Diagnoses Guides

Select a disorder below to learn more:

Click a diagnosis link below to be redirected to the diagnosis guide. More guides coming soon.

Statistics: According to the National Institute of Mental Health, nearly 22 out of 100 adults will experience a mood disorder at some point during their life.

Treatment: We provide treatment for all of these diagnoses. Treatment may consist of treating underlying medical (non-psychiatric) disorders, use of psychotropic medications, collaborative psychotherapy, evaluation and modification of lifestyle habits, use of non-pharmacological or alternative treatments, or any combination of the above, depending on the unique circumstances of the case.

  • Generalized Anxiety Disorder
  • Panic Disorder
  • Social Anxiety Disorder
  • Phobia Disorders
  • Stress-related anxiety
  • Anxiety caused by substance use or an underlying disorder

Statistics: According to the National Institute of Mental Health, about 31 out of 100 adults will experience an anxiety disorder at some point during their life.*

Treatment: We provide treatment for all of these diagnoses. Treatment may consist of treating underlying medical (non-psychiatric) disorders, use of psychotropic medications, collaborative psychotherapy, evaluation and modification of lifestyle habits, use of non-pharmacological or alternative treatments, or any combination of the above, depending on the unique circumstances of the case.

More specific information on each diagnosis coming soon.

*(NIMH included PTSD and OCD in this category for their statistics).

Post-Traumatic Stress Disorder can be described as an extreme unrelenting stress response in relation to a traumatic event experienced, witnessed, or conveyed. A symptomatic adjustment period after any traumatic event is normal. When significant distress persists longer than a month and interferes with ones ability to function, it may be post-traumatic stress disorder. This disorder is often characterized by flashbacks, nightmares, hyper-vigilance, and mentally reliving the traumatic event. However, there are several variations of this disorder and not all individuals experience traditional symptoms.

Treatment: Medications can be helpful in treatment of a variety of anxious and depressive symptoms, insomnia, and nightmares. However, for long-term reduction of symptoms, psychotherapy is a critical component of PTSD treatment. Cognitive behavioral therapy (CBT), cognitive processing therapy (CPT), prolonged exposure (PE), and eye-movement desensitization and reprocessing (EMDR) are effective therapy modalities in the treatment of this disorder.

Insomnia can be summarized as ongoing difficulty either falling or staying asleep at night to the extent that it leads to significant distress or functional impairment. Insomnia can lead to daytime fatigue, irritability, exacerbation of psychiatric disorders, and difficulty concentrating among other symptoms. Insomnia is very common among those experiencing anxiety, depression, PTSD, and other psychiatric disorders.

Treatment: If insomnia is related to an underlying disorder, treating that disorder can resolve the insomnia. Medications can also be prescribed specifically for sleep.

Cognitive behavioral therapy specifically for insomnia (CBT-I) and psychoeducation on sleep hygiene can be effective, depending on the cause of insomnia. In cases of severe treatment-resistant insomnia, we would recommend a sleep specialist.

A pattern of unreasonable or distressing obsessive thoughts and related compulsive behaviors that interfere with daily functioning.

Treatment: Medications along with cognitive behavioral therapy (CBT), and ultimately, exposure and response prevention therapy (ERP) can be helpful in the treatment of obsessive-compulsive disorder.

A disorder characterized by inattention and/or hyperactivity and impulsivity that impairs an individuals ability to function socially, academically, and/or occupationally. Often misunderstood as only being a childhood disorder, it persists into adult life in nearly half of individuals who have it. Approximately 1 in 5 adults who seek psychiatric treatment for other conditions may have undiagnosed ADHD. Untreated ADHD is not only correlated with significant social and occupational impairment, but also higher substance abuse and incarceration rates.

Treatment: Medication is typically necessary and effective for adults with ADHD. Psychotherapy can also be beneficial in ADHD.

Binge Eating Disorder (BED): Characterized by feeling a loss of control while eating unusually large amounts of food and intense feelings of disgust, shame, and guilt afterward. For a diagnosis of BED, the individual must not engage in purging, excessive exercising, or other compensatory behaviors. This disorder can go for many years without being diagnosed even when patients are receiving treatment for other psychiatric disorders.

