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As a private practice PMHNP provider, I offer mostly psychiatric complementary pharmacologic management. I provide psychiatric care that includes assessment and diagnosis, a treatment plan that includes medication management, nonpharmacologic treatment, and brief psychotherapy. Specific psychiatric services I provide are outlined below:

Psychiatric assessment (6 years old and up)

The first step in creating the best treatment plan for you is to have a comprehensive assessment. We will discuss your current and past psychiatric symptoms, when and how it started, what diagnosis/es and treatment/s you have had etc., your current and past medical history, recent laboratory and/or diagnostic results, and biopsychosocial factors that could be impacting your current problem.

I will send you the forms to fill out prior to your initial appointment. Please fill them out the best way you can. I know it can get tedious, but believe me, you will be glad you did. You probably do not want our first meeting to be bombarded with forms and paperwork, anyway! My goal is for our first meeting to be as relaxed and comfortable as possible, so we can get to know each other and be able to establish a good patient-provider rapport.

We will go over your symptoms, what you hope to get out of the first visit, and what your short and long-term goals are. If you can bring a list of what you want to discuss with me during our first visit, please do so. We will try to address what is most important to you at that time, if it is achievable. There is a lot to discuss and consider during your first visit, so please understand you may or may not have a new medication or medication change (not unless necessary) before you leave. It will be counterproductive to treat you without a well-established diagnosis. It usually takes more than one visit to establish one.

Medication Management

Medication management includes prescribing and monitoring psychotropic medications that are used to treat your psychiatric condition/s. I prefer a very conservative treatment, recognizing that all medications have side effects and risks. I use evidence-based practices and I continue to increase my knowledge through continuing education programs, certifications, and self-education to provide you with safe and appropriate treatment. In most cases, psychotherapy is the preferred first-line treatment. Medication can be used in combination with therapy to achieve a better outcome. I will be more than happy to coordinate your care with your therapist upon your consent or request. I also prefer collaborative care with your PCP and other providers who are involved with your medical care so please provide a list of the providers and prescribers you see. I will most likely request that you get your labs done prior to the initiation of treatment. Some medications may also require frequent and routine lab monitoring.

My goal is to wean you from medications that can be weaned once you’re in remission, or have acquired healthier and better coping skills, or your life situation has improved. There are certain medications that you may have to take long-term. If so, I would like for you to work with me in creating a complementary treatment plan, focusing on improving your overall health, so that we may be able to keep the lowest effective dose and the least amount of synthetic medication you can possibly have.

Brief psychotherapy

I do not provide typical hour-long psychotherapy sessions and specialized psychotherapies such as DBT, trauma focused, EMDR, etc. I incorporate brief psychotherapy with your medication management visits, ie. solution focused, if needed. Let me know if you currently do not have a psychotherapist and I can refer you to one. As mentioned previously, psychotherapy is generally the recommended first line of treatment, and then medication can be added to improve your response. If you need to be started on medication and you are not currently seeing a therapist, I expect your compliance with therapy treatment, if I find it deemed necessary. I can send my referral to your preferred therapist.

In-person and telepsychiatry

Telepsychiatry service will be available starting October 16, 2023. There is no available in-person visit until further notice. I will continue to give updates as needed. I apologize for the inconvenience.

If you are on a controlled substance, there is no guarantee that I will prescribe, continue, or refill any of your meds on the first or two visit/s, if at all. I would need a comprehensive initial interview, full assessment, and review of your past records from previous providers. For more of this, please review my policies regarding controlled medications. Your safety is my top priority. My goal is for you to feel better, but I also want you to stay safe with the medications you are taking. We will then discuss together my recommendations for your treatment.

Please be aware that I do not provide:

  1. Neuropsychological testing
  2. Court-mandated psychiatric treatment and evaluation, and forensic evaluation
  3. Signed or completed form of service animal including disability-related assistance animal, service animal, therapy animal, and psychiatric service animal (emotional support animal form may be completed or signed on a case-by-case basis)
  4. Treatment services to children ages five and below
  5. Treatment services for someone with substance use disorder, dual diagnosis, psychotic disorders, and personality disorders.
  6. Any legal advice or legal consultation
  7. Any FMLA paper, short-term or long-term disability with a new patient or the first few visits. It takes more than just my signature to complete this form. I need to be familiar with your medical and psychiatric history before I can correctly respond to the questions being asked on the form.
  8. Most importantly, please keep in mind that I do not provide crisis intervention services. If you are in crisis, please dial 911 or 988, or go to your nearest emergency department. You may also call the crisis clinic at 1-800-273-8255.
  9. If your condition becomes acute or unstable, I may refer you to a psychiatrist or a treatment facility that can provide you with a higher level of care.
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