Virtual Psychiatrist — Online Psychiatry Serving All of New Hampshire
Dr. Matthew Narlesky is a board-certified psychiatrist providing thorough online psychiatric care to adults across New Hampshire — entirely through secure, HIPAA-compliant telehealth. Careful evaluations, individualized treatment plans, and ongoing care from a fellowship-trained physician.
A short form about what you're looking for — reviewed personally by Dr. Narlesky, who follows up to schedule if it's a good fit.
This site is not a crisis resource. Call or text 988 for crisis support. If you or someone else is in immediate danger or is having a medical emergency, call 911 or go to the nearest emergency room.
Board-Certified Psychiatrist (ABPN) · Fellowship-Trained at Dartmouth-Hitchcock · Licensed in New Hampshire · In-Network with Major Insurance Plans · Accepting New Patients
Online Psychiatric Care for Depression, Anxiety, Bipolar Disorder & Trauma
Depression & Mood Disorders
Depression often shows up as exhaustion, disconnection, and difficulty functioning — not just sadness. As a virtual psychiatrist, Dr. Narlesky conducts comprehensive evaluations to understand what's driving your symptoms and develops treatment that addresses root causes, not just surface-level complaints.
Anxiety, Panic & Social Anxiety
Whether you're dealing with generalized anxiety, panic attacks, or social anxiety, Dr. Narlesky's online psychiatric evaluations start with your specific symptom pattern and history — not a one-size-fits-all protocol.
Trauma & PTSD
The lasting effects of trauma can show up as hypervigilance, avoidance, intrusive memories, or difficulty feeling safe — sometimes without ever being connected to a specific experience. Dr. Narlesky's evaluations look at the full clinical picture, not just the most visible symptoms.
Bipolar Disorder
Bipolar disorder is one of the most frequently misdiagnosed conditions in psychiatry. Dr. Narlesky has extensive experience carefully evaluating bipolar spectrum presentations through telepsychiatry, including patients seeking a second opinion or who have not responded fully to prior treatment.
Obsessive-Compulsive Disorder (OCD)
OCD involves intrusive thoughts and repetitive behaviors or mental rituals that can be time-consuming and hard to control. Dr. Narlesky's evaluations focus on the pattern behind the symptoms, including how OCD can be mistaken for a primary anxiety disorder or occur alongside other conditions.
Telepsychiatry Expertise in New Hampshire
Dr. Narlesky is an online psychiatrist serving adults in NH, with fellowship training at Dartmouth-Hitchcock Medical Center that informs his approach to complex diagnoses, medication management, and treatment that has not worked as expected. As a board-certified psychiatrist, he emphasizes careful assessment and individualized decision-making. If your care has felt rushed or you have seen several clinicians without getting clear answers, this practice is built around taking a closer look.
About Dr. Narlesky
Dr. Matthew Narlesky is a board-certified psychiatrist and fellowship-trained subspecialist who provides virtual psychiatric care exclusively to adults across New Hampshire. He completed his psychiatry residency at Unity Health, where he served as chief resident, followed by an addiction psychiatry fellowship at Dartmouth-Hitchcock Medical Center — one of the region's leading academic medical centers.
His fellowship training deepened his expertise in neuroscience, brain chemistry, and the biological mechanisms behind mood, anxiety, and behavior. He has authored peer-reviewed research published in medical journals and brings that scientific rigor to every evaluation and treatment plan.
Dr. Narlesky takes the time to understand the full picture — medical history, prior treatment, life circumstances, and the context behind your symptoms — before recommending a course of action.
How Online Psychiatry Works
Step 1: Get Started
Complete a short online form about your history and what you're looking for. Dr. Narlesky reviews it personally and follows up with next steps.
Step 2: Your First Appointment
Your initial visit is a comprehensive psychiatric evaluation — typically 60 minutes, conducted via secure video from anywhere in New Hampshire. Dr. Narlesky will review your history, assess your symptoms, discuss prior treatment, and develop a clear, individualized plan.
Step 3: Ongoing Care
Follow-up visits include genuine clinical conversation alongside medication management when appropriate. The goal is meaningful progress — not an indefinite prescription renewal cycle. Most patients are seen monthly or as clinically indicated.
Insurance & Fees for Virtual Psychiatric Care in New Hampshire
In-network with:
Anthem Blue Cross Blue Shield (NH)
Aetna
Cigna
Carelon Behavioral Health
Point32 Healthcare
Providence Health Plan
Your out-of-pocket cost depends on your specific plan. An estimated session cost based on your insurance benefits will be provided before your first appointment. Private pay is also available for patients who prefer not to use insurance.
Good Faith Estimate. Patients who are uninsured or who choose not to use insurance have the right to receive a Good Faith Estimate of the expected cost of care before scheduling. A written estimate is provided as part of the intake process, before any appointment is scheduled.
Common Questions About Virtual Psychiatry in New Hampshire
What happens at a virtual psychiatric evaluation?
