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Patient Services
Comprehensive Psychiatric EvaluationThe first step in receiving the right help for a mental health problem is receiving a comprehensive psychiatric evaluation. I take special care in gathering the right information to determine the most likely diagnosis and most effective treatment. For children, I may ask parents’ permission to contact other significant people such as the family physician, school personnel, or other relatives to gather additional information. I consider all aspects of one’s situation when determining the best treatment plan – including information about health, illness, and past treatment (medical and psychiatric); family health; information about child development; academic/work performance and friends; family relationships; a thorough psychiatric interview; and if necessary, laboratory studies such as blood tests, imaging studies, or special assessments (for example, psychological, educational, speech and language evaluations). I work closely with patients and their family members from the very beginning to ensure that we have identified the key problems and are adequately addressing each of them. PsychotherapyI use psychotherapy as the primary treatment to help patients and families understand and resolve problems, modify behavior, and make positive changes in their lives. I practice Cognitive Behavioral Therapy (CBT) - a time limited and research proven type of psychotherapy that emphasizes identifying maladaptive patterns of thinking or behaving, and replacing these patterns with more balanced thoughts, feelings, and behaviors. Positive results are usually seen within the first month of treatment. I provide CBT for individuals, families and couples. Medication ManagementI take a conservative approach to prescribing medicine, and reserve this option only for instances where the potential benefits of treatment outweigh the risks. Some problems are so severe and persistent that they would have serious negative consequences for the patient and family if untreated, and psychotherapy may be more effective if combined with medication. As we are learning more about the safety and efficacy of most psychotropic medications in children, I help patients and families stay as informed as possible regarding potential side effects and closely monitor the progress of patients on medication that I prescribe. See Medication Philosophy for more information. In-home Behavioral AnalysisMost children act differently at home than they do in the doctor’s office. In certain instances where a child is acting aggressively, is oppositional/defiant with family, is destructive to themselves or others, it is helpful to observe a child in their “natural” environment. Upon parents’ request, I will make arrangements to observe a child at home to identify triggers for problematic behavior, help parents intervene when conflict actually occurs, and develop novel and effective approaches to change undesired behaviors. Buprenorphine Maintenance TreatmentAs you may have heard in the news, the FDA recently approved a medication called buprenorphine to treat patients with an addiction to opiates (heroin, Vicodin, Oxycontin, Percocet, etc.). Buprenorphine is highly effective for helping people stop opiates, and it requires a special certification to prescribe. As I am one of the few physicians in the West Los Angeles area who offers this service, please contact me if you think you could benefit from this confidential service.
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