Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Utah
Cash-pay telehealth psychiatry for adults along the Wasatch Front — medication management for depression, anxiety, ADHD and more, without the three-month wait.
Salt Lake County has more psychiatric prescribers than anywhere else in Utah, and it still isn’t enough. People call four or five offices, get told the next new-patient opening is two or three months out, and quietly give up. That’s the version of “no access” a map search never shows you — the provider is right there, they just can’t see you.
Utah also has one of the highest antidepressant prescribing rates in the country. A lot of that started in a primary care office during a hard stretch and was never revisited. If you’ve been on the same medication for years and nobody has asked whether it’s still the right one, you are not an outlier here. You’re the norm.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Utah, and I run a cash-pay telehealth practice — no office to pay for and no insurance company in the middle. That’s why a first appointment is $175 rather than $400, and why there is usually an opening this week rather than in November.
Almost no psychiatric practice in Salt Lake will tell you what a visit costs until you’re on the phone with billing. Here it is plainly. These are the prices, not a starting range.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Salt Lake City-area private psychiatrist, first visit, out of pocket | $250–$500 |
| Typical follow-up, out of pocket | $100–$250 |
Payment is collected after your appointment, not when you book. A valid card is kept securely on file and charged once the visit is complete. No insurance is billed, so there is no deductible to meet and no surprise bill weeks later.
Pick a time that works. No referral, no waitlist, no phone tag — most new patients are seen within a week.
A full 60 minutes with Tyler, from anywhere in Salt Lake City with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Salt Lake City pharmacy the same day. Follow-ups are $65 and always with the same provider.
Most of the work is medication management: starting, adjusting, combining and often removing psychiatric medications. Antidepressants, mood stabilizers, non-stimulant ADHD medications, and options for sleep and anxiety that aren’t habit-forming.
I do not prescribe controlled substances — no stimulants for ADHD, no benzodiazepines. If that’s what you’re looking for, I’m not your provider, and I’d rather you read that here than find out in your first appointment.
The other half of the job is subtraction. Psychiatry is good at adding medications and bad at revisiting them. If you’re on three and nobody can say which one is doing the work, that’s worth a full hour. Sometimes the answer is to change nothing at all — that’s a real answer too.
Telehealth means the appointment is the same wherever you are in Utah. Along with Salt Lake City, I see patients across the Wasatch Front and down into the southern part of the state:
See the full Utah page for statewide pricing, licensing and FAQs.
A first appointment is a full hour for $175, from anywhere in Salt Lake City.
Book your first appointment