Service Offerings
Dr Ana Musarevski offers a comprehensive range of services focused on promoting holistic well-being and personalised care, including:
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Comprehensive Assessment and Treatment Planning
Dr Musarevski conducts a thorough psychiatric assessment to understand you holistically and tailor a personalised treatment plan with the aim of integrating the best of conventional and complementary medicine to restore balance and achieve optimal mental wellness.
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Medication Management
Integrative psychiatry doesn't entail dismissing medication use but involves approaching it thoughtfully and with care. Guidance can be provided toward an optimal medication strategy when medication may be needed to enhance well-being while minimising side effects. Additionally, holistic approaches may potentially lessen the need for medication or dosages by offering additional support for overall health.
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Herbal and Plant-Based Remedies
Exploring the potential benefits of nutritional supplements, nutraceuticals, herbal remedies, and plant-based medicines, regimens can be tailored to support individuals' well-being while being mindful to minimise the potential for interactions between medication and supplements.
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Functional Nutrient Testing
A limitation of conventional pathology testing is that having nutrient levels within the "normal" range doesn't necessarily indicate that all functional nutrient needs are being met. Reviewing nutrient levels more closely allows for a more comprehensive assessment to optimise treatment plans.
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Genetic Testing
Genetic testing can assess how an individual's genes may influence aspects of health such as neurotransmitter production, medication metabolism, vitamin metabolism, methylation, and detoxification, providing insights to further optimise your treatment plan.
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Advanced Hormonal Evaluation
The Dried Urine Test for Comprehensive Hormones (DUTCH) provides a detailed overview of hormonal health and an evaluation of hormone imbalances, and the Adrenocortex Stress Profile (a non-invasive saliva test) offers insights into adrenal function and stress responses, supporting the assessment and treatment of conditions such as chronic fatigue.
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Advanced Microbiome Mapping
Comprehensive gut microbiome testing offers an analysis of gut health, evaluating digestion, inflammation, dysbiosis, and infection. Advanced testing also includes sensitivity testing through culture, providing insights into how microbial strains respond to treatment, allowing for more personalised and optimised treatment options.
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Integrated Talk Therapy
Psychological methods such as Cognitive Behavioural Therapy (CBT) involving Acceptance and Commitment Therapy (ACT), alongside Eastern Philosophy-Based Psychology, can be incorporated to support individuals in deepening self-awareness and breaking free from unhelpful patterns through meaningful conversations.
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Mind-Body Practices
Guidance in meditation and mindfulness practices can be provided, empowering individuals to cultivate inner peace, enhance emotional resilience, and develop a mindful, open presence in their daily lives.
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Holistic Lifestyle Guidance
Recognising the importance of factors like sleep, nutrition, and exercise, assistance can be given in making gradual lifestyle changes that can lead to significant improvements in overall well-being.
Consultation Fees
The main appointment types currently offered by Dr Musarevski are listed below, including both initial and follow-up appointments.
Initial Integrative Psychiatric Appointment (2 hours)
A comprehensive two-hour initial consultation including:
- Pre-appointment review of your Health History Form and documents (if received at least 3 business days prior)
- Discussion of preliminary clinical observations and initial treatment recommendations
- Follow-up suggestions for questionnaires, pathology and/or functional testing if relevant
Fee: $1,800.00
Medicare Rebate*: $255.90
Out-of-Pocket Cost**: $1,544.10 (May be reduced if you’ve already reached the Medicare Safety Net threshold this calendar year)
Follow-Up Appointment (50 minutes)
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A 50-minute follow-up consultation to:
- Assess your progress
- Make any necessary treatment adjustments
- Address any new symptoms, test results, or concerns
- Updated recommendations for medication, supplements, or referrals for additional testing or therapeutic support, if needed
Fee: $875.00
Medicare Rebate*: $180.55
Out-of-Pocket Cost**: $694.45 (May be reduced if you’ve reached the Medicare Safety Net)
*Rebates current as of 01/07/2024.
**Out-of-pocket costs may be lower if certain Medicare Safety Net thresholds have been reached. See the 'Medicare Safety Net' section below for details.
