PSYCHIATRY SERVICES

Psychiatry Services Offered:

• Interventional Psychiatry

  • Transcranial Magnetic Stimulation (TMS)

  • Ketamine Infusion Therapy (KIT)

  • Ketamine Assisted Psychotherapy (KAP)

• General Psychiatry including:

  • Medication Management

  • Individual Therapy

  • Couples Therapy

  • Family Therapy

  • Brainspotting

  • Trauma including EMDR (Eye Movement Desensitization and Reprocessing)

For more information, click the corresponding link to the left.

What should I expect from my Mindfully Integrated Health provider?

• Expect to receive the highest quality care possible based on evidence based practices.

• Expect to be treated with courtesy and respect.

• Expect to have your information kept private and confidential except as required by law , as noted in Mindfully Integrated Health's Notice of Privacy Practices.

• Expect to be provided information and support to help you improve your life.

• Expect to be treated with dignity and without discrimination at all times.

• Expect to have our providers as your advocate for your best possible wellness.

What will my Mindfully Integrated Health provider expect of me?

• We expect you to discuss your care with staff to identify if it is working for you.

• We expect you to express any questions or concerns that you may have.

• We expect you to be an active participant in your care and recovery.

• We expect you to discuss your progress with us to determine if the care you are receiving is meeting your needs.

• We expect you to treat our staff and fellow patients with the courtesy and respect which you would appreciate being given.

Transcranial Magnetic Stimulation (TMS)

Mindfully Integrated Health has partnered with NeuroStar to provide TMS Therapy. TMS is an FDA-approved treatment for patients with severe treatment resistant depression. TMS therapy has been included in the American Psychiatric Association treatment guideline for depression since 2010 and offers a drug free way to manage depression!

TMS uses precisely targeted magnetic pulses to stimulate key areas of the brain that are underactive in patients with depression.

Facts about NeuroStar TMS Treatment:

• It is an in-office treatment

• Patients are awake and alert throughout the treatment

• Patients can go back to their normal activities immediately after treatment

• It takes approximately 20 minutes

• Treatment is administered 5 days a week, for approximately 6 weeks

NeuroStar® clinical results and ongoing clinical trials:

NeuroStar TMS Therapy has the largest clinical data set of any TMS treatment. Clinical studies with over 900 patients have shown that NeuroStar TMS Therapy can help achieve remission for patients living with severe depression.

• 1 in 2 patients experienced significant improvement

• 1 in 3 patients achieved full remission

In an NIMH-funded, independent, randomized controlled trial, patients treated with TMS using the NeuroStar TMS System were four times more likely to achieve remission compared to patients receiving sham treatment.

Ketamine Infusion Therapy

Every year, it is estimated that 13 - 14 million Americans suffer from major depression. Of those who seek treatment, 30% to 40% will not get better or fully recover with standard medication management. This is referred to as treatment resistant depression. Untreated or poorly treated depression puts the individual at greater risk for substance abuse, hospitalization, or suicide.

Ketamine infusion therapy has been shown to be successful in treating patients suffering from major depression, bipolar depression, postpartum depression (PPD), obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), generalized anxiety disorder (GAD), and chronic pain syndromes like complex regional pain syndrome (CRPS). Ketamine acts by binding receptors in the brain and acts to enhance the production of neurotransmitters, such as serotonin, which in turn alleviates depressive symptoms. Ketamine effectively "re-wires" the brain, resulting in an antidepressant effect that is significantly different from the traditional antidepressant medication, which may reduce the need for other psychiatric medications.

Check out Mindfully Integrated Health's resources page for links to research on the efficacy of Ketamine infusion therapy for psychiatric disorders.

Understanding Your Medications

If you are prescribed a medication, be sure that you:

• Tell the doctor about all medications and vitamin supplements you take

• Discuss any allergies and adverse reactions you've had with prior medications

• Understand how to take the medicine before you start and take as instructed

• Don't take medicines prescribed for another person

• Call your doctor right away if you have any problems with your medication

• Report serious side effects to the FDA MedWatch Adverse Event Reporting

Psychopharmacology (Medication Management)

Mental health disorders are common in the United States.  Psychopharmacology is the use of medication to manage the symptoms of mental health disorders. For many people medications play a critical role in managing their mental health needs. The management of psychoactive medications along with regular therapy is the cornerstone of psychiatric care. 

Psychiatric medications influence the chemicals that regulate emotions and thought patterns. In some cases, medications can reduce symptoms so other methods of treatment can be more effective. For example, a medication can ease symptoms of depression such as loss of energy and lack of concentration, allowing individuals to engage more in talk therapy with a trained therapist.

Predicting who will respond to what medication can be difficult because different medications may work better for one person than for another. Your provider will thoroughly review your history and clinical records to see if evidence exists for recommending one medication over another. A few psychiatric medications work quickly, and you will see improvements within days, but most work more slowly. You may need to take a medication for several weeks or months before you see improvement. Medication management may involve routine blood draws and monitoring of blood levels of various medications. Your provider will let you know if these tests are necessary.

Combining therapy with properly prescribed medications can reduce symptoms in those actively involved in mental health treatment by an average of nearly 70%. While counseling alone can be helpful for many issues, there are times when an appropriate medication can provide additional relief. Our providers have extensive experience in medication management and can actively collaborate with your therapist to help you develop a plan tailored specifically for you.

Psychotherapy can help you:

• Understand your illness

• Define and reach wellness goals

• Overcome fears or insecurities

• Cope with stress

• Make sense of traumatic experiences

• Separate your true personality from the mood swings caused by your illness

• Identify triggers that worsen symptoms

• Improve relationships

• Establish a stable, dependable routine

• Develop a plan for coping with crises

• Understand why things bother you and what you can do about them

• End destructive habits

Therapy

Psychotherapy, also known as “talk therapy” or counseling, is when a person speaks with a trained therapist in a safe and confidential environment to explore and understand feelings and behaviors and gain coping skills. During individual therapy sessions, the conversation can touch on a variety of topics such as past or current problems, experiences, thoughts, feelings or relationships experienced by the person(s).  The therapist will help make connections and provide insight into destructive patterns of behavior and start to work to change those patterns. The goal of therapy is to improve quality of life, establish and improve positive coping skills, and promote recovery.

Therapy can be an important part of treatment for depression, bipolar disorder, OCD, PTSD, and many other psychiatric disorders. A good therapist will help you cope with feelings and symptoms, and change behavior patterns that may contribute to your illness. Talk therapy is not just talking about your problems. The goal is to work toward solutions. Therapy will typically involve homework, such as tracking your moods, writing about your thoughts/journaling, participating in social activities that have caused anxiety in the past, or trying to look at things in a different way.

Studies have found individual therapy to be effective at improving symptoms in a wide array of mental illnesses, making it a popular and versatile treatment.