Your first appointment is a comprehensive psychiatric evaluation — typically 60 minutes via secure video. Dr. Narlesky reviews your full history, current symptoms, prior treatment, medications, and relevant medical background. You'll leave with a clear clinical picture, a working diagnosis, and an initial treatment plan. This is not a 15-minute medication check — it's a real assessment.
Does Dr. Narlesky prescribe medication through telehealth?
Yes, when clinically appropriate. Dr. Narlesky provides online psychiatric medication management based on what the evaluation reveals — not by default. When he does prescribe, he explains the reasoning: what the medication targets, what to expect, and what to watch for. Medication management is monitored closely through follow-up visits.
How is seeing a psychiatrist online different from in person?
Virtual visits are a highly effective and well-established option for evaluation, diagnosis, medication management, and follow-up. The conversation and clinical assessment follow the same process as an in-person visit, and treatment decisions are made the same way. Some situations — a physical exam, urgent stabilization, or a higher level of care — are better handled in person or through emergency services, and Dr. Narlesky will help point you toward the right resource if that's the case. Otherwise, the main difference is that you're in your own space instead of a clinical office, which many patients prefer.
What's the difference between a psychiatrist and a therapist?
Psychiatrists are physicians who complete medical school and years of specialty residency training. That training includes the full medical curriculum — physiology, pharmacology, neurology, and general medicine — before specializing in the diagnosis and treatment of the mind, and it includes substantial training in psychotherapy. Dr. Narlesky incorporates therapeutic techniques into visits, including those focused primarily on medication management — appointments include genuine clinical conversation, not just a prescription check. Some patients also see a therapist for ongoing psychotherapy, and Dr. Narlesky is happy to coordinate care if you're already working with one.
What's the difference between a psychiatrist and a nurse practitioner?
Psychiatrists are physicians who complete four years of undergraduate education, four years of medical school, and four years of psychiatry residency — with some, including Dr. Narlesky, completing an additional one- to two-year fellowship. Psychiatrists are licensed by their state medical board. Psychiatric nurse practitioners typically complete a nursing degree followed by a graduate program in psychiatric-mental health nursing and are licensed by their state's nursing board.
Who is this practice best suited for?
Adults 18 and older in New Hampshire managing depression, anxiety, bipolar disorder, trauma, obsessive-compulsive disorder (OCD), or related psychiatric conditions who want ongoing outpatient psychiatric care with a physician who takes the time to understand their full clinical picture. This practice is not the right fit for patients located outside New Hampshire, those in acute psychiatric crisis or needing inpatient or intensive outpatient support, those seeking forensic or disability evaluations, primary addiction treatment, or standalone psychotherapy, or patients currently prescribed a benzodiazepine or seeking benzodiazepine treatment.
Is care available from anywhere in New Hampshire?
Absolutely. Whether you're in Manchester, Nashua, Concord, Keene, Portsmouth, Hanover, or anywhere else in New Hampshire, you can see Dr. Narlesky from home with a stable internet connection. No commute, no waiting room.
Is patient information private and secure?
Yes. All appointments are conducted through a HIPAA-compliant telehealth platform. Patient health information is protected under HIPAA and is used for treatment, payment, and health care operations, and disclosed otherwise only as permitted or required by law — see the Notice of Privacy Practices for details.
Does Dr. Narlesky coordinate with a patient's therapist or primary care provider?
Yes, with the patient's permission. Psychiatric care often works best alongside therapy and primary medical care. Dr. Narlesky is happy to coordinate with a patient's existing providers to make sure treatment is aligned and nothing is being missed.
Ready to Get Started?
New patient appointments are available on a rolling basis.
Submitting the form doesn't commit you to anything. Dr. Narlesky reviews each submission personally and follows up to schedule if it's a good fit.
Matthew Narlesky, DO
Board-Certified Psychiatrist · Fellowship-Trained Subspecialist
Licensed in New Hampshire
Virtual appointments via HIPAA-compliant telehealth
(603) 722-0409 — for pharmacy and provider calls only. New patients, please use the Get Started form above. For general questions about the practice, use the contact page at nhpsychiatrist.com.
This site is not a crisis resource. Call or text 988 for crisis support. If you or someone else is in immediate danger or is having a medical emergency, call 911 or go to the nearest emergency room.
© 2026 Matthew Narlesky, DO. All rights reserved.
Website Disclaimer
This website does not host an intake form or collect protected health information. Intake form submissions are made through a separate, secure, HIPAA-compliant platform and are reviewed to determine whether this practice is an appropriate fit for care. Prescribing decisions, including those involving controlled substances, follow all applicable federal and New Hampshire state regulations. The content on this site is for informational purposes only and does not constitute medical advice. Visiting this site or submitting the intake form does not establish a physician-patient relationship. This practice provides psychiatric care only to adults 18 and older who are physically located in New Hampshire at the time of each appointment. It is not able to care for patients under 18, patients outside New Hampshire, patients in acute psychiatric crisis or needing inpatient or intensive outpatient support, or patients currently prescribed a benzodiazepine or seeking benzodiazepine treatment, and does not provide forensic or disability evaluations, primary addiction treatment, or standalone psychotherapy. For privacy questions, see the Notice of Privacy Practices linked below. Effective September 1, 2026.