As a medically-trained doctor, my expertise lies in the understanding of how the mind and body, mental and physical health interlink with each other. I strive to work collaboratively and holistically with my patients, and actively solicit feedback in assessing what works and what doesn’t work.
Example areas of specialty and treatment:
Mood disorders including depression and bipolar disorder
Anxiety disorders including generalized anxiety, panic, phobias, obsessive-compulsive disorder
Trauma and adjustment disorders including PTSD
Psychosis including hallucinations, paranoia, delusions
Insomnia, both short-term and long-term
Stress, including work and interpersonal
Addiction/substance use disorders
Initial Phone Consultation
In this preliminary phone interview, we will briefly discuss what brings you to treatment, how I may be of help, and whether we will be a good fit. If we agree that your issues may be better addressed by one of many excellent colleagues in the greater Bay Area, I will happily provide you with these referrals.
No treatment relationship will be established from this initial contact.
Comprehensive Diagnostic Evaluation
In this initial session, we will review your current symptoms and impacts on your 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.
Recommendations for any continuing treatment including medications, psychotherapy, laboratory studies, consultation with other specialists will be discussed at the end of the appointment. If you have a primary care physician or other providers involved in your care, I will collaborate with them at no additional charge in updating them of these diagnoses and treatment considerations.
As a form of ongoing treatment, 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, any necessary referrals.
Some patients with established therapists opt to see me for this purpose.
Psychotherapy + Medication Management
If you do not have an established psychotherapist and we agree that you will benefit from a combined medication+therapy approach, I am able to provide both services. I utilize cognitive-behavioral, dynamic, interpersonal, supportive, and acceptance and commitment approaches depending on the issues at hand. I prefer to be an active psychotherapist unlike the stereotyped therapist from older movies and shows.
In my professional opinion and from established research, almost all patients benefit from some form of psychotherapy. 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. Should your situation stabilize and improve, or you find an alternate therapist, we can discuss switching over to the medication management track.
Telepsychiatry (Video Visits)
See above for time and cost
For patients who live far from San Francisco or their schedules make Tuesday evenings a difficult time to attend appointments, we may discuss utilizing a secure video visit in light of in-person meetings. The same treatment options and costs as the in-person appointments apply. I utilize Zoom, a medically-secure HIPAA-compliant teleconferencing tool, which will require you to download this application on your computer or phone.
These video visits will still require in-person visits for our first meeting, and with some periodicity (every third or fourth visit, etc).