
Medication Management
At Monmouth Integrative Counseling Services, we are dedicated to providing comprehensive support for mental health and well-being. Our medication management services play an important role in the treatment of various mental health issues and conditions, offering a pathway to stability and improved quality of life for both adolescents and adults.

Kara Rafael, MSN, APN, PMHNP-BC
Monmouth Integrative Counseling Services works with Kara Rafael to deliver medication management services to patients in New Jersey. Kara is a psychiatric advanced nurse practitioner so she is specifically trained in prescribing psychtropic medication. She sees adolescents, adults and geriatric clients.
Kara is a board-certified Psychiatric Mental Health Nurse Practitioner with extensive experience in psychiatric nursing, driven by formal education in psychology. She provides thoughtful, evidence-based care that is compassionate, personalized, and grounded in clinical expertise.
Kara earned her Bachelor of Science in Psychology from Drexel University and completed an accelerated Bachelor of Science in Nursing at New Jersey City University. She went on to earn her Master of Science in Nursing from Monmouth University. Her experience spans both inpatient and outpatient psychiatric settings, where she has worked with a wide range of individuals and conditions—from crisis stabilization to long-term medication management. She treats conditions including, but not limited to, anxiety, depression, ADHD, OCD, eating disorders, and mood disorders.
Kara believes that psychiatric care should never feel confusing or one-sided. She works closely with each patient to develop a treatment plan that is clear, collaborative, and aligned with their goals. She prioritizes patient education, ensuring that individuals understand their options and feel confident in the direction of their care. Her style is direct yet supportive, creating a space where patients feel safe to ask questions, share openly, and take an active role in their mental health journey.
Kara approaches care with the understanding that a diagnosis is only one part of a person’s experience—not a definition of who they are. She focuses on each individual’s strengths, goals, and unique circumstances to provide treatment that feels meaningful and empowering.
In addition to psychopharmacology, Kara incorporates lifestyle-focused strategies, helping patients explore how daily habits—like sleep, movement, structure, and nutrition—can support emotional well-being and long-term stability.
She provides care to patients across New Jersey through secure virtual sessions and in-person appointments, offering accessible and consistent support tailored to each individual. Her goal is to create a therapeutic space that helps people feel better, function better, and move forward with clarity and confidence.
Understanding Medication Management
For some patients, proper medication management is an essential component in the treatment of mental health disorders. It involves a strategic approach to the use of prescriptions and medications, ensuring that each client receives the most effective and safe treatment tailored to their unique needs. Our services focus not only on prescribing medications but also on the continuous assessment and adjustment of treatment plans to optimize results.

Services for Adolescents and Adults
We recognize the diverse needs of our clients, which is why our medication management services are available to both adolescent and adult clients. By catering to these different age groups, we ensure that the unique physiological and psychological requirements of each client are met with precision and care.
The Role of Prescriptions and Medications
Medications can be a powerful tool in managing mental health conditions, aiding in the stabilization of symptoms and improvement of overall well-being. Our team works closely with physicians to ensure that the medications prescribed align with each client’s therapeutic goals. This collaboration is critical to providing holistic care that addresses both the mental and physical aspects of health.
Benefits of Medication Management
Our medication management services offer several benefits, including:
- Personalized Treatment Plans: We develop individualized plans that consider the specific needs and health profiles of each client, ensuring the most effective treatment.
- Monitoring and Assessment: Regular monitoring of medication effectiveness and potential side effects allows us to make informed adjustments to treatment plans as needed.
- Collaboration with Physicians: Our approach includes ongoing communication with prescribing physicians to ensure comprehensive care and the best possible outcomes.
- Support and Education: We provide education about medications and their effects, empowering clients to make informed decisions about their treatment.
Your Journey Towards Better Mental Health
At Monmouth Integrative Counseling Services, we are committed to supporting you or your loved ones on the journey to mental wellness. Our medication management services are designed to be supportive, informative, and adaptable to the evolving needs of our clients. By working together, we aim to help each individual achieve a balanced and fulfilling life.
Our compassionate team is here to guide you every step of the way, ensuring you receive the care and support you deserve. Located at our Manasquan and Brick offices. Telehealth also available.