[vc_section full_width=”stretch_row” el_id=”top”][vc_row][vc_column][vc_custom_heading text=”Psychiatrist visits made easy” font_container=”tag:h1|font_size:30px|text_align:center|color:%23756860″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1532953317775{margin-top: 0px !important;margin-bottom: 10px !important;}” el_class=”hdngmobilersize”][vc_custom_heading text=”See your psychiatrist in the office or online” font_container=”tag:h1|font_size:18|text_align:center|color:%23756860″ use_theme_fonts=”yes” css=”.vc_custom_1532953399780{margin-top: 10px !important;margin-bottom: 10px !important;}”][vc_raw_html]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[/vc_raw_html][vc_custom_heading text=”See your Psychiatrist from the Privacy of your home or office” font_container=”tag:h2|text_align:center|color:%23756860″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” el_class=”gapFix”][vc_custom_heading text=”All you need is a computer & internet access.” font_container=”tag:h3|text_align:center|color:%23756860″ use_theme_fonts=”yes” el_class=”gapFix”][vc_btn title=”BOOK PSYCHIATRIST APPOINTMENT ONLINE OR CALL + 1 833-312-GABA / LOCAL +1 212-655-0541″ style=”gradient-custom” gradient_custom_color_1=”#1e73be” gradient_custom_color_2=”#5eb2e0″ shape=”square” align=”center” link=”url:%23appointment|||” el_class=”mobileHide”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591316070398{background-color: #1e73be !important;}” el_id=”appointment”][/vc_section][vc_section full_width=”stretch_row” content_placement=”middle” css=”.vc_custom_1591316193494{background-color: #ffffff !important;}”][vc_row equal_height=”yes” content_placement=”middle” el_class=”btn-defhght mobileViewMTfix”][vc_column width=”1/2″][vc_btn title=”APA PUBLISHED RESEARCH SHOWS TELEPSYCHIATRY IS AS EFFECTIVE AS OFFICE VISITS” style=”gradient-custom” gradient_custom_color_1=”#deebf7″ gradient_custom_color_2=”#deebf7″ gradient_text_color=”#000000″ shape=”square” align=”center” button_block=”true” 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YOUR CONVENIENCE” style=”gradient-custom” gradient_custom_color_1=”#deebf7″ gradient_custom_color_2=”#deebf7″ gradient_text_color=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:%23ygabatv|||”][vc_btn title=”HIGHLY QUALIFIED PSYCHIATRIST, ETHICAL PRACTICES, FOLLOWING APA GUIDELINES” style=”gradient-custom” gradient_custom_color_1=”#deebf7″ gradient_custom_color_2=”#c6dbef” gradient_text_color=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:%23ygabatv|||”][vc_btn title=”DEDICATED CLINICIANS, EFFECTIVE TREATMENT AND MANAGEMENT OF SYMPTOMS” style=”gradient-custom” gradient_custom_color_1=”#deebf7″ gradient_custom_color_2=”#deebf7″ gradient_text_color=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:%23ygabatv|||”][vc_btn title=”SEE A BOARD CERTIFIED, LICENSED AND INSURED PSYCHIATRIST ONLINE” style=”gradient-custom” gradient_custom_color_1=”#deebf7″ gradient_custom_color_2=”#c6dbef” gradient_text_color=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:%23ygabatv|||”][/vc_column][/vc_row][/vc_section][vc_row gap=”30″ equal_height=”yes” css=”.vc_custom_1591348242946{margin-bottom: 0px !important;background-color: #1e73be !important;}”][vc_column el_class=”schedWidgetDsgn” css=”.vc_custom_1591315761694{background-color: #1e73be !important;}”][vc_custom_heading text=”Book an Appointment Online for Telepsychiatry” font_container=”tag:h1|text_align:center|color:%23000000″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1591346516321{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 20px !important;padding-bottom: 20px !important;background-color: #ffffff !important;}” el_class=”baaTopTitle”][vc_column_text css=”.vc_custom_1509463175995{padding-top: 51px !important;}” el_class=”baaMiddleContent”]
[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][metaslider id=11347][/vc_column_text][/vc_column][/vc_row][vc_section full_width=”stretch_row” el_id=”aboutgtp”][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1509980065492{background-color: #deebf7 !important;}”][vc_row][vc_column][vc_custom_heading text=”About GABA Telepsychiatry” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510159338021{margin-top: 0px !important;}”][/vc_column][/vc_row][vc_row gap=”30″ equal_height=”yes”][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509980190349{background-color: #f7fbff !important;}”][vc_custom_heading text=”Why GABA Telepsychiatry?” font_container=”tag:h3|text_align:center|color:%23000000″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510159394945{margin-top: 0px !important;}”][vc_column_text]GABA Telepsychiatry is a unique practice, where the psychiatrist offers the closest possible approximation to traditional psychiatric services in a telepsychiatry format.
All affiliated practitioners are US licensed, trained, and insured psychiatrists, who are screened, verified, and are known to follow US Psychiatry guidelines and standards of care. Safe, ethical, legal and effective psychiatric services are ensured.
The purpose is to provide the highest quality care to patients, who otherwise would not be able to access care from the psychiatrist of their choice, either because of geographic location or scheduling difficulty.
Effective business processes, efficient back office and software automation allows more extended visits and a stronger focus on patient care.[/vc_column_text][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509980205762{background-color: #f7fbff !important;}”][vc_custom_heading text=”How are we different?” font_container=”tag:h3|text_align:center|color:%23000000″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510159423417{margin-top: 0px !important;}”][vc_column_text]Services are provided by a psychiatrist through a HIPAA compliant video platform as if you were in the office. Patients are not treated via phone or text message.
The same practices and guidelines are followed as an in-office visit, achieving the same results and safety standards. We are not a ‘text your psychiatrist,’ or ‘therapy on demand,’ app.
Peer psychiatrist networks provide guidance and supervision, and we offer comprehensive services with medication management, psychotherapy modalities, as well as screening for medical causes of illness.
