Depression
Low mood that has stopped lifting, sleep that will not hold, a flatness where interest used to be. We look at how long this has been going on, what changed around the time it started, and what has already been tried. If medication belongs in the plan we explain what it does, what it does not do, and how we will know if it is working. Sleep, routine, and daylight get treated as real interventions, not afterthoughts.
Anxiety
Constant worry, replaying conversations, expecting something bad to happen, or a body that stays braced even when life looks manageable from the outside. We look at the thought patterns, physical tension, sleep, and demands around you, then build a plan that does not require waiting until anxiety becomes a crisis.
How Medication Management Works Here
Medication is one tool among several, and it is only used when it is likely to help. When it is part of the plan, you get the honest version: what it does, what it costs you in side effects, how long it takes, and how we will know if it is working. If you have tried treatment before and it did not work, that history is useful, not disqualifying.
Care is available for adults and for teens ages 13 and older. For teens, see teen psychiatric care. You can explore the PHQ-9 and GAD-7 self reflection tools before a visit. A screener is not a diagnosis.
Cost and Insurance
We are in network with Cigna, Aetna, and Curative, billed through Headway. Medicare is not accepted at this time. Aura Integra is an enrolled MassHealth provider. Coverage depends on your plan; contact us to check yours. Self-pay fees: an initial psychiatric evaluation is $300, a 30 minute follow up is $150, and an extended follow up of 45 to 60 minutes is $200. A limited income based sliding scale is available on request before booking.
See Insurance and Fees for the full fee schedule, the sliding scale, superbills, and your right to a Good Faith Estimate.
Who Provides Care
Care is provided by Augustine Mensah, MSN, BSPH, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner. Prescribing follows written prescriptive guidelines with an experienced Massachusetts nurse practitioner, in accordance with Massachusetts requirements.
How to Book
Prefer not to use Zocdoc? Book directly: New patient visit (60 min) or Follow-up visit (30 min).
You can also call, or text through Spruce, at 508-978-6455 during open hours (Monday to Friday 8 AM to 11 PM, Saturday and Sunday 8 AM to 8 PM ET). For general administrative email, use info@auraintegra.com. Please do not include sensitive clinical details in ordinary email or text.
Urgent and Emergency Needs
This page is general information, not medical advice, and not crisis care.
- Call 911 or go to the nearest emergency department for immediate danger, overdose, severe medication reaction, inability to stay safe, or another medical emergency.
- Call or text 988 for the Suicide and Crisis Lifeline.
- Call the Massachusetts Behavioral Health Help Line at 833-773-2445 for 24/7 support and connection to services.
- See all crisis resources.