SERVICES

 

SERVICES

I offer both general and addiction psychiatry services. 

 

If you are interested in beginning treatment, please contact me to set up a free 5-10 minute phone conversation to discuss what you are seeking.   If you get my voicemail, please leave a few dates/times when you are available to talk. If we decide during our phone conversation that my practice might be a good fit for you, we will schedule an in-person consultation. After the initial consultation, I’ll provide you with my recommendations for treatment which may include working with me, or working with another provider/treatment center that specializes in what you need in case I don’t. 

The initial consultation typically last 1 hour, which includes reviewing an extensive history, formulating a diagnosis, and discussing various treatment options - including lifestyle changes, psychotherapy, and medication options. If indicated, medications can be prescribed on the first visit. Frequency of follow-up is based on the needs of the individual:  for someone recently hospitalized, the next follow-up session could take place the following week. In contrast, someone on a stable dose of medications, without any pressing issues, could manage with appointments every couple of months.

Prior to your first in-person appointment,  please refer to the New Patients page for a list of forms that need to be printed and filled out.  Alternatively,  you may arrive 15 minutes prior to your appointment time to fill out the forms in person.

 

MENTAL HEALTH SERVICES

Mental health services include: 

  • evaluation

  • diagnosis

  • treatment planning

  • consultation / diagnostic clarification / second opinion

  • medication management / psychopharmacology

  • anxiety disorders:  post-traumatic stress disorder (PTSD), generalized anxiety disorder, social phobia / social anxiety,  panic disorder , obsessive compulsive disorder (OCD)

  • mood disorders:  major depressive disorder / episodes, dysthymia, adjustment disorder, bipolar disorder, depression, mania, hypomania, treatment resistant depression (TRD)

  • psychotic disorders:  schizophrenia, schizoaffective disorder, psychotic depression, bipolar I disorder

  • attention deficit hyperactivity disorder (ADHD)     

Specific treatments include:

  • propranolol / Inderal for performance anxiety

  • N-Acetylcysteine, for treatment of skin picking, hair pulling, impulse control disorders

  • complementary psychiatry (for example, vitamin D and/or L-methylfolate supplementation)

 

SUBSTANCE ABUSE TREATMENT 

Substance abuse treatment services include: 

  • substance use disorders related to benzodiazepines, opiates, alcohol use among others

  • substance-induced disorders: mood, depression, anxiety, psychosis

  • dual diagnosis; ie, overlap between general psychiatry and substance use disorders

  • maintenance treatment / relapse prevention

    1. for opiate use disorder -buprenorphine (suboxone) 

    2. for alcohol use disorder with disulfiram, acamprosate , naltrexone

  • drug use monitoring / urine toxicology testing will be performed randomly upon request by the provider as a requirement to receive medication prescriptions to address substance use disorders such as buprenorphine. Failure to comply with random urine toxicology screens may result in termination of treatment. 

Specific treatments include:

  • buprenorphine / suboxone for opiate use disorder

  • naloxone / narcan rescue kits for opiate use disorder

601 Main Street, Suite 505

Vancouver, WA 98660

(The Heritage Building)

(360) 773-6340

(360) 326-2606 fax

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©2019 Harmony Mental Health Services of NW