Diagnoses Guides

Select a disorder below to learn more:

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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.

*Important note: We can treat mild to moderate severity bipolar disorder, without psychotic symptoms if it is currently well managed. However, we can only treat those individuals that are compliant, active, and willingly engaged in their treatment. Ongoing laboratory monitoring (periodic blood draw) is usually required for the medications used to treat this disorder.

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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.

*(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. We can treat mild to moderate BED for individuals who are medically stable.

Bulimia Nervosa & Anorexia Nervosa: This practice does not currently provide the structure or type of comprehensive and intense treatment necessary for safely treating these disorders when they are active. However, if someone is medically stable and in sustained remission we may be able to provide their medication management.

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.

Important note: We are not able to treat schizophrenia in this outpatient Telepsychiatry setting for safety reasons.

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.

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 only able to provide medication treatment for underlying disorders or symptom management when a patient is actively engaged in therapy and has another diagnosis that requires medication. There are no medications specifically approved for the treatment of any personality disorder.

Treatment: Therapy is the cornerstone treatment for personality 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.

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