Frequently asked questions.

What conditions do you treat?

At Vitality in Aging Psychiatry, PLLC, I specialize in evaluating and treating depressive disorders and cognitive impairment in older adults and physicians. Because depression and cognitive impairment often co-occur with anxiety and sleep disturbances, I also treat these related conditions. Please note, I do not specialize in Attention-Deficit/Hyperactivity Disorder (ADHD) and do not prescribe Ketamine.

Common conditions treated:

  • Depression and mood disorders

  • Anxiety disorders

  • Cognitive impairment, dementia, and Alzheimer’s disease

  • Sleep disturbances

  • Adjustment disorders

  • Burnout and stress in healthcare professionals

What insurances do you accept?

I accept Excellus BlueCross BlueShield, MVP, United Healthcare, and traditional Medicare (not Medicare Advantage plans, except those administered by Excellus BlueCross BlueShield, MVP, and United Healthcare).

What happens if you do not accept my insurance?

If your insurance is out-of-network, I can submit claims directly to your insurance and charge your credit card for any required copayments or deductibles. Alternatively, you may pay by credit card and receive an invoice (superbill) to submit to your insurance company for potential partial reimbursement.

How do I schedule an appointment?

To schedule your initial consultation, please visit the Contact Page. We will briefly review your current state, medical and psychiatric history, insurance status, and clinic services. If my practice is not the best fit for your needs, I am happy to provide referrals to other providers.

What makes a good fit for your clinic?

Due to the size, hours, and resources of my practice, patients with severe and persistent mental illness, co-occurring addiction or substance use disorders, or frequent emergency or after-hours needs may be better supported at a hospital-based, university, or community clinic.

Can I see you for medication management if I already have a therapist?

Absolutely. I regularly collaborate with other mental health providers and will work closely with your therapist to ensure comprehensive care. I strongly value psychotherapy and may recommend it as part of your treatment plan, whether with me or another trusted provider.

How can I reach you if you do not have a receptionist?

Vitality in Aging Psychiatry, PLLC is a solo practice. If you have questions or concerns, please call and leave a confidential voicemail if I do not answer. All messages are transcribed and securely transmitted to me. For non-urgent requests, I respond within 1-2 business days. Established patients may also contact me through the secure patient portal.

Clinic Contact Information:

Patient Portal:
Current patients can securely message Dr. Simning or manage appointments via the patient portal.

Do you collaborate with other healthcare providers?

Yes! I participate in the Regional Health Information Organization (RHIO), a secure electronic health information exchange serving upstate NY. When indicated, I coordinate care with primary care and specialist providers to ensure safe, comprehensive, and person-centered care. This collaboration helps optimize treatment and prevent unnecessary tests. Consent is required to access your medical records and coordinate care.

Do I have to take medications to see you?

No. We will work together to determine the best treatment plan for your needs. Psychotherapy is often effective and may be recommended as an alternative or complement to medications.

Do you prescribe controlled substances like benzodiazepines?

With rare exceptions, I limit the long-term use of benzodiazepines (such as Ativan and Klonopin), preferring to use them only for short-term treatment when appropriate.

How do you handle communication and paperwork between appointments?

I use a secure patient portal for communication between appointments. If you have paperwork or forms requiring completion, please schedule an appointment in advance of any due date so we can review and discuss them together.

Can I maintain care if I travel to Florida for several months?

Yes. I am registered as an out-of-state telehealth provider for Florida. We can maintain continuity of care with telepsychiatry appointments while you are away. Learn more about Florida telehealth registration.

What is your cancellation policy?

Please provide at least 48 hours’ notice if you need to cancel or reschedule your appointment. If less than 48 hours’ notice is given, a $100 fee will be charged unless the slot is filled last-minute.

Can I bring a family member, friend, or caregiver to my appointment?

Yes! Involving family, friends, or caregivers can be very helpful, especially at initial appointments. I encourage their participation to strengthen your treatment plan. Please note, part of our session will be one-on-one.

Office Location:
Vitality in Aging Psychiatry, PLLC
141 Sully's Trail, Suite 5A
Pittsford, NY 14534-4563

Clinic Contact Information:

Patient Portal:
Access the secure patient portal here.

Have more questions or ready to schedule?
Reach out via our Contact Page, call 585-201-8899, fax 866-836-0137, or email adam.simning@vitalityinagingpsychiatry.com.