Services

Philosophy

I am a general psychiatrist who works with a range of psychiatric problems, including

  • anxiety disorders
  • depression and bipolar disorder
  • attention deficits
  • problems due to medical and neurological illnesses
  • chronic pain
  • concerns about work and living a meaningful life
  • life transitions, relationships and sexuality
  • shame

The frequency of visits in my practice ranges from once weekly to every two months, depending on the focus of work. Initial visit last one hour; most regular visits are thirty minutes. I work often via telepsychiatry.

Most of my patients take some form of medication or supplement. While in the past I did a great deal of psychodynamic psychotherapy in combination with medication treatment, I am currently working primarily as a psychopharmacologist. Patients appreciate most the depth and accuracy of my diagnoses, which include a full understanding how medical, psychiatric, and psychological stresses contribute to life problems, and my comfort and flexibility with alternative lifestyles and philosophies.

I ascribe to the bio-psycho-social model of the mind, which views the self as a combination of biological and energetic predispositions you are born with and the ways these interact with your family input and social environment. While we know development continues throughout adult life and each phase of life brings opportunities for change, the rapid growth and learning of the child’s mind make early patterns of interaction particularly important in later ways of relating to others. Trauma can also burn emotional memories deep into the brain and lead to recurrent distressing emotional reactivity. Repeated psychic stresses such as deprivation, poverty, dislocation, neglect, invalidation, shame, guilt, and wounds to self-esteem can also create personal limitation and suffering.

I try to relieve distress and improve functioning in my patient’s lives through stress reduction, appropriate treatment of symptoms and vulnerabilities that medications or supplements can best support, and psychotherapy that explores patterns of emotional response and the assumptions about self and other that underly them. I hope that my patients will cultivate an attitude of humility and radical self-acceptance as they explore conscious and unconscious aspects of themselves in an environment of curiosity and non-judgement. Insight alone, however, is not enough. Building new habits of mind and more relaxed emotional states is the second part of treatment. I increasingly use meditation, mindfulness, and integrative and alternative treatments as important elements of a therapeutic process that does not rely excessively on Western medication.