Matthew Sachs, MD, MPH, MBA
A single 90-to-100 minute evaluation with a double board-certified psychiatrist — for ADHD, anxiety, depression and more. You leave with answers and a plan, not a referral to somebody else.
Secure video visits · Virginia and North Carolina · Text 757-219-2753
How it works
No referral, no waiting list, no being handed between people. This is the whole process.
Text 757-219-2753 or submit a request. Want to ask questions first? Take the free 10-minute consultation.
One appointment by secure video with Dr. Sachs himself — long enough to take a real history, reach a diagnosis and build a plan.
Diagnosis discussed with you directly, a full treatment plan, and a prescription plan where it is appropriate — explained, not just handed over.
As often as your treatment requires, always with Dr. Sachs. No rotating providers, no starting over.
The difference
Testing in one office. A waitlist. Results weeks later. Then finding a prescriber who wants to start over from the beginning.
This practice is built the other way. One psychiatrist, one long appointment, and a plan you can actually act on — usually the same day. Dr. Sachs personally conducts every evaluation and every follow-up. Your care never gets handed to someone you have not met.
All-inclusive. No separate testing fee, no second appointment, no second bill.
ADHD Evaluation
Adult ADHD evaluation has become an expensive maze. It does not have to be. The same $549 evaluation that covers anxiety or depression also covers a first-time ADHD assessment — in adults, adolescents and children.
Stimulant treatment is ordinary practice here. Some clinicians are reluctant to prescribe stimulant medication for ADHD at all. Dr. Sachs is not — where the evaluation supports it and it is the right treatment for you, he prescribes it and explains the reasoning, the monitoring and the alternatives.
90 to 100 minutes is enough time to take a real history instead of a checklist.
ADHD assessment is part of the evaluation when that is your concern — not a separate invoice.
If treatment is appropriate, it can begin with the physician who evaluated you.
Psychiatric care
Thoughtful outpatient psychiatry for children, adolescents and adults — with enough time in the room to understand what is actually going on.
Evaluation and ongoing treatment across the lifespan.
Clarifying what is driving it, and treating it properly.
Diagnostic clarity and an individual treatment plan.
Psychiatric assessment and medication management.
Where psychiatric and medication factors are involved.
Ongoing physician follow-up, 20 minutes, $145.
A careful re-examination when a diagnosis or a medication regimen has never quite fit — including transfers of care from another prescriber.
Established patients sometimes need written documentation — academic accommodation requests, workplace or disability paperwork, and similar letters. These are prepared when the clinical record supports them.
Please note. A letter is a clinical document, not a product. Dr. Sachs writes what the evaluation and the treatment record actually support. Requesting or paying for an appointment does not guarantee a letter, a specific diagnosis, or a particular accommodation.
Fees for documentation depend on what is required, and are always quoted before any work begins. Text 757-219-2753.
Accommodation documentation for schools, universities and testing bodies.
Employer and disability documentation where the record supports it.
Insurer paperwork related to medication prescribed in this practice.
Communication with your therapist or primary care physician, with your consent.
Your physician
Matthew Sachs, MD, MPH, MBA is board-certified in both Adult Psychiatry and Child & Adolescent Psychiatry, and teaches psychiatric residents as community faculty at Eastern Virginia Medical School. No rotating providers, no handoffs.
This is a cash-pay practice, which keeps the appointments long and the schedule open. You know the cost before you book, and there are no surprise charges afterward.
Diagnosis and treatment planning for any presenting concern, including first-time ADHD.
Medication management and ongoing care, directly with Dr. Sachs.
Common questions
No. This is a cash-pay practice and payment is by credit card at the time of service. Many patients submit a receipt to their insurer for out-of-network reimbursement; whether you are reimbursed is between you and your plan.
All visits are by secure video. You may be located anywhere in Virginia or North Carolina at the time of your appointment, because those are the states where Dr. Sachs is licensed.
Most new patients are offered an appointment within one to two weeks.
That depends entirely on what the evaluation finds. An appointment is not a guarantee of any particular diagnosis, medication, or letter. Dr. Sachs makes recommendations based on an independent clinical assessment and will explain his reasoning to you directly.
A lower-commitment first step
A $549 evaluation is a real decision, and you should not have to make it blind.
Dr. Sachs offers a complimentary 10-minute consultation so you can ask whatever you need to ask — how he works, whether this practice fits your situation, what the evaluation actually involves — before anyone books anything. There is no charge and no obligation.
Ten minutes, free, with the physician himself — not an intake coordinator.
Ask your questions and decide afterwards. Nothing is booked in the call.
Whichever suits you. Text 757-219-2753 any time and you will get a fast reply.
If this practice is not the right fit, he will tell you, and point you somewhere better.
Next step
Request an appointment and the office will reply within one business day to confirm a time.
Most new patients are offered an appointment within 1–2 weeks.
