Conditions We Treat
Anxiety Disorders
Anxiety disorders encompass a range of conditions characterized by excessive and persistent worry, fear, or nervousness, often leaving individuals feeling overwhelmed, tense, and uneasy in situations where others might not react the same way. Anxiety disorders are among the most common mental health conditions globally, affecting millions of individuals.
Generalized Anxiety Disorder (GAD) is characterized by persistent and excessive worry about various aspects of daily life, such as work, health, or relationships, even when there is little or no reason to worry. Individuals with GAD find it difficult to control their worry, which can lead to physical symptoms like restlessness, fatigue, muscle tension, and sleep disturbances. Treatment typically involves cognitive-behavioral therapy (CBT) to help individuals identify, challenge, and modify negative thought patterns and develop coping strategies. Medications may also be used to alleviate symptoms. Our clinicians are experienced in evaluating for, diagnosing, and treating Generalized Anxiety Disorder, offering personalized treatment plans that address the complexities of GAD and help patients manage their worry more effectively, leading to improved overall functioning and well-being.
Panic Disorder is characterized by recurrent, unexpected panic attacks—sudden onsets of intense fear or discomfort that peak within minutes, accompanied by physical symptoms such as heart palpitations, trembling, and shortness of breath. These episodes can lead to persistent worry about future attacks and significant changes in behavior to avoid them. Treatment often involves cognitive-behavioral therapy (CBT) to help individuals understand panic attacks and learn coping strategies. Medications may also be used to manage symptoms. Our clinicians are adept at evaluating for, diagnosing, and treating Panic Disorder, tailoring treatment plans to reduce the frequency and intensity of panic attacks and helping patients regain control over their lives.
Social Anxiety Disorder is marked by an intense fear of social situations where one might be scrutinized or judged by others, leading to significant distress and avoidance of such situations. This disorder can impair an individual's ability to engage in everyday social interactions, affecting their personal, academic, or work life. Treatment typically involves cognitive-behavioral therapy (CBT) to address the underlying thought patterns contributing to anxiety and develop coping strategies. Group therapy can also be beneficial by providing a supportive environment to practice social skills. In more severe cases, medications may be prescribed to help reduce symptoms. Our clinicians are skilled at evaluating for, diagnosing, and treating Social Anxiety Disorder, offering personalized care plans that aim to enhance confidence and improve social functioning.
Specific Phobia is an anxiety disorder characterized by an intense, irrational fear of or aversion to a particular object or situation, such as heights, animals, or flying. This fear is disproportionate to the actual danger posed and can lead to significant avoidance behaviors, disrupting daily life and activities. Treatment often involves exposure therapy, a form of CBT that gradually and systematically exposes individuals to the feared object or situation in a controlled and safe manner, helping them overcome their fear. In some cases, medication may be used to manage acute anxiety symptoms related to exposure. Our clinicians are proficient in evaluating for, diagnosing, and treating Specific Phobia, utilizing evidence-based strategies to help patients confront and diminish their fears, enabling them to lead more fulfilling lives without the constraints of irrational fears.
Separation Anxiety Disorder is characterized by excessive fear or anxiety about being apart from attachment figures, to the extent that it disrupts normal activities and personal development. Patients often worry about harm befalling themselves or their loved ones when separated, leading to significant distress and avoidance of being alone or away from home. Treatment typically involves cognitive-behavioral therapy (CBT) to help individuals manage and reduce their fears and anxieties. In some cases, medication may be prescribed to alleviate severe symptoms. Our clinicians are skilled at evaluating for, diagnosing, and treating Separation Anxiety Disorder, employing tailored approaches to support each patient's journey towards overcoming their anxiety.
Agoraphobia involves intense fear or anxiety about being in places or situations from which escape might be difficult or embarrassing, or where help may not be available in the event of a panic attack or panic-like symptoms. This can lead to avoidance of a wide range of situations, such as being outside the home alone, being in a crowd, or traveling in a car, bus, or airplane. Treatment typically combines cognitive-behavioral therapy (CBT) to address the fears and develop coping mechanisms, with exposure therapy specifically aimed at gradually reducing avoidance behaviors. In some cases, medication may be prescribed to help manage anxiety symptoms. Our clinicians are skilled at evaluating for, diagnosing, and treating Agoraphobia, providing comprehensive care that empowers individuals to confront and overcome their fears, expanding their freedom and improving their quality of life.
Selective Mutism is an anxiety disorder characterized by an individual's inability to speak in specific social situations, such as at school or in the community, despite being able to speak comfortably in other settings, like at home with close family members. This condition often co-occurs with social anxiety disorder and can significantly impact a child's social, educational, and emotional development. Treatment typically involves a combination of behavioral therapy, such as CBT, to gradually increase the child's comfort with speaking in more settings, and family therapy to support the child's communication skills. In some cases, medication may be considered to reduce anxiety symptoms. Our clinicians are adept at evaluating for, diagnosing, and treating Selective Mutism, offering compassionate, individualized care plans that encourage confidence and improve communication abilities in children facing this challenge.
Mood Disorders
Mood disorders are characterized by significant fluctuations in a person's mood and emotional state, often leading to periods of intense sadness, euphoria, or despair that can interfere with daily life. Mood disorders are some of the most common mental health conditions.
