Clear Ground
Book an appointment
Telehealth-first psychiatry · New Jersey and Pennsylvania

Steady ground, when everything feels like too much.

Rooted in Science. Focused on You.

Unhurried psychiatric care for all ages, whatever you're facing — anxiety, depression, ADHD, and more — combining skillful medication management with a functional, root-cause approach. Real conversations, not a checklist.

Book an appointment See how it works

Now accepting new patients ages 5 and up across New Jersey and Pennsylvania. Most visits available within two weeks.

Feel like yourself

Find your way back to energy, focus, and the motivation that used to come easily.

Quiet the noise

Ease the constant worry and intrusive thoughts so your mind has room to rest.

Sleep again

Stop lying awake with a racing mind, and stop waking up already drained.

You don't have to keep holding it together alone

From the outside it looks fine. Inside, you're running on empty.

You show up for work. You take care of everyone who needs you. And quietly, the anxiety has been getting louder, or the heaviness won't lift, or you're awake at 3 a.m. again with your thoughts spinning.

Or maybe it's your child you're worried about — the anxious eight-year-old, the withdrawn teenager — and you just want someone to take it seriously. You don't need to have it all figured out before reaching out. That's what the first conversation is for.

  • You can't fall asleep or stay asleep, no matter what you try.
  • You feel guilty for being "lazy," but can't find the energy to start.
  • Panic arrives out of nowhere and leaves you shaken.
  • The worry never really stops, about everything, all at once.
  • You've been ashamed to ask for help, afraid this is just how it stays.
Specialties

Thoughtful, evidence-based care — never rushed

Care for children, teens, and adults — ages 5 and up — primarily by secure telehealth across New Jersey and Pennsylvania, with in-person visits available in New Jersey when required. If something just isn't improving, this is a good place to start.

Psychiatric evaluations

A full, unhurried first appointment to understand your history, what you're experiencing, and what you've already tried — then build a plan together.

Medication management

Regular follow-ups to track how you're doing and adjust thoughtfully. Clear options, honest trade-offs, no pressure, your pace.

Anxiety & panic

Support for relentless worry, difficulty relaxing, trouble concentrating, and panic that seems to come from nowhere.

Depression & mood

Care for low mood, loss of interest, mood swings, and the daily weight that makes everything feel harder than it should.

ADHD & focus

Evaluation and management of attention, focus, and organization challenges in kids, teens, and adults — including adults wondering for the first time.

Insomnia & sleep

Care for trouble falling or staying asleep — because poor sleep makes nearly every other symptom worse.

See all specialties
What makes Clear Ground different

We don't just treat the symptom. We look for the why.

Traditional psychiatry, done well — plus a functional lens that asks what might be driving your symptoms in the first place. Medication when it helps; root-cause answers whenever we can find them.

Traditional psychiatry, done well

Careful diagnosis and thoughtful medication management, used skillfully and only when it's the right tool for you. This is real, effective care — and sometimes exactly what helps.

A functional lens

Before adding another prescription, we look deeper — thyroid, hormones, vitamin and iron levels, blood sugar, sleep. Sometimes the answer to a mental-health symptom is a treatable medical one.

Explore functional psychiatry
Simple, supportive steps

What working together looks like

Getting started shouldn't feel like one more overwhelming thing.

Step 01

Book online

Pick a time through Headway and verify your insurance up front. If we're not the right fit, I'll point you somewhere that is.

Step 02

First appointment

A comprehensive evaluation where we talk through your history, what you're hoping for, and the options that fit your life.

Step 03

Ongoing care

We meet regularly at first, then adjust as you steady. You're never rushed, and never left to figure it out on your own.

Michael J. Marco III, MSN, PMHNP-BC
About

I listen to understand, not just to diagnose.

I'm Michael J. Marco III, PMHNP-BC, a board-certified psychiatric nurse practitioner licensed in New Jersey and Pennsylvania. I work with children, teens, and adults who are quietly struggling — with sadness, anxiety, intrusive thoughts, mood swings, and sleep that won't come.

  • A full hour for your first visit, and unrushed follow-ups.
  • I listen to your story, not just a list of symptoms.
  • If medication makes sense, we weigh the options and move at your pace.
Learn more about me
In their words

What patients say

Placeholder examples — replace with your own real, consented reviews before launch.

★★★★★

"I felt heard from the first appointment. We found a plan that actually fits my life, and I've made real progress."

— Sample Patient
★★★★★

"Patient, genuine, and never rushed. I always leave feeling like my concerns were taken seriously."

— Sample Patient
★★★★★

"Takes time to understand the whole picture, not just hand over a prescription. It's made a real difference."

— Sample Patient
Change starts here

Let's talk about what's actually going on.

You don't have to know exactly what you need. Book a time online and we'll take the first step together.

Book an appointment