holistic psychiatry services

SPECIALIZING IN:

  • Holistic treatment of mental health conditions including “treatment resistant” diagnoses, depression, anxiety, panic disorder, OCD, PTSD, insomnia, and burnout

  • Psychedelic integration and support after challenging psychedelic experiences. Learn more about psychedelic harm reduction services here.

  • Medication tapers, including treatment of SSRI withdrawal symptoms and protracted withdrawal syndrome. Learn more about tapering services here.

  • Psychoanalytic psychotherapy

holistic psychiatry treatment modalities

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    Specialized Lab testing

    I order labs to rule out medical conditions and nutritional deficiencies that may be contributing to your mental health symptoms. I can also order specialized lab testing to assess adrenal, hormone, and gut function.

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    Supplements and herbal medicine

    I prescribe nutraceuticals, herbs, and supplements to support your mental health. If you are already taking supplements, I help you optimize your regimen and make sure there are no medication interactions.

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    nutritional psychiatry

    A well-nourished brain is one of the foundations of holistic mental health, and recent studies have shown that nutrition can have a powerful effect on psychiatric symptoms. We take a careful look at your diet and formulate a plan to support your brain with nutrition, which may include a referral to a nutritionist.

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    Lifestyle Medicine

    We discuss your habits and routines and come up with a plan to adjust your lifestyle to support your mental health. This can include working on things like movement, restorative sleep, stress management, and relationship to technology. I support you in making realistic changes that you can sustain over time.

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    Psychoanalytic Psychotherapy

    My practice is focused on psychoanalytic psychotherapy. Our sessions are a space for you to speak freely, and we focus on manifestations of the unconscious including dreams and slips of the tongue. I am also trained in other modalities of psychotherapy including CBT and motivational interviewing, and I have done additional training in psychoanalytic psychotherapy at the New Center for Psychoanalysis in Los Angeles.

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    Psychedelic Integration

    I offer support for processing past psychedelic experiences. Psychedelic experiences can sometimes be extremely disruptive and result in new symptoms - if this is the case, we come up with a plan to support you and bring you back into balance.

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    MEDICATION TAPERING SUPPORT

    I support people in reducing or stopping psychotropic medication(s) if clinically indicated. Many patients struggle with withdrawal symptoms when stopping medications, and I have learned that a careful taper combined with lifestyle interventions can help people successfully discontinue meds. Supporting people who want to come off of medications is a passion of mine, and I have published on this topic.

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    MEDICATION MANAGEMENT

    If I do think you will benefit from a medication, I emphasize informed consent and make sure you understand the risks and benefits. I use the lowest effective dose possible to minimize side effects. I seek to first understand the meaning(s) you attribute to psychiatric medications prior to prescribing, so I typically do not immediately start new medications with new patients.

APPOINTMENT LOCATIONS

Appointments are available virtually via telemedicine for patients who live in California.

In-person appointments are available at my office in Silver Lake.

Free 20-minute introductory calls are available for potential new patients.

WORKING TOGETHER: WHAT TO EXPECT

1: free 20-min intro call

I offer free 20-minute introductory phone calls for potential new patients. This call is a time to hear a little bit about why you are seeking support, talk about whether working together might be a good fit, and answer any questions you have about me or my practice approach. From here, we can schedule our intake appointment.

2: INTAKE QUESTIONNAIRE

Before our first appointment, I send you a detailed intake questionnaire that asks about your history, lifestyle, and goals. I also ask that you share any pertinent medical records and past labs. I go over this information meticulously before the intake appointment so we can dive right into our work together when we meet.

3: INTAKE appointment (90-120 min)

I have found that making time for a lengthy appointment to get to know my patients upfront allows us to get to the roots of the issues faster. This is a time for your to tell your story and get into details about how your symptoms are affecting your life. I will ask questions to better understand your history, screen for specific conditions, and identify areas where we can intervene.

4: information gathering

Depending on your specific history, I order labs to screen for medical conditions and nutritional deficiencies that could be contributing to your symptoms. If you have a psychotherapist, I connect with them. I may send you psychiatric scales that help me get a clearer picture of your symptoms and establish a baseline that will help us track your progress over time.

5: FOLLOW UP APPOINTMENTS (45 min)

The initial follow-up appointment is typically scheduled 2-4 weeks after the intake. At this appointment, we will review your labs and any additional information and discuss your treatment plan. From here, we will schedule a follow-up appointment approximately every 2-4 weeks for the first 3 months of care, depending on the severity of your symptoms and the level of support you are seeking. For patients who choose to see me for psychotherapy, I offer weekly appointments at a reduced rate. My long-term patients are typically seen once every 1-3 months.

6: REFINE TREATMENT PLAN

Throughout our work together, we continue to refine your holistic treatment plan that may include nutrition recommendations, lifestyle and mind-body interventions, functional laboratory testing, psychotherapy, supplements, and prescription medications (only if necessary and at the lowest possible dose). I am available via my online portal for any questions that come up between appointments.

FEES & INSURANCE

  • Comprehensive Holistic Psychiatry Intake (90 min): $775

    Extended Holistic Psychiatry Intake (120 min): $975

    Standard Follow-up Appointment (45 min): $525

    Brief Follow-up Appointment (25 min): $350

    Reduced Fee Follow-up Appointment (for patients in weekly psychotherapy, 45 min): $400

    Limited sliding scale appointments are available; please inquire for more details.

  • I am not in-network with any insurance companies, though PPO insurance plans with out-of-network benefits will typically reimburse a portion of my fees. I can provide a monthly superbill that you can submit to your insurance. I am happy to help you understand your out-of-network insurance benefits for psychiatry and psychotherapy if you have a PPO plan.

    If you would like to contact your insurance company directly to ask about your mental health reimbursement rates, my office zip code is 90027. The most common CPT codes I use are 99205 (for 90-minute and 120-minute intake appointments), 99215 (for 45-minute psychiatry appointments), 99213 (for 25-minute psychiatry appointments), and 99213+90836 (for weekly 45-minute psychiatry+psychotherapy appointments).

  • We meet for a 90 or 120-minute intake initially, choosing the intake length depending on how complicated your psychiatric history is. If you are new to psychiatry, we will start with a 90-min intake. Patients with multiple hospitalizations, severe symptoms, or multiple failed treatments typically require a longer initial intake.

    45-minute follow up appointments are then scheduled every 2-4 weeks while you have active symptoms that you would like to address. Once you feel stable with your current treatment, we meet for at least 45 minutes every 3 months if I am prescribing medications. If I am prescribing a controlled substance, we meet for 25 minutes at least once per month.

    Patients that see me for psychotherapy weekly (or more frequently) are offered a reduced rate.

Do you have questions about working together?

Please get in touch!