Adult Psychiatry · Cranford, NJ

Adult Psychiatry & Medication Management in Cranford, NJ

If you've been managing anxiety, depression, mood swings, or the weight of something you've never fully talked about, you've probably already tried to push through it. Most people do — for years.

Bethel Behavioral Healthcare Services provides psychiatric evaluation, diagnosis, and ongoing medication management for adults in Cranford and across Union County — in person at our office or by secure telehealth. Your care is led by Augustina Ike, MSN, APN, PMHNP-BC, a board-certified Psychiatric Mental Health Nurse Practitioner with more than 17 years of clinical experience, licensed in New Jersey and New York.

See Augustina in person at the Cranford office, or from wherever you feel most comfortable by secure video — a private appointment that fits around your day, whether you're in Cranford, Union, Elizabeth, Springfield, or Roselle.

Adult psychiatry and medication management appointment in Cranford, New Jersey
Who it's for

Who adult psychiatry is for

Psychiatric care is not only for crisis. It's for anyone whose mental health is affecting how they live, work, sleep, or relate to the people around them.

  • Your primary care doctor started you on an antidepressant and no one has followed up since
  • You've been in therapy and feel you may also need medication support
  • Symptoms are interfering with work performance, sleep, or your relationships
  • You've never been formally evaluated and want to understand what's actually going on
  • You're managing a diagnosis you received years ago and your treatment hasn't been reviewed
  • You're transitioning off a medication, or want to explore whether you still need one
If you are in immediate danger or experiencing a psychiatric emergency, call or text 988 (Suicide & Crisis Lifeline) or 911. This practice is not a substitute for emergency services.
Conditions we treat

Conditions we treat

Augustina works with adults across a broad range of psychiatric and behavioral health concerns, including:

  • Anxiety disorders — generalized anxiety, panic attacks, social anxiety, health anxiety
  • Depression — major depressive disorder, persistent depressive disorder, seasonal patterns
  • Bipolar disorder — bipolar I, bipolar II, and mood cycling
  • Trauma and PTSD — including complex trauma and delayed-onset symptoms
  • ADHD — evaluation and ongoing management for adults, including those diagnosed later in life
  • OCD and related obsessive-compulsive conditions
  • Insomnia and sleep disruption connected to psychiatric symptoms
  • Grief and adjustment difficulties — loss, divorce, job change, relocation, caregiver strain
  • Postpartum depression and anxiety
  • Substance use and dual diagnosis — when mental health and substance use occur together
  • Psychotic-spectrum conditions, including schizophrenia and schizoaffective disorder
Augustina Ike, PMHNP-BC, providing adult psychiatric care in Cranford, New Jersey

Care is faith-inclusive and culturally sensitive. You are never required to share any particular belief to be treated with respect here.

Your first appointment

What happens at your first appointment

Knowing what to expect removes most of the anxiety about booking. Here's the actual sequence.

1

Free consultation

A short, no-pressure call to hear what's going on and confirm that in-person or online psychiatric care is the right fit. Nothing is diagnosed or prescribed on this call. It exists so you can decide whether to move forward.

15 minutes · Free
2

Comprehensive evaluation

A structured clinical assessment — in person in Cranford or by video. Augustina reviews your current symptoms and how long they've been present, your medical and psychiatric history, medications you've taken before and how you responded, family history, sleep, substance use, and what you want your life to look like six months from now.

Up to 60 minutes
3

Diagnosis & treatment plan

You'll leave with a clear explanation of what's going on in plain language, and a plan built with you rather than handed to you. That may involve medication, therapy, lifestyle and sleep work, referrals, or a combination.

Same appointment
4

Follow-up & adjustment

Psychiatric treatment is iterative. Early follow-ups are closer together so response and side effects can be monitored, then spaced out as you stabilise. Nothing about your plan is permanent — it's reviewed as you change.

Ongoing
Medication management

Medication management, done properly

Prescribing is the easy part. Managing is what determines whether treatment actually works.

As a board-certified Psychiatric Mental Health Nurse Practitioner, Augustina is qualified to evaluate, diagnose, prescribe, and manage psychiatric medication in New Jersey. What that looks like in practice:

  • StartingAn honest conversation about what a medication does, how long it takes to work, realistic benefits, and the side effects you should actually expect.
  • MonitoringRegular check-ins during the first weeks, when response and tolerability are still being established.
  • AdjustingDose changes, timing changes, or switching medications if the first option isn't right for you.
  • ReviewingPeriodically asking whether you still need what you're taking, rather than refilling indefinitely by default.
  • TaperingSupervised, gradual discontinuation when it's time to come off something.

