Dr. Brian Tilden Briscoe, MD

He’s the best psychiatrist I have ever had. He really cares about you and what you’re going through. He always makes sure your meds work to help your mental health and overall being. I would recommend him to anyone needing a good, kind, caring doctor. ????

shop around- he charges WAY TOO MUCH! Isn't very helpful. Rude staff. Weird billing policies- have to pay before youre even seen. Will harass you with emails that you owe before your app- even after you switch providers. SHOP AROUND!

I have been with Dr. Briscoe for about 8 years now, as has my wife. In response to the well written 1-ish star review, I just want to contrast some of my personal observations (except my writing tonight is basically rambling, lol). In your 1-ish review we read that you were prescribed an anti-psychotic but are not psychotic. I get that, I was prescribed one as well, but one of my prior OCD hobbies was reading psych forums like the old CrazyMeds website. On it, and many other mentally-interesting forums, is the lament about the nomenclature of "anti-psychotic" which seems to a black eye to those like us who have M.I. and know he have issues, but "not crazy like that guy crazy", right?! But anti-psychotic reasons was one of the firstline uses for... anti-psychotic class pharmaceuticals. Sometimes I just call them anti-epileptics, seems less judgemental, and predates the term anti-psychotic, but the bias is in me because being psychotic for some folk is not their fault, and I shouldn't… take it personally if "their" med helps off label treat my OCD, or help me sleep, or level my mood. Weight gain, yes. Well known. For some of us (many) choosing the right meds is a lifelong search for "which sucks less"... hopefully we find the right regimen in the right amounts that suck less than our prior condition(s). What's unfortunate is that sometimes it takes going off the med to realize just how bad we were BEFORE the med. It's like when you're on it, you just think, oh, this makes me fat, or whatever, it's when you stop, or it has been for me, when I realize the side effects were less than the unmedicated condition. Anyway, I just wanted to compliment your well written 1-star-ish review about our doctor, but I also don't think Dr. Briscoe is a bad doctor... in fact, I think he is sharp as a tack. Maybe a little ADHD like me, maybe why he appeared to be or actually was not listening, because he's two steps ahead. Seems my other doctors I had but didn't like as much also did this. I never felt he was sexist with my wife... she would have told me, I guarantee! As for the expense, yes meds and visit prices suck. A person has to factor in ease of accessibility, though. If a person works for themselves or has a business, like we do, then the sooner and more promptly we can telemedicine the sooner we can make back that money in my business. They call it "opportunity cost". Enough rambling, I truly hope your 1-ish star with Dr Briscoe led you to a 11-ish star fit for you with another doctor. Sometimes we patients don't fit with one doc verses another through no fault of anyone, so for you, you made the right decision. For others, like myself, Dr. Briscoe has been a very good decision. I am very skeptical by nature and he showed me that he keeps up with the latest research. 10 P.M. rambling courtesy PPERRY

I have been a patient of Dr. Briscoe twice, first around 2011-2012, and then again in 2018-2019 after I developed new symptoms. Both times I was *extremely* pleased with the treatment I received. Dr. Briscoe was always kind and gentle, always listening to what I had to say; always respecting my background, faith, and preferences; and always welcoming my desires, concerns, and any other feedback. He advocated a dual approach of therapy *and* medication (so important!), but he never aggressively pushed any form of treatment with which I was uncomfortable. At the same time, he was willing to push *back* against what were, in hindsight, unhealthy and self-harmful inclinations of mine. For example, I wanted to rush the testing of new medications/dosages in order to determine as quickly as possible what would work. He gently, but firmly, resisted that desire of mine, guiding me through the slow-but-necessary processes of gradually adjusting dosages/medications and methodically making one… change at a time, until we found an effective and manageable solution. It is true that Dr. Briscoe's practice does not accept insurance and is thus expensive, but in my experience he has been sensitive to that and has done what he could to minimize unnecessary charges. His care was truly transformational, even life-saving. He has given me my life back, and so to anyone suffering from any form of mental illness, I unhesitatingly recommend Dr. Brian Briscoe.

