If your question isn’t answered below or elsewhere in this site, please contact me directly.
“Is there something wrong? You don’t seem like yourself lately.”
Even if no one seems to have noticed, see if any of the following scenarios sound familiar:
Regardless of what the problem looks like, if life isn’t working for you or you just feel terrible all the time, you probably need help to get back to being yourself.
At the “Leave a Message” prompt, be sure to leave your name, your contact number(s), and best time to reach you. Also, leave any special instructions (for example, “Don’t tell my secretary you are a doctor. Just give your name, and say I am expecting your call.”).
Please include name, contact info, as well as special instructions.
My goal is to call you back within 24 hours. I can usually see you within a few days of your call, if not sooner.
Once we have connected, we can work out an appointment time that fits best with your schedule.
I have a private waiting room, so please come in. If my office door isn’t open, please have a seat, and I’ll be out shortly. I space appointments, so there shouldn’t be anyone else in the waiting room.
Your first appointment will be a thorough and detailed evaluation. I’ll work with you to understand the issues that brought you in to see me.
Once I have an idea about the main problems, I’ll ask more specific questions, starting with allergies, habits, medical & surgical history, and eventually moving into other areas of your life that may be relevant.
When both of us think the issues have been clarified, I’ll then discuss my ideas about what the problems may be, and how best to deal with them.
Metabolic problems, which can mimic any known symptom, can usually be ruled out with a few well chosen lab tests. I have my lab orders processed at Meridian Valley Labs (MLV), a private medical lab that will process specimens anonymously. No names are used.
Treatment often involves medication. I carefully choose medication that will not interfere with your thinking or reasoning. (Remember, we are all individuals, so the medication that worked for your friend’s brother may not be right for you). I work with a private pharmacy.
Psychotherapy may be recommended. There are different approaches, and I will discuss each with you so that you can make an informed decision.
We will end our meeting by arranging follow up plans, which may include scheduling our next appointment. In general, the first follow up appointment is about 3 to 5 weeks after the initial evaluation, and then about 3 to 6 months thereafter, if needed. If we decide on a course of psychotherapy, frequency and expected duration will be discussed at that time.
As you exit through the “back door” specially built into my office, no one in the waiting room will see you leave
Although statistical predictions about various treatment outcomes are known, your individual response to a specific medication will vary. I will tell you about the most common possibilities before prescribing the medication.
Most people experience minor or no side effects from psychiatric medication. If you do experience minor side effects when first starting a new medication, they usually diminish or disappear after a week or two.
In any case, I encourage patients to check in by email after a few days to let me know how they are doing.
If you experience persistent or major ill effects from medication I have prescribed, stop taking the medication and contact me for an appointment ASAP. Although my practice isn’t designed for 24/7 operation, I respond to calls as quickly I can. However, please do not think of this as emergency care. Please see Emergency instructions further down this page.
I accept payment in cash at the time of your appointment. Please be prepared.
At your discretion, checks from a local bank are acceptable (checks verify your payment and may raise privacy issues).
I don’t take credit cards at this time.
I do not bill insurance or take insurance assignment. If requested, I can provide you with a properly coded bill to submit to your insurance company yourself.
My philosophy is simple: You pay me directly, you direct your care, with no outside influence or interference.
If you have an emergency, do not hesitate. Immediately call 9-1-1 or go to the nearest Hospital Emergency Department.
A paper record is kept for accounting purposes in a fireproof locked file cabinet.
I keep back ups to protect against data loss.
ALL records are kept locked in a fireproof locking file cabinet for safe keeping.
Although I go to great lengths to keep your records private, please understand that the purpose of what I do and how I do it is not to break or evade any law or statute, nor deceive any regulating authority.
Although some people will see the need right away, others may not like the idea at first. If the person you are concerned about seems hesitant or resistant, be gentle. No one likes to feel pushed into anything. Remember, their objections probably conceal their real objection, and only they know what that is, so repeated attempts at persuasion almost never work.
If “I don’t have time” comes up, you might mention that my office is very easy to get to, with lots of free parking, and appointments scheduled to suit the individual, not the other way around.
If someone wants information or is unsure about some part of the process, exploring this web site may help.
If possible disclosure of treatment is a deterrent; please let them know about my services!
To summarize: My goal is to provide you with highest quality care possible, delivered in the most ethical manner, with great attention devoted to maintaining your privacy.
Psychological testing can be helpful in certain cases. In general medical psychiatric evaluation, testing doesn't often add a great deal of additional information. If it appears that testing will be useful in your situation, we have several options. However, I routinely use rating scales to measure progress in a number of different situations.
I ask as many questions as it takes for me to get to know you, and understand your issues. Although each person is different, these are the basic areas covered in every evaluation: