In today’s fast-paced world, mental health is increasingly acknowledged as crucial to our overall well-being. Despite this, many people hesitate to seek help, often unsure of when it’s necessary. Consulting a local psychiatrist can be transformative, offering clarity and guidance. Let’s explore ten compelling reasons to consider utilizing the expertise of mental health professionals. 1. Persistent Emotional DistressWhile some emotional distress is an unavoidable part of life, prolonged feelings of sadness, anxiety, anger, or hopelessness that hinder daily living should be addressed. These symptoms might indicate conditions like depression or anxiety disorders. A psychiatrist for anxiety or a psychiatrist for depression can assess your situation, provide a diagnosis, and tailor treatment options to your needs. Many people believe that persistent emotional distress is just par for the course and something we simply have to live with. Let’s address that. Pretty much every person on this planet feels sad or anxious once in a while. For instance, perhaps you feel anxious about starting a new job or feel sad because you had a bad day, etc. All human beings can benefit from strategies that help us cope with occasional anxiety or sadness. However, persistent chronic depression or anxiety that impacts your overall well-being needs to be addressed. Anxiety disorders and clinical depression can affect every aspect of your life and seeking professional help can truly make a huge difference. Whether you are struggling with social anxiety, post-partum depression, seasonal depression or simply feel like you are constantly on edge (“a bundle of nerves”) or perhaps you feel empty and disconnected, speaking with a local psychiatrist, psychologist or therapist can help. 2. Changes in Sleep, Appetite or Energy Levels Altered sleep patterns, appetite, or persistent fatigue might suggest mental health issues such as depression or bipolar disorder. Psychiatrists are medical doctors as well as mental health experts, so they can identify the roots of these symptoms, addressing both physical health challenges and psychological aspects through appropriate treatments. It can be helpful to determine if your issues are caused by a physical ailment, a mental health condition or perhaps a combination of these factors. Additionally, it’s important to note that physical symptoms such as headaches or stomach issues without medical explanations can be stress-related. A psychiatrist can diagnose these conditions and offer treatments to alleviate both physical and psychological discomfort. 3. Difficulty Functioning in Daily Life Overwhelming emotions or behaviors can disrupt your ability to function. If you're struggling at work, school, or in personal settings, a psychiatrist can provide medical and therapeutic solutions to restore balance and enhance quality of life. For instance, for people with ADHD, the inability to manage daily stress or routines effectively can affect mental and physical health. This also can be true for those with depression or anxiety. When you find a psychiatrist, they can help determine which therapy strategies might be the best fit for you and, if needed, prescribe medication to manage stress, anxiety, depression, ADHD, or mood-related issues. Additionally, if you find yourself struggling with relationships, this also can stem from mental health conditions such as depression, anxiety or personality disorders. Frequent conflicts, withdrawal, or the inability to connect with loved ones due to emotional or behavioral challenges can make life very unpleasant but talking with a psychiatrist as well as a psychologist or therapist can help. 4. Recurring or Intrusive Thoughts Constant worry, obsessive thoughts, or intrusive memories that disrupt your focus or peace of mind. These troublesome thoughts can signal a mental illness such as an anxiety disorder, post-partum depression or OCD. A psychiatrist can offer therapies (talk therapy, CBT, DBT, etc.) and medications to address these challenges as well as recommend types of therapies designed to help with these unpleasant, intrusive thoughts. 5. Extreme Mood SwingsSudden shifts between highs (euphoria, excessive energy) and lows (sadness, lethargy) that feel uncontrollable or disruptive can indicate some type of bipolar disorder. A psychiatrist provides specialized care, offering therapies and medication to stabilize moods. Many people mistakenly believe that bipolar disorder and similar mood disorders can be impossible to treat, but this is simply not true. Finding the right combination of therapy, lifestyle changes and medication can make a huge impact and allow you to live a happier, healthier life. 6. Struggles with Addiction or Substance Use Using substances to cope can signal deeper issues. Addiction impacts mental and physical health, as well as relationships. We typically think of heading to a rehab facility or treatment center for addiction but meeting with a local psychiatrist can be an excellent option, as well. An addiction psychiatrist specializes in treating addiction by uncovering its causes and suggesting various therapies to support recovery. Keep in mind, that many people suffering from addiction also suffer from issues such as depression, anxiety, bipolar disorder, PTSD and other issues. An expert psychiatrist will diagnose all of these issues and develop a treatment plan that addresses whatever struggles you might be facing. 7. Struggling With Trauma Whether you suffered from years of trauma or a specific traumatic event, you may need professional help to move past this trauma. Trauma-related psychiatric symptoms may include suffering from repeat intrusive thoughts or flashbacks regarding the trauma as well as heightened emotional reactions, such as being quick to anger or easily startled. People with trauma might also practice avoidance behaviors such as avoiding people, places or situations that remind them of traumatic events. Additionally, you might find yourself dealing with persistent negative thoughts such as guilt or shame or perhaps you feel emotionally numb and disconnected from the world. All of this could be related to trauma. As a psychiatrist for PTSD, I want to reassure you that there are many excellent treatment options for people with PTSD. Talk therapy and cognitive behavioral therapy can be highly beneficial and provide you with many coping strategies. Options such as Eye Movement Desensitization and Reprocessing (EMDR), exposure therapy, Dialectical Behavior Therapy (DBT) and medications all could be helpful as well. 8. Concerns About Cognitive Issues Have you felt disorganized and unable to focus throughout your life? Do you constantly miss appointments or deadlines? Do you constantly procrastinate even though this can cause you some extreme stress? You may have Attention-Deficit Hyperactivity Disorder or ADHD. While many people associate ADHD with impulsive or risky behaviors, and these are certainly possible symptoms, many people with ADHD suffer from inattention and forgetfulness. And, many people, especially women, were not diagnosed in childhood. The good news is that we have many excellent treatment options for ADHD, and an ADHD psychiatrist can provide you with a diagnosis, a treatment plan and possibly medications to help ease these symptoms. As an adult ADHD psychiatrist, I have worked with many adults to help them manage their symptoms and gain a better hold on all aspects of their lives. Of course, I also meet with patients who suffer from cognitive issues that are not related to ADHD. For instance, changes in memory ability, difficulty concentrating or impaired decision-making can be caused by something other than ADHD. For instance, this could be due to dementia, anxiety, depression or even trauma. As a medical doctor, I also know that this could be caused by issues such as thyroid problems or sleep disorders. If these types of symptoms are new changes, it is important to look at both your physical health as well as mental health. 9. Thoughts of Self-Harm or Harm to Others If you are having thoughts of self-harm or harm to others, please call 988 immediately. This is the National Suicide and Crisis Hotline, and compassionate, trained professionals are available to help you 24/7. Thoughts of self-harm or harming others require immediate intervention. Consulting a psychiatrist ensures safety and provides necessary support through crisis intervention, therapy, and medication. If you have been having these types of thoughts, please access care immediately. Again, if you are having a psychiatric emergency, please call 988. These thoughts can be so horrible to experience, but help is out there and people truly do care, so please reach out. You Are Not Alone – Seek Treatment Today! Mental health is vital to our overall health, and professional help can be key to navigating life’s challenges. Whether facing emotional distress, life changes, physical symptoms, or severe issues like addiction or self-harm thoughts, a local psychiatrist can provide the support and treatment needed.
If you need to find a psychiatrist, I offer services as a psychiatrist in Thousand Oaks and also serve local communities such as Westlake Village, Simi Valley and other nearby locations. Whether you select my services or another provider, seeking help can be the first step toward a healthier, more balanced life. Remember, seeking help signifies strength and can lead to a more fulfilling life.
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For adults with Attention Deficit Hyperactivity Disorder (ADH), daily life can be challenging. The good news is that many strategies and treatment options can help you manage the symptoms of this disorder, and working with an adult ADHD psychiatrist can be a helpful place to start. Before we dive into some treatment options, let’s talk a bit about symptoms. Many adults with ADHD were not diagnosed as children and they struggle without really knowing why. This is especially true for women with ADHD, and this disorder is often less recognized in women because the symptoms can be more internalized leading to challenges such as anxiety and feeling overwhelmed. Symptoms Of Adult ADHD In WomenWomen tend to exhibit internalized symptoms, such as inattentiveness and emotional sensitivity, which are often overlooked or misdiagnosed as anxiety disorders or depression. Inattentiveness
Symptoms Of ADHD In Men Men are more likely to exhibit externalized symptoms, such as hyperactivity and impulsivity, which are more noticeable and often diagnosed earlier. Adult ADHD often presents differently in men, typically due to social expectations and biological factors. Symptoms include: Hyperactivity & Restlessness
Again, while these symptoms of adult ADHD are typical of women or men, any individual might exhibit any of these common symptoms. However, recognizing how ADHD may present differently depending on gender helps ensure that ADHD in both men and women is properly identified and treated. Treatment plans can then be tailored to address the unique ways ADHD manifests in individuals. One question I often am asked is how often does ADHD co-occur with bipolar disorder or perhaps obsessive-compulsive disorder (OCD) or autism spectrum disorder (ASD)? It is extremely common for a person to have multiple diagnoses, and while this can make management more complicated, it’s important for an adult psychiatrist to properly diagnose all of these issues. I also find that for many patients with ADHD or perhaps bipolar disorder an accompanying substance use disorder is extremely common. As an addiction psychiatrist who also specializes in the treatment of adult ADHD, bipolar disorder, anxiety and depression, I can help you navigate the complexities of addiction as well as any other mental health condition, but we must address all of the issues you face. Managing Adult ADHDLiving with ADHD can be difficult, but there are many ways to manage this disorder. Treatment for ADHD often involves a combination of therapies, medications, and lifestyle changes tailored to the individual's needs. Here’s an overview of the most effective approaches: 1. Medications Medications can significantly reduce ADHD symptoms, especially when combined with other treatments. Keep in mind, that stimulant ADHD medications often can be taken as needed while non-stimulant medications should be taken every day. Common types include: Stimulants:
2. Therapy Therapy helps address emotional, behavioral, and social challenges related to ADHD: While medications can be highly beneficial, as an adult ADHD psychiatrist, I strongly recommend therapy as well because a combined approach provides the best results. Cognitive Behavioral Therapy (CBT):
Helps individuals develop positive habits and reduce problematic behaviors through reinforcement techniques. Mindfulness-Based Therapy: Teaches mindfulness techniques to improve focus, reduce impulsivity, and manage stress. Family or Couples Therapy: Addresses relationship dynamics affected by ADHD, fostering understanding and communication. 3. Alternative & Complementary ApproachesWhile not replacements for traditional treatments, these can complement other strategies: Exercise: Regular physical activity boosts dopamine and norepinephrine levels, improving focus and mood. Aerobic activities like running, swimming, or cycling are particularly effective. Dietary Changes: A healthy, balanced diet with adequate protein, omega-3 fatty acids, and complex carbohydrates can support brain health. Some individuals benefit from avoiding artificial additives or allergens (consult with a professional). Supplements: Omega-3 fatty acids (fish oil) may help improve attention and reduce hyperactivity. Always consult with your primary care doctor before starting supplements. Mindfulness & Meditation: Regular mindfulness practice improves attention span, reduces stress, and enhances self-awareness. There are many studies to support the use of meditation and mindfulness training for individuals with ADHD. As a psychiatrist for anxiety and psychiatrist for depression, I find that this also can be of great benefit for those with anxiety and depression. Yoga & Tai Chi: These practices promote relaxation, improve self-control, and increase body awareness. As an adult ADHD psychiatrist, I always recommend incorporating therapy as well as these alternative treatment approaches. Additionally, many strategies can help those with ADHD stay organized and manage tasks of daily life. Using a daily to-do list or organizing tasks using a calendar can help. There are even some task management apps that can help. I also recommend breaking large tasks into small steps, which can be much less overwhelming. For instance, if you need to clean your house, break this down into small manageable tasks (dust the living room, unload the dishwasher, etc.) and cross off each task as you complete it. Why Contact An ADHD PsychiatristThere are many types of ADHD specialists – psychiatrists, psychologists, therapists, etc. All of these individuals can be crucial in your journey toward ADHD management. However, contacting an adult psychiatrist can be a good first step.
Psychiatrists are medical doctors, and they can provide you with the most comprehensive diagnosis, taking into account your mental health as well as your physical health and developing a treatment plan that meets all of your needs. ADHD psychiatrists also are able to prescribe medication, while psychologists and therapists cannot. Psychologists and therapists are valuable for those with ADHD, as psychiatrists typically do not provide talk therapy, behavioral therapy or other types of therapy. Our focus is more on diagnoses and creating a treatment plan and monitoring the success of that plan. While it can take some time to discover the treatments and strategies that work best for you, seeking treatment from an adult ADHD psychiatrist can make managing daily life so much easier. I encourage you to contact me at any time to set up a consultation. In addition to treating ADHD, I also offer services as a bipolar disorder psychiatrist, borderline personality disorder doctor, eating disorder psychiatrist and I treat anxiety, depression, PTSD and more. Bipolar Disorder is a complex mental health condition that necessitates treatment from a qualified bipolar disorder psychiatrist as well as therapists. With the right combination of therapy, medication, and lifestyle adjustments, many individuals with bipolar disorder can lead stable, fulfilling lives, effectively managing their symptoms and achieving long-term wellness. Let’s take a look at the two most commonly diagnosed forms of bipolar disorder. Bipolar 1 In order to be diagnosed with Bipolar 1, a patient must have experienced at least one manic episode lasting for at least seven days, unless hospitalization is required. Manic episodes can be quite frightening and include symptoms such as racing thoughts, sleep deprivation, risky behavior and impulsivity. The mania you experience must be severe enough to cause impairment in your daily functioning. Depressive episodes also are quite common, and this disorder used to be called manic depression. However, while not all patients experience a major depressive episode (lasting at least two weeks), many will. In general, Bipolar 1 is considered the most severe and disruptive of these two main types. Bipolar II While Bipolar II tends to be less severe, it still can disrupt your daily life and inhibit you from being able to handle work, school and other obligations, as well as increasing difficulties in your relationships with friends and family. For diagnosis, a person with Bipolar II must have experienced at least one hypomanic episode. This is a less severe manic episode than one experiences with Bipolar I and while the symptoms are similar, they are less severe. While a major depressive episode is not required for Bipolar I diagnosis, this criteria is required for Bipolar II. Depression tends to be more persistent with Bipolar II than with Bipolar I. The mania might be less severe with Bipolar II, but the depression can be equal to or more intense than one experiences with Bipolar I. You often hear people say that Bipolar II is a milder form of the disease, but as a psychiatrist for bipolar disorder, I find that the bouts of depression experienced by Bipolar II patients can be just as debilitating as the intense mania of Bipolar I. Neither disease is easy to handle, and you definitely should not try to self-medicate or self-treat. Professional help truly can guide you to a better mental state that allows you to enjoy an easier and happier life. Additional Bipolar DiagnosisDid you know that there are additional types of bipolar disorder? While Bipolar 1 and Bipolar 2 are fairly well-known terms, there are other types, and each is categorized by variations in mood episodes, severity, and duration. Let’s take a look at some of the symptoms of these additional manifestations of bipolar disorder.
Co-Occurring Disorders & MisdiagnosisIn some cases, the symptoms you experience may be due to another mental health condition. Bipolar disorder can be misdiagnosed due to overlapping symptoms, particularly when it comes to mood changes and emotional dysregulation. For instance, Borderline Personality Disorder can be confused with bipolar disorder due to the rapid mood shifts, emotional instability and impulsivity often seen with borderline patients. Certain symptoms of ADHD and PTSD also might be mistaken for bipolar disorder. Of course, I am often asked how often does ADHD co-occur with bipolar disorder? It’s quite common for people with bipolar disorder to also have ADHD. Bipolar patients also might suffer from PTSD, anxiety, OCD or other disorders. Co-occurring disorders are very common, and your bipolar disorder psychiatrist should provide you with a comprehensive diagnosis that addresses all of your symptoms and disorders. When Should You Seek Treatment?Bipolar disorder won’t simply go away on its own, you will need to create a treatment plan that helps you manage symptoms. As a bipolar disorder psychiatrist, I recommend seeking psychiatric treatment if you experience any symptoms that interfere with daily life functioning. This is advice I would give to any patient, regardless of their mental health condition. Whether you suffer from anxiety or ADHD, bipolar disorder, depression or PTSD, if these conditions are reducing your enjoyment of life and making it difficult to manage work and school commitments or relationships, please seek treatment. Bipolar disorder is treatable, and there is hope for those suffering from any type of this disorder. A combination of therapy, medications and self-help strategies can make life much easier and even help you avoid the deep depression and manic episodes associated with bipolar disorder. To treat this disorder, you will want to work with a psychiatrist for bipolar disorder as well as a psychologist or therapist that specializes in this disease. A psychiatrist can provide you with a comprehensive diagnosis as well as prescribe medication. A psychologist or therapist cannot prescribe medicines, but they can provide you with different types of beneficial therapy, such as cognitive behavioral therapy and dialectal behavior therapy. In addition, some lifestyle changes have been shown to reduce the severity of symptoms. Maintaining a regular sleep schedule, eating a balanced diet and ensuring that you have daily exercise can help regulate your mood and reduce stress. Stress is a very common trigger for mood disruption, and proper sleep and exercise can be hugely beneficial. As a psychiatrist for bipolar disorder, I recommend avoiding alcohol, recreational drugs and even caffeine as these can affect mood and interfere with the bipolar medications you are taking. As we meet for your initial diagnosis, be sure to tell me about all of the prescribed medications you take as well as supplements and be honest about your alcohol and drug use. Remember, I am here to help you, not to judge you. I know that many individuals with bipolar disorder and other mental illnesses often self-medicate as the symptoms of these diseases can be overwhelming. However, our goal with treatment is to ensure that you are as healthy as possible so it’s best to work toward eliminating any risky behaviors from your daily routine. Adding daily meditation and activities such as yoga or mindfulness exercises also can be very beneficial. It’s also smart to keep a mood journal and document how you are feeling from day to day, as this can help identify mood triggers and help you better manage symptoms. Get Started With Treatment Today!If you are struggling with symptoms of bipolar disorder or any mental health condition, seeking treatment from a local psychiatrist can improve your life drastically. In addition to serving as a bipolar disorder psychiatrist, I also work as an adult ADHD psychiatrist, anxiety psychiatrist, PTSD psychiatrist and depression psychiatrist. I also can treat additional disorders including OCD, eating disorders, substance use disorders and much more. I work as a psychiatrist in Thousand Oaks, serving clients throughout the LA metro area and Ventura County.
In the past, psychiatry and spirituality tended to occupy different spaces. In many cases, both spiritual leaders and psychiatrists were at odds with one another. However, as an experienced virtual psychiatrist, I find that there can be a strong connection between spirituality and positive mental health. Let’s explore how psychiatry and spirituality can work in tandem to help individuals achieve holistic well-being, personal growth and emotional resilience.
While there can be drawbacks to practicing any religion, particularly if it inhibits you from seeking mental health care, I have found that faith, spirituality and a belief in God can play significant roles in patient stability, providing individuals with purpose and meaning in life. Of course, mental health issues are diseases that require treatment to reduce or eliminate symptoms so counseling and medications are still essential tools that can lead you to better health. All things equal, I find that patients who utilize therapy, medication and spirituality often do better than those missing the spiritual component. In terms of mental health, there are many benefits related to spirituality and religion, including:
These benefits highlight the positive impact spirituality can have on mental health, offering tools and perspectives that complement traditional therapeutic approaches. Spirituality can make a huge impact on your mental health, but I still strongly recommend working with professional therapists and psychiatrists to ensure that all of your needs are met. After all, as a psychiatrist, I have extensive training as both a physician and a mental health professional. This provides me with a unique perspective and allows me to develop treatment plans that target both the mind and body. Spirituality can be a helpful component of your daily life, but medication and talk therapy also help and can be essential parts of your treatment. How To Add Spirituality To Your Life This can be as simple as making weekly visits to your preferred house of worship, and I encourage you to search for an option where you feel welcome and accepted, as well as comfortable with the messages being provided by the clergy or worship leaders. However, that’s just one option and you also can consider the following. Practice Mindfulness & Being Present – Experiment with various practices to see which ones are a good fit for you. This includes trying meditation, prayer, yoga, journaling or even reading (or listening to) spiritual texts. Connect with Nature – Spending time in nature can foster a sense of peace and connection. Activities like walking in the park, hiking, gardening, or simply sitting outside can help you feel more grounded and in tune with the natural world. Create a Sacred Space – Designate a space in your home for spiritual practices. This could be a small corner with a comfortable seat, candles, incense, or objects that hold special meaning to you. Read and Learn – Explore spiritual literature, philosophy, or religious texts that interest you. Reading about different spiritual traditions and teachings can broaden your understanding and inspire new practices. Engage in Community and Service – Join a spiritual or religious community, if that aligns with your interests. Participating in communal activities or volunteering can provide a sense of belonging and purpose. Practice Gratitude – Cultivating gratitude can enhance your spiritual life by helping you appreciate the positive aspects of your life. This can be done by keeping a gratitude journal or simply reflecting on what you are thankful for each day. Seek Guidance – If you’re exploring a specific spiritual path, consider seeking guidance from a mentor, teacher, or spiritual leader. They can provide insights, and support, and help you deepen your practice. Engage in Creative Expression – Creative activities like painting, writing, music, or dance can be spiritual practices in themselves, allowing you to express your inner self and connect with something greater. Practice Forgiveness and Compassion – Spirituality often involves cultivating compassion for yourself and others. Practice forgiveness and strive to approach situations with empathy and understanding. Is Telepsychiatry A Good Fit For You? Of course, as stated above, working with a psychiatrist also is an essential tool for anyone suffering from a mental illness. I offer services as both an online psychiatrist and an in-person psychiatrist, and many people these days are enjoying the convenience of telepsychiatry. Additionally, the use of online psychiatry services and online mental health services in general has been approved by the American Psychiatric Association. There are several advantages of using a virtual psychiatrist over opting for in-person care. These advantages make telepsychiatry a valuable option for many patients, offering flexible, accessible, and effective mental health care. Let’s take a look at some of the general advantages of telepsychiatry.
For most people with mental health disorders, you will need to use the services of both psychologists and psychiatrists. There are many helpful medications for mental health conditions that can greatly reduce symptoms and improve your quality of life. While not all patients will need medication, a psychiatrist is the only mental health professional that can prescribe medication. However, psychiatrists don’t often provide talk therapy, such as cognitive behavioral therapy, so you will need to find additional mental health services from a psychologist or therapist. This ensures that you have both medication management and therapeutic tools to help you cope with symptoms and daily life in general. A three-pronged approach that combines spirituality, therapy and possibly medication can be an effective way to manage the symptoms of many mental illnesses, and I encourage you to seek treatment as well as some form of spiritual or mindful action. If you need the services of a virtual psychiatrist, I am always here to help, and we will get started on a journey to wellness with a comprehensive initial consultation that identifies all of the issues you may be facing, both mentally and physically. I also will develop a treatment plan that includes recommendations for therapy as well as prescribing any necessary medications. If you prefer in-person treatment rather than a virtual psychiatrist, I do serve as a psychiatrist in Thousand Oaks and am conveniently close to those needing a psychiatrist in Westlake Village, a psychiatrist in Simi Valley or other nearby areas. We also could consider a hybrid option where we meet in person on occasion or utilize online therapy at other times, based upon your convenience. If you suffer from anxiety, meeting with a psychiatrist for anxiety can be an excellent option to consider. While your psychiatrist will ask you a myriad of questions to help them determine a complete diagnosis, patients also are encouraged to ask questions of their physician, as this can help you determine which doctor is the best fit for your needs. Here are a few questions you might ask a psychiatrist at the beginning of your mental health journey.
