Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Utah
Cash-pay telehealth psychiatry for adults in Washington County — without the drive up I-15.
St. George is one of the fastest-growing places in the country, and the large hospital systems most Utahns rely on for specialty care are four hours north. When the local options are full, “go to Salt Lake” means an overnight trip for a twenty-minute medication check.
That maths is why so many people in Washington County simply stay on whatever they were prescribed years ago, or stop taking it and don’t tell anyone. Neither is a treatment plan.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Utah, and I live in this part of the state. Appointments are by video: a full hour for $175, follow-ups for $65, usually with availability within the week.
Cash-pay, published up front, no insurance in the middle.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical St. George-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 St. George with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your St. George pharmacy the same day. Follow-ups are $65 and always with the same provider.
The point of follow-ups is that somebody is actually watching. Antidepressants, mood stabilizers, non-stimulant ADHD medication and non-habit-forming options for anxiety and sleep — adjusted when they need adjusting, not just reauthorised.
No controlled substances are prescribed here — no stimulants, no benzodiazepines.
If you moved to St. George already taking something and have been getting refills from whoever would write them, a proper reassessment is overdue. Sometimes that means a careful taper; sometimes it means changing nothing at all.
From southern Utah to the northern valleys, the appointment is the same:
See the full Utah page for statewide pricing, licensing and FAQs.
Sixty minutes for $175, from anywhere in Washington County.
Book your first appointment