Traditional practice model and standards of care are combined with some concierge features including:
Medical provider liaison, more extended patient visits, and your dedicated liaison to assist with scheduling, billing, lab work, and prescriptions.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591316333811{background-color: #1e73be !important;}” el_id=”ops”][vc_row][vc_column][vc_custom_heading text=”Psychiatric Services” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1591316305499{margin-top: 0px !important;margin-bottom: 0px !important;}”][/vc_column][/vc_row][vc_row css=”.vc_custom_1509971447047{padding-top: 30px !important;}” el_class=”boldtxtbtn mobileViewMTfix”][vc_column width=”1/3″][vc_btn title=”MEDICATION MANAGEMENT” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23medication-management|||”][vc_btn title=”COGNITIVE BEHAVIORAL THERAPY” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23cognitive-behavioral-therapy|||”][vc_btn title=”MEDICAL CAUSALITY SCREENING” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23medical-causality-screening|||”][/vc_column][vc_column width=”1/3″][vc_btn title=”PSYCHODYNAMIC PSYCHOTHERAPY” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23psychodynamic-psychotherapy|||”][vc_btn title=”COUPLES THERAPY/MARITAL THERAPY” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23couples-therapy|||”][vc_btn title=”FAMILY THERAPY/FAMILY DYNAMICS” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23family-therapy|||”][/vc_column][vc_column width=”1/3″][vc_btn title=”ENDOCRINE/HORMONE EVALUATION” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23endocrine-evaluation|||”][vc_btn title=”NUTRITIONAL SCREEN /EVALUATION” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23nutritional-screen-evaluation|||”][vc_btn title=”GENETIC SCREENING /TESTING” style=”custom” custom_background=”#deebf7″ custom_text=”#000000″ shape=”square” align=”center” button_block=”true” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fservices-offered%2F%23genetic-testing|||”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” el_id=”aboutgtsprgress”][vc_row][vc_column][vc_custom_heading text=”About GABA Telepsychiatry” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510161402884{margin-top: 0px !important;padding-top: 20px !important;padding-bottom: 20px !important;background-color: #deebf7 !important;}”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1509705209711{background-color: #c6dbef !important;}”][vc_row gap=”30″ equal_height=”yes”][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509983003917{background-color: #f7fbff !important;}”][vc_custom_heading text=”Concierge Features A Traditional Service” font_container=”tag:h1|text_align:center|color:%23000000″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]Psychiatric treatment protocols have been developed and refined over hundreds of years, through trial and. This is why it is essential that they are adhered to where possible .
Before the emergence of telemedicine the only option was to see a psychiatrist was in the office. Although telepsychiatry is a more practical option for most people, it important not to lose quality of care when conducting psychiatry visits in a telemedicine setting. Ideally a telepsychiatry visit should be the same as an office visit. exactly the same rules, regulations and standards of care should apply.
Some concierge features which have been added, include the dedicated liaison for assistance with billing, scheduling, lab work, and prescription, as although automated, requires more patient initiative than an office visit.
Slightly longer psychiatrist visits return to a more traditional model and are one of the benefits of the private and group psychiatrist practice model over large clinics and hospitals, where layers of corporate overheads and insurance cuts leads to shorter patient visits to cut costs.[/vc_column_text][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509983020689{background-color: #f7fbff !important;}”][vc_custom_heading text=”Traditional Psychiatry
Visits Made Easy” font_container=”tag:h1|text_align:center|color:%23000000″ google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]Traditionally, patients would sometimes travel for hours to see a psychiatrist. If unable to attend their appointment, they will still be charged for the visit.
Patients would have to use up their sick days or take time away from their business to attend appointments. Finding a psychiatrist on evenings or weekends was hard. People who traveled for work or took long summer vacations would have to miss appointments and would have trouble obtaining prescriptions.
It is essential that patients are not punished for having a productive and full life. The goal is to provide high-quality treatment for everyone, regardless of their lifestyle or location.
Billing, scheduling, and inquiries can be conducted through a patient portal. Prescriptions can be sent directly to the local pharmacy via Electronic Health Records, or can be mailed to the home. A dedicated liaison is available for assistance should there be difficulty with any of these processes.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591316475056{background-color: #ffffff !important;}” el_id=”dnpsychiatrist”][vc_row][vc_column][vc_custom_heading text=”Do I need to see a psychiatrist?” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510162560227{margin-top: 0px !important;padding-top: 20px !important;padding-bottom: 20px !important;}” el_class=”grdntBGonly23″][/vc_column][/vc_row][vc_row gap=”30″][vc_column el_class=”grdntBlueBox grdntBlueBox23″ css=”.vc_custom_1509197154063{background-color: #2171b5 !important;}”][vc_custom_heading text=”Most Americans are not aware that their symptoms are treatable and continue to suffer in silence despite prolonged misery or disability.” font_container=”tag:h3|text_align:center|color:%23ffffff” use_theme_fonts=”yes”][vc_single_image image=”14828″ img_size=”full” alignment=”center”][vc_column_text]
Do I need to see a psychiatrist?
Millions of Americans suffer through no fault of their own despite having access to care. The result of which is that people suffer from poor work performance, relationship problems, marital discord, health problems due to inability to care for themselves. Most people who are motivated to receive treatment will find that their symptoms can improve with a combination of medication, psychotherapy, and close medical management even if a partial resolution of symptoms can lead to a dramatic improvement in the quality of life and reduction in suffering.
Common reasons to see a psychiatrist:
- Anxiety, dysthymia, irritability, loss of enjoyment in activities, fatigue, inadequate attention, poor concentration
- Anger, guilty feelings, social phobia, panic attacks, agoraphobia, generalized anxiety, obsessive thought, compulsions
- Insomnia, sleeping too much , early morning waking, excessive drinking, binge eating, loss of appetite, anorexia, paranoid feelings
- Hearing voices, seeing things, feelings of confusion, excessive premenstrual dysfunction
[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591318557454{background-color: #1e73be !important;}” el_id=”wgtp”][vc_row equal_height=”yes” content_placement=”middle”][vc_column][vc_custom_heading text=”Why GABA Telepsychiatry?” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:900%20bold%20regular%3A900%3Anormal” css=”.vc_custom_1510162649385{margin-top: 0px !important;}”][/vc_column][/vc_row][vc_row gap=”30″ equal_height=”yes”][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509464939770{background-color: #c6dbef !important;}”][vc_column_text]Dedicated Providers
US trained licensed & insured Psychiatrists in New York
Psychiatrists Follow APA guidelines and standards of care
Medication management combined with psychotherapy
Multiple psychotherapy modalities
Peer supervision network ensure safety and high standards
Screening for medical causes of psychiatric illness
Endocrine & Nutritional evaluation[/vc_column_text][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509464954046{background-color: #c6dbef !important;}”][vc_column_text]Safe HIPAA Compliant Video Platform
Online scheduling available
Patient’s data stored in a securely encrypted cloud-based EHR
Prescriptions and lab sent directly to your pharmacy
Medications mailed to your location
Your dedicated staff member to assist you through the process
No rescheduling charges
Visits to your psychiatrist made easy[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row”][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591321049658{background-color: #ffffff !important;}” el_id=”ctreat”][vc_row][vc_column][vc_custom_heading text=”Some Conditions We Treat” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510162682034{margin-top: 0px !important;margin-bottom: 40px !important;}”][/vc_column][/vc_row][vc_row el_class=”accordion-defhght grdntAccord23″][vc_column width=”1/2″][vc_tta_accordion style=”flat” shape=”square” color=”white” spacing=”15″ gap=”20″ active_section=”” collapsible_all=”true”][vc_tta_section title=”Obsessive Compulsive Disorder” tab_id=”1508650437818-6c5bfa27-4ab6″][vc_column_text]ONSET:
Early adulthood and with a variety of contexts
A. Presence of obsessions, compulsions, or both
Obsessions:
1. Recurrent and persistent thoughts, urges, or images that are intrusive and unwanted and that causes anxiety or distress.