Major Depressive Disorder (MDD) is characterized by a persistent feeling of sadness or a lack of interest in external stimuli, significantly impacting an individual's daily life. This disorder manifests through a variety of symptoms, including significant changes in appetite or weight, sleep disturbances, loss of energy, feelings of worthlessness, difficulty concentrating, and recurrent thoughts of death or suicide. Treatment for MDD often involves a combination of antidepressant medication and psychotherapy, such as cognitive-behavioral therapy (CBT) or interpersonal therapy (IPT), to address the emotional, cognitive, and social aspects of the disorder. Our clinicians are adept at evaluating for, diagnosing, and treating Major Depressive Disorder, offering compassionate, evidence-based care plans tailored to each patient's needs, aiming to alleviate symptoms and improve quality of life.
Persistent Depressive Disorder (PDD), also known as dysthymia, is a form of depression characterized by a chronic pattern of depressive symptoms that last for two years or more. PDD symptoms are generally less severe than those of Major Depressive Disorder but are more enduring and can significantly affect an individual’s quality of life. Symptoms may include a persistent sad, anxious, or "empty" mood, feelings of hopelessness, low self-esteem, fatigue, and difficulty making decisions. Treatment typically involves a combination of psychotherapy, such as cognitive-behavioral therapy (CBT) or interpersonal therapy (IPT), and, in some cases, antidepressant medications to manage symptoms over the long term. Our clinicians are skilled at evaluating for, diagnosing, and treating Persistent Depressive Disorder, crafting personalized treatment approaches that focus on symptom relief and improved daily functioning, supporting patients in navigating the challenges of PDD.
Bipolar I Disorder is characterized by manic episodes lasting at least 7 days or by manic symptoms that are so severe immediate hospital care is needed. Often, individuals with Bipolar I also experience depressive episodes, typically lasting at least 2 weeks. The manic phase may involve elevated or irritable mood, overactivity, rapid speech, inflated self-esteem, and decreased need for sleep. Treatment typically includes a combination of mood stabilizers, such as lithium or valproate, and antipsychotic medications, along with psychotherapy approaches like cognitive-behavioral therapy (CBT) to help manage symptoms and prevent relapse. Our clinicians are adept at evaluating for, diagnosing, and treating Bipolar I Disorder, providing individualized care plans that balance medication management with therapeutic support to help patients maintain stability and improve their quality of life.
Bipolar II Disorder is characterized by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes that are typical of Bipolar I Disorder. Individuals with Bipolar II often experience significant distress or impairment in social, occupational, or other important areas of functioning, largely due to the depressive episodes which tend to be more frequent and longer-lasting than the hypomanic episodes. Treatment usually involves mood stabilizers and/or antipsychotic medications to control the mood swings, alongside antidepressants carefully managed to avoid triggering hypomanic episodes. Psychotherapy, such as cognitive-behavioral therapy (CBT) or interpersonal and social rhythm therapy (IPSRT), is also crucial for providing coping strategies, education about the disorder, and support. Our clinicians are skilled at evaluating for, diagnosing, and treating Bipolar II Disorder, crafting tailored treatment plans that focus on preventing mood episodes and enhancing overall well-being.
Cyclothymic Disorder, or cyclothymia, is a mild form of bipolar disorder characterized by periods of hypomanic symptoms followed by periods of depressive symptoms, lasting for at least two years in adults or one year in children and adolescents. These symptoms are less severe than the full hypomanic or depressive episodes seen in Bipolar I or II Disorder but are persistent and can significantly affect an individual's life. Treatment typically involves psychotherapy, such as cognitive-behavioral therapy (CBT), to help manage symptoms and develop coping strategies. In some cases, mood stabilizers may be prescribed to help regulate mood swings. Our clinicians are experienced in evaluating for, diagnosing, and treating Cyclothymic Disorder, offering personalized care plans that aim to minimize the impact of mood fluctuations and support patients in leading stable and fulfilling lives.
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) characterized by significant emotional and physical symptoms that disrupt daily life, usually occurring in the week or two before menstruation starts and diminishing shortly after the onset of menstruation. Symptoms of PMDD include mood swings, irritability, depression, anxiety, feelings of overwhelm, difficulty concentrating, fatigue, and changes in appetite or sleep patterns. Treatment often involves a combination of lifestyle modifications, counseling or cognitive-behavioral therapy (CBT) to manage emotional symptoms, and, in some cases, medication such as antidepressants (SSRIs), hormonal treatments (birth control pills), or nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate physical symptoms. Our clinicians are adept at evaluating for, diagnosing, and treating Premenstrual Dysphoric Disorder, providing a holistic approach that addresses the complex interplay of hormonal, emotional, and physical factors to improve the quality of life for those affected by PMDD.
Trauma- and Stressor-Related Disorders
Trauma- and Stressor-Related Disorders involve emotional responses to traumatic or stressful events often resulting in significant anxiety, depression, and difficulty coping with daily life. These disorders are thought to affect a significant portion of the population, with PTSD alone affecting approximately 3.5% of U.S. adults every year, emphasizing the impact of trauma and stress on mental health.
