Psychiatric Care in Maryland for a Better You

Providing personalized care to help you thrive.

Schedule an Appointment

(443) 345-2275

Psychiatric Care in Maryland for a Better You

Providing personalized care to help you thrive.

Schedule an Appointment

Welcome to Mental Wealth Psychiatric Services, Inc.

About Siana Brown

I am a board-certified Psychiatric Nurse Practitioner providing thoughtful, structured, and evidence-based care for children, adolescents, and adults.

I began my nursing career on the Eastern Shore of Maryland, working across both acute and ambulatory care settings. I earned my Associate's Degree in Nursing from Wor-Wic Community College in 2009, my Bachelor's Degree from Wilmington University in 2016, and my Master's Degree as a Psychiatric-Mental Health Nurse Practitioner from Frontier Nursing University in 2023. I am board-certified through the American Nurses Credentialing Center

I deeply value my work, but I am equally committed to maintaining balance outside of it. When I am not working, I enjoy traveling, being outdoors, and spending time with my husband and two sons. I also believe strongly in community connection and the importance of building supportive environments that promote mental well-being on a broader level.

My Approach

I maintain clear professional boundaries around my time and practice. Care is delivered primarily within scheduled appointments to ensure safety, accuracy, and appropriate clinical documentation.

This structure is intentional. It allows me to remain fully present, focused, and effective during visits while maintaining a high standard of care across my practice.

My approach tends to resonate most with individuals who have not found success in more reactive or fast-paced models of care, and who are seeking a more thoughtful, structured, and sustainable path forward.

This often includes people who:

feel overwhelmed by inconsistent or trial-and-error medication changes
have a high level of insight but are looking for clearer direction and clinical precision
value depth, clarity, and long-term outcomes over quick fixes
are ready to actively engage in their care

Many of my patients describe this approach as different from what they’ve experienced before because it is more intentional.

Many patients find that this approach fundamentally changes how they understand and engage with their mental health care, which in turn, fosters meaningful growth and lasting change.

My Services

In addition to medication management, I incorporate elements of psychotherapy into sessions when appropriate and desired. My work often draws from:

Cognitive Behavioral Therapy (CBT)
Psychodynamic principles
Somatic and mind-body awareness
Emotional processing and insight-oriented work

This integrated approach allows for a more complete understanding of both symptoms and underlying patterns, supporting more meaningful and lasting change. Additional testing, referrals, and specialty services may be recommended depending on client's needs.

What You Can Expect

Comprehensive, thoughtful evaluations
Clear treatment planning and clinical rationale
Consistent follow-up and monitoring
A collaborative, but clinician-guided approach

I prioritize depth and accuracy over speed. Medication changes are made carefully and with appropriate follow-up, not rushed between visits. This helps reduce unnecessary side effects, improves long-term outcomes, and creates a more stable foundation for mental health.

Information Regarding ADHD Evaluation and Treatment

What is ADHD?

Attention-deficit/hyperactivity disorder is a neurodevelopmental variation in the brain associated with unique functional strengths and struggles that wax, wane, and change throughout an individual's life. It was believed to be a predominantly male disorder. However, research is finding as of late that this is not the case. As a result, many women remain undiagnosed until adulthood. Diagnosing ADHD traditionally involved neuropsychological testing by a clinical psychologist. This is not feasible, especially in adulthood, as this type of testing requires a significant investment in time and money out-of-pocket since insurance usually does not cover these costs for adults. Such a test tends to cost $1,500-$5,000. Because of this, most diagnoses in adults are now made through a thorough investigation of past and current behaviors that may indicate a high likelihood of having the condition. It is important to establish childhood struggles as struggles later in life can be confounded by lifestyle factors and choices. Diagnosis of ADHD would be difficult to establish in someone who struggles with insomnia, severe depression, severe anxiety, or bipolar disorder that are not treated or stabilized first. Additionally, many ADHD-like symptoms can occur from using substances like marijuana or alcohol regularly.

Our Evaluation and Treatment Approach

ADHD evaluation in adulthood is complex. As such, the diagnosis usually takes several visits with your provider as well as testing. Here is what you can expect:

Thorough history and physical.

For those with an established diagnosis from a previous prescriber, please obtain your medical records or allow us to ask for them prior to your appointment.

QbCheck testing. Click here for more information. The cost of this test is not usually covered by insurance. The cost of the test is $150.00. If affordability is a concern, we'd be happy to discuss payment plans. *Please note: If you have an established diagnosis from previous neuropsychological testing and you provide documentation, this is not necessary*

Conners' Adult ADHD Rating Scales (CAARS) which may need to be mailed to you and is usually covered by insurance. Without insurance coverage, out-of-pocket expenses are $125.00. *Please note: If you have an established diagnosis from previous neuropsychological testing and you provide documentation, this is not necessary*

Interview or questionnaire of a close family member who has ideally known you since childhood. *Please note: There are exceptions to this and it is not always ethical or appropriate to complete this step*

Why do I need such extensive evaluations for ADHD treatment?

Medications do not come without side effects. Many medications used to treat ADHD are Federally controlled schedule II substances with a high risk for misuse, abuse, and diversion. These substances are dangerous if used by individuals who do not have ADHD. They can lead to the weakening of the heart muscle over time and other adverse reactions. Our priority is to provide compassionate care, but this must be done safely and ethically.

Psychiatric Care in Maryland for a Better You

Psychiatric Care in Maryland for a Better You