1. Can You Describe Your Experience Treating Anxiety? Most psychiatrists will treat anxiety disorders, after all, anxiety and depression are the two most commonly diagnosed mental disorders. However, as a patient, it can bring you peace of mind to hear your physician talk about their experience treating anxiety and some doctors do specialize in the treatment of anxiety. Even if your doctor specializes in treating many disorders, this is not a red flag. Many patients have co-occurring disorders so it’s good to have a psychiatrist or therapist with experience treating multiple mental health disorders. It’s not uncommon at all to find a psychiatrist that works as a depression psychiatrist, PTSD psychiatrist or perhaps a bipolar psychiatrist along with treating anxiety. 2. What Types Of Anxiety Disorders Can You Treat? Again, some anxiety psychiatrists will specialize in specific types of anxiety disorders, and there are several different types, including:
Additionally, some patients will experience anxiety due to a medical condition or perhaps due to a co-occurring substance use disorder. As a patient, you may feel more comfortable with psychiatrists, psychologists and therapists who have experience with your specific anxiety disorder(s). 3. What Treatment Options Do You Typically Recommend? In many cases, the best treatment is a combined approach that includes different types of talk therapy as well as collecting strategies to help deal with anxiety-inducing situations as well as the general anxiety of day-to-day life. Additionally, treatment for anxiety disorders also often includes prescribing medications, as these often can reduce symptoms of anxiety significantly. As a psychiatrist for anxiety, I can prescribe medication for my patients. Psychologists and therapists are mental health professionals that can provide valuable talk therapy, but they are not medical doctors and cannot prescribe medications. I typically recommend that you find a provider that is open to many different treatment options. There’s no one-size-fits-all treatment plan for patients with anxiety, so it’s smart to select someone who bases their treatment plan squarely on the individual rather than providing the same options for every patient. 4. Can You Explain The Benefits & Risks Of Medication? Taking medication for an anxiety disorder or any condition can be scary, but it’s more comfortable when you have a full understanding of the risks, benefits and potential side effects. Keep in mind, that with anxiety and depression medications, it can take time to find the best medication and the correct dosage for your needs. Additionally, if you have co-occurring disorders, such as anxiety and bipolar disorder or perhaps depression and anxiety, we will need to find medications that can be used to manage all of your conditions and that also can take time. Feel free to ask your doctor to explain everything from the potential side effects to the key differences between various anxiety medications. Patients who have a full understanding of their mental health condition as well as understanding the treatment options (both therapy and medications) tend to have the best results. 5. How Do You Determine The Best Treatment Plan? As a psychiatrist for anxiety, I find that the best treatment plans evolve from a comprehensive diagnosis. Our initial meetings will include a deep dive into all of the mental health issues you are facing. As both a medical doctor and a mental health practitioner, I also look at your total physical health. Physical health can have a profound effect on mental health, so it’s smart to look at solutions that help both the mind and the body. 6. Do You Incorporate Therapy? I would be skeptical of an anxiety psychiatrist who did not recommend some type of therapy for their patients. Medications certainly can be beneficial, but therapy also is crucial so if your psychiatrist doesn’t recommend any type of therapy, I tend to recommend finding a different doctor. It’s important, however, to note that many psychiatrists do not provide services such as cognitive behavior therapy, dialectical behavioral therapy, exposure therapy or general counseling. Psychiatrists often focus on diagnosis and the development of treatment plans, but they should recommend different types of talk therapy as part of this plan. 7. Do You Offer Telepsychiatry? Even if you’d prefer to meet with your doctor in person, it can be wise to select a doctor that offers both options. Selecting a provider that serves as a virtual psychiatrist offers you a higher level of convenience. For instance, driving through traffic to the doctor can be anxiety-inducing, to say the least, and telepsychiatry helps you avoid this stress. Additionally, if you are unwell or perhaps out of town, you can still meet with your doctor from anywhere in the world. All you need is a good internet connection, and you can meet using your smartphone, a tablet, laptop or PC. If you are uncertain about this option, keep in mind, that the American Psychiatric Association has given their stamp of approval to this treatment option. Furthermore, telepsychiatry can be a good option to consider if you are experiencing feelings of shame or guilt about your condition. It can be easier to simply meet with a doctor in the convenience of your home rather. If you are worried that people will see you at the psychiatrist’s office, meeting virtually is a good option. While there should be no shame in seeking treatment for any mental health condition, I know that many people feel weak or embarrassed by their mental health issues. Truly, though, mental health disorders are no different than any other medical condition and absolutely are not a sign of weakness. They are simply medical conditions that are usually treatable. Still, if you have these worries, telepsychiatry can offer you a more anonymous lifeline into treatment. I work both as a local psychiatrist and as an online psychiatrist. For instance, if you need a psychiatrist in Simi Valley or a psychiatrist in Thousand Oaks, we can meet in my office. However, if you live outside of this area or perhaps prefer telepsychiatry, I can accommodate this option. 