Treatment: Medications can help prevent binge eating episodes. Some medications also provide the added benefit of short-term weight loss. (These medications are not indicated or prescribed specifically for weight loss and do not help with significant or long-term weight loss). Cognitive behavioral therapy (CBT) is very effective for BED and is likely superior to medication. However, medications may be advantageous for short-term benefit while therapy may be advantageous for long-term benefit. Every individuals unique case and circumstances would be considered.

Bulimia Nervosa: We are able to assist a treatment team in providing medication management to patients who are medically stable and currently engaged in intensive treatment.

Anorexia Nervosa: We are able to assist a treatment team in the medication management of any underlying disorders in patients who are medically stable and actively enrolled in intensive treatment only. This practice does not currently provide the structure or type of comprehensive and intense treatment necessary for safely treating Anorexia Nervosa.

We can provide treatment for a limited number of substance use disorders.

Statistics: Accidental drug overdose is now the leading cause of injury-related death in the United States, surpassing motor vehicle accidents. According to the National Institutes of Health, 10% of adults will have a SUD at some point during their lives but only about 25% of those will ever receive treatment. According to the surgeon general, only 10% of those with SUD will receive specialized treatment specifically for their SUD. The surgeon general also reports that more than 40% of those with SUD have another mental health disorder, with less than half of these individuals receiving treatment for either disorder.

Our Approach: We support the disease model of addiction based on the evidence presented by the medical and scientific communities. Our focus is on harm reduction and patient education delivered in a non-judgemental manner. Whether it be abstinence or replacement therapies, we custom-tailor treatment plans to achieve the best outcome for the individual patient. Additionally, we can help treat underlying/co-occurring psychiatric disorders that are common among patients with substance use disorders. Please note: We do not offer acute detoxification or prescribe any long-acting, intramuscular medications of any kind.

Opioid Use Disorder: Now the leading cause of death for young adults in our country. We are not currently providing medication assisted treatment for this disorder due to logistical difficulties with drug screening during COVID and the limited amount of time we may legally be able to prescribe via Telemedicine if we were to implement a remote drug screening program.

Tobacco use disorder: There are medications that can help with harm reduction, cravings, dosage reductions, detox, and the maintenance of abstinence. Some medication options are limited in patients with certain concomitant mental health disorders. It is believed that those who continue to use tobacco after cessation of another addictive substance experience more cravings than those who also quit tobacco at the same time.

Therapy and (free) online support groups can also be beneficial for those attempting to reduce or abstain from tobacco use.

Alcohol use disorder: We do not offer detoxification services, but a minimum of one week after completing detox (under medical supervision), we can provide medication services to help prevent cravings and/or relapse. Alcoholics Anonymous, Smart Recovery, and various therapy modalities may also be helpful.

Individuals with schizophrenia experience a combination of what are referred to as “positive” symptoms such as delusions, hallucinations, and disordered thinking along with “negative” mood related symptoms such as a flattened affect, social isolation, and inability to enjoy activities.

Treatment: Medications are necessary to treat active schizophrenia. The “positive” symptoms usually respond very well to medications whereas the “negative” symptoms are more challenging, but possible, to treat. Individual and family therapy along with social skills training may all be beneficial.

Important note: We do provide treatment to individuals with schizophrenia spectrum disorders, but we do not currently prescribe long-acting (intramuscular) forms of neurolpetics/antipsychotics or clozapine (Clozaril). We can prescribe oral forms of neuroleptics/antipsychotics.

Alzheimers DiseaseAlzheimers disease is the most common form of dementia. It is characterized by an unnatural decline in cognitive abilities such as loss of memory, language, and problem-solving skills.

Treatment: Medication can provide some relief to cognitive symptoms and may temporarily slow the progression of these symptoms to extend and enhance the individuals quality of life. Although medications may slow the progression in some individuals, the disease will still continue to progress and there is no cure at this time. These medications also carry significant risk in this population and the risk benefit analysis needs to be carefully considered. Family support and psychoeducation for both patients and family members can be incredibly helpful.

