Washington, Arizona, Florida, eating disorders, binge-eating, psychiatric medications, psychosis, depression, anxiety, mood disorders, telepsychiatry, mood disorders, elderly, dementia, ADHD, Childhood disorders, telepsychiatry

Psychotherapy

If you already have a therapist or counselor that you are comfortable with then I encourage you to continue to work with that provider. However, if you and/or your therapist feel that you could benefit from a psychotropic medication than I will be happy to provide the necessary medication management. I usually conduct an initial 1.5 hour interview/assessment followed by 30 minute medication management sessions that take place approximately every 10-12 weeks once you feel stabilized on your current medication and dosage. Until you feel as though you are experiencing relief from your symptoms I may meet with you every 2-4 weeks in the beginning.  

SPECIALTY AREAS:

ADD and ADHD for children, adolescents and adults: ADHD is a strong specialty area of mine, in terms of accurate diagnosis and medication management for children, adolescents and Adults. New research demonstrates that an adult can have ADHD even if they did not have it as a child or adolescent. Conversely, some children may not have ADHD as an adult. This is a fast changing field within psychiatry in terms of research. 

Depression, Anxiety and Bipolar/Mood Disorders: These disorders are often under -diagnosed or mis-diagnosed. They are also often under-treated. Research continually shows that the best outcomes occur with both medication management and counseling rather than medications alone or counseling alone. I work with patients to utilize both Western and Eastern modalities for these disorders at the level that the patient feels comfortable. Depression is impacting the elder population with increasing frequency and is often correlated with underlying sleep and health issues as well as a lack of familial and social support. Anxiety and depression are often experienced by a patient diagnosed with cancer or any other life-threatening disease and with any chronic disease process. Stress management has been proven to play a key role in keeping our mind and body healthy by relieving all forms of anxiety and enabling one to get a good night's sleep that feels restorative.

Eating Disorders: I have extensive experience working with patients who suffer from eating disorders of all kinds (anorexia, bulimia, compulsive overeating) and with all age groups. 

FOOD is NOT the issue. A person who suffers from an eating disorder benefits most from understanding the dynamics behind their food choices and eating behaviors. Changing the way you think, react, and behave often requires support and guidance from someone who is familiar with food and weight issues. Food addiction is an addictive behavior which can be overcome! Persons with any kind of eating disorder are generally very fearful what of food can do their bodies.

Compulsive Overeating and/or Emotional Eating is one of my specialty areas. I am a bariatric Surgery patient who has maintained a 135 pound weight loss. I work extensively with obese patients who are not interested in surgical options for weight loss, as well as patients who have made a decision to undergo bariatric surgery. I offer education and support around ongoing emotional eating and learning how to escape from self-sabatoging eating behaviors. I often work collaboratively with a board-certified bariatrician (a bariatrician is someone who specializes in obesity and is different from a bariatric surgeon). I also collaborate with several different bariatric surgeons and bariatric psychologists at many bariatric surgery centers throughout the state of Florida. Bariatric surgery can be a life-changing and useful tool. Too often bariatric surgery patients discover that despite their surgery, their underlying thoughts and behaviors still exist and they regain some or all of their weight.

Substance Abuse and Dependence: Is another strong specialty area. I completed my Internship and Fellowship years at the world renowned drug and alcohol Hazelden Treatment Center in Center City, MN. I offer a long history of working within the addiction field. One of my subspecialities within the addiction field is working with impaired professionals (doctors, nurses, attorneys, etc.) and their families, as well as coordinating care and support for patients after primary addiction treatment with their physician/physicians, the treatment center, and any extended care needs or facilities. Trauma and PTSD are often a key component to understanding and treating an individual's addictive behaviors. A patient's psychological experience can prevent them from staying "clean and sober" if not adequately processed in a manner that is healing and NOT re-traumatizing. People who suffer with addictions have a strong tendency to cross-addict to other areas such as gambling, exercise, internet use, sex, food, shopping, etc.

Peri-Menopause and Menopausal Issues: Peri-Menopause and Menopausal issues present their own specific challenges for women. The hormonal roller coaster coupled with stress and lack of sleep often exacerbate feelings of fatigue, mood swings, alterations in sexual feelings and desire, and food cravings. Today's middle-aged women is often a card carrying member of the "sandwich generation" where she is looking after the welfare of aging parent/parents, children (often teenagers) and sometimes even grandchildren, in addition to trying to look after herself and her significant other.

 

OTHER SPECIALTY AREAS:

  • Medication Management for  ALL Psychiatric Disorders 
  • Fears/Phobias, Obsessive Compulsive Disorder, other Anxiety Disorders
  • Personality Disorders
  • Child and Adolescent Disorders such as Oppositional Deviant Disorder and Conduct Disorder
  • Geriatric Issues including Dementia
  • Pre-Surgical Evaluations and Testing
  • Obesity (without bariatric surgery)
  • Bariatric Surgery: pre- and post-surgery support
  • Addictions - Shopping, Internet use, Gambling, Sex, Food, Exercise, and Substance Abuse
  • Adjustment Disorders
  • Self-Harm Behaviors such as cutting or picking
  • Psychological Testing
  • Loss or Grief
  • Parenting Skills and Communication Skills 
  • Stress Management and Coping Skills
  • Trauma and PTSD

 

 

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PDgo Brown