Services

I offer in-depth and comprehensive psychiatric evaluation and treatment, monitored for effectiveness. I take a more comprehensive approach than many psychiatrists, making sure to include full consideration of all the key issues, people, and influences on a patient’s life. I specialize in the assessment and treatment of complex psychiatric and medical-psychiatric problems, including treatment-resistant cases of all sorts.

The services I offer include:

Psychiatric evaluation:

All my work begins with an evaluation (brief or extended depending on the requirements of the situation) to determine the nature and structure of the presenting problem(s) and the kind of intervention that is required. Included may be:

    • Psychiatric treatment involving medication, psychotherapy, or both
    • Collaborative evaluation and treatment conducted together with a neuropsychologist
    • Medical-psychiatric treatment coordination
    • Involvement of family, including child, parents, and/or spouse
    • Coordination of other services, such as educational or vocational

Together we address the important psychiatric, medical, psychological, and social issues.

Psychiatric treatment:

I provide treatment that is interactive and problem-focused, and includes psychotropic medication (psychopharmacology), psychotherapy, or both. I create and implement a treatment plan, and formally track the treatment. My objective is the resolution of the patient’s problems as indicated by the measures of progress that we put in place.

Psychological/neuropsychological evaluation:

Some situations require sophisticated psychological or neuropsychological assessments to help pinpoint a patient’s needs. These must be administered by a trained psychologist or neuropsychologist. My wife, Diane Engelman is an experienced neuropsychologist. She and I have developed a practical and effective protocol for this kind of work, called “Collaborative Psychiatry -Neuropsychology”. Using this procedure, we work together, keeping the results of a psychological or neuropsychological assessment alive throughout the treatment.

Medical-psychiatric treatment coordination:

Psychiatric and medical conditions are often intertwined. I have extensive experience and a keen interest in both these areas. In this work I organize and supervise a treatment team made up of collaborating professionals. The patient and often his or her family are integral members of the team. My most recent book Comprehensive Care for Complex Patients: The Medical-Psychiatric Coordinating Physician Model describes this collaborative method of treatment in detail.

Child, adolescent, and family treatment:

I am board certified in Child and Adolescent Psychiatry as well as General Psychiatry, and have years of experience working with children and families. Parents are never excluded from my work with children or adolescents, whether or not family issues are prominent.

Children and adolescents are not little adults. They are biologically and psychologically unfinished, even through adolescence. Their thinking and judgment is age specific, evolving through at least their early twenties. This age group is susceptible to most psychiatric disorders, and are somewhat uniquely burdened with issues like ADD and learning disabilities. A description of my philosophy and work with children and adolescents appears in Chapter 6 of Evidence from Within: A Paradigm for Clinical Practice.

Consultation to other health care professionals:

I am available to consult to other health care professionals, including physicians. These consultations may be brief or extensive, depending on the complexity of the situation.

Additional resources: Approximately 10 years ago I organized a group of highly skilled practitioners to create the Center for Collaborative Psychiatry, Medicine, and Psychology. Included are primary care physicians, neurologists, psychiatrists, and other medical specialists. We meet regularly, are familiar with each other’s work, and are available for consultation and referral.

To learn more about my services, please contact me.