
office address:
5609 Patterson Avenue
Suite C ( 2nd Floor )
Richmond, Virginia, 23226
call: 804-223-3165
text: 804-223-3165 ( preferred )
office: 804-512-6012
fax: 804-223-3165
email:
frontdesk@monarchmentalwellness.com
billing@monarchmentalwellness.com
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About Us
At Monarch Mental Health and Wellness, we believe every person holds the potential for profound transformation. Like the caterpillar that becomes the butterfly, each of us carries the capacity to grow, heal, and rise into who we were truly meant to be. Located in Richmond, Virginia, Monarch offers a safe and supportive space where individuals can navigate life’s challenges, rediscover their identity, and reclaim their strength. We meet you where you are, whether you're feeling stuck, uncertain, or just beginning your mental health journey; and walk beside you as you evolve. Our work is grounded in compassion, guided by purpose, and driven by the belief that stable is good, but great is better. Our name reflects both the beauty of transformation and the power of sovereignty. The golden crown in our logo is more than a symbol, it represents your inherent worth and the strength you already carry. We’re here to help you rise into it.
Our Mission
Our mission is to empower individuals to grow through life’s transitions, to heal from within, and to develop a deeper love for themselves and others. We provide therapeutic care rooted in humility, grace, courage, and authenticity, supporting clients as they endure the metamorphosis that leads to lasting wellness. At Monarch, we don’t offer quick fixes. We offer space to learn, unlearn, break open, and rebuild, with patience and purpose. Together, we work to unlock the strength and identity that already lives inside you.
Our Vision
We envision a world where mental health care is not only accessible, but deeply personal, where every individual feels seen, heard, and empowered to transform their life. We strive to help our community move beyond survival and into purpose-driven living. Our vision is one of growth, healing, self-love, and strength. We aim to foster a culture where people aren’t afraid to evolve, where they recognize their own value, wear their golden crown proudly, and take flight into the life they were always meant to live.
Our Medication Management Philosophy
At Monarch Mental Health and Wellness, medication management is more than prescribing...it’s a trusted partnership grounded in empathy, collaboration, and personalized care. We prioritize building a strong therapeutic relationship with each client and co-create treatment plans that reflect your unique personal goals and values.
Our approach begins by performing a comprehensive evaluation and assessment, considering your medical and psychiatric history, lifestyle factors, and when appropriate, pharmacogenetic testing. This foundation guides medication selection in a way that aligns with your unique needs and preferences. This foundation empowers us to craft an accurate diagnosis and personalized treatment plan, focused on the right medication at the lowest effective dose.
We understand that navigating and managing side effects can feel overwhelming. That’s why we provide clear, proactive education: setting realistic timelines for symptom improvement, explaining what side effects are typical and how to handle them, and sharing strategies to reduce discomfort or delay. Symptom tracking is a key pillar of our process and care. We encourage daily symptom tracking, of both positive responses and side effects, to fuel open, supportive conversations and empowers transparent follow-up. By using structured outcome measures, we monitor positive changes and pinpoint residual symptoms that may require adjustment. Setting clear, measurable goals and collaborating on your treatment plan is fundamental.
Our medication strategy integrates holistic psychiatry, combining evidence-based medications with lifestyle interventions, therapy, and optional genetic testing. Such integrative care supports you as a whole person, increases treatment precision, and offers a more satisfying experience overall. Shared decision‑making is core to our philosophy, ensuring your values and experiences shape every step. We work with you to set clear, personalized goals and make collaborative decisions, prioritizing approaches that respect your values and reduce trial-and-error frustration.
Why Our Approach Matters
At Monarch Mental Health, medication management means compassionate partnership, rooted in ongoing monitoring, evidence-informed adjustments, personalized, holistic care, transparent communication, and affordability. You’re not simply prescribed medication, you’re supported, empowered, and guided toward lasting relief, resilience, and lasting well-being.
Our holistic medication‑management framework leads to improved outcomes, fewer side effects, and greater client ownership of treatment. Shared decision-making, transparent education, and regular monitoring foster stronger adherence and deeper trust, while multidisciplinary collaboration guards against unsafe prescribing and improves coordination. At Monarch Mental Health, you’re not just prescribed medication, you’re guided, supported, and empowered. Together, we’ll navigate your journey toward relief, resilience, and well-being. Embedded in our practice is a multi-disciplinary, team-based approach that includes psychiatrists, therapists, pharmacists, and primary‐care providers. This ensures safe coordination and respects the person-first context of care.
Therapeutic Services
At Monarch Mental Health and Wellness, we firmly believe that prescribing medication without accompanying therapeutic services is incomplete; much like treating a broken bone with only pain medication and skipping the cast. Our psychiatric nurse practitioners are not therapists by training; however, they regularly incorporate therapeutic strategies such as cognitive behavioral therapy (CBT) and motivational interviewing into medication management sessions. Simultaneously, we strongly encourage clients to establish a consistent working relationship with a therapist as part of our integrative, holistic care model.
Some providers limit follow-up visits to 10–15 minutes, which is often insufficient for meaningful therapeutic work. We instead offer 30 to 40-minute follow-up sessions, allowing us to combine medication review, education, goal setting, and brief therapeutic interventions. Because of this extended format, we bill for both medication management and therapeutic services in 30–45 minute time blocks, ensuring that sufficient time is devoted to your overall care. By integrating therapeutic modalities into longer follow-up visits and billing accordingly, we ensure your treatment is not rushed, but thoughtfully guided. At Monarch Mental Health and Wellness, your care is truly coordinated, comprehensive, and centered on your long-term recovery and resilience.

THE MONARCH MENTAL HEALTH & WELLNESS BUTTERFLY
Growth: Many of us are like the caterpillar, scooting our way through life and knowing there is more but not quite knowing what that is. I want to help you on your path to becoming the butterfly you were born to be. I will meet you where you are and we can grow together. Stable is good, but great is better.
Heal: I struggled with putting this concept first or last. Obviously, healing is the last step, but it is human to want it to come first in the process of change. With patience, humility, grace and courage I ask that you take the leap and learn to fly.
Love: I think this part of the wing is about self-love. I don’t mean mani’s and pedi’s necessarily, but knowing yourself-your purpose, your values, what you stand for and what you don’t. Who are YOU? It’s amazing how many of us don’t know who we are no matter what our biological age. I have seen clients discover their identity and learn to love who they truly are. That opens our hearts to love those around us.
Strength: You are stronger than you realize. Look what you have been through and look where you are! You are here. You are ready to work, grow, and to endure the metamorphosis that is necessary to HEAL.
The Golden Crown: Monarch...a sovereign head of state, especially a king, queen, or emperor. Gold is a precious metal to my family for different reasons; this part of the logo is mine. 😊
Ashley Rhoades, PMHNP - Founder, Monarch Mental Health and Wellness