I’m sharing my experience with Dr. Briscoe because I believe potential patients deserve to be given a chance to consider a perspective contrary to that of the 5 star reviews. I was a patient of Dr. Briscoe’s for a couple of years back around 2013 (approx), but I left and started seeing a different doctor because I got tired of how I was being treated and spoken to. There were many times I felt like I was being spoken to like a child, or like a fragile, delicate flower that would break if breathed on too harshly. A couple other times he refused to tell me certain things or give me information because he “didn’t think I could handle it” or “didn’t want to upset me”. This was AFTER I caught him stopping himself mid sentence and asked him to proceed with what he was going to say. Not only was this a huge insult to my intelligence and competency as an adult, but it was also a HUGE red flag about his judgment as a physician. What kind of doctor holds back from giving their patients… vital information about their health?! I mean, I know I was going through a hard time, but SERIOUSLY?! I honestly feel like part of this was due to hidden, unconscious sexism on his part, because I highly doubt he spoke in the same patronizing, paternal, sugar coated manner to his male patients. If that wasn’t bad enough, I also got the sense that he wasn’t really listening, because I recall there being several times where I had to repeat something I had already mentioned in the previous session, because he didn’t remember ANY of it. But the biggest issue I had with him was his approach to medication. He put me on a medication that’s considered an anti-psychotic as an adjunct to my SSRI when I WASN’T PSYCHOTIC, and when it caused me to start gaining large amounts of weight, he started prescribing even MORE medications to try and counteract the weight gain, instead of just doing the SENSIBLE thing by taking me off of it completely. By the time he finally agreed to let me taper off, I had gained about 80 pounds, which put put me over the 200 mark for the first time in my life. This reality only made my depression and anxiety even worse, as one could probably imagine, but the fact that he didn’t have the foresight to see and understand this was concerning to me, given the nature of his profession. Even now, almost 5-6 years later, my body STILL has never fully recovered. I’ve managed to lose SOME of the weight, but I highly doubt that my body will ever be in quite the same shape or state of health it was in prior to that particular medication ever again. He also downplayed the true likelihood of experiencing its serious, long term, irreversible side effects, in addition to making them sound less severe than they actually they are. Judging by how long it took for him to take me off of it after the weight gain side effect started, I’m lucky I never experienced any of the more serious ones, or goodness knows how long I would have had to deal with them before he took action. Another issue I had with his approach to medication was his insistence that I continue to stay on said prescription despite me repeatedly telling him that the cost was too expensive, and that we (as a family) struggled to afford it even WITH the pharmaceutical coupons he gave us because it still cost HUNDREDS of dollars. To me, this shows just how out of touch he truly is with what it’s like to be in the shoes of his patients, living as average Joe’s with incomes that don’t give you the privilege of being able to afford anything you want. Given how much he charged for a single 20 minute session, and the fact that he didn’t accept insurance (thus forcing you to pay out of pocket), it’s unsurprising to me that financial concerns didn’t really make his priority list. Looking back, it should have been a major red flag that he always seemed to prefer prescribing the newest, most expensive, non-generic name brand medications as his first course of action BEFORE considering other similar, LESS expensive options that DO have a generic equivalent. Even when he did mention those latter options, his mention of them typically only came AFTER you had already tried the more expensive, name brand option he recommended first as his preferred drug of choice. In hindsight, it’s clear he must have had some kind of arrangement or contract that guaranteed him a special bonus or incentive for every prescription he wrote for certain name brand medications, as I remember him having stacks of cards, brochures, coupon codes, and other promotional-looking materials for various meds in his desk that he would whip out whenever you complained about the cost (as in the case of the coupons). A search of his name on the Dollars for Docs database by ProPublica confirms that he DID indeed receive money from the pharmaceutical industry from 2013-2016 (although data from 2016 to now is not available yet). I think his efforts to spread awareness and accurate information about mental health in the Christian community by educating pastors and connecting with churches is much needed and invaluable, but that’s about the only positive thing I have to say.

