Services

The first visit lasts 45 minutes to 90 minutes depending on the complexity of your situation including medical problems.  Identified concerns on prescreening forms are discussed, and provider will comprehensively assess your mental and emotional issues, as well as medical issues and medicines that can impact your concerns. At the end of the first visit, if we decide to work together, a collaborative action plan will be developed which may include medication, therapy, vitamins, herbs &/or supplements, mind &/or body exercises, worksheets & homework.

Medicine can be an integral component of psychiatric care and is essential for more severe psychiatric conditions. Sometimes, vitamins and supplements may be recommended to support mental and emotional health. These visits are brief, focusing on medication, effectiveness and side effects. Still an overview of life issues is needed to assess if medicines are not working as well, or if one is feeling worse because of unfortunate life circumstances.

If you believe that you have depressive symptoms that are hard-to-treat, start here. The reason is that if you have even the smallest amount of cycling or bipolarity to your depressive illness, you may have Bipolar SPECTRUM disorder.  This may look like: depression with severe anxiety, depression with agitation/extra energy, depression with severe insomnia, depression with risky behavior, depression with "work-aholism", depression with crowded racing thoughts, depression that gets worse with antidepressants, depression with irritability, depression with antidepressants stop working, seasonal shifts in depression and more.  See www.psycheducation.org for great educational information.

Do you run late? Do you procrastinate? Do you forget to return calls? Is it hard to come back from the store with everything you went there for, or do you return instead with lots of things you didn't need? Is it hard for you to just sit still and only watch TV, or do you need to do something else at the same time? You may have Adult ADHD! There is hope - medication treatment is often effective when dosed properly.