I provide diagnostic evaluation, psychotherapy, psychopharmacologic (medication) consulting and prescribing, and mental health navigation services to adults 18 years or older. I welcome the opportunity to consult about medications and medical issues with patients who already have a psychotherapist. Many of my patients consult with other healthcare providers, or healers of other kinds. I believe strongly in the value of collaboration with other professionals who provide care to my patients.
An integrative approach to evaluation includes consideration of medical, psychological, social, and existential factors. Best outcomes result from carefully individualized treatment based on thorough evaluation. With my patients I find that ultimately, it is life that we are talking about. I recommend specific meditation or mindfulness techniques to my patients when these might be helpful.
I take particular interest in the clinical process of deprescribing. People who are taking psychiatric medications sometimes wonder if or when or how they can reduce or discontinue them, especially when side effects are troublesome. Deprescribing always requires careful consideration.