Fees and charges are subject to change, and patients will be advised of any changes in advance.
Please note that a follow-up appointment is typically required to complete the diagnostic assessment process and finalise your initial treatment plan, provided any recommended items after the first appointment have been received in time for the second consultation (this includes ADHD assessments). If further clarity is needed, an additional follow-up may be arranged to allow more time for assessment and planning.
In addition, part of your consultation time may be allocated to essential clinical tasks, such as preparing prescriptions, pathology forms, and composing letters or reports to other healthcare professionals involved in your care (e.g. your GP, psychologist, or medical specialists).
Medicare Safety Net
The Extended Medicare Safety Net (EMSN) is intended to help lower your out-of-pocket medical costs for out-of-hospital services, such as doctor visits or regular tests. Medicare automatically calculates your out-of-pocket costs (for all specialist, psychologist, and GP visits) each calendar year.
Once you spend over a certain threshold amount, you will receive the usual Medicare rebate plus 80% of the remaining gap fee (up to the EMSN benefit cap) for the rest of the calendar year. For consultation items, the EMSN benefit cap is currently set at 300% of the MBS Fee with a maximum cap of $500.
In 2024, the threshold is $2544.30 for everyone in Medicare and $811.80 for concession cardholders and families eligible for Family Tax Benefit Part A. The thresholds for both safety nets are indexed on 1 January each year.
Please refer to the Services Australia website to learn about Medicare Safety Nets.
Pathology Fees
Investigations not covered by Medicare, such as specialised functional testing including advanced hormonal evaluation, gut microbiome testing, and genetic testing, may be considered based on your symptoms and goals. Should you choose to proceed with these tests, they will incur an additional private out-of-pocket fee for the pathology test plus postage.
Deposit Payment
To secure an appointment, the full consultation fee is required as a deposit for both Initial and Follow-Up Appointments.
An email with the payment link will be sent 5 business days before the appointment. To secure the spot, please complete the deposit payment by 5:00 pm the following business day (4 business days before the appointment). If the payment is not received by this time, the appointment will be released.
The deposit is fully refundable if the appointment is cancelled or rescheduled with at least 2 full business days' notice. If the appointment is cancelled or rescheduled with more than 1 full business day but less than 2 full business days' notice, half of the consultation fee deposit will be refunded.
Business days above are defined as 9:00 am to 5:00 pm Sydney Time and do not include weekends or public holidays. Please note that credit card surcharges are non-refundable.
Cancellation Policy
Appointment times are reserved exclusively for each patient, and late cancellations can prevent us from offering that time to others. To ensure fairness and maintain efficiency in the clinic, please take note of our Cancellation Policy:
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Cancellations with Less Than 1 Full Business Day’s Notice (including missed appointments, late arrivals as outlined in the Late Arrival Policy, or when time zone differences have been overlooked):
- Results in the full consultation fee deposit being forfeited.
- Note: Cancelling on a Friday for an appointment scheduled on the following Monday is considered less than one full business day’s notice.
- Results in the full consultation fee deposit being forfeited.
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Cancellations with More Than 1 but Less Than 2 Full Business Days’ Notice:
- Results in half of the consultation fee deposit being forfeited.
Business days are defined as Monday to Friday, 9:00 am to 5:00 pm Sydney time, excluding weekends and public holidays.
Please also note that a Medicare rebate will not be available in these cases, and any credit card surcharges are non-refundable.
Late Arrival Policy
At Nourishing Minds Psychiatry, we are committed to providing high-quality care to all our patients. To ensure we have adequate time to address your needs and run on time for all appointments, we kindly ask you to take note of our late arrival policy.
If you arrive within the grace period (outlined below), your appointment can still proceed; however, it will need to finish at the originally scheduled time to avoid delays for others. Arriving at or after the end of the grace period will be considered a missed appointment, and the full deposit will be forfeited in line with our Cancellation Policy.
Appointment Grace Periods:
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50-Minute Appointments: 20-minute grace period
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2-Hour Appointments: 30-minute grace period