Posttraumatic Stress Disorder (PTSD) is a condition that develops after experiencing or witnessing a traumatic event, such as violence, natural disasters, or severe accidents. Symptoms include intrusive memories of the event, avoidance of reminders, negative changes in thoughts and mood, and alterations in arousal and reactivity, such as being easily startled or having difficulty sleeping. Treatment for PTSD often involves a combination of psychotherapy methods, such as cognitive-behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and medication, including SSRIs or SNRIs, to manage symptoms. Our clinicians are skilled at evaluating for, diagnosing, and treating Posttraumatic Stress Disorder, offering compassionate, evidence-based care plans tailored to the specific needs and experiences of each patient, aiming to alleviate symptoms and improve their quality of life.
Acute Stress Disorder is characterized by the development of severe anxiety, dissociation, and other symptoms that occur within one month after exposure to an extreme traumatic event. Symptoms include intrusive thoughts, nightmares, flashbacks of the trauma, severe anxiety, and avoidance behaviors related to the traumatic event. Acute Stress Disorder serves as an early indicator of possible PTSD development. Treatment typically involves cognitive-behavioral therapy (CBT), including techniques like trauma-focused therapy and exposure therapy, to help individuals process the trauma and reduce symptoms. In some cases, medication may be prescribed to manage acute anxiety and sleep disturbances. Our clinicians are proficient in evaluating for, diagnosing, and treating Acute Stress Disorder, providing immediate, supportive care aimed at preventing the progression to PTSD and helping patients regain a sense of safety and stability in the aftermath of trauma.
Adjustment Disorders are characterized by emotional or behavioral symptoms in response to an identifiable stressor or stressors, occurring within three months of the stressor. These responses are out of proportion to the severity or intensity of the stressor and significantly impair social, occupational, or other important areas of functioning. Symptoms can include feelings of sadness, hopelessness, anxiety, and difficulty concentrating, as well as behavioral changes like avoiding family and friends or neglecting responsibilities. Treatment typically involves short-term psychotherapy, such as cognitive-behavioral therapy (CBT) or supportive counseling, aimed at developing coping strategies and resilience. In some cases, medication may be used to relieve associated symptoms like insomnia or severe anxiety. Our clinicians are experienced in evaluating for, diagnosing, and treating Adjustment Disorders, offering personalized support and intervention strategies to help individuals navigate and overcome the challenges posed by stressful life changes, restoring their well-being and functional ability.
Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive and Related Disorders are characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that individuals feel driven to perform, leading to significant distress and interference in daily functioning. It's estimated that these disorders affect around 2-3% of the population at some point in their lifetime.
Obsessive-Compulsive Disorder (OCD) is characterized by the presence of obsessions—recurring, intrusive thoughts, images, or urges that cause significant anxiety—and compulsions, repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rigid rules. These symptoms can significantly interfere with a person’s daily activities and social interactions. Treatment for OCD typically involves a combination of psychotherapy, such as Exposure and Response Prevention (ERP), a type of cognitive-behavioral therapy (CBT) specifically tailored to treat OCD symptoms, and medication, including SSRIs (Selective Serotonin Reuptake Inhibitors). Our clinicians are skilled at evaluating for, diagnosing, and treating Obsessive-Compulsive Disorder, offering evidence-based, personalized care plans designed to manage OCD symptoms effectively, reduce the impact of obsessions and compulsions on daily life, and improve overall functioning.
Body Dysmorphic Disorder (BDD) is characterized by an obsessive focus on perceived flaws or defects in physical appearance, which are either minor or not observable to others. Individuals with BDD may engage in repetitive behaviors (e.g., mirror checking, excessive grooming) or mental acts (e.g., comparing appearance with that of others) in response to their appearance concerns, leading to significant distress and impairments in social, occupational, or other important areas of functioning. Treatment typically involves cognitive-behavioral therapy (CBT), which focuses on altering distorted beliefs about one’s appearance and reducing compulsive behaviors, combined with medication, such as SSRIs, to help manage obsessive thoughts and anxiety. Our clinicians are experienced in evaluating for, diagnosing, and treating Body Dysmorphic Disorder, providing compassionate care and personalized treatment strategies that address the unique challenges faced by individuals with BDD, aiming to improve their self-image and overall quality of life.
Hoarding Disorder is characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them and distress associated with discarding them. This behavior can lead to cluttered living spaces that significantly impair the use of those spaces and can cause distress or problems in daily functioning. Individuals with Hoarding Disorder may also experience indecisiveness, avoidance, and distress when faced with the need to organize or discard items. Treatment often involves cognitive-behavioral therapy (CBT) tailored to address the specific aspects of hoarding, including difficulty discarding items, excessive acquisition of items, and clutter. In some cases, group therapy and home visits by therapists may also be part of the treatment plan. Medications, such as SSRIs, might be used to treat related symptoms of depression or anxiety. Our clinicians are adept at evaluating for, diagnosing, and treating Hoarding Disorder, offering specialized care plans that aim to reduce hoarding behaviors, improve organizational skills, and enhance overall well-being.