8. Are There Lifestyle Changes That You Recommend? While therapy and medication can be beneficial, there usually are some lifestyle changes that also will help reduce the symptoms of an anxiety disorder. For instance, your doctor might recommend daily outdoor exercise as this often can reduce anxiety as well as help you combat depression. Additionally, your doctor might recommend trying meditation to help or dietary changes to ensure optimum health, etc. 9. What If The Initial Treatment Isn’t Effective? This is a great question! In some cases, the first treatment options we try might not be the perfect fit for your needs. The important thing is to find providers that are willing to try new options if the first round doesn’t work. In some cases, you might simply need to find a different therapist and in other cases, you might switch medications or try a different type of therapy, such as eye movement desensitization and reprocessing (EMDR) or another approach. Contact Dr. Jesalva Today! As a psychiatrist for anxiety as well as many other mental health disorders, I can provide you with a comprehensive diagnosis and a treatment plan that addresses all of the issues you are facing. Whether you’ve been searching for a psychiatrist in Simi Valley, Westlake Village or Thousand Oaks or prefer telepsychiatry, give me a call and let’s get you on a path toward a happier, easier life. In the ever-evolving landscape of mental health care, the treatment of Post-Traumatic Stress Disorder (PTSD) stands out as a field ripe with innovation and transformative practices. As a PTSD psychiatrist, navigating through the complexities of trauma's impact on the human psyche requires not just an understanding of traditional therapeutic approaches but an openness to the integration of cutting-edge technologies and methodologies. Let’s take a look at this disorder as some of the latest treatment options. What Is PTSD? PTSD is a disorder that develops after a person has experienced either one traumatic event or multiple traumas. While we often think about soldiers developing PTSD after returning from war, this is just one example of the type of trauma that can lead to PTSD. For instance, a traumatic car accident can trigger this disorder, or perhaps years of abuse from a spouse or parent. Seeing a person die or watching your house burn down or experiencing the horrors of a terrible disease can trigger PTSD. These are just a few of the many examples of traumatic events that could cause PTSD symptoms. According to the DSM-5, a publication by the American Psychiatric Association, symptoms that arise following exposure to traumatic events and fit the criteria for diagnosing PTSD include: 1. Intrusion SymptomsPeople with PTSD often face continuous, unwanted, and deeply distressing memories of their trauma. They might have nightmares about what happened, feel like they're reliving the trauma through flashbacks, or experience intense distress from things that remind them of the event. This can include both physical and emotional reactions to anything that brings back memories of the trauma. 2. AvoidancePeople often try to avoid anything that reminds them of a traumatic event they've experienced. This includes steering clear of certain thoughts, feelings, or conversations that bring back memories of the trauma, as well as places, people, or activities that might trigger those painful memories. 3. Mood ChangesAfter experiencing a traumatic event, a person's thoughts and feelings might change negatively. These changes could include having trouble remembering parts of the trauma, forming negative views about oneself, others, or the world, or mistakenly blaming oneself or others for what happened. This might lead to feeling sad often, losing interest in activities that were once enjoyed, feeling disconnected from people, and finding it hard to experience joy. 4. Changes In Reactions & AlertnessPeople may experience significant changes in their alertness and reactions related to the trauma, which may get worse after the event. This can lead to getting easily irritated or having sudden outbursts of anger, engaging in risky or harmful behaviors, being overly watchful or on guard, jumping at small surprises, facing trouble with focusing and having difficulties with sleep. 5. Duration of SymptomsYour symptoms need to persist for more than a month for it to be considered PTSD. As a psychiatrist for PTSD, I find that many of my patients wait for years before seeking treatment, which is a shame, because treatments can be highly effective and reduce or eliminate your symptoms. 6. Impact on Daily LifeThe problems one faces because of these symptoms can seriously disrupt one’s daily life, affecting relationships, work, or other important areas. 