2. Attempts to ignore or suppress such thoughts, urges, or images or to neutralize them.
Compulsions:
1. Repetitive behaviors or mental acts that you feel driven to do in response to an obsession or rules.
2. Aimed at preventing or reducing anxiety or distress or preventing some dreaded event or situation.
B. Obsession and compulsion are time-consuming, can cause distress, or impairment
C. Not due to substances or a medical disorder
D. Not better explained by another mental disorder
Consult with a psychiatrist if symptoms are severe, disabling, or causing distress.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Insomnia And Other Sleep Disorders” tab_id=”1508650437874-358eab24-6082″][vc_column_text]A. A predominant complaint of dissatisfaction with sleep quantity or quality, associated with one (or more) of the following symptoms:
1. Difficulty initiating sleep (in children, this may manifest as difficulty initiating sleep without caregiver intervention).
2. Trouble in maintaining sleep, characterized by frequent awakenings or problems returning to sleep after awakenings. (in children, this may manifest as difficulty returning to sleep without caregiver intervention).
3. Early-morning awakening with inability to return to sleep.
B. The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.
C. Sleep difficulty occurs at least 3 nights per week.
D. Sleep difficulty is present for at least severe, months.
E. Sleep difficulty occurs despite fair opportunity for sleep.
F. The insomnia is not better explained by and does not occur exclusively during the course of another sleep-wake disorder (e.g., narcolepsy, a breathing-related sleep disorder, a circadian rhythm sleep-wake disorder, a parasomnia).
G. The insomnia is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication).
H. Coexisting mental disorders and medical conditions do not adequately explain the predominant complaint of insomnia.
Consult with a psychiatrist if symptoms are severe, disabling, or causing distress.
[/vc_column_text][/vc_tta_section][vc_tta_section title=”Menopause and PCOS Related Mood Disorders” tab_id=”1508650437930-0053512f-169f”][vc_column_text]Menopause is the permanent cessation of menstruation resulting in the loss of ovarian follicle development. It is considered to occur when 12 menstrual cycles are missed. Menopausal transition, or perimenopause, is the period between the onset of irregular menstrual cycles and the last menstrual period. This period is marked by fluctuations in reproductive hormones 3 and is characterized by the following:
-
Menstrual irregularities
-
Prolonged and heavy menstruation intermixed with episodes of amenorrhea
-
Decreased fertility
- Depression
- Anxiety
- Problems with attention, concentration, and memory
-
Vasomotor symptoms
-
Insomnia
Some of these symptoms may emerge 4 years before menses cease, with a perimenopausal mean age of onset of 47.5 years. During the menopausal transition, estrogen levels decline and levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) increase. Postmenopause is the phase following the last menstrual period.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Menstrual Disorders” tab_id=”1508650437986-fef485d4-ea75″][vc_column_text]A. In the majority of menstrual cycles, at least five symptoms must be present in the final week before the onset of menses then it will start to improve within a few days after the beginning of menses, and become minimal or absent in the week post menses.
B. One (or more) of the following symptoms must be present:
1. Marked affective lability (e.g., mood swings: feeling suddenly sad or tearful, or increased sensitivity to rejection).
2. Marked irritability, anger, or increased interpersonal conflicts.
3. Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts.
4. Marked anxiety, tension, and/or feelings of being keyed up or on edge.
C. One (or more) of the following symptoms must additionally be present, to reach a total of five signs when combined with symptoms from Criterion B above.
1. Decreased interest in usual activities (e.g., work, school, friends, hobbies).
2. Subjective difficulty in concentration.
3. Lethargy, easy fatigability, or marked lack of energy.
4. Marked change in appetite, overeating, or specific food cravings.
5. Hypersomnia or insomnia.
6. A sense of being overwhelmed or out of control.
7. Physical symptoms such as breast tenderness or swelling, joint or muscle pain, a sensation of “bloating,” or weight gain. Note: The symptoms in Criteria A-C must have been met for most menstrual cycles that occurred in the preceding year.
D. The symptoms are associated with clinically significant distress or interference with work, school, usual social activities, or relationships with others (e.g., avoidance of social activities; decreased productivity and efficiency at work, school, or home).
E. The disturbance is not merely a worsening of the symptoms of another disorder, such as major depressive disorder, panic disorder, persistent depressive disorder (dysthymia), or a personality disorder (although it may co-occur with any of these disorders).
F. Prospective daily ratings should confirm criterion A during at least two symptomatic cycles. (Note: The diagnosis may be made provisionally before this confirmation).
G. The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition (e.g., hyperthyroidism).[/vc_column_text][/vc_tta_section][vc_tta_section title=”Thyroid and Diabetes Related Mood Disorders” tab_id=”1508650438046-3901aa7c-d5f9″][vc_column_text]Cyclothymia (Thyroid Disorders)
A. At least 2 years numerous periods of hypomanic symptom that don’t meet criteria for an episode and multiple periods with a depressive symptom that don’t meet standards for episode.
B. Present at least half the time and not been without for more than 2 months at a time.
C. Criteria for MD, manic, or hypomanic episode never met.
Specifiers: With anxious distress comorbidity of diabetes and psychiatric disorders can present in different patterns. First, the two can present as independent conditions with no apparent direct connection. In such a scenario both are the outcome of separate and parallel pathogenic pathways. Second, the course of diabetes can be complicated by the emergence of psychiatric disorders. In such cases, diabetes contributes to the pathogenesis of mental disorders. Various biological and psychological factors mediate the onset of psychiatric disorders in such a context. Third, certain psychiatric disorders like depression and schizophrenia act as significant independent risk factors for the development of diabetes. Fourth, there could be an overlap between the clinical presentation of hypoglycemic and ketoacidosis episodes and conditions such as panic attacks. Fifth, impaired glucose tolerance and diabetes could emerge as a side effect of the medications used for psychiatric disorders. Treatment of psychiatric disorders could influence diabetes care in other ways also as discussed in subsequent sections.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Anorexia Nervosa and Bulimia” tab_id=”1508650438098-c21bb4c3-4658″][vc_column_text]Anorexia Nervosa
A. Restriction of energy intake relative to requirements, leading to significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
B. Intense fear of gaining weight or becoming fat or persistent behavior that interferes with weight gain, even though at a significantly low weight.
C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight
Coding: Restricting type, binge-eating/purging type.
Bulimia Nervosa
A. Recurrent episodes of binge eating. Characterized by both:
-
- Eating in a discrete period of time with an amount of food that is larger than what most individuals would eat in a similar period under similar circumstances.
- Sense of lack of control over eating during the episode.
B. Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur on average at least once a week for 3 months.
