Adolescents · Adults · Older adults — Iowa & Montana
Real StrengthStarts Within.
Compassionate psychiatric care with grit, heart, and hope. Direct-pay telepsychiatry with Bailey Willows — no insurance maze, no fifteen-minute med checks, no waiting three months to be heard.
Free 15 minute consultation
Not sure where to start?
A short phone call to get acquainted — what you're looking for, how Bailey works, and whether this is the right fit. No charge, no commitment, no chart opened.
- Takes about a minute to book — name, phone, and a time.
- Consultation times are available Saturdays and Sundays from 9:00 a.m. to 3:00 p.m., and Thursday and Friday evenings from 6:00 to 7:30 p.m. Central Time.
- Verified by text, so you know the slot is really held.
- Bailey Willows, MPAS, PA-C calls you at the time you picked.
Personalized care
Your story matters. Treatment is built around it, not around a protocol.
Evidence-based
Rooted in science. Guided by experience, and honest about what we don't know.
Growth mindset
We work toward balance, resilience, and steady forward motion — not perfection.
Safe & respectful
Come as you are. A judgment-free space where you belong from the first visit.
Hi, I'm your partnerin this journey.
At True Grit Psychiatry, we believe healing is a partnership. You are the expert on your own life—we're here to provide the guidance, knowledge, and support to help you move forward. Life can test even the strongest among us, and everyone needs a helping hand from time to time. Together, we'll build resilience, uncover your strengths, and develop the perseverance to face life's challenges with confidence. Because while we can't walk the path for you, we'll be beside you every step of the way.
More about meHow I can help
Medication management
Comprehensive evaluation and thoughtful, individualized prescribing.
Therapy & support
Practical tools and coordinated therapy referrals when that is the right call.
Mental wellness
Focus on balance, resilience, sleep, and long-term well-being.
Telepsychiatry
Flexible, secure care from the comfort of your own home.
How we can help
Care that fitswhat you're carrying.
Psychiatric evaluation and medication management for adolescents, adults, and older adults. Therapy referrals are coordinated when that is the right call.
Anxiety
Generalized anxiety, panic, social anxiety, and the low-grade dread that never quite lets up.
Depression
Major depression, persistent low mood, and the flat, worn-down stretches that follow a hard season.
ADHD
Careful evaluation and ongoing management across the lifespan — including people diagnosed late, or never at all.
PTSD & trauma
Trauma-informed care that moves at your pace and never asks you to relive more than you choose to.
Bipolar disorder
Mood stabilization and long-term management for bipolar I and II, with an eye on what is sustainable.
OCD
Medication management for obsessive-compulsive disorder, coordinated with exposure-based therapy.
Sleep
Insomnia and disrupted sleep addressed directly rather than treated as an afterthought.
Burnout & life transitions
Grief, caregiving, career upheaval, and the stretches where you are simply carrying too much.
You arestronger than you think.
The road in
What to expect
Four steps, none of them a surprise.
Reach out
Send a message or book online. You will hear back within one business day — from me, not a call center.
Intake
A short, confidential questionnaire in the patient portal, so the first visit starts with substance instead of paperwork.
First visit
A full evaluation. We cover your history, what you have already tried, what you want to be different, and build a plan together.
Ongoing care
Follow-up visits at a cadence that fits your life, with secure portal messaging between appointments.
About True Grit Psychiatry
Real people. Real stories.Real healing.
Too often, healthcare has become a race against the clock, where productivity is prioritized over people. I started in medicine for one reason only, to help others; to listen, understand, and walk alongside my patients—not to rush them through a schedule.
True Grit Psychiatry was built on a simple belief: every person deserves to be heard, respected, and treated as an individual. We provide the kind of care we would want for our own families—thoughtful, personalized, and never dictated by quotas. Because healing takes trust, time, and a provider who refuses to give up on you.
Bailey trained at the University of Texas Medical Branch in Galveston and has spent the past five years in outpatient psychiatry with adolescents, adults, and older adults, including a year working with higher-acuity patients in intensive outpatient and partial hospitalization programs.
No surprises
Straightforward fees
This is a direct-pay practice. You will know the cost before you book, and there is never a surprise bill afterward.
Initial evaluation
60–75 minutes
$250
Follow-up visit
40 minutes
$175
Brief follow-up
30 minutes
$150
Brief follow-ups are for stable patients and refills that do not need a medication change. True Grit Psychiatry does not bill insurance directly, but a superbill is available on request so you can seek out-of-network reimbursement from your plan.
A $100 deposit is collected when you book, and the balance is charged after your visit. Need to cancel? Please give at least 48 hours' notice and reschedule online for a time that works better — your deposit is returned in full. Cancellations inside 48 hours, or a missed visit, forfeit the deposit. Emergencies are considered case by case.
Say hello
Get in touch
Questions before you book? Reach out and you will hear back within one business day. Appointments and free phone consultations are available Saturdays and Sundays from 9:00 a.m. to 3:00 p.m. Central Time, and Thursday and Friday evenings from 6:00 to 7:30 p.m. Please don't send clinical details or anything urgent by email.
From the porch
Reading room
Notes on starting care, who does what in mental health, and why treatment works better as a team.
Getting started
What to Expect at Your First Psychiatry Appointment
Starting mental health care can feel overwhelming — but knowing what to expect makes the first step smaller.
How care works
Understanding Your Mental Health Care Team
Many people aren't sure who they should see. Here's a simple breakdown.
Treatment
Why a Team-Based Approach Matters
Medication is one tool. The evidence keeps showing that combinations work better than any single treatment alone.
This practice does not provide emergency or crisis services. If you or someone you know is in crisis, call or text 988 (Suicide & Crisis Lifeline), text HELLO to 741741 (Crisis Text Line), or call 911.
You don't have to face it alone.
We're here when you're ready.
Bailey Willows, MPAS, PA-C is accepting new patients beginning August 15, 2026.