Some medications carry additional requirements before they can be prescribed. Because Bethel also sees patients in person at the Cranford office, those requirements are straightforward to meet — anything relevant to your care is explained plainly.

You will not be rushed through a five-minute refill appointment.
Coordinated care

Therapy and psychiatry together

Medication and therapy address different parts of the same problem, and for many adults the combination works better than either alone.

Bethel offers individual and family therapy — so your psychiatric care and your therapy can be coordinated rather than fragmented across two disconnected practices.

CBT DBT-informed Motivational interviewing Trauma-focused

Already working with a therapist you like? That's fine. Augustina will coordinate with them with your consent.

Adult in a coordinated therapy and psychiatry appointment in Cranford, New Jersey
Your provider

Care led by one clinician who knows your history

Augustina Ike, MSN, APN, PMHNP-BC

Board-Certified Psychiatric Mental Health Nurse Practitioner
  • 17+ years of clinical experience across crisis management, adult psychiatry, and addiction care
  • Master of Science in Nursing, Walden University
  • Licensed in New Jersey and New York
  • NJ License 26NJ01306400 · NPI 1235875162
  • Certified in substance use disorder management
  • Faith-inclusive and culturally sensitive care
★★★★★ 4.7 out of 5 across 105 verified patient reviews on Zocdoc

Augustina founded Bethel after years of watching capable people go without care because of cost, distance, stigma, or the assumption that no one would understand their background. Her practice is built to remove those barriers.

Read more about Augustina

Insurance & cost

In-network with most major insurers

Aetna Horizon Blue Cross Blue Shield Cigna & Evernorth UnitedHealthcare Optum Medicare AmeriHealth TRICARE Wellpoint / Amerigroup + 150 more plans

Not using insurance, or don't see your plan?

Self-pay is straightforward, sliding-scale options are available, and superbills are provided for out-of-network patients to submit for reimbursement. Payment by card, check, or ACH transfer.

Cost should not be the reason you go untreated. If affordability is a concern, raise it on your free consultation call.

Where we see patients

In person in Cranford — telehealth across New Jersey

Bethel provides in-person psychiatric care at the Cranford office, plus secure telehealth for adults throughout Union County and New Jersey.

CranfordUnionElizabeth SpringfieldRoselleKenilworth LindenRahwayWestfield SummitPlainfieldNewark

In-person visits are at 20 Commerce Dr, Suite 135, Cranford, NJ 07016. Telehealth runs on a secure, confidential video platform. Availability Monday through Friday, 9am–6pm, by appointment.

Common questions

Frequently asked questions

Do you offer in-person and online appointments?
Yes. See Augustina in person at the Cranford office — 20 Commerce Dr, Suite 135 — or by secure telehealth across New Jersey. Both offer the same evaluation, diagnosis, and ongoing medication management; you choose what works better for you.
Is online psychiatry as effective as in-person care?
For most adult psychiatric conditions, research has found telepsychiatry to produce outcomes comparable to in-person treatment for evaluation, diagnosis, and ongoing medication management. It also removes the barriers — travel, time off work, childcare — that cause many people to skip appointments in the first place. If in-person suits you better, that's always available in Cranford.
Can you prescribe and manage medication?
Yes. Augustina evaluates, prescribes, and manages psychiatric medication for patients in New Jersey, in person or by video. Prescriptions are sent electronically to the pharmacy you choose. Some medications carry additional requirements — because we also see patients in person in Cranford, those are straightforward to meet, and anything relevant is explained during your evaluation.
Do I need a referral from my doctor?
No referral is required to book with Bethel. Some insurance plans do require one for coverage, so it's worth a quick call to your insurer beforehand.
How long until I feel better?
It depends on the condition and the treatment. Some people notice sleep or anxiety improvements within one to two weeks. Most antidepressants take four to six weeks to show full effect. Your follow-up schedule is built around monitoring this properly.
What do I need for a telehealth appointment?
For an in-person visit, simply come to the Cranford office. For telehealth, a private space and a phone, tablet, or computer with a camera and stable internet; a secure link is sent before your appointment, with no special software or account required.
Do you see patients across New Jersey?
Yes. Beyond in-person visits at the Cranford office, Augustina offers secure telehealth to adults throughout New Jersey; you'll need to be physically located in New Jersey at the time of a telehealth appointment. She also holds a New York license.
Is my information private?
Yes. In-person visits are held in a private office and telehealth sessions take place on a secure, confidential platform; your health information is protected under HIPAA.
Get started

Ready when you are

Start with a free 15-minute consultation. No cost, no obligation, no judgment — just a conversation about what you're dealing with and whether we can help.

In a mental health emergency, call or text 988 (Suicide & Crisis Lifeline) or dial 911. This practice is not a substitute for emergency services.

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