I prescribe psychiatric medications for most mental health conditions such as depression, anxiety, bipolar disorder, psychotic symptoms, ADHD, OCD, and eating disorders.

Psychiatric Medication Management

I provide brief supportive psychotherapy in conjunction with psychiatric medication management. If you need more psychotherapy, such as CBT, DBT, trauma work, or psychoanalytic psychotherapy, I provide referrals and work alongside your therapist with medication support.

Psychotherapy

I conduct transcranial magnetic stimulation (TMS) with the help of my trained technicians. This is a newer evidence-based treatment covered by most health insurance companies. Insurance generally covers TMS for people with depression or OCD who have tried at least 3 medications. TMS stimulates the brain in specific regions with a magnetic coil (seen above). This causes brain cells to fire, which then leads to improvement in symptoms. About 60% of patients receive benefit, and 30% achieve total remission of symptoms. Each session lasts about 20 minutes. A course of TMS involves daily sessions (Monday through Friday) for 6 weeks followed by a taper. Results generally last about 6 months to one year.

TMS

I provide estketamine/Spravato with the help of my trained technicians. Spravato is the only FDA approved form of ketamine treatment. It comes in a nasal spray and involves two hours of monitoring. Spravato is helpful for people who have treatment-resistant depression and have not responded to at least 3 medications. About 70% of patients receive benefit and 30% of patients achieve remission of symptoms. A course of Spravato involves 2 sessions per week for one month, then 1 session per week for one month, followed by 1 session every 2-3 weeks for about 10 months or longer.

Esketamine