Psychiatric Conditions We Treat
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression. We evaluate for contributing medical factors — thyroid dysfunction, vitamin deficiency, sleep disorders, medication side effects — before and alongside treatment. For patients who haven't responded to prior antidepressants, we review what was tried, at what dose, and for how long, since inadequate trials are a common reason treatment appears to fail.
Medication management for symptoms including hyperarousal, intrusive symptoms, and sleep disturbance. Psychiatric treatment works best alongside trauma-focused therapy, and we coordinate with therapists when appropriate.
Bipolar I and bipolar II. Getting the diagnosis right matters here more than almost anywhere else in psychiatry, because bipolar depression is often treated as ordinary depression — and that can make things worse. Once we know what we're treating, we'll choose a medication together, weighing what you need to protect: your energy, your sleep, your work, your ability to plan ahead.
Obsessive-compulsive disorder. OCD usually needs higher doses and more patience than other conditions — improvement builds over weeks, not days. We'll be clear with you about that timeline from the start, and we'll measure progress by the compulsions and intrusive thoughts you most want your life back from.
Diagnostic evaluation and medication management for adult ADHD, including patients diagnosed in childhood and those presenting for the first time as adults. We assess for co-occurring anxiety, mood disorders, and sleep problems, which frequently accompany ADHD and affect treatment response.
Generalized anxiety, panic disorder, and social anxiety. There's no single right medication — what works depends on how your anxiety actually shows up, what you've tried before, and what you need out of your day. We'll talk through the options, start carefully, and keep adjusting until you can do the things anxiety has been getting in the way of.
Evaluation of sleep problems as both a standalone concern and a driver of mood and anxiety symptoms, with attention to non-habit-forming options where clinically appropriate.
For patients currently on psychiatric medication who aren't sure it's still working, are managing difficult side effects, or want to discuss tapering. Deprescribing is a legitimate clinical goal and requires the same care as starting a medication.