D. Self-evaluation is unduly influenced by body shape and weight.
E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Panic Disorder” tab_id=”1508650438154-18689232-80f1″][vc_column_text]A. Recurrent unexpected panic attacks. A sudden surge of intense fear or intense discomfort that reaches a peak within minutes and has 4+:
1. Palpitations, pounding heart, or accelerated heart rate
2. Sweating
3. Trembling or shaking
4. Sensations of shortness of breath or smothering
5. Feelings of choking
6. Chest pain or discomfort
7. Nausea or abdominal distress
8. Chills or heat sensations
9. Paresthesias (numbness or tingling)
10. Derealization or depersonalization
12. Fear of losing control or going crazy
13. Fear of dying
B. At least one of the attacks followed by a month of:
1. Persistent concern or worry about additional panic attacks.
2. Significant maladaptive change in behavior related to the attacks and designed to avoid having panic attacks.
C. Not due to substance or medical condition.
D. Not better explained by another mental disorder.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Mood Disorder due to Medical Conditions” tab_id=”1508650849749-d0178285-6a73″][vc_column_text]Mood Disorder Due To A General Medical Condition Should have at least one of the following:
A. Mark lack of interest in all or almost all, activities.
1. A depressed mood state.
2. Heighten or irritable mood.
B. Evidence condition is from a general medical condition.
C. Symptoms not from another disorder.
D. Symptoms not from delirium.
E. Clinically significant distress from symptoms, or impairment in work, social, or other areas of important functioning.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Sexual Dysfunction” tab_id=”1508650438214-38b1908d-7686″][vc_column_text]Sexual dysfunctions include:
Delayed ejaculation, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, genito-pelvic pain/penetration disorder, male hypoactive sexual desire disorder, premature (early) ejaculation, substance/medication-induced sexual dysfunction, other specified sexual dysfunction, and unspecified sexual dysfunction.
Sexual dysfunctions are a heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure. An individual may have several sexual dysfunctions at the same time. In such cases, all of the dysfunctions should be diagnosed.
Sex drive and the ability to enjoy sexual activity does not decrease significantly with age after puberty. Once medical causes of sexual dysfunction are excluded, it is reasonable to see a psychiatrist to explore emotional causes of sexual dysfunction, such as anxiety, relationship difficulties or psychic conflict.[/vc_column_text][/vc_tta_section][/vc_tta_accordion][/vc_column][vc_column width=”1/2″][vc_tta_accordion style=”flat” shape=”square” color=”white” spacing=”15″ gap=”20″ active_section=”” collapsible_all=”true”][vc_tta_section title=”Schizophrenia” tab_id=”1508650239959-9868c408-22c9″][vc_column_text]A. 2+ for 1 month (1, 2, or 3)
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
5. Negative symptoms
B. Level of fx in one or more major life areas is below premorbid level.
C. Continuous signs of disturbance for 6 months (must include 1 month of criterion A symptoms, may consist of prodromal or residual phases).
Specifiers: First episode/acute, partial remission, full remission, multiple episodes/acute, partial remission, complete remission with catatonia
Differential Diagnosis: Schizoaffective disorder, Depressive/Bipolar with psychotic features, substance abuse, medical condition, Autism Spectrum/Communication Disorder (Additional diagnosis of Schizophrenia only made if prominent delusions or hallucinations are present for 1 month)
Most people with schizophrenia demonstrate a significant improvement in functioning and relief of distressing symptoms with treatment. Speak to your psychiatrist about symptoms and work closely with your psychiatrist to find the best treatment for you.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Bipolar Disorder” tab_id=”1508650240031-8dd5a0af-0ff9″][/vc_tta_section][vc_tta_section title=”Depression” tab_id=”1508650253100-0ea68d04-dced”][vc_column_text]A. 5+ of the following during the same 2 week period and represent a change in function (at least 1 = 1 or 2):
1. Depressed mood most of the day, nearly every day
2. Markedly diminished interest or pleasure in all, or almost all, activities
3. Significant weight loss when not dieting or weight gain or decrease/increase in appetite
4. Insomnia or hypersomnia
5. Psychomotor agitation or retardation
6. Fatigue or loss of energy
7. Feelings of worthlessness or excessive or inappropriate guilt
8. Diminished ability to think or concentrate or indecisiveness
9. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan
B. Causes distress or impairment
C. Not due to a substance or medical condition
Depression can be distressing but is usually treatable; you can see a psychiatrist if symptoms are causing distress or impairment.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Dysthymic Disorder” tab_id=”1508650254072-b9ecdd9d-6055″][vc_column_text]A. Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least 2 years. Note: In children and adolescents, mood can be irritable and duration must be at least 1 year.
B. Presence, while depressed, of two (or more) of the following:
- Poor appetite or overeating.
- Insomnia or hypersomnia.
- Low energy or fatigue.
- Low self-esteem.
- Poor concentration or difficulty in making decisions.
- Feelings of hopelessness.
C. During the 2-year period (1 year for children or adolescents) of the disturbance, the individual has never been without the symptoms in Criteria A and B for more than 2 months at a time.
D. Criteria for a major depressive disorder may be continuously present for 2 years.
E. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder.
F. The disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
G. The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hypothyroidism).
H. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Anxiety” tab_id=”1508650254892-144ecd6c-2d7b”][vc_column_text]Generalized Anxiety Disorder
A. Excessive anxiety or worry occurring more days than not for 6+ mos
B. Difficulty controlling worry
C. 3+ Sx:
1. Restlessness or feeling keyed up or on edge
2. Being easily fatigued
3. Difficulty concentrating or mind going blank
4. Irritability
5. Muscle tension
6. Sleep disturbance
D. Distress or impairment
Differential Diagnosis: PD, SAD, OCD, PTSD, Anorexia Nervosa, Somatic Symptom Disorder, BDD, Illness Anxiety Disorder, Schizophrenia, Delusional Disorder[/vc_column_text][/vc_tta_section][vc_tta_section title=”Agoraphobia” tab_id=”1508650255635-d359b11b-d624″][vc_column_text]Agoraphobia
A. Marked fear or anxiety about 2+:
-
- Using public transportation
- Being in open spaces
- Being in enclosed spaces
- Standing in line or being in a crowd
- Being outside of the home alone
B. Personal fears or avoiding these situations because of the thoughts escape will be severe, or help is not available in the event of developing panic-like symptoms, or other incapacitating or embarrassing moments.
C. Situations almost always provoke fear or anxiety.
D. Actively avoided or endured with great fear and anxiety.
E. Out of proportion to the actual danger posed.
F. Persistent, lasting for 6 months or more.
G. Clinically significant distress, impairment in social, occupational, and other important areas of functioning.
H. If another medical condition is present, the fear, anxiety, or avoidance is excessive.
I. Not better explained by another mental disorder.
Differential Diagnosis: SP, OCD, BDD, SAD[/vc_column_text][/vc_tta_section][vc_tta_section title=”Social Phobia” tab_id=”1508650260773-9a81285d-e2d3″][vc_column_text]A. A persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or possible scrutiny by others.
The individual fears that he or she will act in a way (or show anxiety symptoms) that will be embarrassing and humiliating.
