Pharmacotherapy Specialist

Sandhya Prashad, M.D. -  - Psychiatry - Depression Specialist

Houston Deep TMS Therapy & Ketamine

Sandhya Prashad, M.D.

Psychiatry - Depression Specialist located in Bellaire, TX

Pharmacotherapy is often a vital part of your treatment because medications can restore the brain chemical imbalances associated with mental health disorders. Sandhya Prashad, MD, at Houston Deep TMS Therapy, is an expert in pharmacotherapy who works closely with each patient to develop customized treatments that produce optimal symptom improvement. Dr. Prashad offers medication management at the practice in Bellaire, Texas. To schedule an initial consultation, call the office or book an appointment online.

Pharmacotherapy Q & A

What is pharmacotherapy?

Dr. Prashad specializes in pharmacotherapy, or more simply, using medications to treat psychiatric conditions. However, there’s nothing simple about pharmacotherapy.

Pharmacotherapy is highly complex for these reasons:

  • There are numerous psychotropic medications
  • Every person metabolizes and responds to each medication differently
  • Out of all the different drugs in one class of medication, you may respond to one, several, or none of them

Since psychiatric conditions are associated with brain chemical imbalances that are optimally treated with medication, sorting through these variables is an essential skill that requires Dr. Prashad’s extensive training and experience. She uses scientific evidence and her experience to determine the medication or combination of medications that will help you.

What happens during my initial pharmacotherapy session?

When you come to Houston Deep TMS Therapy for medication management, your initial consultation is devoted to learning about your medical and psychiatric history, including prior and current medications.

If you’ve been on medications for some time, Dr. Prashad may order blood work to be sure you haven’t developed any side effects.

Dr. Prashad explores your family and social history and talks with you about why you need medication. She may perform or schedule psychiatric evaluations to determine your diagnosis, which is key for guiding pharmacotherapy decisions.

You’ll talk about treatment goals and what you’d like to achieve, then Dr. Prashad develops short-term and long-term treatment plans.

How is genetic testing associated with pharmacotherapy?

Genetic markers reveal how your body metabolizes medications, whether your genes affect a medication’s action and variations in your metabolism that impact dosing.

The information from genetic testing, which is done with a quick cheek swab, gives Dr. Prashad the ability to customize your treatment without trial and error.

What are the classes of psychotropic medications?

These are the general classes of psychotropic medications:


Within the class of antidepressants, there are three types: selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and atypical antidepressants. Currently, the combined groups include 11 different medications.

Antianxiety agents

This category includes benzodiazepines, such as lorazepam, clonazepam, and alprazolam, as well as other non-addictive anxiolytics, such as buspirone.


There are currently about seven atypical antipsychotics and four typical antipsychotics.

Mood stabilizers

Several antiseizure medications are used to treat mood disorders, but they’re not considered to be psychotropic medications. Lithium is the only psychotropic mood stabilizer.


Four stimulants are commonly used to treat ADHD; some are short-acting while others are long-acting.

Whether you’re currently taking medication or you need help with a psychiatric condition, medication management is available at Houston Deep TMS Therapy. To schedule an appointment, call or use online booking.