Conditions Treated

Anxiety often manifests as a persistent, background state of worry, tension, and difficulty relaxing, where you may find yourself constantly anticipating problems, feeling restless or irritable, or experiencing physical symptoms like chronic muscle tension, fatigue, and disrupted sleep that make it incredibly difficult to concentrate on daily tasks.

When this excessive, difficult-to-control worry occurs more days than not for at least six months, it may point toward Generalized Anxiety Disorder (GAD), which in adults requires at least three associated physical or cognitive symptoms alongside significant distress or interference with your personal, social, or professional life.

A thorough psychiatric evaluation helps clarify your specific pattern of anxiety, distinguishing it from everyday stress, to guide tailored medication recommendations and ensure seamless coordination with an outside therapist when psychotherapy is appropriate.

Depression involves notable shifts in mood, motivation, energy, and enjoyment, with examples including low or sad mood most of the day, loss of interest in previously pleasurable activities, changes in sleep or appetite, persistent fatigue, difficulty concentrating, feelings of worthlessness, observable psychomotor slowing or agitation, and recurrent thoughts of death or suicide.

A major depressive episode is defined by five or more of these symptoms occurring during the same two‑week period, including depressed mood or anhedonia, and causing marked distress or functional impairment; assessment also screens for medical contributors and any history of mania or hypomania.

Treatment is individualized, often incorporating medication when clinically indicated, and includes ongoing monitoring of mood and daily functioning.

Attention-Deficit/Hyperactivity Disorder (ADHD) in adults commonly presents as chronic difficulties with attention, organization, activity level, and impulse control, which in daily life might look like frequently losing essential belongings, forgetting appointments, struggling to complete multi-step tasks, high distractibility, internal restlessness, or a tendency to interrupt others during conversations.

For an adult diagnosis, clinical guidelines require at least five persistent symptoms in the inattentive and/or hyperactive-impulsive category lasting for at least six months, with several symptoms present before age 12, manifesting across at least two distinct settings like home and work, and directly interfering with your overall functioning.

Because no single test can determine an ADHD diagnosis, we utilize a comprehensive assessment process that carefully considers overlapping psychiatric or medical conditions and collaborate with neuropsychologists for formal testing when clinically indicated.

Obsessive-Compulsive Disorder (OCD) is characterized by a cycle of obsessions, which are unwanted, intrusive thoughts, urges, or images that trigger intense distress, and compulsions, which are repetitive behaviors or mental rituals like checking, washing, reassurance seeking, counting, or a rigid need for things to feel "just right" performed in an attempt to ease that distress or prevent a feared outcome.

Clinically, these symptoms are highly time-consuming often consuming more than an hour each day or cause significant impairment in daily life, establishing OCD as a distinct neurobiological condition rather than a simple, casual preference for cleanliness, neatness, or organization.

Evaluation focuses on mapping these specific symptom patterns, and treatment often involves targeted medication options combined with close coordination with specialized outside therapists who provide Exposure and Response Prevention (ERP) therapy.

Panic disorder consists of sudden episodes of intense fear or discomfort that peak within minutes, accompanied by symptoms such as a racing heart, sweating, trembling, breathlessness, dizziness, chest discomfort, and a fear of losing control or dying.
 
The key feature is recurrent, unexpected panic attacks, with at least one attack followed by a month or more of persistent worry about having additional attacks or significant changes in behavior related to the attacks; a single attack does not meet diagnostic criteria.

Evaluation examines both psychiatric and medical explanations, considers medication options (often SSRIs or SNRIs), and arranges coordination with a therapist for strategies such as cognitive‑behavioral therapy to reduce attack frequency and associated anxiety.

Social Anxiety is defined by a persistent, intense fear of scrutiny, embarrassment, or negative judgment by others that often causes people to dread upcoming presentations, avoid unfamiliar conversations, or skip social gatherings entirely out of fear that others will notice their visible anxiety, frequently leading to hours or days of mentally overanalyzing the interaction afterward.

In individuals with Social Anxiety Disorder, feared social or performance situations consistently provoke anxiety and are either completely avoided or endured with severe distress, representing a fear that is disproportionate to the actual threat, typically lasts for at least six months, and significantly limits professional or personal functioning.

We provide a supportive, individualized evaluation to explore how social anxiety impacts your life, developing treatment plans that may include targeted medications to lower the physiological barrier of anxiety coordinated alongside specialized therapy.

Individuals may experience unwanted memories, nightmares, flashbacks, avoidance of trauma‑related cues, emotional numbness, negative beliefs about themselves or the world, heightened alertness, irritability, and sleep disturbances.

Post‑traumatic stress disorder (PTSD) requires exposure to actual or threatened death, serious injury, or sexual violence and involves symptoms across four clusters: intrusion, avoidance, negative alterations in cognition or mood, and arousal/reactivity.

Symptoms must persist for more than one month and cause significant distress or impairment; however, trauma‑related distress can warrant care even when full PTSD criteria are not met.

A sensitive evaluation may lead to medication when appropriate and coordination with a trauma‑focused therapist for specialized interventions.

Bipolar disorders are characterized by distinct, cyclical shifts in mood, energy, activity levels, and sleep patterns that go far beyond everyday emotional ups and downs, where elevated phases cause a significantly decreased need for sleep without feeling tired, racing thoughts, unusually elevated confidence, a surge in goal-directed activity, or impulsive decision-making that alternate with periods of deep depression.

Bipolar I Disorder requires at least one full manic episode lasting for at least one week or any duration if psychiatric hospitalization becomes necessary, whereas Bipolar II Disorder requires a history of at least one hypomanic episode lasting at least four consecutive days and at least one major depressive episode without ever having experienced a full manic episode.

Because everyday mood fluctuations do not establish a bipolar diagnosis, we conduct a careful, longitudinal review of your lifetime mood patterns to build a treatment plan focused primarily on specialized medication management and close, ongoing monitoring to restore and maintain mood stability.

Insomnia disorder is characterized by difficulty falling asleep, staying asleep, or waking too early despite having adequate opportunity for rest, often presenting as lying awake for extended periods, frequent awakenings, fatigue, irritability, and reduced concentration during the day.

The condition is diagnosed when sleep difficulties occur at least three nights per week for three months or longer and cause significant distress or daytime impairment; assessment rules out other sleep disorders, medication effects, and underlying medical or mental health issues.

Treatment may involve medication when clinically indicated, and referrals for cognitive‑behavioral therapy for insomnia (CBT‑I) or a sleep‑specialist evaluation are recommended as first‑line, evidence‑based strategies.

High-stress periods, major life transitions, or toxic work environments can cause severe emotional and physical depletion that shows up as profound exhaustion, reduced motivation, a sense of alienation or disconnection from your work, irritability, anxiety, sadness, and an inability to keep up with daily responsibilities.

While burnout is a significant state of occupational exhaustion, it is not a formal diagnosis in the DSM-5-TR, whereas an Adjustment Disorder is a clinical diagnosis where emotional or behavioral symptoms develop within three months of an identifiable life stressor, causing distress that is disproportionate to the intensity of the stressor and resulting in significant impairment in daily functioning that typically resolves within six months once the stressor or its consequences have ended.

Our approach involves evaluating you for overlapping conditions like underlying anxiety or depression, treating any identified clinical conditions, helping manage acute sleep or anxiety symptoms, and providing referrals to supportive resources to help you navigate the transition.