Jonathan Dyckman, Psychiatric Nurse Practitioner

“I initially felt hopeful about Jonathan Dyckman after a difficult transfer within LifeStance. My experience ultimately raised concerns about communication, patient dignity, and continuity of care for people with more complex treatment needs. At intake, I agreed to testing. I understood this to mean monthly testing, consistent with monitoring I already received through my supplemental recovery provider. I did not understand that weekly laboratory testing was a condition of continuing my established treatment. When I received an order specifying weekly testing on September 4, I replied that day. I explained my understanding and work limitations, offered existing results, and requested coordination between providers. I could not locate a response resolving those questions or explaining the consequences of missing weekly tests. At my next appointment, missed weekly testing was given as the reason he would not continue part of my treatment. I proposed additional monitoring, including temporarily more frequent testing followed by reassessment. We did not reach a workable arrangement. I felt my circumstances and efforts to participate in care were not meaningfully considered. I was actively receiving medication-assisted recovery treatment, yet felt stigmatized for needing that additional support. Federal ADA protections extend to qualifying people in recovery, including those receiving prescribed treatment, and SAMHSA emphasizes coordinated care for co-occurring conditions. I believe my concerns warrant review in that context. The referral did not identify a replacement clinician. After over 35 minutes being transferred between departments, I was told no other available provider at the clinic accepted my MVP Medicaid. This made me question whether patients with different insurance would have more options and a smoother transition, although I cannot know whether insurance influenced his decisions. My grievance has been acknowledged but remains unresolved. I have persisted in seeking answers; other patients may not have the time, energy, or ability. Patients deserve respectful communication and practical transition support regardless of insurance or case complexity. If a clinician cannot meet someone’s needs, that patient still needs help finding an appropriate path forward. Update: Following an investigation, a clinic manager confirmed that Jonathan had prepared a response to my questions, but administrative staff never forwarded it to me. That response contained important clarification about requirements for continuing treatment. I appreciate the manager investigating, and I want to correct my earlier understanding: Jonathan did prepare a reply. However, when I told him during our appointment that I had not received an answer, I felt he assumed I was knowingly disregarding his instructions. The discrepancy remained unresolved as he proceeded with discontinuing care. My one-star rating remains because of how that interaction was handled. Checking whether the message had actually been sent, sharing it with me, and discussing my questions could have prevented considerable distress. I was seeking clarification, and the experience left me feeling blamed rather than heard. Patients deserve patience, clear communication, and a fair opportunity to understand treatment expectations.”