Treatment Services

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Personalized for your needs

Treatment Philosophy

As a medically-trained physician, my expertise lies in the understanding of how the mind and body, the mental and physical health interlink with each other.

I strive to work collaboratively with my patients, and actively solicit feedback in assessing what works and what doesn’t work. As a physician undergoing subspecialty fellowship training in child and adolescent psychiatry, I seek to understand how early developmental experiences impact the ways in which a person currently responds to conflict in his, her, or their life. 

Working together, I will help you decide when and whether a medication or supplement may be useful. I provide talk therapy to help conceptualize the problems you are having and explore solutions to those problems. I will spend time getting to know you and learning about your life circumstances and treatment goals. If I am not working with you in therapy myself, I will collaborate with your therapist.

An astute psychiatrist keeps an eye out for medical illnesses masquerading as or contributing to psychiatric symptoms, and vice-versa. During the evaluation process, I may order laboratory, radiological, or other diagnostic testing when necessary. I often collaborate with primary care physicians, medical specialists, and other healthcare providers to provide comprehensive care for the mind and body.


Areas of Specialty:

  • Attention-deficit hyperactivity disorder (ADHD) for children, adolescent, and adults
  • Mood disorders (depression & bipolar disorders)
  • Anxiety disorders including generalized anxiety, social anxiety, panic, phobia, and selective mutism
  • Disruptive and aggressive behaviors in those with autism spectrum disorder including in those who are minimally verbal
  • Neuropsychiatric conditions such as functional neurological disorder (conversion disorder), catatonia, as well as mental health symptoms associated with traumatic brain injury, brain cancer, autoimmune conditions, epilepsy, and rare genetic disorders
  • Problematic behavior in children and teenagers, including oppositional defiant and conduct disorders

Comprehensive Diagnostic Evaluation

Adults – 90 minutes
Children & Adolescents – two 90 minute appointments

In this initial session, we will review your current symptoms and impacts on well-being; medical/surgical/psychiatric history including past treatments; familial and social background; and current life circumstances. I will provide you with the most appropriate diagnoses, though in certain situations we may need to refine and clarify this with further time.

As a physician, I may recommend laboratory studies such as blood or genetic tests, brain scan studies, conduct a physical examination or a neuropsychiatric examination, or obtain additional testing if indicated to thoroughly investigate the concerns that brought you into treatment.

Recommendations for medications, psychotherapy along with lifestyle and behavioral changes will discussed during the comprehensive evaluation. If you have a primary care physician or other specialists involved in your care, I will collaborate with them at no additional charge as part of the comprehensive evaluation.

For children & adolescents, we will have two intake appointments separated by at least one week. For the first appointment, I will meet with the parents for the first 60 minutes of the first appointment, then with the patient for the last 30 minutes. Between these two appointments, I will gather information from the school, from the therapist, and from other people who may lend insight into the child’s symptoms. During the second appointment, I will meet with the child for the first 45-60 minutes and then we will discuss the assessment and treatment plan at the end of the second appointment.

Initial Comprehensive Evaluation for the Child & Adolescent

No treatment relationship will necessarily emerge from this initial meeting. If we decide that we are a good fit for each other, we will then develop a treatment relationship where I can be considered your doctor/psychiatrist.


Brief Pharmacotherapy Visit

25 minutes

We will regularly check in to address any need for changes to your treatment plan, including but not limited to refining your diagnoses, ongoing laboratory tests such as monitoring medication levels, medication dose adjustments, and any necessary referrals.

Typically, those with established therapists see me for this purpose or in those whose condition has been stabilized enough to the point where infrequent appointments are appropriate. Should your situation stabilize enough, we may get you off of medications or transfer the prescription over to your primary care physician to continue your care, but this will be discussed at length before any decision is made.


Talk Therapy with or without Medications

50 minutes

The goal of talk therapy is for the therapist to try to help people gain better mental health. This can mean that the individual will learn to accept themselves with their limitations and to improve their overall resiliency, sense of agency, tolerance of a wide range of thoughts and emotions, self-continuity, realistic self-esteem, capacity for intimacy, moral sensibilities, and awareness of others as having separate subjectivities. I believe therapy should identify core issues and begin to make a difference from the get-go

If you do not currently have a therapist, I can provide therapy and if we decide together that medications would be beneficial, I can provide the combined treatment as well.

In my professional opinion and from established research, almost all patients benefit from some form of talk therapy. Patients in this track require more regular appointments to fully benefit. Frequency will start weekly, and longer-term may space out to biweekly to monthly. If more intense therapy is recommended, the frequency of therapy can increase to twice or three times a week depending on availability. Should your situation stabilize and improve, or you find an alternate therapist, we can discuss switching over to the medication management track. 

Psychotherapy Modalities:

• Cognitive Behavioral Therapy (CBT)
• Psychodynamic/Psychoanalytic Therapy
• Interpersonal Therapy (IPT)
• Supportive Parenting for Anxious Childhood Emotions (SPACE)
• Parent Management Training (PMT)
• Cognitive Processing Therapy (CPT)
• Family Therapy
• Couples Therapy


Late Cancellations or Missed Appointments

Late cancellations or missed appointments are billed based on the scheduled appointment time. Please cancel at least 2 business days ahead of time.


Prescriptions

It is my policy to write prescriptions and refills when you come for a scheduled appointment. In emergency cases, I may authorize some medication prior to your next appointment. It is a shared responsibility between both patient and provider to monitor medication refills, so as to minimize the need for prescribing medication outside of office appointments. 

CONDITIONS TREATED: Pediatric Psychiatry, Anxiety Disorders, Panic Disorder, Depression, Attention Deficit Hyperactivity Disorder (ADD/ADHD), Autism Spectrum Disorder, Obsessive Compulsive Disorder (OCD), Insomnia, Bipolar Disorder, Treatment Resistant Depression, Schizophrenia, Neuropsychiatric Disorders, Functional Neurological Disorders

REGIONS COVERED: I serve clients of the Bay Area, including the communities of San Francisco, Burlingame, San Mateo, Menlo Park, Palo Alto, Cupertino, Los Gatos, Los Altos, Mountain View, Portola Valley, Atherton, Woodside, Hillsborough, Sunnyvale, and San Jose.

AFFILITATIONS:

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