My philosophy on psychiatric medications

1) An effective psychiatric medication plan begins with a comprehensive mental health evaluation.

To ensure the best treatment outcomes, I begin with a detailed psychiatric assessment that looks at your symptoms, personal history, medical background, and treatment goals. This thorough evaluation helps identify the most appropriate diagnosis and guides the selection of medications tailored to your needs. Whether you're seeking help for anxiety, depression, ADHD, or another condition, a thoughtful evaluation is the first step in creating a safe and effective medication strategy.

2) Psychiatric medications can be helpful and are most effective when combined with therapy or lifestyle changes.

While medications can play an essential role in stabilizing mood, reducing depression, anxiety, and improving attention, they are not a standalone solution for most people. Research consistently shows that combining medication with therapy and intentional lifestyle changes—such as improved sleep, exercise, nutrition, and stress reduction—leads to more durable and meaningful improvement. My approach to medication is collaborative and integrated, supporting the broader goals of emotional and psychological growth.

3) I prioritize keeping medication doses at the lowest effective level for your mental health.

My philosophy is to use the least amount of medication necessary to achieve relief from symptoms. This not only minimizes the risk of side effects but also respects your body's natural regulation. We will regularly evaluate how you are feeling, and I will adjust treatment only when needed, always with the goal of maintaining your well-being without overmedication.

4) I will discuss risks, benefits, and potential side effects with you thoroughly.

Informed consent is a cornerstone of ethical psychiatric care. You deserve to understand how a medication works, what to expect, and how it may interact with other treatments or aspects of your health. I make space in our sessions to talk openly about your concerns, preferences, and questions. I want you to feel empowered in every decision we make together.

5) Medication effectiveness can change over time and may need to be optimized.

Our bodies and minds evolve over time, and so do our responses to medication. What works well at one stage of life may need to be revisited later. Stress, hormonal changes, medical conditions, or shifts in your daily routine can all impact how a medication performs. Ongoing monitoring ensures we stay attuned to your needs and adjust accordingly.

FAQs

  • Psychiatric medication management is a specialized service in which a licensed psychiatrist evaluates, prescribes, and monitors the use of psychiatric medications to support mental health. It involves an ongoing, collaborative process that includes diagnosing mental health conditions, selecting appropriate medications, educating patients about risks and benefits, and regularly assessing effectiveness and side effects. The goal is to help individuals achieve emotional stability and improved functioning.

  • During your appointment, we will discuss your current symptoms, medical history, and any previous experiences with medications. I will provide information about potential treatment options, including benefits and side effects, and we will collaboratively decide on the best course of action. Follow-up appointments are scheduled to monitor progress and make any necessary adjustments.

  • This is an excellent question. It depends on many factors including your diagnosis, severity of the symptoms and current functioning. During the course of the treatment, I will discuss with you openly risk and benefits involved in coming off medications.

  • The onset of action varies depending on the medication and the condition being treated. Some medications, such as stimulants may show effect immediately. However, antidepressants such as selective seretonin reuptake inhibitor (SSRI) may take up to 8 weeks on a good dose to see benefit. It's important to maintain open communication during this period to assess effectiveness and make any necessary adjustments.

  • As an LGBTQIA-affirming psychiatrist in New York City, I consider your identity, lifestyle, hormone therapy, and other medications to ensure safe, personalized, and respectful care. Your treatment plan is built around your unique needs and goals in a supportive, inclusive environment.