Psychiatry in Coral Gables · Telehealth across Florida
A More Personalized, Results-Driven Approach to Psychiatry
Personalized psychiatric care that tracks your progress, adjusts treatment when something isn't working, and gives you a clear path forward.
Depression | Treatment-Resistant Depression | ADHD | Anxiety | OCD | Bipolar Disorder | PMDD
A different approach to psychiatric care
At Let’s Thrive Mental Health, we establish a baseline, measure your progress and use that information to make better treatment decisions over time.
If something isn't working, we don't simply keep doing the same thing.
That is a much clearer promise to the patient.
Another medication. Another six weeks. Another “give it time.”
There’s a better way to do this.
The old way
Prescribe. Wait six weeks. Hope.
Progress judged by memory.
Change course when things get bad.
Our way
Measure from day one.
Progress charted — you see it too.
Adjust the moment the numbers stall.
No 15-minute med checks. Ever.
Depression, anxiety, ADHD, bipolar, OCD, insomnia — all measured the same way.
How it works
A clear rhythm, from your very first visit
1
Evaluate
We listen, review what you tried, and define the real problem.
2
Measure
We track mood, sleep, focus, and function — the things you actually notice.
3
Treat
We choose the next step, explain why, and monitor it properly.
4
Adjust
We keep what works. We change what doesn't. Then we do it again.
PHQ-9 · GAD-7 · ASRS-5 · ISI · C-SSRS
We track numbers so we can treat you — not the other way around.
THE PATIENT APP INCLUDED WITH CARE
Your whole treatment,
in your pocket.
Every patient gets the secure app on day one. Not a portal you log into once a year- the place your care actually lives between visits.
Message the practice securely
HIPAA-secure messaging-no clinical details over regular text or email, ever.
See your own numbers
Your scores, charted over time. Watch the trend we're treating the same one we review together.
Book and reschedule
Appointments, reminders, and telehealth links in one place.
Goals with follow-through
The goals we set at your visit, tracked between visits with your check-ins attached.
Journal privately
Entries you can keep private or share before a visit, so the hour starts where the week actually was.
Sync your wearable
Apple Health, Fitbit, or Google Fit-sleep and activity land in your chart automatically.
Frequently asked questions
COVERED BY INSURANCE
Interventional treatment for depression — covered by insurance.
Most clinics can't say that. We can.
Most patients pay their standard specialist co-pay. We verify your benefits before your first visit — no surprises.
PLANS WE ACCEPT
More plans being added — ask us about yours.
60 seconds · plan name only
CRNA safety strip
"Isn't ketamine a party drug? Is it safe here?" — Fair question, and it deserves a real answer. I'm a nurse anesthetist. I've given ketamine and anesthesia in trauma bays, open-heart rooms, and pediatric surgery, where you have seconds to react and no margin for error. This isn't a drug I'm learning to use. It's one I use professionally, at the highest level of acuity, with full monitoring.
Meet Dr. Borrego
Trained where every second counts. Bringing that precision to mental health.
“For ten years I've kept people safe in the operating room, where everything is measured and nothing is left to chance. I built this practice to treat mental health with that same care.”
— Dr. Jay Borrego, DNP, PMHNP-BC, CRNA, MBA
Am I a fit?
Four questions. A clearer next step.
Takes 60 seconds. Nothing is stored.
Free guide
You don't have to solve everything tonight.
If you're in danger, call or text 988, or call 911. If it can wait until morning, pick a time this week — and let that be tonight's decision.
Not ready? Take the guide.
The Modern Mind is a plain-English guide to what modern treatment actually involves — the options, who they're for, and how they compare.
One email with the guide. Unsubscribe anytime.
Looking for help for someone you love? Start with How Care Works →