Trichotillomania (Hair-Pulling Disorder) is a condition where individuals have an irresistible urge to pull out their hair, whether it be from the scalp, eyebrows, eyelids, or other parts of the body, leading to noticeable hair loss and significant distress or impairment in social, occupational, or other important areas of functioning. This disorder is often associated with anxiety, depression, and social withdrawal. Treatment typically involves cognitive-behavioral therapy (CBT), specifically a technique known as Habit Reversal Training (HRT), which focuses on increasing awareness of pulling behaviors and developing competing responses. In some cases, medications such as SSRIs may be used to address underlying mood symptoms. Our clinicians are skilled at evaluating for, diagnosing, and treating Trichotillomania, providing compassionate and evidence-based care that aims to reduce hair-pulling behaviors, improve coping strategies, and enhance the quality of life for those affected by this condition.
Excoriation (Skin-Picking) Disorder is characterized by repetitive and compulsive picking of the skin, leading to skin lesions, significant distress, and impairment in daily functioning. Individuals with this disorder often pick at healthy skin, minor skin irregularities, or lesions, driven by urges or tension, followed by a sense of relief or gratification from the picking. This condition can result in noticeable skin damage, infection, and emotional consequences, including shame and social withdrawal. Treatment typically involves cognitive-behavioral therapy (CBT), particularly Habit Reversal Training (HRT), aimed at increasing awareness of picking behaviors and teaching alternative coping strategies. In some instances, SSRIs or other medications may be prescribed to address underlying anxiety or depressive symptoms. Our clinicians are experienced in evaluating for, diagnosing, and treating Excoriation (Skin-Picking) Disorder, offering tailored care plans that focus on reducing skin-picking behaviors, promoting skin healing, and improving overall emotional well-being.
Neurodevelopmental Disorders
Neurodevelopmental disorders encompass a group of conditions that manifest early in development, leading to impairments in personal, social, academic, or occupational functioning. Collectively, neurodevelopmental disorders are estimated to affect around 1 in 6 children in the U.S., highlighting the importance of early identification and intervention.
Intellectual Disabilities are characterized by significant limitations in both intellectual functioning (such as learning, reasoning, and problem-solving) and in adaptive behavior, which covers a range of everyday social and practical skills. This disability originates before the age of 18 and affects individual functioning across multiple contexts, from home to school to work. The severity can vary greatly, from mild to profound, and support needs are tailored accordingly. Treatment and support typically involve a combination of educational interventions, skills training, and support services aimed at enhancing adaptive behaviors and promoting independence and participation in community life. Our clinicians are skilled at evaluating for, diagnosing, and providing support for Intellectual Disabilities, offering comprehensive care plans that address the educational, social, and practical needs of individuals and their families to improve overall quality of life and facilitate successful integration into society.
Communication Disorders encompass a variety of conditions characterized by significant difficulties in the acquisition and use of language, speech, and social communication. These disorders can significantly impact academic achievement, social interactions, and daily living. The main types include:
Language Disorder: Characterized by persistent difficulties in the comprehension or production of vocabulary, sentence structure, and discourse.
Speech Sound Disorder: Involves difficulty with articulation (pronouncing sounds) or phonological processes (sound patterns) that is not consistent with age or developmental level.
Childhood-Onset Fluency Disorder (Stuttering): Marked by disruptions in the flow of speech, such as frequent repetitions of sounds or syllables, prolongations of sounds, blocks, or interruptions in speech.
Social (Pragmatic) Communication Disorder: Involves persistent difficulties in the social use of verbal and nonverbal communication, including challenges in understanding and following social rules of communication, changing communication to match the context, and understanding implicit or nonliteral meanings.
Treatment for Communication Disorders typically involves specialized speech-language therapy tailored to the individual's specific needs, focusing on improving language, speech production, fluency, and social communication skills. In some cases, additional supports in educational or social settings may be required. Our clinicians are experienced in evaluating for, diagnosing, and treating Communication Disorders, providing personalized interventions that enhance communication abilities and support individuals in achieving their full potential in all areas of life.
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by persistent deficits in social communication and social interaction across multiple contexts, as well as restricted, repetitive patterns of behavior, interests, or activities. These symptoms are present from early childhood and limit or impair everyday functioning. ASD varies widely in severity and manifestations, encompassing a spectrum of cognitive, sensory, and motor abilities.
Treatment for ASD is highly individualized, focusing on specialized interventions aimed at improving social skills, communication, and behavioral challenges. This may include behavioral therapy, such as Applied Behavior Analysis (ABA), speech therapy, occupational therapy, and educational support. Medications may also be used to address specific symptoms, such as irritability, aggression, or co-occurring conditions like anxiety or ADHD.
Our clinicians are proficient in evaluating for, diagnosing, and treating Autism Spectrum Disorder, offering comprehensive care plans tailored to the unique strengths and challenges of each individual. We also have connections with ABA resources in the community. Through a combination of therapeutic approaches and supports, we aim to enhance the quality of life for individuals with ASD and their families, promoting development, learning, and social integration.
Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. Symptoms often result in difficulties with organization, sustaining focus, managing time, and controlling impulses, impacting academic, occupational, and social domains. ADHD is divided into three subtypes based on the predominant symptomatology: predominantly inattentive presentation, predominantly hyperactive-impulsive presentation, and combined presentation.
Treatment for ADHD typically involves a combination of medication, such as stimulants (e.g., methylphenidate or amphetamines) and non-stimulant medication, which are effective in improving attention and reducing hyperactivity and impulsivity, and behavioral interventions. These interventions may include behavior management strategies, cognitive-behavioral therapy (CBT), and accommodations in educational or work settings. Parent training and educational programs can also play a crucial role in managing symptoms.
Our clinicians are experienced in evaluating for, diagnosing, and treating Attention-Deficit/Hyperactivity Disorder, providing tailored treatment plans that address the multifaceted needs of individuals with ADHD. Through comprehensive care, we aim to improve attention, executive function, and behavioral regulation, enhancing overall functioning and well-being.
Specific Learning Disorder is a neurodevelopmental disorder that affects the ability to learn and use academic skills. It is characterized by persistent difficulties in reading (dyslexia), writing (dysgraphia), or mathematics (dyscalculia), which are significantly below what is expected for the individual's age, causing interference with academic achievement or daily activities that require these skills. Despite adequate intelligence, motivation, and educational opportunities, individuals with Specific Learning Disorder may struggle with recognizing or decoding words, understanding the meaning of what is read, spelling, written expression, understanding number concepts, and mathematical reasoning.
Treatment typically involves tailored educational interventions and strategies designed to address each individual's specific challenges. This may include specialized tutoring, accommodations in the classroom (such as extra time on tests or the use of technology aids), and the development of specific skill sets through targeted exercises. Psychoeducational therapy can also support individuals in coping with the frustrations and low self-esteem that often accompany learning disorders.
Our clinicians are skilled at evaluating for, diagnosing, and treating Specific Learning Disorder, offering comprehensive support that empowers individuals to overcome their learning challenges. By providing personalized interventions and accommodations, we aim to enhance academic skills and confidence, enabling individuals with Specific Learning Disorder to achieve their full potential.
Motor Disorders is a category within Neurodevelopmental Disorders that encompasses several conditions characterized by difficulties with motor function that are not due to a general medical condition. These include:
Developmental Coordination Disorder: Characterized by marked impairment in the development of motor coordination, affecting academic achievement or daily living activities. Individuals may appear clumsy, and tasks requiring coordination, such as writing or riding a bike, are significantly impacted.
Stereotypic Movement Disorder: Involves repetitive, seemingly driven, and nonfunctional motor behavior (e.g., hand waving, rocking) that interferes with social, academic, or other activities. It may be self-injurious in some cases.
Tic Disorders: Comprise various conditions where involuntary, rapid, sudden movements (motor tics) or vocalizations (vocal tics) occur. This includes: Tourette’s Disorder (the presence of both multiple motor and one or more vocal tics), Persistent (Chronic) Motor or Vocal Tic Disorder (characterized by either motor or vocal tics, but not both, persisting for more than one year), and Provisional Tic Disorder (tics are present for less than one year).
Treatment for Motor Disorders often involves a combination of interventions tailored to the individual's needs, including occupational therapy to improve coordination and motor skills, behavior therapy to manage tics or stereotypic movements, and, in some cases, medication to reduce the severity of symptoms. Our clinicians are experienced in evaluating for, diagnosing, and treating Motor Disorders, providing comprehensive care plans that aim to improve motor function, reduce the impact of symptoms on daily life, and support the individual's overall development and well-being.
Personality Disorders
Personality disorders are characterized by enduring patterns of behavior, cognition, and inner experience that deviate markedly from the expectations of an individual's culture, leading to significant distress or impairment in social, occupational, or other important areas of functioning.
Paranoid Personality Disorder is characterized by a pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent. Individuals with this disorder often suspect, without sufficient basis, that others are exploiting, harming, or deceiving them. They may doubt the loyalty or trustworthiness of friends or associates, read hidden demeaning or threatening meanings into benign remarks or events, and bear grudges for a long time. Treatment includes psychotherapy, particularly cognitive-behavioral therapy (CBT), to help patients challenge their beliefs about others and develop more realistic expectations. Medication may be used to address specific symptoms, such as anxiety or depression, but is not the primary treatment modality. Our clinicians are skilled at evaluating for, diagnosing, and treating Paranoid Personality Disorder, offering compassionate and respectful care that aims to build trust and improve interpersonal relationships, enhancing the individual's ability to function in daily life.
Schizoid Personality Disorder is characterized by a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings. Individuals with this disorder typically display a preference for solitary activities, lack close friends or confidants other than first-degree relatives, show little interest in having sexual experiences with another person, and take pleasure in few, if any, activities. They often appear indifferent to praise or criticism and show emotional coldness, detachment, or flattened affectivity.
Treatment for Schizoid Personality Disorder is challenging, as individuals may not seek help due to their preference for isolation and may not see their lack of social relationships as problematic. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can be beneficial in helping individuals recognize the value of interpersonal relationships and develop social skills. Group therapy may also be suggested to encourage social interaction in a controlled setting. Medication is not typically used unless there is a co-occurring condition, such as depression.
