Services

 

Adult Medication Management Services

Most psychiatric conditions benefit from psychopharmacology. Medications may be indicated for a variety of disorders and should be discussed with your provider regarding your unique treatment plan. 

Examples of medications indicated for a variety of disorders include antidepressants, antipsychotics, mood stabilizers, stimulants and more. 

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  • Antidepressants

Antidepressant medications include Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin Norepenphrine Reuptake Inhibitors (SNRIs), Tricyclic Antidepressants (TCAs), and Monoamine Oxidase Inhibitors (MAOIs), and others. Antidepressants can be used for the treatment of depressive conditions, anxiety conditions and more. 

SSRI's work to increase the availability of the neurotransmitter serotonin while blocking excess serotonin reuptake pumps allowing increased serotonergic neurotransmission and densensitizing serotonin receptors. Examples of common SSRIs include Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), Escitalopram (Lexapro), Paroxetine (Paxil), and others. 

SNRIs work to increase the availability of the neurotransmitters serotonin and norepinephrine/noradrenaline (and occasionally dopamine), while blocking excess serotonin and norepinephrine reuptake pumps allowing increasing serotonergic and noradrenergic neurotransmission and densisitizing these receptors. Examples of common SNRIs include Duloxetine (Cymbalta), Venlafaxine (Effexor), Desvenlafaxine (Pristiq) and others. 

TCAs work to increase the availability of the neurotransmitters serotonin, norepinephrine/noradrenaline and dopamine while blocking excess serotonin and noradrenergic reuptake pumps increasing neurotransmission and desensitizing neuroreceptors. Examples of common TCAs include Amitriptyline (Elavil), Nortriptyline (Pamelor), Doxepin (Sinequan), and others. 

MAOIs work to inhibit monoamine oxidases from breaking down serotonin, noradrenaline and dopamine, allowing increased neurotransmission of serotonin, noradrenaline and dopamine. Examples of MAOIs include Selegiline (Emsam), and others. 

  • Mood Stablizers & Antipsychotics

Mood stabilizers and antipsychotic medications have various forms of action and can be greatly beneficial for depressive conditions, bipolar disorders, and psychotic disorders. 

Antipsychotic medications are arguably labeled inappropriately, as psychosis is only one indication of a great set of medications. In fact, the majority of antipsychotic medications are not used for psychosis at all, but for the treatment of Major Depressive Disorder, Bipolar Disorders, and more. "Antipsychotic" is merely a categorical label for this set of medications which can assist in the modulation of neurotransmitters such as serotonin, dopamine and noradrenaline. Examples of "antipsychotic" medications include Lurasidone (Latuda), Aripiprazole (Abilify), Brexpiprazole (Rexulti), Ziprasidone (Geodon) and many others. 

Mood Stabilizers include anticonvulsant and voltage sensitive sodium channel antagonist medications. 

  • Stimulant Medications

Please Note: It is our office policy to receive a baseline EKG test prior to the initiation of any stimulant therapy. In addition, new patients with suspected Attention Deficit Hyperactivity Disorder (ADHD) will be referred for neuropsychological testing for confirmatory results prior to the prescription of a stimulant medication.

 

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Wellness Services 

Our providers are trained to help you achieve your goals. Wellness services include: smoking cessation, sleep hygiene, nutrition & diet education, exercise, socialization, meditation and mindfulness skills.

  • Smoking Cessation

Smoking cessation can assist you in maximizing your health, reducing your monthly costs of living, and decrease stress and anxiety. Smoking cessation can be done "cold turkey," but this can be difficult and not always successful on it's own. There are a variety of medications which can help with smoking cessation including Buproprion (Wellbutrin), Varenicline (Chantix), and  Nicotine Replacement Therapy (NRTs) such as the patch, lozenge or gum. 

  • Sleep Hygiene

Sleep Hygiene is an amazing and not all together difficult activity to engage in. In our Western culture, we often do not honor the great benefits of a good night's sleep. Most adults require at least 7-8 hours of continuous sleep each night for maximum benefits. Adequate sleep assists with concentration, memory, metabolism, energy, and your immune system. Talk to your psychiatric provider today about ways to increase a good night's sleep. 

  • Nutrition

Good nutrition is of paramount importance to overall health. A poor diet can lead to various nutrition deficits which can affect energy, concentration, sleep, and metabolism. A nutritious diet can help you get healthy or maintain health to avoid long term consequences to your body such as metabolic syndrome, Type II Diabetes, Hypertension, Hypercholesterolemia, and more.