B. Exposure to the feared situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed Panic Attack.
C. The person recognizes that this fear is unreasonable or excessive.
D. The feared situations are avoided or else are endured with intense anxiety and distress.
E. The avoidance, anxious anticipation, or distress in the feared social or performance situation(s) interferes significantly with the person’s routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about having the phobia.
F. In individuals under age 18 years, the duration is at least 6 months.
G. The fear or avoidance is not due to the direct physiological effects of a substance (e.g., drugs, medications) or a general medical condition not better accounted for by another mental disorder.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Dementia” tab_id=”1508650261666-4d1918f7-7b29″][vc_column_text]A. Evidence of significant cognitive decline from a previous level of performance in one or more cognitive domains:
– Learning and memory
– Language
– Executive function
– Complex attention
– Perceptual-motor
B. The cognitive deficits interfere with independence in everyday activities. At a minimum, assistance should be required with complex instrumental activities of daily living, such as paying bills or managing medications.
C. The cognitive deficits do not occur exclusively in the context of a delirium.
D. Another mental disorder does not better explain cognitive deficits (eg., major depressive disorder, schizophrenia).
Some forms of dementia are treatable (pseudodementia ) reversible, or preventable (multi-infarct dementia). There are also medications available to help with Alzheimer’s disease such as . If you have symptoms of cognitive impairment, you should see a psychiatrist or Neurologist for an evaluation.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Premenstrual Dysphoric Disorder” tab_id=”1508650263571-b3f6e125-d7c9″][vc_column_text]A. In the majority of menstrual cycles, at least five symptoms must be present in the final week before the onset of menses, start to improve within a few days after the beginning of menses and become minimal or absent in the week post menses.
B. One (or more) of the following symptoms must be present:
1. Marked affective lability (e.g., mood swings: feeling suddenly sad or tearful, or increased sensitivity to rejection).
2. Marked irritability or anger or increased interpersonal conflicts.
3. Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts.
4. Marked anxiety, tension, and/or feelings of being keyed up or on edge.
C. One (or more) of the following symptoms must additionally be present, to reach a total of five signs when combined with symptoms from Criterion B above.
1. Decreased interest in usual activities (e.g., work, school, friends, hobbies).
2. Subjective difficulty in concentration.
3. Lethargy, easy fatigability, or marked lack of energy.
4. Marked change in appetite; overeating; or specific food cravings.
5. Hypersomnia or insomnia.
6. A sense of being overwhelmed or out of control.
7. Physical symptoms such as breast tenderness or swelling, joint or muscle pain, a sensation of “bloating,” or weight gain. Note: The symptoms in Criteria A-C must have been met for most menstrual cycles that occurred in the preceding year.
D. The symptoms are associated with clinically significant distress or interference with work, school, usual social activities, or relationships with others (e.g., avoidance of social activities; decreased productivity and efficiency at work, school, or home).
E. The disturbance is not merely a worsening of the symptoms of another disorder, such as major depressive disorder, panic disorder, persistent depressive disorder (dysthymia), or a personality disorder (although it may co-occur with any of these disorders).
F. Prospective daily ratings should confirm criterion A during at least two symptomatic cycles. (Note: The diagnosis may be made provisionally before this confirmation).
G. The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition (e.g., hyperthyroidism).[/vc_column_text][/vc_tta_section][/vc_tta_accordion][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”SEE MORE” style=”gradient-custom” gradient_custom_color_1=”#c6dbef” gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”center” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fwe-treat%2F|||”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” el_id=”ygabatv”][vc_row full_width=”stretch_row” css=”.vc_custom_1508778018145{margin-bottom: 30px !important;}”][vc_column css=”.vc_custom_1508666711298{padding-top: 0px !important;}”][vc_custom_heading text=”Your GABA Telepsychiatry Visit” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510162707880{margin-top: 0px !important;margin-bottom: 0px !important;}”][/vc_column][/vc_row][vc_row full_width=”stretch_row” equal_height=”yes” el_class=”row-biggergap mobileViewMTfix”][vc_column width=”1/2″][vc_single_image image=”12210″ img_size=”645×400″ alignment=”center”][vc_column_text]
A GABA telepsychiatry staff member will be assigned to you to help you fill in the online questionnaire and liaise with your primary care doctor.
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You will see the Psychiatrist for a comprehensive evaluation.
[/vc_column_text][/vc_column][/vc_row][vc_row gap=”30″ equal_height=”yes” el_class=”row-biggergap”][vc_column width=”1/2″ el_class=”grdntBlueBox grdntBlueBox23″ css=”.vc_custom_1509464026603{background-color: #2171b5 !important;}”][vc_column_text]
Step 1 – Your Intake
You will fill in our online intake forms. If you’re having difficulty filling in our questionnaire online, you may ask to be connected to a staff member either by phone or via our secure teleplatform, and he or he will help you fill in your paperwork. We will connect you to our video platform.
YOUR MEDICAL RECORDS
We will collect your medical records from your primary care provider. If you do not have a primary care provider, we will help you connect to a local provider or urgent care franchise, (if you are traveling) which will accept your insurance.
YOUR DEDICATED LIAISON
Your dedicated staff member with the help you navigate the process of scheduling, filling in of intake forms, payment, obtaining prescriptions, blood works, and medical records.[/vc_column_text][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBox grdntBlueBox23″ css=”.vc_custom_1509464046946{background-color: #2171b5 !important;}”][vc_column_text]
Step 2 – Psychiatric History and Evaluation
You will see a psychiatrist via a telepsychiatry platform for your evaluation. To get the most out of your visit, try to make sure you are in a private room without any background noise, an adequate speed of internet connection, and a backup phone should there be any interruption to your internet service.
YOU WILL SEE THE PSYCHIATRIST
The psychiatrist will ask about your current and past symptoms, including your family, developmental, occupational, relationship history, psychiatric and medical history as well as your personality style and coping strategies.
YOUR TREATMENT PLAN
Your medical and psychiatric symptoms, history, responses to medications psychotherapy and other treatment will be used to formulate a treatment plan.[/vc_column_text][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1509705271485{background-color: #deebf7 !important;}” el_id=”ymne”][vc_row full_width=”stretch_row” css=”.vc_custom_1508776754578{margin-bottom: 30px !important;}”][vc_column][vc_custom_heading text=”Your Medical/Nutrition Evaluation” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510162736865{margin-top: 0px !important;margin-bottom: 0px !important;}”][/vc_column][/vc_row][vc_row full_width=”stretch_row” equal_height=”yes” fadeout_row=”fadeout_row_value” el_class=”row-biggergap mobileViewMTfix”][vc_column width=”1/2″][vc_single_image image=”12660″ img_size=”645×345″ alignment=”center”][vc_column_text]
Medical evaluation will include nutrition and hormonal factors affecting mood as well as screening for underlying medical problems causing mood disturbance.
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If you are traveling we can help and connect you to a local urgent care center of primary care doctor in your area.
