OUR SERVICES:
Psychiatric Assessment
Medication Management Psychotherapy/Counseling
Neurofeedback Therapy
 

LINKS TO OUR AREAS OF SPECIALTY:
Attention Deficit Disorder (ADD/ADHD) &  Learning Differences
Mild Head Injuries
Depression
Anxiety and Panic Disorders
General Psychiatry

THERAPY OPTIONS FOR GENERAL PSYCHIATRIC PROBLEMS


Medication:

How to determine which brain responds to which medication

Most patients seeking traditional psychiatric treatment are placed on medication.  Modern medicines are extremely effective with a low side-effect profile.  They can make major differences in peoples' lives, relationships and work environment.  Although many people do not like to take medication, it is worth a trial to see if:

  1. It offers an appreciable difference,
  2. There are few or no side effects.

If either of these criteria are not met, we recommend not taking medication.  But when they work, most people are grateful for having given it a fair trial.  It may take several attempts on different medicines to know which one is needed for a response, but the only real downside is the time it takes to figure it out.

An alternative to pharmacologic drugs is the more natural approach.  There are some herbs and nutrient supplements that do indeed offer relief for the milder symptoms. Here are a few examples:

      St. John's Wort - depression

      SAM -E - depression, joint pain, fibromyalgia

      Kava - anxiety

      Ginkgo Biloba - memory

      Ginseng - energy

      Essential Fatty Acids (Omega 3 Fish Oils) - ADHD, bipolar

      Pycnogenol or Grape Seed Extract - ADHD

      Valerian - sleep

These can be found in most health food stores, pharmacies, or grocery stores.  Be careful, however, of the following:

      There are side effects and drug interactions of which you need to be aware.

      The dosing on the bottle is not always the correct amount needed to treat the problem,

      Not all products are the same - in fact studies have shown that the amount of product actually getting to the cell for use can vary among laboratories from 10-90% (known as "bioavailability").

      None of these are tested by the FDA, so be careful of claims made as there is still a lot we don't know,

Psychotherapy:

No discussion is complete without mentioning the basis of psychiatry's foundation.  Psychotherapy is still the main-stay of mental health.  Two modern concepts have altered its appearance.

 

  1. Most managed care insurance companies either do not credential psychiatrists to do psychotherapy or reimburse so little so as to make it economically impractical to provide it to patients.  Most psychotherapy is now provided by psychologists and licensed therapists.  Please see Meet Our Staff for a description of our therapists and their philosophies.
  2. In the presence of biological or chemical imbalances, psychotherapy will not be beneficial until the underlying physical component is diagnosed and treated.

Our therapists have a wide range of expertise including backgrounds in nutrition, hypnosis, and EMDR.  They have experience in marital/sex therapy, parent/child problems, trauma and its after effects, anxiety, depression and substance abuse.  Being able to provide psychotherapy services, in addition to our other services, has proved to be an essential component of our success.  We have found that when a patient's therapist has an ability to easily communicate with other caregivers, that the patient receives much more thorough care.  This is especially true with patients who may see Dr. Hoffman for medications while in therapy with one of our therapists.  What we find and patients report is that the exchange of information and support is extremely beneficial, both to the patients and the staff.