7. Other CausesAdditionally, it is important to determine that your PTSD is not caused by the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. As a PTSD psychiatrist, I view patients both from a physical as well as mental health perspective and will look at potential physical conditions or other causes that could contribute to any mental health disorder. Keep in mind, that the aforementioned information comes from the DSM-5, but if you’ve experienced any type of trauma and find yourself suffering from anxiety, depression, nervousness, paranoia, difficulty concentrating, nightmares or sleep issues, memory issues, panic attacks or perhaps you turn to substances to help reduce these feelings, seeking treatment can help. Traditional Treatments For PTSDTraditionally, a PTSD psychiatrist would recommend a combination treatment that includes both talk therapy and perhaps some type of medication. Talk therapy options might include cognitive behavioral therapy, prolonged exposure therapy or cognitive processing therapy. The medications we often use can help reduce the symptoms of PTSD, but they don’t treat the underlying cause of PTSD, which is why talk therapy is so crucial for patients with PTSD. Medications we can use include antidepressants and perhaps mood stabilizers or anti-psychotic drugs. Innovations In TreatmentFor many people, the traditional approach works well, but we do have many newer treatment options that have yielded promising results and as a psychiatrist for PTSD, I sometimes recommend some not-so-traditional options for my patients. These might include the following treatments. Eye Movement Desensitization and Reprocessing (EMDR)This therapy was developed to help people recover from trauma, including PTSD. With EMDR, we have the patient focus on a traumatic memory while simultaneously using bilateral stimulation (typically through eye movements), which is believed to help the brain process and integrate traumatic memories. EMDR was developed by Francine Shapiro in 19871 and it has been used as treatment for PTSD since the late 1980s. Since its inception, EMDR has become an accepted treatment for PTSD because it so often effectively reduces symptoms as well as the anguish tied to traumatic memories. EMDR also may be helpful for those with anxiety disorders and treatment-resistant depression. In many cases, a person with PTSD also may be suffering from depression, anxiety or other co-occurring disorders and EMDR can be an excellent approach to consider. An anxiety psychiatrist or depression psychiatrist also might recommend this option. Of course, it is important to note that many psychiatrists, such as myself, specialize in treating a wide range of mental health disorders. Ketamine TherapyKetamine has been used for treatment-resistant depression with much success, but there is research to show that ketamine also can treat PTSD and greatly reduce the symptoms of this disorder. Ketamine can be a very dangerous drug, so this must be administered in a doctor’s office by trained professionals. As a PTSD psychiatrist, I do still recommend that if you opt for a ketamine treatment you also combine this approach with talk therapy for the best possible outcome. PsilocybinPsilocybin, otherwise known as magic mushrooms, is a controversial topic. Of course, psilocybin is only legal in Oregon and Colorado, although it has been decriminalized in cities such as Santa Cruz, CA and Oakland, CA. Psilocybin often is used recreationally, but there is evidence to suggest that this substance can be used to treat PTSD, anxiety and depression. If you do consider this approach, I recommend going to a licensed and legal facility as self-medication is not recommended. I am, however, hopeful that more studies with psilocybin will be conducted because I believe this substance is promising for the treatment of PTSD and other disorders. If you have bipolar disorder as a co-occurring disorder, however, I do not recommend this treatment approach. Stellate Ganglion Block (SGB)This is a unique approach and one that is not currently FDA-approved for PTSD treatment. However, there is some evidence to suggest that SGB can be beneficial for some PTSD patients, especially for those who have tried other therapies without good results. This treatment is FDA-approved for other conditions, such as complex regional pain syndrome. For this treatment, we inject a type of anesthetic into the stellate ganglion nerves, which are located in your neck. These nerves are an important component of our nervous system, controlling blood pressure and heart rate, among others. Injecting an anesthetic has been shown to reduce norepinephrine levels, which, in turn, may reduce PTSD symptoms. Again, this is an alternative treatment and might only be recommended after you’ve tried other treatment options and found these to be ineffective. Also, it is crucial that if you do opt for this treatment you go to a licensed facility that uses ultrasound to help guide the injection into the correct area. Transcranial Magnetic Stimulation (TMS)For TMS, we use magnetic fields to stimulate the nerve cells in your brain, and you can kind of think of this treatment as a brain “reboot” so to speak. Electromagnetic coils are placed on your scalp and these coils deliver a pulse to stimulate the nerve cells in the region of the brain that handles mood control. TMS has been used successfully for treatment-resistant depression, and some also find that it alleviates PTSD symptoms. Don’t Wait – Get Help For PTSD NowPTSD is a complex mental health disorder that can greatly impact your day-to-day life, but, the good news is that we do have many treatment options to consider and many patients recover from PTSD and enjoy a much happier life.
As a psychiatrist for PTSD, I urge you to seek treatment as soon as possible. No one should have to suffer from past traumas, and I will work diligently to find a treatment plan that addresses your PTSD as well as any other mental health disorders you face. Whether you need a psychiatrist for PTSD or perhaps a psychiatrist for anxiety, a psychiatrist for depression, bipolar disorder, eating disorders, substance use disorders or other mental health conditions, I provide services at my office in Thousand Oaks as well as telepsychiatry. Contact me at any time to set up a thorough evaluation and let’s get you started on a path toward a better life. |
AuthorDr Jesalva is a psychiatrist. He is in private practice in Thousand Oaks, CA since 1989. He successfully treats very challenging patients with varying co-occurring disorders with medications. Archives
January 2025
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