[/vc_column_text][/vc_column][/vc_row][vc_row gap=”30″ equal_height=”yes” el_class=”row-biggergap”][vc_column width=”1/2″ css=”.vc_custom_1509464619407{background-color: #c6dbef !important;}” el_class=”grdntBlueBox grdntBlueBox-blktxt”][vc_column_text]
Step 3 – Medical Evaluation
We have the policy to screen possible medical causes of psychiatric illness. This includes:
Lab work for thyroid function, sex hormones including estrogen, progesterone and testosterone levels, heavy metal toxicity including lead and mercury levels. We also screen anemia, vitamin D, vitamin B12, and iodine deficiency.
We also screen for symptoms of sleep apnea, insomnia, diabetes and other factors which may be exacerbating psychiatric symptoms. We will send a prescription to your local quest diagnostics where you can go for blood works. Otherwise, you can see your primary care provider for blood work. We will follow up on your medical records[/vc_column_text][/vc_column][vc_column width=”1/2″ css=”.vc_custom_1509464632895{background-color: #c6dbef !important;}” el_class=”grdntBlueBox grdntBlueBox-blktxt”][vc_column_text]
Step 4 – Nutrition Evaluation
There will be an optional nutritional evaluation where you will be asked to keep a food diary:
We do not prescribe expensive supplements. Most patients rarely need to take anything more than omega 3, multivitamins, which can either be bought over the counter at your local pharmacy or may be covered by your insurance.
We may prescribe additional supplements if there is a specific deficiency, e.g. iron or folate, vitamin D or thiamine – depending on the deficiency. We also monitor correct control of diabetes, factors in your diet which may be causing fluctuations in blood sugar and factors affecting your mood and anxiety levels. This is all part of the initial evaluation.[/vc_column_text][/vc_column][/vc_row][vc_row css=”.vc_custom_1509706618142{margin-top: 20px !important;margin-bottom: 10px !important;}”][vc_column][vc_btn title=”BOOK ONLINE NOW OR CALL +1 833-312-GABA / LOCAL +1 212-655-0541″ style=”gradient” gradient_color_1=”black” gradient_color_2=”mulled-wine” shape=”square” align=”center” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2F%23appointment|||”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” el_id=”ytpe”][vc_row][vc_column][vc_custom_heading text=”Your Treatment Plan Evaluation” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510162762024{margin-top: 0px !important;padding-top: 20px !important;padding-bottom: 20px !important;background-color: #deebf7 !important;}”][/vc_column][/vc_row][vc_row][vc_column width=”1/2″][vc_round_chart style=”custom” stroke_width=”0″ values=”%5B%7B%22title%22%3A%22Genetic%22%2C%22value%22%3A%2225%22%2C%22color%22%3A%22peacoc%22%2C%22custom_color%22%3A%22%2308306b%22%7D%2C%7B%22title%22%3A%22Developmental%22%2C%22value%22%3A%2215%22%2C%22color%22%3A%22chino%22%2C%22custom_color%22%3A%22%2308519c%22%7D%2C%7B%22title%22%3A%22Medical%20Illness%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22sky%22%2C%22custom_color%22%3A%22%232171b5%22%7D%2C%7B%22title%22%3A%22Endocrine%2FHormones%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22blue%22%2C%22custom_color%22%3A%22%234292c6%22%7D%2C%7B%22title%22%3A%22Nutritional%20Deficiency%22%2C%22value%22%3A%225%22%2C%22color%22%3A%22orange%22%2C%22custom_color%22%3A%22%236baed6%22%7D%2C%7B%22title%22%3A%22Defenses%2FCoping%20Strategies%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%239ecae1%22%7D%2C%7B%22title%22%3A%22Relationship%20Stressors%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22pink%22%2C%22custom_color%22%3A%22%23c6dbef%22%7D%2C%7B%22title%22%3A%22Occupational%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22grey%22%2C%22custom_color%22%3A%22%23deebf7%22%7D%2C%7B%22title%22%3A%22Addiction%22%2C%22value%22%3A%225%22%2C%22color%22%3A%22purple%22%2C%22custom_color%22%3A%22%23f7fbff%22%7D%2C%7B%22title%22%3A%22Sleep%20Disorders%22%2C%22color%22%3A%22blue%22%2C%22custom_color%22%3A%22%23d9dee6%22%7D%5D” title=”Causes of Psychiatric Symptoms”][/vc_column][vc_column width=”1/2″][vc_round_chart style=”custom” stroke_width=”0″ values=”%5B%7B%22title%22%3A%22Incomplete%20Evaluation%22%2C%22value%22%3A%2230%22%2C%22color%22%3A%22blue%22%2C%22custom_color%22%3A%22%2308306b%22%7D%2C%7B%22title%22%3A%22Wrong%20Diagnosis%22%2C%22value%22%3A%2240%22%2C%22color%22%3A%22pink%22%2C%22custom_color%22%3A%22%2308519c%22%7D%2C%7B%22title%22%3A%22Psychodynamic%20Causes%22%2C%22value%22%3A%2220%22%2C%22color%22%3A%22orange%22%2C%22custom_color%22%3A%22%232171b5%22%7D%2C%7B%22title%22%3A%22Medical%2FEndocrine%2F%20Nutritional%22%2C%22value%22%3A%2220%22%2C%22color%22%3A%22chino%22%2C%22custom_color%22%3A%22%234292c6%22%7D%2C%7B%22title%22%3A%22Poor%20Compliance%22%2C%22value%22%3A%2220%22%2C%22color%22%3A%22grey%22%2C%22custom_color%22%3A%22%236baed6%22%7D%2C%7B%22title%22%3A%22Wrong%20Medication%22%2C%22color%22%3A%22sky%22%2C%22custom_color%22%3A%22%239ecae1%22%7D%2C%7B%22title%22%3A%22Inadequate%20Medication%20Dosing%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22green%22%2C%22custom_color%22%3A%22%23c6dbef%22%7D%2C%7B%22title%22%3A%22Drug-Drug%2FDrug-Food%20Interactions%22%2C%22value%22%3A%2210%22%2C%22color%22%3A%22purple%22%2C%22custom_color%22%3A%22%23deebf7%22%7D%2C%7B%22title%22%3A%22Genetic%2FIdiopathic%22%2C%22color%22%3A%22vista-blue%22%2C%22custom_color%22%3A%22%23f7fbff%22%7D%5D” title=”Causes of Treatment Failure”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1509705284844{background-color: #9ecae1 !important;}” el_id=”ytp”][vc_row][vc_column][vc_custom_heading text=”Your Treatment plan” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” el_class=”grdntBGonly23″ css=”.vc_custom_1510162838765{margin-top: 0px !important;padding-top: 20px !important;padding-bottom: 20px !important;}”][/vc_column][/vc_row][vc_row gap=”30″][vc_column el_class=”grdntBlueBox grdntBlueBox23″ css=”.vc_custom_1591320925403{background-color: #2171b5 !important;}”][vc_single_image image=”12799″ img_size=”full” alignment=”center”][vc_column_text]
Your Treatment Plan may consist of the following features:
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Screening for causes of symptoms
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Education and information
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Treating medical/nutritional endocrine causes of symptoms e.g. sleep apnea
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Lifestyle changes e.g. exercise, diet, sleep hygiene
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Choosing the correct therapy modality if desired/recommended
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Selecting the correct medication regimen if required
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Careful monitoring and titration
[/vc_column_text][/vc_column][/vc_row][vc_row css=”.vc_custom_1509706736901{padding-top: 20px !important;}”][vc_column][vc_btn title=”BOOK ONLINE NOW OR CALL +1 833-312-GABA. / LOCAL +1 212-655-0541″ style=”gradient” gradient_color_1=”black” gradient_color_2=”mulled-wine” shape=”square” align=”center” link=”url:%23appointment|||”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591348754377{background-color: #ffffff !important;}” el_id=”takemed”][vc_row][vc_column css=”.vc_custom_1508667007819{padding-top: 0px !important;}”][vc_custom_heading text=”Will I need to take psychiatric medication?” font_container=”tag:h1|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1518542769726{margin-top: 0px !important;}”][/vc_column][/vc_row][vc_row gap=”30″][vc_column el_class=”grdntBlueBoxPadding” css=”.vc_custom_1509468746236{background-color: #9ecae1 !important;}”][vc_column_text css=”.vc_custom_1555941806410{margin-bottom: 0px !important;}”]Many people who visit a psychiatrist are concerned about being prescribed psychiatric medications. Not everyone who visits a psychiatrist will be prescribed medication. Indications for medication include:
Persistent symptoms of anxiety, insomnia, depression, chronic fatigue, hyperphagia, anorexia, obsessions, compulsions, low sex drive, apathy, mood swings, severe premenstrual symptoms with polycystic ovarian syndrome, paranoid delusions, hallucinations, voices, low energy, seasonal affective symptoms, irritability or anger despite all efforts at natural treatment .
