Mental health is the center of the practice. When biology, medications, sleep, weight, or performance meaningfully affect the picture, we can evaluate those layers without sending you into disconnected silos.
Pillar I
Mind
The clinical core: specialty psychiatric care, measured consistently from the first evaluation onward.
- Psychiatric evaluation
- Medication management
- Individual therapy
- Measurement-based follow-up
- Thrive Connect between visits
.
Pillar II
Advanced
When standard treatment is not enough, the plan escalates — delivered with procedural, anesthesia-trained expertise.
- IV ketamine & KAP
- Spravato® · REMS-certified
- TMS therapy (Waitlist)
- Second-opinion pathway
.
.
Pillar III
Body
Wellness and longevity care — the biological factors shaping mood, energy, weight, sleep, appearance, and performance, evaluated in the same clinical context.
- Hormones & mood
- Medical weight care
- Performance & sexual health
- IV lounge · NAD+ & recovery
- Hair & skin restoration
- Thrive 360 diagnostics + Shop
Signature · IV Ketamine
When medication isn't enough, we don't shrug. We escalate.
Rapid-acting, medically monitored IV ketamine — infused in-suite by a clinician trained in both psychiatry and anesthesia.
Hours, not weeks
Antidepressant effects have emerged within hours in controlled research. NIMH ↗
55.4% response
Response rate in a large randomized 3-week trial of adults with treatment-resistant depression.
32.3% remission
Remission in the same randomized trial. Individual results vary. Published trial ↗
No quote-by-phone games —
Drips from $99
Programs from $59/mo
$249 assessment credits toward any program
The Thrive App
Your whole treatment, in your pocket.
Every patient gets the secure app on day one — the place your care actually lives between visits.
See your own numbers — the same trend we review together
Message the practice securely — HIPAA-secure, never regular text
Goals, booking, journaling — tracked between visits
Proof
We show you your progress.
Every few weeks, a one-page review of what changed and the reasoning behind the next step.
Membership
Three levels of access. One standard of care.
Clinical visits stay separate — membership adds the structure, speed, and member pricing between them.
Start
Community
A place to begin before you’re ready to book.
Free — join the community, meet the practice, upgrade whenever you’re ready.
Most popular
Guided
Structure that keeps the plan moving between visits.
For patients in active treatment who want momentum between appointments — most members start here.
Application-based
Concierge
Front-of-line access with a monthly drip credit built in.
A limited number of seats, reviewed by application — for patients who want the practice on speed dial.
Pay annually, get two months free — clinical visits always billed separately to insurance or self-pay.
-Questions
Asked often. Answered clearly.
Psychiatric visits are billed to participating insurance plans or self-pay. Wellness programs use transparent flat self-pay pricing reviewed with you before enrollment — no surprise bills. Optional membership is $199 or $399 per month, published right on this page.
Dr. Borrego is a doctorate-prepared psychiatric nurse practitioner (DNP, PMHNP-BC) and certified registered nurse anesthetist (CRNA) — licensed in Florida to evaluate, diagnose, and prescribe for psychiatric conditions. The dual training in psychiatry and anesthesia is exactly what allows IV ketamine and Spravato® care to be delivered in-house by the same clinician who manages your psychiatric plan.
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.
Many psychiatry, therapy, and wellness services can be delivered by telehealth to eligible patients in Florida. IV ketamine, Spravato®, TMS, and IV lounge services require in-person care in Coral Gables.
Let’s Thrive provides outpatient care and is not an emergency service. If you are in suicidal crisis or emotional distress and need immediate support in the United States, call or text 988. For an immediate medical emergency, call 911.
-Still deciding?
Not ready to book? That’s a fine place to start.
Most people research for weeks before choosing care. Here are three ways to move forward without committing to anything.
2 minutes · no record created
Find your starting point
Four quick questions point you to the most relevant part of the practice — no email, no pressure.
Free guide · by email
Read first, decide later
The honest starter guide: what treatment-resistant really means, how ketamine & Spravato® compare, what things cost, and the questions to ask any clinic — including us.
A human answers · no appointment
Just ask us
Text the practice any question — pricing, fit, insurance, “is this even for me?” — and a real person replies. No obligation.
Start here
Ready to feel like yourself again?
Book a psychiatric evaluation, choose the $249 Precision Assessment, or take the 2-minute fit assessment first. You do not need to diagnose yourself before you arrive.
Booking a first visit commits you to nothing beyond it — benefits verified before you’re charged anything.
Prefer to talk first? Call (786) 933-9143