Psychiatrist Serving Keene, New Hampshire

Finding a psychiatrist in Keene and the Monadnock Region has never been easy. The area has a limited number of psychiatric providers, and those who are available often carry long wait lists. For residents of Keene, Swanzey, Peterborough, Jaffrey, and the surrounding towns, getting quality psychiatric care has traditionally meant either waiting months or driving an hour or more to a larger city.

For many people in the region, that has meant psychiatric care handled entirely through a primary care provider — a reasonable starting point, and often a good one, but not a substitute for a full psychiatric evaluation when symptoms are complex, longstanding, or haven’t responded to a first attempt at treatment.

Telepsychiatry changes that equation. Dr. Matthew Narlesky provides thorough psychiatric care to adults throughout the Keene area and the broader Monadnock Region via secure video — bringing board-certified psychiatric expertise to a part of the state where access has historically been limited.

Conditions Treated

Dr. Narlesky evaluates and treats:

• Depression and mood disorders
• Generalized anxiety, panic disorder, and social anxiety
• Trauma and PTSD
• Bipolar disorder
• Obsessive-compulsive disorder (OCD)

For patients in rural and semi-rural areas who may have only had access to brief, infrequent psychiatric visits — or whose mental health care has been managed entirely through a primary care provider — Dr. Narlesky’s evaluations provide a level of psychiatric depth that can be difficult to find locally. The goal is an accurate clinical picture and a treatment plan that reflects it, not a rushed assessment.

That depth matters most when the diagnosis is the open question. Depressive episodes that are part of a bipolar spectrum condition look identical to ordinary depression in the moment but call for entirely different treatment. Anxiety that hasn’t responded to two medications may be anxiety, or it may be an untreated trauma history, a thyroid problem, or a sleep disorder driving it. Sorting that out takes a full evaluation and unhurried follow-up. You can read more about how depression, anxiety and trauma, and bipolar disorder are evaluated and treated on the individual service pages.

Why Telepsychiatry Works Well in the Monadnock Region

In a region where the nearest psychiatrist may be an hour away, distance is not a minor inconvenience — it determines whether treatment happens at all. A two-hour round trip is manageable once. Sustained across months of follow-up visits, through mud season and winter weather, it is the reason a great deal of psychiatric care in rural New Hampshire quietly stops.

Telepsychiatry removes that variable. Appointments are conducted through a secure, HIPAA-compliant video platform, so patients in Keene, Swanzey, Peterborough, Jaffrey, Winchester, and the surrounding towns attend from home. No drive, no weather calculation, no full day given up for a thirty-minute visit.

Consistency is one of the strongest predictors of good outcomes in psychiatric treatment, and it’s exactly what geography has made hardest in this part of the state. When follow-up is reliable, medication can be adjusted deliberately rather than in long, uncertain intervals — which matters especially for conditions like bipolar disorder or treatment-resistant depression that depend on close monitoring. You can learn more about how virtual visits work on the online psychiatrist page.

About Dr. Narlesky

For patients in Keene and the Monadnock Region, Dr. Narlesky offers a level of psychiatric training that’s historically been hard to access locally: board certification, an advanced fellowship at Dartmouth-Hitchcock Medical Center, and a track record of peer-reviewed research. He sees patients exclusively via secure video, licensed to practice throughout New Hampshire.

Insurance

For patients in Keene and the wider Monadnock Region, in-network coverage through Anthem Blue Cross Blue Shield, Aetna, Cigna, Carelon Behavioral Health, Point32 Healthcare, and Providence Health Plan means psychiatric care doesn’t require an added trip or an out-of-pocket surprise. You’ll know your estimated session cost, based on your own benefits, before your first appointment. Visit the insurance page for the full list of accepted plans, or ask about self-pay options.

Who This Practice Serves

This practice provides ongoing outpatient psychiatric care for adults 18 and older located in New Hampshire. It is not equipped for acute psychiatric crises, frequent or recurring safety-related needs, inpatient or intensive outpatient-level care, benzodiazepine management, forensic or disability evaluations, standalone psychotherapy, or addiction treatment as a primary concern. Full details are available on the Disclaimer and FAQ pages.

If you’re in crisis, call or text 988, or call 911 or go to your nearest emergency room.

Accepting New Patients in Keene and the Monadnock Region

New patient appointments are available on a rolling basis. All visits are conducted via secure video — accessible from anywhere in the Keene area.