Frontotemporal Dementia: Frontotemporal dementia is a less common form of dementia that can begin as young as age 40 and is caused by atrophy of frontal and temporal lobes of the brain. Individuals with frontotemporal dementia may experience changes in their personality and behave differently. They may become uncharacteristically impulsive, socially inappropriate, and begin to lose language skills.

Treatment: Medications used to treat Alzheimers disease are ineffective for frontotemporal dementia. However, other types of medications can improve behavioral symptoms and impulsive behavior. As with Alzheimers disease, psychoeducation and family support are vital.

**Important note:** If you suspect you or a loved one may have dementia we recommend that you seek out a geriatric psychiatrist, geriatric PMHNP, or neurologist who can provide more intensive and comprehensive services for this specific diagnosis. This is a progressive disease that will require a higher level of care than we can offer via a distance setting.

We are able to provide treatment for underlying disorders or symptom management when a patient is being treated in collaboration with a therapist.

Treatment: Therapy is the cornerstone treatment for personality disorders. Medications can be helpful in the treatment of underlying disorders. Therapy modalities may differ depending on the specific disorder. Borderline personality disorder is often treated with dialectical behavior therapy (DBT) and mentalization-based therapy (MBT).

We can treat or assist in the treatment of many other disorders. Feel free to contact us to ask.

In an effort to meet your expectations, please note the following services we do not provide at this time:

At this time we are not scheduling anyone younger than 18 years of age.

We cannot currently accept patients enrolled in Medicare, even if they do not wish to use Medicare to pay for their services. We have opted out of Medicare and in an effort to keep our costs as low as possible for our patients we are not able to offer the private contracts that would be required to treat Medicare patients.

Controlled substances cannot typically be prescribed via telepsychiatry but this law has been temporarily suspended during the COVID pandemic. We are very conservative with controlled substances and do not prescribe them as first-line treatments. We do not prescribe benzodiazepines or hypnotic sleep aids for daily, long-term use under any circumstances. If we start someone on a controlled substance, a CDS contract and previous provider records will be required beforehand. We also do not prescribe:

  • Clozapine (Clozaril)
  • Hormone replacement therapy
  • Long-acting intramuscular forms of medications (medications that last weeks to months after an in-office injection).
  • NON-psychiatric medications

We understand that some patients require FMLA or disability due to their mental illness, and we will do everything in our power to support their cases. We are happy to help when warranted and patients actively participate in their ongoing treatment. However, this is a very serious process and we very carefully and very conservatively evaluate eligibility. When we support these cases our continued support is contingent upon strict adherence with a treatment plan that usually involves medication and therapy. Our support can be actively revoked at any time for non-compliance with a treatment plan. Any requests we agree to complete will be completed honestly and accurately. We do not make final determinations and we are not responsible for the results. Though it is true of most practices, we want to be as transparent as possible in mentioning that there is an additional time-based fee for time spent completing paperwork necessary for these requests. More information can be found on our services & fees page. We do not complete any portion of forms during appointment time. Even with this time-based fee, our service costs remain extraordinarily competitive.

Psychopharmacology with accompanying psychoeducation is our specialization. We are honest about the pros and cons of medication management and do not push medications on patients when the risks outweigh the benefits. We take a holistic approach to mental health by evaluating an individuals overall health and well-being. We look for medical conditions that may need to be treated and for aspects of lifestyle where modifications may be helpful. We will provide information on non-pharmacological treatment options when available and appropriate.

We do not provide extensive therapy directly. Instead, if you would benefit from therapy, we will collaborate with a therapist of your choice or refer you to one. If you do not need medication management we can refer you to a therapist after evaluation if you wish, but we do not personally continue treatment with patients who do not need psychotropic medications. Many, if not most of practitioners offering psychotropic medication management, do not also offer extensive therapy. However, this is not always clearly explained to prospective patients prior to scheduling.

Although we are not personally qualified to evaluate them, we fully support the use of specially trained service animals in psychiatric care. We do not provide letters for emotional support animals for myriad reasons. This article does a good job of addressing some of these reasons. We are not qualified to evaluate these animals and attempting to do so is beyond the scope of our practice.

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