A brief phone conversation will help us decide if an in-office evaluation is appropriate. During the 90 minute initial evaluation, we will review your current symptoms, past mental- and physical-health histories, current medications, and goals for treatment. Together, we will devise a plan that may involve medication, therapy, or a combination of both.
Mental health medications can significantly improve symptoms and help promote recovery. I use medications judiciously, opting for the least amount of medications necessary to help relieve symptoms. Appointments for medication management are scheduled for 30 or 60 minute sessions and are used to monitor your response. After starting a new medication or during times of dose adjustment, we will meet more frequently (every one to two weeks). Once stable or in remission, follow-up appointments will occur at a minimum of every 12 weeks.
Cognitive Behavioral Therapy for Chronic Pain
Pain that interferes with important occupational, social, and recreational activities often contributes to negative mood states, social isolation, dependence on opioid pain medication, and physical deterioration (i.e., even more pain). Cognitive behavioral therapy (CBT) for pain management is a 12 week individual therapy program that aims to build skills to help you better manage your pain, avoid relapse, and enhance the quality of your life. It has three main components: 1) to emphasizes the role you have in managing your pain, 2) to provide behavioral skills training that includes relaxation techniques, distraction strategies, and pain and activity monitoring; and 3) to provide skills for cognitive restructuring which aims to help you identify and challenge overly negative automatic pain-related thoughts and replace them with more adaptive coping thoughts.
Tobacco use can lead to tobacco/nicotine dependence and serious health consequences. If you are like most tobacco/nicotine users, chances are you've thought about stopping. More than likely, you've probably already tried to quit. Working together, I will help you develop a personalized "quit plan" that may involve: problem solving training, coping strategies, "trigger" management, nicotine relapse prevention plan, nicotine replacement medication (patch, gum, lozenge, and/or inhaler), and/or non-nicotine medications (Chantix®, Zyban®).