If you are suffering from poor work performance and impairment in social relationships– you may be advised to take the medication in order to live your life to the fullest and achieve your personal and professional goals. Your psychiatrist should discuss with you the risks versus benefits of various treatment options.[/vc_column_text][/vc_column][/vc_row][vc_row equal_height=”yes” css=”.vc_custom_1509978514887{margin-top: 30px !important;padding-bottom: 15px !important;}” el_class=”takemed-boxes mobileViewMTfix”][vc_column width=”1/3″][vc_single_image image=”12600″ img_size=”full” alignment=”center” el_class=”takemedimg”][vc_empty_space height=”30px” css=”.vc_custom_1509979043486{margin-right: -30px !important;margin-left: -30px !important;background-color: #deebf7 !important;}”][vc_column_text el_class=”takemedtxt”]
I took medications before & it didn’t work.
Reasons for poor response to medication include:
- Inadequate trial of medication (not finding the correct medication)
- Inadequate dosing
- Drug, drug interactions
- Poor compliance
- Nutritional Deficiencies
- Vitamin D deficiency
- Endocrine Problems: including PCOS, menopause, subclinical hyperthyroidism, and hypothyroidism
- Sleep problems including sleep apnea
- Developmental, Past Trauma, PTSD
- Unresolved external stressors
- Genetic
- Wrong diagnosis
- Wrong medication
[/vc_column_text][vc_btn title=”LEARN MORE” style=”gradient-custom” gradient_custom_color_1=”#6baed6″ gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”center” css=”.vc_custom_1518792015858{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fmedication%2F|||”][/vc_column][vc_column width=”1/3″][vc_single_image image=”12605″ img_size=”full” alignment=”center” el_class=”takemedimg”][vc_empty_space height=”30px” css=”.vc_custom_1509979130891{margin-right: -30px !important;margin-left: -30px !important;background-color: #deebf7 !important;}”][vc_column_text el_class=”takemedtxt”]
I have had side effects to Psychiatric medications BEFORE.
Reasons for side effects to psychiatric medications can be:
- Idiopathic
- Slow enzyme metabolizer
- Drug/drug interactions
- Drug/food interactions
- High Dose
Ways to avoid side effects include:
- Discontinue the offending agent
- Screen for family history of drug interactions.
- Screen for possible drug/drug interaction
- Slow titration
- Screen for food /drug interactions
[/vc_column_text][vc_btn title=”LEARN MORE” style=”gradient-custom” gradient_custom_color_1=”#6baed6″ gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”center” css=”.vc_custom_1518792046138{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fmedication%2F|||”][/vc_column][vc_column width=”1/3″][vc_single_image image=”12601″ img_size=”full” alignment=”center” el_class=”takemedimg”][vc_empty_space height=”30px” css=”.vc_custom_1509979140146{margin-right: -30px !important;margin-left: -30px !important;background-color: #deebf7 !important;}”][vc_column_text el_class=”takemedtxt”]
I only want Psychotherapy and Natural Remedies
Research has shown that supportive psychotherapy & cognitive behavioral therapy create similar changes in the frontal lobe on PET scan as SSRIs. Many patients with symptoms of depression, anxiety, PTSD and mild OCD improve with psychotherapy alone.
Natural treatments for depression, anxiety, OCD, include :
- sunlight
- exercise
- n-acetylcysteine
- nutritional supplementation
- screening for heavy metal toxicity
- treat subclinical hypo&hyperthyroidism
- progesterone
- psychotherapy
[/vc_column_text][vc_btn title=”LEARN MORE” style=”gradient-custom” gradient_custom_color_1=”#6baed6″ gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”center” css=”.vc_custom_1518792088308{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Fmedication%2F|||”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1591319310868{background-color: #1e73be !important;}” el_id=”dtmed”][vc_row gap=”30″ equal_height=”yes”][vc_column width=”1/2″ css=”.vc_custom_1508744026246{padding-top: 150px !important;padding-bottom: 150px !important;background-image: url(https://gabatelepsychiatry.com/wp-content/uploads/2017/06/th-5.jpeg?id=11761) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}”][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBox grdntBlueBox23″ css=”.vc_custom_1508778503682{background-color: #08519c !important;}”][vc_custom_heading text=”What if I don’t want to take psychiatric medication?” font_container=”tag:h3|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_column_text]No one can force you to take psychiatric medication if you do not want to unless you are in the hospital and often not even then.
At GABA Telepsychiatry, the psychiatrist will work with you to address all the possible causes of psychiatric symptoms, including developmental, genetic, emotional, trauma, environmental, endocrine (due to hormones), medical including sleep apnea, diabetes, stroke, obesity, poor physical fitness, and medical causes of psychiatric symptoms.
