New Hampshire · Telepsychiatry
Specialized Psychiatric Care in New Hampshire
Christian S. Monsalve, M.D., a board-certified psychiatrist and founder of Verigrate Health, is licensed to practice medicine in New Hampshire. He provides specialized private psychiatric consultation, diagnostic clarification, psychiatric medication tapering, and deprescribing by secure telemedicine to eligible patients physically located in New Hampshire at the time of care.
Care is physician-led and provided personally by Dr. Monsalve. Evaluation may include complex diagnostic review, psychopharmacology consultation, individualized medication tapering, psychiatric deprescribing, or ongoing treatment when clinically appropriate.
BOARD-CERTIFIED PSYCHIATRIST
ONE PHYSICIAN
STATEWIDE TELEPSYCHIATRY
PRIVATE-PAY PRACTICE
Scope of Consultation
Specialized Psychiatric Consultation
Diagnostic uncertainty, complicated treatment histories, complex psychopharmacology, and focused specialist review.
Individualized medication reduction strategies informed by treatment history, prior withdrawal experiences, current symptoms, patient goals, and clinical response over time.
Individualized consultation regarding clonazepam, alprazolam, lorazepam, and related medications when gradual reduction is clinically appropriate.
Individualized antidepressant reduction and discontinuation planning, including withdrawal symptoms, relapse risk, and patient-specific pacing.
Structured reassessment of psychiatric medications when reducing unnecessary treatment burden may be clinically appropriate.
Independent review for patients or treating clinicians facing diagnostic uncertainty, difficult medication decisions, or incomplete treatment response.
Medication Tapering
Medication tapering is one part of a broader clinical judgment
For New Hampshire patients, Dr. Monsalve considers the ongoing indication, benefit, burden, withdrawal risk, relapse risk, formulation, and the patient’s priorities before recommending whether to continue, adjust, taper, or discontinue medication. A plan is individualized and monitored; reduction is never assumed to be the right outcome.
Reduction may require smaller changes near the end of a taper and clear differentiation between withdrawal effects and recurrence of the underlying condition.
Planning considers dose pattern, duration of use, co-prescribed medication, previous attempts, and whether formulation changes could support precision.
When appropriate, reductions can become progressively smaller so that each step represents a more consistent change in pharmacologic effect.
Deprescribing within broader care
A taper is not an isolated protocol. It remains connected to diagnosis, symptom monitoring, medical coordination, and decisions about what should remain unchanged.
Individualized by Design
Medication changes are never automatic. Recommendations depend on clinical suitability, informed consent, applicable law, and the patient’s response over time.
Statewide Access
Private Psychiatry Throughout New Hampshire
Verigrate Health provides secure psychiatric consultation by telemedicine to eligible patients throughout New Hampshire, including Manchester, Nashua, Concord, Portsmouth, Bedford, Hanover, Dover, and Keene. Patients must be physically located in New Hampshire at the time of a New Hampshire telemedicine appointment. Clinical eligibility, prescribing, and treatment recommendations are individualized and subject to applicable requirements. Verigrate Health does not maintain a physical office in New Hampshire.
HOW CARE WORKS
A considered path from evaluation to ongoing care.
01 · Evaluate
Begin with a comprehensive psychiatric history, previous treatment response, medication history, relevant medical factors, and the patient’s goals.
02 · Clarify
Review diagnoses, medication effects, competing clinical explanations, and prior treatment decisions before recommending a course of care.
03 · Plan
Develop individualized recommendations for treatment, medication management, tapering, deprescribing, psychotherapy, or further evaluation when appropriate.
04 · Continue
When ongoing care is appropriate and mutually agreed upon, one physician maintains clinical continuity over time.
YOUR PHYSICIAN · Care conducted personally by Christian S. Monsalve, M.D. Verigrate Health is a private-pay, physician-led practice intentionally limited in size so evaluation, medication decisions, and continuity remain with one board-certified psychiatrist.
New Hampshire FAQ
Direct answers about psychiatric care in New Hampshire
Does Verigrate Health provide telepsychiatry in New Hampshire?
Yes. Eligible patients physically located in New Hampshire may receive psychiatric consultation through secure telemedicine, subject to clinical appropriateness, applicable requirements, and practice availability.
Is Christian S. Monsalve, M.D. licensed in New Hampshire?
Yes. Christian S. Monsalve, M.D. holds active medical licensure in New Hampshire and personally provides psychiatric care through Verigrate Health to eligible patients physically located in the state.
Does Verigrate Health have an office in New Hampshire?
No. Verigrate Health does not maintain a physical office in New Hampshire. New Hampshire services are provided by telemedicine.
Can New Hampshire patients consult about psychiatric medication tapering?
Yes. Eligible patients may request consultation regarding antidepressant tapering, benzodiazepine tapering, psychiatric deprescribing, and other complex medication decisions. A consultation does not guarantee that medication reduction or discontinuation will be recommended.
Does Verigrate Health provide psychiatric second opinions in New Hampshire?
Yes. Independent psychiatric consultation may be appropriate for diagnostic uncertainty, complicated treatment histories, incomplete treatment response, or consequential medication decisions.
Where must I be physically located during my appointment?
For care provided under Dr. Monsalve’s New Hampshire medical license, the patient must be physically located in New Hampshire at the time of the appointment.
Does Verigrate Health participate with insurance?
Verigrate Health is a private-pay practice. When applicable, documentation may be provided for patients seeking out-of-network reimbursement.