Frequently Asked Questions

Bright Waters provides psychiatric evaluations, medication management, holistic and functional psychiatry, individual therapy, Brainspotting, supportive psychotherapy, lab and nutritional support, and selected neurocognitive and genetic testing. Your care plan is individualized based on your needs and treatment goals.

Holistic and functional psychiatry looks beyond symptoms alone. When appropriate, care may consider nutrition, sleep, lifestyle, physical health, laboratory findings, micronutrient levels, medications, and other factors that may affect mental well-being. These approaches complement evidence-based psychiatric treatment.

Brainspotting is a focused, brain-body therapeutic approach used alongside traditional therapy. It may help individuals work through trauma, anxiety, emotional overwhelm, difficult experiences, and patterns that feel hard to resolve through conversation alone. Melissa Rudacille, LMSW, has specialized training in Brainspotting.

Yes. Gabrielle Riley, RN, MSN, PMHNP, provides psychiatric assessment, medication management, and holistic psychiatric care. Melissa Rudacille, LMSW, provides individual therapy and Brainspotting. This allows Bright Waters to offer multiple forms of mental health support within the practice.

Insurance participation varies by provider. Gabrielle accepts a broad range of commercial plans, Maryland Medicaid products, and other participating networks. Melissa accepts Cigna, Aetna, and most commercial CareFirst / Blue Cross Blue Shield products. Please visit our Rates & Insurance page for the current provider-specific list and verify your individual benefits with your insurer.

Current private-pay rates are:

• Initial Assessment / Evaluation: $250

• 25-Minute Psychiatric Follow-Up: $150

• 45–60-Minute Psychiatric Follow-Up: $200

• 60-Minute Psychotherapy Session with Melissa Rudacille, LMSW: $150

Additional fees may apply for medical records, forms, letters, expedited requests, or other administrative documentation. Please visit the Rates & Insurance page for complete pricing and policy information.

When clinically appropriate, Bright Waters may order or review laboratory testing and micronutrient levels as part of a broader psychiatric assessment. Selected vitamins, minerals, amino acids, or other nutraceuticals may also be discussed when appropriate. Recommendations are individualized and are not a substitute for necessary medical or psychiatric treatment.

Bright Waters may provide care to individuals under age 18, but they must be participating in psychotherapy, be on a therapist’s waiting list, or be actively seeking a therapist. Please contact the practice to determine whether Bright Waters is an appropriate fit for your child’s specific needs.

Bright Waters generally does not treat individuals with active or recent substance use, including heavy alcohol use. Certain situations may be considered individually when the patient is actively working with an appropriate substance-use provider or treatment program.

The practice also does not provide emotional support animal letters. Forms or other documentation are generally not completed for patients who have been under care for fewer than six months.

Bright Waters Psychiatry and Wellness is not an emergency or crisis service. If you believe you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For additional crisis and community-support information, please visit the Resources page of our website.