However, there are some individuals who still demonstrate significant impairment, who continue to suffer and are still symptomatic despite psychotherapy and efforts towards natural remedies. In these cases, the psychiatrist will aim to work with you to find the correct medication and minimize side effects.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_custom_heading text=”Did you know that the most common causes of poor response to psychiatric medication are poor compliance, inadequate dosing, and inadequate trial of medication.” font_container=”tag:h3|text_align:center” use_theme_fonts=”yes”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” el_id=”abouttp”][vc_row][vc_column][vc_custom_heading text=”Telepsychiatry is expanding globally due to convenience & good outcomes” font_container=”tag:h2|text_align:center” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal” css=”.vc_custom_1510163059507{margin-bottom: 0px !important;}”][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” css=”.vc_custom_1509705312395{background-color: #deebf7 !important;}”][vc_row gap=”30″ equal_height=”yes” el_class=”tspg-top”][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1591319825814{background-color: #ffffff !important;}”][vc_custom_heading text=”How is Telepsychiatry different from an office visit?” font_container=”tag:h3|text_align:left” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_row_inner][vc_column_inner width=”1/4″ css=”.vc_custom_1508681019529{padding-right: 3px !important;padding-left: 0px !important;}”][vc_single_image image=”14186″ img_size=”full” alignment=”center”][/vc_column_inner][vc_column_inner width=”3/4″ css=”.vc_custom_1508681027056{padding-right: 0px !important;padding-left: 3px !important;}”][vc_column_text el_class=”tspg-txt”]Telepsychiatry is the same as in a psychiatrist office visit. Precisely the same rules, regulations and standards of care apply. Psychiatrists must be licensed, insured and certified in the State where they are practicing. They must follow APA guidelines and standards of care.[/vc_column_text][vc_btn title=”TELEPSYCHIATRY SAFE PRACTICES & GUIDELINES…” style=”gradient-custom” gradient_custom_color_1=”#c6dbef” gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”left” css=”.vc_custom_1518792134686{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Ftele-psychiatry-safe-practices-and-protocols%2F|||”][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1591319842064{background-color: #ffffff !important;}”][vc_custom_heading text=”Is Telepsychiatry safe?” font_container=”tag:h3|text_align:left” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_row_inner][vc_column_inner width=”1/4″ css=”.vc_custom_1508681019529{padding-right: 3px !important;padding-left: 0px !important;}”][vc_single_image image=”14186″ img_size=”full” alignment=”center”][/vc_column_inner][vc_column_inner width=”3/4″ css=”.vc_custom_1508681027056{padding-right: 0px !important;padding-left: 3px !important;}”][vc_column_text el_class=”tspg-txt”]Telepsychiatry is as safe and private as an office visit if practiced correctly: Psychiatrists must see patients via an encrypted HIPAA compliant platform. Notes must be stored on a secure cloud-based Electronic Health Records software. The same data security rules apply for Telehealth.[/vc_column_text][vc_btn title=”TELEPSYCHIATRY SAFE PRACTICES & GUIDELINES…” style=”gradient-custom” gradient_custom_color_1=”#c6dbef” gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”left” css=”.vc_custom_1518792164307{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Ftele-psychiatry-safe-practices-and-protocols%2F|||”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row gap=”30″ equal_height=”yes” el_class=”tspg-bottom”][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1591319812320{background-color: #ffffff !important;}”][vc_custom_heading text=”Is Telepsychiatry effective?” font_container=”tag:h3|text_align:left” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_row_inner][vc_column_inner width=”1/4″ css=”.vc_custom_1508681019529{padding-right: 3px !important;padding-left: 0px !important;}”][vc_single_image image=”14186″ img_size=”full” alignment=”center”][/vc_column_inner][vc_column_inner width=”3/4″ css=”.vc_custom_1508681027056{padding-right: 0px !important;padding-left: 3px !important;}”][vc_column_text el_class=”tspg-txt”]There is an increasing amount of research demonstrating telepsychiatry to be as effective as in-office visits and in some cases more effective. Reasons for the high efficacy of telepsychiatry include a patient having a more excellent choice in of psychiatrist or specialist treatment with less geographic limitation and higher compliance rates due to more convenient access to appointments.[/vc_column_text][vc_btn title=”TELEPSYCHIATRY SAFE PRACTICES & GUIDELINES…” style=”gradient-custom” gradient_custom_color_1=”#c6dbef” gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”left” css=”.vc_custom_1518792199465{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Ftele-psychiatry-safe-practices-and-protocols%2F|||”][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/2″ el_class=”grdntBlueBoxPadding” css=”.vc_custom_1591319694617{background-color: #ffffff !important;}”][vc_custom_heading text=”Is Telepsychiatry right for me?” font_container=”tag:h3|text_align:left” google_fonts=”font_family:Cinzel%3Aregular%2C700%2C900|font_style:700%20bold%20regular%3A700%3Anormal”][vc_row_inner][vc_column_inner width=”1/4″ css=”.vc_custom_1508681019529{padding-right: 3px !important;padding-left: 0px !important;}”][vc_single_image image=”14186″ img_size=”full” alignment=”center”][/vc_column_inner][vc_column_inner width=”3/4″ css=”.vc_custom_1508681027056{padding-right: 0px !important;padding-left: 3px !important;}”][vc_column_text el_class=”tspg-txt”]Telepsychiatry is favorable for people who want to see a particular psychiatrist but are limited by location, weather conditions, access to childcare, or who need specialist treatment. If you travel for work, if you merely dislike traveling to appointments and psychiatrist waiting rooms, or you need evening or weekend appointments, telepsychiatry may be right for you.[/vc_column_text][vc_btn title=”TELEPSYCHIATRY SAFE PRACTICES & GUIDELINES…” style=”gradient-custom” gradient_custom_color_1=”#c6dbef” gradient_custom_color_2=”#9ecae1″ gradient_text_color=”#000000″ shape=”square” align=”left” css=”.vc_custom_1518792252827{margin-bottom: 5px !important;}” link=”url:https%3A%2F%2Fgabatelepsychiatry.com%2Ftele-psychiatry-safe-practices-and-protocols%2F|||”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][/vc_section][vc_section full_width=”stretch_row” el_id=”officevisits”][vc_row][vc_column][bsf-info-box icon=”Defaults-adjust” icon_size=”45″ icon_color=”#4292c6″ icon_style=”advanced” icon_color_bg=”#f7fbff” icon_border_style=”solid” icon_color_border=”#08306b” icon_border_size=”2″ icon_border_radius=”500″ icon_border_spacing=”80″ title=”office visits available on request, book online or call +1 833-312-GABA / local +1 212-655-0541″ pos=”left”][/bsf-info-box][vc_single_image image=”12736″ img_size=”full” alignment=”center” el_class=”imgbnr-fullwidth”][/vc_column][/vc_row][/vc_section][vc_row][vc_column][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]
Why GABA Telepsychiatry?
GABA Telepsychiatry is a unique practice, where the psychiatrist offers the closest possible approximation to traditional psychiatric services in a telepsychiatry format.
All affiliated practitioners are US licensed, trained, and insured psychiatrists, who are screened, verified, and are known to follow US Psychiatry guidelines and standards of care. Safe, ethical, legal and effective psychiatric services are ensured.
The purpose is to provide the highest quality care to patients, who otherwise would not be able to access care from the psychiatrist of their choice, either because of geographic location or scheduling difficulty.
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