I’m sharing my experience with Dr. Briscoe because I believe potential patients deserve to be given a chance to consider a perspective contrary to that of the 5 star reviews. I was a patient of Dr. Briscoe’s for a couple of years back around 2013 (approx), but I left and started seeing a different doctor because I got tired of how I was being treated and spoken to. There were many times I felt like I was being spoken to like a child, or like a fragile, delicate flower that would break if breathed on too harshly. A couple other times he refused to tell me certain things or give me information because he “didn’t think I could handle it” or “didn’t want to upset me”. This was AFTER I caught him stopping himself mid sentence and asked him to proceed with what he was going to say. Not only was this a huge insult to my intelligence and competency as an adult, but it was also a HUGE red flag about his judgment as a physician. What kind of doctor holds back from giving their patients… vital information about their health?! I mean, I know I was going through a hard time, but SERIOUSLY?! I honestly feel like part of this was due to hidden, unconscious sexism on his part, because I highly doubt he spoke in the same patronizing, paternal, sugar coated manner to his male patients. If that wasn’t bad enough, I also got the sense that he wasn’t really listening, because I recall there being several times where I had to repeat something I had already mentioned in the previous session, because he didn’t remember ANY of it. But the biggest issue I had with him was his approach to medication. He put me on a medication that’s considered an anti-psychotic as an adjunct to my SSRI when I WASN’T PSYCHOTIC, and when it caused me to start gaining large amounts of weight, he started prescribing even MORE medications to try and counteract the weight gain, instead of just doing the SENSIBLE thing by taking me off of it completely. By the time he finally agreed to let me taper off, I had gained about 80 pounds, which put put me over the 200 mark for the first time in my life. This reality only made my depression and anxiety even worse, as one could probably imagine, but the fact that he didn’t have the foresight to see and understand this was concerning to me, given the nature of his profession. Even now, almost 5-6 years later, my body STILL has never fully recovered. I’ve managed to lose SOME of the weight, but I highly doubt that my body will ever be in quite the same shape or state of health it was in prior to that particular medication ever again. He also downplayed the true likelihood of experiencing its serious, long term, irreversible side effects, in addition to making them sound less severe than they actually they are. Judging by how long it took for him to take me off of it after the weight gain side effect started, I’m lucky I never experienced any of the more serious ones, or goodness knows how long I would have had to deal with them before he took action. Another issue I had with his approach to medication was his insistence that I continue to stay on said prescription despite me repeatedly telling him that the cost was too expensive, and that we (as a family) struggled to afford it even WITH the pharmaceutical coupons he gave us because it still cost HUNDREDS of dollars. To me, this shows just how out of touch he truly is with what it’s like to be in the shoes of his patients, living as average Joe’s with incomes that don’t give you the privilege of being able to afford anything you want. Given how much he charged for a single 20 minute session, and the fact that he didn’t accept insurance (thus forcing you to pay out of pocket), it’s unsurprising to me that financial concerns didn’t really make his priority list. Looking back, it should have been a major red flag that he always seemed to prefer prescribing the newest, most expensive, non-generic name brand medications as his first course of action BEFORE considering other similar, LESS expensive options that DO have a generic equivalent. Even when he did mention those latter options, his mention of them typically only came AFTER you had already tried the more expensive, name brand option he recommended first as his preferred drug of choice. In hindsight, it’s clear he must have had some kind of arrangement or contract that guaranteed him a special bonus or incentive for every prescription he wrote for certain name brand medications, as I remember him having stacks of cards, brochures, coupon codes, and other promotional-looking materials for various meds in his desk that he would whip out whenever you complained about the cost (as in the case of the coupons). A search of his name on the Dollars for Docs database by ProPublica confirms that he DID indeed receive money from the pharmaceutical industry from 2013-2016 (although data from 2016 to now is not available yet). I think his efforts to spread awareness and accurate information about mental health in the Christian community by educating pastors and connecting with churches is much needed and invaluable, but that’s about the only positive thing I have to say.

I have been going to Dr. Briscoe for over 2 years. He is amazing! He has worked with me with my depression, insomnia an anxiety! I would not go to any other doctor now!

I have rarely, if ever dealt with a more easy to access healthcare provider. Dr. Briscoe values his patients time, and works with their schedules to provide the best individual care.

My wife and I both have attention deficit. We both, also, are highly educated licensed medical professionals. The diagnosis is something we understand and don't take lightly. Prior to meeting each other we dealt with the ADD/ADHD individually and in our own distinct, and entirely different ways. When we got together it became obvious we needed help dealing with it. With Dr. Briscoe's help I have been able to manage my deficits, be focused, and productive. I've been a member of the military for 15 years, and just finished my MBA, too. He and his team gave me a path and guidance to better myself for my family. I would have run myself aground. He is compassionate, personable, professional, and effective. Needless to say, I am quite appreciative.

Dr Briscoe has treated me and my family for several years now and we are blessed to have found someone who listens to our individual situations and approaches our care with our goals in mind while providing sound clinical support!