A comprehensive reassessment may help if:
We begin by taking a careful look at your whole story, not just your current diagnosis. We review your symptoms and how they have changed over time, the medications and therapy you have tried, how they worked, and any side effects. We also look at sleep, alcohol and other substance use, and physical health conditions that can affect mood.
Depression often comes with other concerns, such as anxiety, OCD, ADHD, the effects of trauma, or mood swings that point to bipolar disorder. Because these can change which treatment works best, our physicians check for them from the start.
Once we understand the full picture, we build a plan around you. Depending on your needs, that may mean fine-tuning what you are already taking, trying a different medication, adding a second treatment that helps the first one work better, or tracking your progress more closely. We also coordinate with your therapist and other doctors so everyone is working toward the same goals.
Some people have more than one diagnosis, react strongly to medications, take many medications at once, or find that depression makes daily life very difficult. For these patients, we carefully review what is helping, what is not, and whether the plan can be simplified, with fewer medications, fewer side effects, and less to manage. Careful prescribing in complex situations is where a physician’s training matters most.
Better Care Can Mean Fewer Medications
We carefully review what is helping, what is not, and whether your plan can be simplified, so you take only what you need and nothing more.
If a treatment such as TMS, ECT, ketamine/esketamine, or another specialty intervention is indicated but not provided directly by our practice, we may recommend consultation with an appropriate external program.
Outpatient telepsychiatry is not a substitute for emergency or crisis services. During evaluation and treatment, we assess safety and whether a different level of care may be necessary.
A systematic review of the diagnosis, the treatments already tried, and what deserves consideration next.
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