Our clinicians are skilled at evaluating for, diagnosing, and treating Schizoid Personality Disorder, offering supportive and nonjudgmental care that respects the individual's comfort with social interactions. By focusing on gradual engagement and skill-building, we aim to enhance the capacity for relationships and improve the quality of life for those with Schizoid Personality Disorder.
Schizotypal Personality Disorder is marked by a pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior. Individuals with this disorder often exhibit odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms, unusual perceptual experiences, odd thinking and speech, suspiciousness or paranoid ideation, and inappropriate or constricted affect. They may have few, if any, close friends or confidants other than first-degree relatives due to their discomfort with and reduced capacity for close relationships.
Treatment often involves a combination of psychotherapy and medication. Cognitive-behavioral therapy (CBT) can help individuals recognize and adjust distorted thinking patterns and learn social skills. In cases where symptoms overlap with psychosis, medications such as antipsychotics may be prescribed to manage more severe symptoms.
Our clinicians are experienced in evaluating for, diagnosing, and treating Schizotypal Personality Disorder, providing a tailored approach that addresses the unique needs of each individual. By focusing on improving social skills, reducing distress from perceptual distortions, and managing any co-occurring conditions, we aim to enhance the overall well-being and functional ability of those with Schizotypal Personality Disorder.
Antisocial Personality Disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following: failure to conform to social norms with respect to lawful behaviors, deceitfulness, impulsivity or failure to plan ahead, irritability and aggressiveness, reckless disregard for safety of self or others, consistent irresponsibility, and lack of remorse. Individuals with this disorder may engage in criminal behavior, lie or deceive others for personal profit or pleasure, and display a profound lack of empathy or concern for the feelings or rights of others.
Treatment for Antisocial Personality Disorder is challenging, as individuals often do not seek treatment voluntarily and may be uncooperative or manipulative when in treatment. A combination of psychotherapy and, in some cases, medication to manage symptoms of aggression or co-occurring mental health issues, such as depression or anxiety, can be part of the treatment plan. Cognitive-behavioral therapy (CBT) has been shown to help individuals recognize and modify harmful patterns of thinking and behavior, but engagement and sincerity in treatment are crucial for effectiveness.
Our clinicians are experienced in evaluating for, diagnosing, and treating Antisocial Personality Disorder, focusing on reducing antisocial behaviors and improving social and occupational functioning. Despite the challenges, we are committed to providing care that encourages responsibility, empathy, and healthier interpersonal interactions, aiming to improve outcomes for individuals with Antisocial Personality Disorder.
Borderline Personality Disorder (BPD) is characterized by a pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity. Individuals with BPD may experience intense episodes of anger, depression, and anxiety that can last from a few hours to days. They may also have difficulty tolerating being alone, yet their anger, impulsiveness, and frequent mood swings may push others away, despite their desire for loving and lasting relationships. Common features include frantic efforts to avoid real or imagined abandonment, a pattern of unstable and intense interpersonal relationships, identity disturbance, impulsivity in areas that are potentially self-damaging, recurrent suicidal behavior or threats, emotional instability, chronic feelings of emptiness, inappropriate, intense anger, and transient, stress-related paranoid thoughts or severe dissociative symptoms.
Treatment typically involves dialectical behavior therapy (DBT), a form of cognitive-behavioral therapy specifically designed for BPD that focuses on providing skills to manage painful emotions and decrease conflict in relationships. Other therapeutic approaches, including mentalization-based treatment (MBT) and schema-focused therapy, may also be beneficial. Medications might be used to treat co-occurring conditions or specific symptoms, such as mood swings or depression.
Our clinicians are adept at evaluating for, diagnosing, and treating Borderline Personality Disorder, offering a compassionate, comprehensive care plan that addresses the complex nature of BPD. By employing evidence-based therapies tailored to the unique needs of each individual, we aim to improve emotional regulation, enhance interpersonal skills, and foster a more stable sense of identity, leading to improved overall functioning and well-being.
Histrionic Personality Disorder is characterized by a pattern of excessive emotionality and attention-seeking behavior. Individuals with this disorder often feel uncomfortable when they are not the center of attention, may use their appearance to draw attention to themselves, and typically display rapidly shifting and shallow expression of emotions. Their interactions with others often seem insincere or superficial, leading to difficulties in forming genuine relationships. Speech may be excessively impressionistic and lacking in detail. They may also exhibit self-dramatization, theatricality, and exaggerated expression of emotions, along with being easily influenced by others or circumstances.
Treatment for Histrionic Personality Disorder focuses on psychotherapy, with cognitive-behavioral therapy (CBT) being particularly useful in helping individuals understand their thoughts and feelings and learn healthier ways to express and manage them. The goal of therapy is often to uncover the motivations and fears associated with their behavior, improve self-esteem, and teach skills for more genuine and rewarding social interactions. Medication may be prescribed to address specific symptoms like depression or anxiety, but it is not the primary treatment modality for this disorder.
Our clinicians are skilled at evaluating for, diagnosing, and treating Histrionic Personality Disorder, providing empathetic and targeted care designed to address the core aspects of the disorder. By working collaboratively with patients, we aim to help them achieve more stable and satisfying relationships and a more grounded sense of self, improving their overall quality of life.
