For therapists and counselors
A prescriber you can recommend without handing your patient to a platform.
Every patient who comes through this page is seen by one named clinician: Karel Winner, DNP, PMHNP-BC. There is no marketplace behind this site, no rotating panel, and no assignment to whoever is available. Dr. Winner brings two decades in medicine and degrees in several medical fields to medication management, with a full hour for the first evaluation and a full half hour for every follow-up. This site exists so that a therapist can check that record, and a patient can reach it, without anything in between.
PsychMed Partner is a Solutions Psychiatry site written for therapists. It introduces the prescriber and explains how patients reach him. It is not a referral program, and there is nothing to join or sign. Patient-facing medication care lives at PsychMed Care, and practice details, locations, and insurance live at Solutions Psychiatry.
The record, at a glance
Two decades in medicine
A career that began in podiatric medicine and diagnostic imaging, continued through acute inpatient psychiatry, and arrived at advanced psychiatric prescribing.
Six degrees
An honours degree from the University of London, nursing degrees from Alverno College, two Vanderbilt degrees including the clinical doctorate, and a psychiatric nursing master's degree from the University of Tennessee.
Seven years in a Level I trauma center
Registered sonographer and vascular technologist at California's largest county hospital, where he also taught sonography.
One prescriber, no panel
The clinician named on this page is the clinician the patient sees, at the first visit and at every visit after it.
The prescriber
Training that spans medicine, not only psychiatry
Degrees in several medical fields
Dr. Winner's education began in podiatric medicine in England, where he earned an honours degree from the University of London. He went on to train in diagnostic medical sonography, to earn nursing degrees at Alverno College, to complete a Master of Science in Psychiatry and Mental Health Nursing Practice at the University of Tennessee, and to earn a clinical doctorate at Vanderbilt University.
Twenty years in medicine
Before this practice, he spent seven years at California's largest county hospital, a Level I trauma center, working as a registered sonographer and vascular technologist and teaching the sonographers who followed him. He later worked in acute inpatient psychiatry before moving into advanced nursing practice. That range shapes his prescribing to this day: laboratory results, sleep, and physical health are part of the psychiatric picture, not side notes to it.
Doctoral training and board certification
His clinical doctorate, the DNP, is from Vanderbilt University, which also awarded his Master of Science in Nursing Education. His psychiatric training at the University of Tennessee underlies his board certification as a PMHNP-BC. He is the founder of Solutions Psychiatry, and his National Provider Identifier, 1477238004, is published here so that any therapist or patient can verify his credentials before booking.
Unhurried, careful prescribing
The intake evaluation lasts a full 60 minutes, and follow-up visits last 30 minutes. Medications are changed one at a time, at doses chosen for a stated reason, supported where the picture calls for it by targeted laboratory work through LabCorp and by GeneSight pharmacogenomic testing. A medication that is not working is reviewed on its merits, not supplemented by default.
For the protective therapist
The questions behind the recommendation, answered directly
Who will actually see my patient?
Dr. Winner himself. This is an independent practice, not a platform, and there is no panel to be assigned from. The prescriber a patient meets at the intake is the prescriber they keep.
Will medication be rushed?
No. The first visit is a full-hour evaluation, and nothing is changed without a reason the patient can state. Changes come one at a time, and a regimen that is working is reviewed on its merits rather than disturbed by default.
Is this an attempt to take the therapy?
No. This service is medication management only, and it does not include psychotherapy. Patients keep their own therapist for therapy. The only thing on offer here is the medication side of their care, done properly.
Will cost or distance undo it?
Fees are published on this site, insurance is verified before the first visit, and care is by telehealth in 34 states + DC. A recommendation should not collapse at the booking screen, and this one is built so that it does not.
Prescribing philosophy
How medication decisions are made
A medication decision here starts with the whole picture: the full medication history, what has helped and what has failed, and the physical factors that imitate or aggravate psychiatric symptoms. Where the picture calls for it, that includes targeted laboratory work through LabCorp, covering thyroid function, B12, folate, vitamin D, iron, and metabolic and inflammatory markers, and GeneSight pharmacogenomic testing when a patient's history suggests that standard choices may not behave standardly.
Treatment then moves one change at a time, at a dose chosen for a stated reason, against a target the patient can name. A medication earns its place by working. One that is not working receives a structured review and, where it is not earning its place, a careful reduction or a stop. That discipline, starting carefully and stopping honestly, is what two decades across medicine teaches, and it is the standard a therapist should expect before putting a prescriber in front of a patient.
Verification
Check the record yourself
Do not take this page's word for any of it. His National Provider Identifier is 1477238004, published for lookup in the NPI Registry. His full clinical biography is at psych.us, the care patients receive is described in their own terms at PsychMed Care, and the practice itself, its locations, and its insurance participation are set out at Solutions Psychiatry. A prescriber who expects to be checked is a safer recommendation than one who asks to be trusted.
Value and access
Known costs, wide reach
The service on offer is medication management only, and its costs are stated before anyone books. Self-pay fees are $350 for the 60-minute intake evaluation and $250 for each 30-minute follow-up visit. Most insured patients pay a copay instead, typically $0 to $40 per visit, and the practice verifies the exact amount before the first visit. Therapy remains with the patient's own therapist throughout.
The patients who use this service are usually starting medication for the first time, dissatisfied with a regimen that has stalled, or looking for a new prescriber after a move or a retirement. A patient who would rather receive therapy and medication from a single clinician can find combined care at the full practice at psych.us.
Meet the prescriber or read the FAQ for the details behind this page.