Child, Adolescent & Adult Psychiatry

Specialist psychiatric care for every age, in Denver, CO

Teens seen by a child specialist
Board-certified psychiatrists
For depression, anxiety, ADHD and more

4.7 from 37 Google reviews

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Initial psychiatric evaluation

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Conditions Treated

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Board-certified psychiatrists

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Treating patients in Denver since

The short version

Psychiatric care by age, in brief

What it is
Specialist psychiatric care for adolescents and adults, from board-certified psychiatrists.
Who sees whom

Children and adolescents are seen by Dr. Nandakumar, fellowship-trained in child and adolescent psychiatry. Adults are seen by either psychiatrist.

What happens
A full evaluation, then a plan combining therapy and medication where it helps, matched to age and stage.
Who it’s for
Children, adolescents and adults dealing with depression, anxiety, ADHD and related conditions.
Cost
Evaluation $320. Follow-ups $160, or $280 for a 55-minute session with therapy.
Note
We’re moving to private insurance and credentialing is in progress. Ask on your call and we’ll tell you where it stands.

FOR PARENTS

If you’re looking for help for your teenager

Finding the right person to see your teenager is hard, and getting it wrong is worse. At Confluence, children and adolescents are seen by Dr. Shankar Nandakumar, who is fellowship-trained in child and adolescent psychiatry, with no fixed age limit. Your teenager is assessed by a specialist in exactly this stage of life, not treated as a smaller adult.

Why the specialty matters

Adolescent mental health doesn't look like adult mental health. Depression can show up as irritability or withdrawal, anxiety as school refusal, ADHD as something missed for years. A specialist knows how these present at this age, and how carefully to weigh medication for a young person.

FOR Adults

If the care is for you

Adults are seen by either psychiatrist for a full range of psychiatric care - depression, anxiety, bipolar disorder, ADHD and more - with therapy and medication management planned together rather than split between separate providers. It’s the same physician-led standard, whatever brings you in.

Suitability

Who we can help

We often see
  • A teenager whose mood, anxiety or behavior has changed.
  • Depression or anxiety that hasn’t improved.
  • ADHD that’s been missed, or needs proper assessment.
  • An adult wanting therapy and medication together.
  • A family who’d rather use one practice.
We'd talk thoroughly
  • What’s been happening, and for how long.
  • Whether therapy, medication, or both fit best.
  • For a teenager, how you and they want to be involved.

AGES 15 TO 21

Treating a Teenager?

TMS is an option for teens whose depression hasn't lifted on antidepressants, running alongside their current care.

Adolescent care is led by Dr. Nandakumar, fellowship-trained in child and adolescent psychiatry.

FDA-cleared as an adjunct treatment for major depressive disorder in patients aged 15 to 21 who haven't responded to prior antidepressant medication.

What happens

Your first visit, start to finish

Get in Touch


After you provide a few details, a psychiatrist will call you back, usually within 24 hours, to discuss whether we’re the right fit for you or your teenager.

Comprehensive evaluation


A full assessment from a biological, psychological, social, and developmental angle - which matters especially for a young person. For adolescents, this includes how you as a parent are involved.

A plan matched to age and stage


A therapy, medication, or both, chosen with care and matched to the person in front of us. For teenagers, medication is weighed particularly carefully and never rushed.

Ongoing support


Your psychiatrist tracks progress and adjusts the plan. Because it’s one practice, care can continue smoothly as a young person grows into adulthood.

WHAT WE TREAT

Conditions we work with

Treated with therapy, medication, or both.

Mood disorders

Depression and bipolar disorder, treated with therapy and medication planned together.

Anxiety disorders

Including OCD, panic disorder and post-traumatic stress disorder.

ADHD

Assessment and management as part of your wider care, not in isolation.

WHO TREATS YOU

The right specialist for the age

Adolescent care is led by Dr. Shankar Nandakumar, who completed fellowship training in child and adolescent psychiatry at the University of Colorado and Children’s Hospital Colorado. Adult care is provided by Dr. Nandakumar and Dr. Charles Shuman, the practice’s founder. Whoever you see, you’re treated by a board-certified psychiatrist directly - not a nurse practitioner or a technician.

What happens

What it costs

Clear on cost before you commit.

Psychiatric care Price
Comprehensive evaluation (about an hour)
$320
Follow-up visit (25 minutes)
$160
Session with therapy (55 minutes)
$280

Insurance: We’re moving to accept private insurance and credentialing is in progress. Ask on your call, and we’ll tell you exactly where it stands.

Questions

What do people ask before they call

Straight answers to the questions we hear most.

  • What ages do you see?

    Children and adolescents, and adults of any age. Children and adolescents are seen by Dr. Nandakumar, who is fellowship-trained in child and adolescent psychiatry and provides care without a specific age limit.

  • Who would see my teenager?

    Dr. Nandakumar. He is a specialist in child and adolescent psychiatry and sees young patients for both psychiatry and therapy without a specific age limit. Your teenager is assessed by someone trained specifically for this stage of life rather than treated as a smaller adult.

  • Will my teenager be put on medication?

    Not automatically. Medication for a young person is weighed carefully and never rushed. Some teenagers are helped by therapy alone; where medication is right, it’s started cautiously and closely monitored. You’ll be part of that conversation.

  • As a parent, how involved will I be?

    That’s discussed at the first appointment and shaped around your teenager’s age and needs. The right level of parental involvement is part of good adolescent care, and we’ll agree it with you.

  • Do you treat ADHD, anxiety and depression?

    Yes, across both adolescents and adults - alongside bipolar disorder, OCD, panic and PTSD. Because it’s one practice, overlapping conditions are treated together.

  • Do you take my insurance?

    We’re moving to private insurance and credentialing is in progress. Tell us your situation on the call and we’ll tell you where things stand.

  • Can care continue as my child gets older?

    Yes. Because the practice treats every age, care can carry on smoothly as a young person moves into adulthood, without starting over somewhere new.

Why us

Real doctors, for whatever you’re facing

Two board-certified psychiatrists and a whole practice behind your care, whichever treatment brings you in.

All ages

Children, adults, and teenagers seen by a specialist.

Physician led

board-certified psychiatrist, not a technician or NP.

Seen quickly

A psychiatrist calls back within 24 hours.

Clear on cost

You'll know the cost before you commit.

Care that adapts

The right treatment for you, from a full range.

Whole-picture care

Depression, anxiety, ADHD and addiction, one practice.

Who treats you

Board-certified psychiatrists. One of them will evaluate you and oversee your course personally.

Dr. Charles Shuman, Founder · Psychiatrist

Dr. Charles Shuman

Founder · Psychiatrist

Trained at Temple University, the University of Florida and the University of Colorado, where he has also taught on the faculty. Founded Confluence in Denver in 2016.

Dr. Shankar Nandakumar, Psychiatrist

Dr. Shankar Nandakumar

Psychiatrist

Fellowship-trained in child and adolescent psychiatry, and leads adolescent care at the practice.

What patients say

The Confluence difference

Where the difference actually shows.

Other clinics
Speaking to a doctor
Before you schedule
After you've booked
Evaluation
Board-certified psychiatrist
Often an NP or PA
Who you see next time
The same psychiatrist
Whoever's available
If it stalls
Your doctor adjusts it
Escalated, if anyone's free

The right specialist, whatever the age

Request an appointment for you or your teenager, and we'll be in touch to book you in.