Narcissistic Personality Disorder is characterized by a pervasive pattern of grandiosity (in fantasy or behavior), a constant need for admiration, and a lack of empathy. Individuals with this disorder often have an inflated sense of self-importance, believing they are unique or entitled to special treatment. They may exploit personal relationships, seek excessive admiration, and exhibit arrogance. Despite their self-confidence, their self-esteem can be very fragile, particularly to criticism or defeat.
Treatment for Narcissistic Personality Disorder can be challenging, as individuals may not recognize their need for help or may view therapy as a sign of weakness. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can be beneficial in helping individuals understand the underlying causes of their narcissism, learn to relate to others in a more positive and rewarding way, and develop a more realistic self-image. Therapy focuses on addressing issues of self-esteem, sensitivity to criticism, and desire for power and control, as well as improving empathy towards others. Medication is not typically used unless there is a co-occurring disorder, such as depression or anxiety.
Our clinicians are experienced in evaluating for, diagnosing, and treating Narcissistic Personality Disorder, offering patient-centered care that respects the individual's strengths while addressing the aspects of the disorder that impair functioning and well-being. Through a tailored therapeutic approach, we aim to help individuals build healthier relationships and a more balanced sense of self.
Avoidant Personality Disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals with this disorder often view themselves as socially inept, personally unappealing, or inferior to others, and they typically avoid social interactions for fear of being criticized, rejected, or embarrassed. This can lead to significant limitations in personal, social, and occupational situations.
Treatment for Avoidant Personality Disorder usually involves psychotherapy, with cognitive-behavioral therapy (CBT) being particularly effective in helping individuals challenge their negative thoughts about themselves and others, and gradually engage in social situations that they would typically avoid. Social skills training may also be part of the treatment to improve communication and interpersonal effectiveness. In some cases, medication may be prescribed to alleviate symptoms of anxiety or depression that often accompany this disorder.
Our clinicians are skilled at evaluating for, diagnosing, and treating Avoidant Personality Disorder, providing a supportive and understanding environment that encourages gradual exposure to feared social situations. By focusing on building self-esteem, reducing fear of rejection, and improving social skills, we aim to enhance the overall quality of life for individuals with Avoidant Personality Disorder, helping them to form more meaningful and satisfying relationships.
Dependent Personality Disorder is marked by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation. Individuals with this disorder often have difficulty making everyday decisions without an excessive amount of advice and reassurance from others, struggle with expressing disagreement due to fear of loss of support or approval, and have difficulty initiating projects or doing things on their own. They may go to great lengths to obtain nurturance and support from others, even to the point of volunteering for unpleasant tasks if such actions will bring the care they desire.
Treatment typically involves psychotherapy, with cognitive-behavioral therapy (CBT) being effective in helping individuals become more independent in their thoughts and actions. Therapy may focus on skills training to build confidence in decision-making and foster greater self-reliance. Group therapy can also be beneficial by providing a supportive environment to practice interpersonal skills. Medication may be used to treat co-occurring conditions such as anxiety or depression but is not the main treatment for the personality disorder itself.
Our clinicians are adept at evaluating for, diagnosing, and treating Dependent Personality Disorder, offering compassionate care aimed at empowering individuals to develop healthier relationships and a more autonomous sense of self. By working to build self-esteem and coping skills, we strive to reduce dependency behaviors and improve the overall functioning and satisfaction of those with Dependent Personality Disorder.
Obsessive-Compulsive Personality Disorder (OCPD, not to be confused with OCD) is characterized by a preoccupation with orderliness, perfectionism, and control, at the expense of flexibility, openness, and efficiency. Individuals with OCPD often adhere to rules, lists, and minutiae to such an extent that the major point of the activity is lost. They may be excessively devoted to work and productivity to the exclusion of leisure activities and friendships, be overconscientious, inflexible about matters of morality, ethics, or values, and unable to discard worn-out or worthless objects even when they have no sentimental value.
Treatment typically involves psychotherapy, with cognitive-behavioral therapy (CBT) being particularly useful in helping individuals recognize and challenge their patterns of perfectionism and control, and develop more flexible attitudes and behaviors. Therapy may also focus on reducing the individual's reliance on rules and procedures and increasing tolerance for uncertainty and imperfection. Unlike Obsessive-Compulsive Disorder (OCD), medication is less commonly used in OCPD unless treating co-occurring symptoms or disorders, such as anxiety or depression.
Our clinicians are experienced in evaluating for, diagnosing, and treating Obsessive-Compulsive Personality Disorder, providing tailored therapy plans that address the unique challenges of OCPD. By fostering a supportive therapeutic environment, we aim to help individuals achieve a healthier balance between work, relationships, and relaxation, improving their quality of life and interpersonal relationships.
Pediatric Disorders
Children and adolescents can encounter many of the conditions described above, though there can be crucial and occasionally subtle differences in their manifestation. Furthermore, certain psychiatric conditions are primarily observed during childhood and may evolve into other mental health issues over time. Early recognition and intervention of psychiatric conditions in young individuals are vital, as timely treatment can be lifesaving.
