The distinctive character of my practice is a product of my extensive training and experience in both medical and psychological psychiatry. I bring a well-rounded capability to attend to my patient’s individual needs and couch my experience within an interactional style that is genuine and interested in the person rather than the diagnosis.
In my process I work collaboratively with the patient to uncover what is not obvious and make corrections to psychic structures that may be causing internal or external conflict. I do this by investigating a person’s psychology, understanding their neurobiology and making use of pharmacology if needed. Through this process I have witnessed remarkable changes in people's mood states, trauma experiences, anxieties and general satisfaction in life.
Each treatment starts with a 75-minute initial evaluation appointment. I treat patients with psychotherapy and/or medication in an office setting—and refer patients if other forms of treatments are indicated. Psychotherapy treatment consists of 45-minute appointments, at least once a week. Medication only appointments are 25 minutes, at time intervals determined by need. Medication treatment generally works best in combination with psychotherapy, offered by either myself or another provider, but in some circumstances can be used as the single form of treatment.
I do not work as an empaneled provider to any insurance company and do not participate in Medicare. Therefore, appointments will be considered “out-of-network” for insurance reimbursement. Patients will be provided with a billing statement with diagnosis and procedure codes that they can submit to their insurance company.
In my practice, I use a biopsychosocial perspective to understand each individual and convey a treatment plan. The biopsychosocial perspective is a way of understanding a person based on three indispensable and interactive domains: biological, psychological and a person’s social milieu—this enables me to formulate a treatment plan that is specific for the needs of each individual. While approaching everyone with these domains in mind, I aim to never lose sight of each individual’s human experiences and particular needs.
The 'bio' component examines aspects of biology that are influencing health. These might include aspects of the neurobiology of the brain, malfunctioning of major body systems (e.g., nervous and endocrine systems), genetic predispositions, biological rhythms (such as sleep-wake cycle and nutrition) and medical conditions that interact with brain function and state. For instance, it is widely known how anemia or hypothyroidism might mimic depression, and how genetic predisposition or a history of brain injury may cause mood alterations.
To evaluate these biological contributors to your current experience, I will start by learning about your medical history and may require laboratory or (rarely) brain imaging. A constant awareness of the milieu of brain/body is an important and ongoing part of my understanding of a person.
The ‘psycho’ component examines aspects of an individual’s psychology that may be affecting their well-being. Given the complex task of understanding a person’s personality, landscape of thought, motivations, etc, using a theory of mind is an indispensable way to structure the process and provide direction for treatment. In my experience, the most efficient theory of mind is the Psychoanalytic Theory, started by Freud but advanced by many others (many aspects of this theory have been backed by modern neuroscience). This theory emphasizes the importance of developmental influences, such as family of origin, in creating unconscious constructs of interaction that influence our relationships and internal experiences throughout our life.
Therefore, the complex task of understanding a person’s psychology, their unconscious being the majority of it, requires not only getting to know them and their history, but experiencing them in an ongoing way through psychotherapeutic interactions.
As a side note, while I find psychoanalytic thinking an efficient treatment approach, I always remain open to the usefulness of other psychotherapeutic approaches, like cognitive behavioral interventions, interpersonal therapy and even elements of dialectic behavioral therapy. I find that being open to a broad range of psychological understandings is the best way to approach treatment with a broad range of people and human experiences.
The ‘social’ component examines a wide range of social factors that might be affecting an individual's health, and might include: religion, culture, socioeconomic status, quality of relationships, etc. Since social/interpersonal interactions (relationships) are the core of the human experience, they have direct impact on an individual’s psychology, brain and physiology. And because so much of our lives are driven by the need and/or avoidance of social interactions, the social component is commonly the instigating drive toward seeking psychiatric treatment.
The brain, and our psychology, only operate as part of its environment. Understanding the power of social interactions and environmental influences is key to providing appropriate treatment.