Photo of Mara Rivera

Mara Rivera

Physician · Psychiatry

6–10 years of experience

Menopause Society Certified Practitioner

About Estela Psychiatry

A psychiatry practice built around reproductive and women's mental health across the lifespan, from puberty through menopause, alongside general adult psychiatric care for anxiety, depression, ADHD, obsessive-compulsive disorder, bipolar disorder and trauma. Care is given in person in Austin or by video in Texas and California, on an insurance-based model with a small team of a psychiatrist, a physician assistant and two psychiatric nurse practitioners. Menopause work is framed psychiatrically. She judges where a patient is in her hormonal transition and weighing menopausal hormone therapy, antidepressants or both, with nutrition, supplement and sleep guidance alongside. The founder holds a perinatal mental health certification and further training in perimenopausal mental health.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Non-hormonal medication
  • Mental health meds
  • Supplements & lifestyle

Cost and insurance

Insurance

Aetna

Blue Cross Blue Shield

Cigna

UnitedHealthcare

Doesn’t accept Medicare or Medicaid

Self-pay

Available — prices aren’t published, ask for rates

  • Itemized receipts for out-of-network claims

In network with several commercial plans in Texas and California, no Medicare or Medicaid, with self-pay rates and superbills for out-of-network reimbursement.

Verified September 2026. Coverage depends on your plan — confirm with your insurer before your visit.

Qualifications

MD, MSCP