Disruptive Mood Dysregulation Disorder (DMDD) is a relatively new diagnosis introduced to address the need for a distinct category for children and adolescents who exhibit chronic, severe persistent irritability and frequent episodes of extreme, disproportionate temper outbursts. DMDD is characterized by severe temper outbursts (verbal or behavioral) that are grossly out of proportion in intensity or duration to the situation, occurring on average three or more times a week, coupled with a persistent irritable or angry mood between outbursts, most days, for at least 12 months. This disorder is intended to be diagnosed in individuals between the ages of 6 and 18, providing a diagnosis for those who do not fit the criteria for bipolar disorder but exhibit significant mood dysregulation.
Treatment for DMDD involves a combination of psychotherapy and medication. Cognitive-behavioral therapy (CBT) and parent management training (PMT) are common approaches to help the child develop coping mechanisms for irritability and anger, and to assist parents in effectively managing their child’s behavior. In some cases, medications may be used to treat co-occurring symptoms of mood or anxiety disorders.
Our clinicians are adept at evaluating for, diagnosing, and treating Disruptive Mood Dysregulation Disorder, providing a supportive framework for children and their families. By offering comprehensive care that addresses the behavioral and emotional needs of children with DMDD, we aim to improve emotional regulation, reduce the frequency and severity of temper outbursts, and enhance the child’s overall functioning and quality of life.
Oppositional Defiant Disorder (ODD) is characterized by a persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least six months. Individuals with ODD may frequently lose their temper, argue with authority figures, actively defy or refuse to comply with requests or rules, deliberately annoy others, blame others for their mistakes or misbehavior, and be easily annoyed or harboring resentment. This behavior often leads to significant problems in social, educational, or work settings.
Treatment for ODD typically involves psychotherapy, particularly behavioral therapies that focus on improving communication, problem-solving skills, and impulse control. Parent management training (PMT) and family therapy are often effective, teaching parents and families strategies to positively and consistently respond to problematic behaviors. In some cases, when ODD co-occurs with other mental health issues like ADHD or anxiety, medication may be used to treat those underlying conditions.
Our clinicians are skilled at evaluating for, diagnosing, and treating Oppositional Defiant Disorder, offering comprehensive care plans designed to reduce symptoms and improve functioning. By working closely with the individual and their family, we aim to foster a more harmonious family environment and build the foundation for healthy, positive behaviors moving forward.
Conduct Disorder is characterized by a repetitive and persistent pattern of behavior that violates the basic rights of others or major age-appropriate societal norms or rules. This behavior includes aggression toward people and animals, destruction of property, deceitfulness or theft, and serious violations of rules. Conduct Disorder can lead to significant impairments in social, academic, or occupational functioning and is often associated with other mental health issues, such as ADHD or substance abuse disorders.
Treatment for Conduct Disorder involves a multi-faceted approach, including psychotherapy, parent training programs, and sometimes medication to address co-occurring conditions. Cognitive-behavioral therapy (CBT) aims to improve problem-solving skills, impulse control, and anger management. Family therapy is also critical, focusing on improving communication and relationships within the family and teaching parents effective discipline and management techniques.
Our clinicians are experienced in evaluating for, diagnosing, and treating Conduct Disorder, providing tailored interventions that address the complex needs of these individuals and their families. Through a comprehensive treatment plan, we aim to reduce antisocial behaviors, improve social skills and family dynamics, and support the individual's development into a healthy and productive adulthood.
Reactive Attachment Disorder (RAD) is a condition found in children who have experienced severe neglect, abuse, or disruption in early attachment relationships, leading to significant difficulties in forming healthy emotional attachments to caregivers. Characterized by either a consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers, or a pattern of indiscriminate sociability with unfamiliar adults, children with RAD may exhibit minimal social and emotional responsiveness to others, limited positive affect, or episodes of unexplained irritability, sadness, or fearfulness even during non-threatening interactions.
Treatment for RAD focuses on creating a safe and stable environment for the child, coupled with therapeutic interventions aimed at establishing or re-establishing a healthy attachment to a primary caregiver. This often involves structured therapy sessions that foster sensitivity and responsiveness in the caregiver and promote positive interactions between the caregiver and child. In some cases, family therapy may also be beneficial to address broader family dynamics affecting the child's attachment and adjustment.
Our clinicians are experienced in evaluating for, diagnosing, and treating Reactive Attachment Disorder, offering compassionate and tailored care that seeks to heal the effects of early trauma and promote secure, healthy relationships. Through a combination of therapeutic approaches, we aim to support the emotional and social development of children with RAD, enhancing their capacity for trust, intimacy, and balanced emotional expression.
Disinhibited Social Engagement Disorder (DSED) is characterized by a pattern of behavior in children involving overly familiar and culturally inappropriate interactions with relative strangers. This condition arises from a history of social neglect, deprivation, or changes in caregivers that limit opportunities to form stable attachments. Unlike children with Reactive Attachment Disorder (RAD) who withdraw, children with DSED seek out and engage in interactions indiscriminately, showing a lack of reticence in approaching and interacting with unfamiliar adults.
Treatment for DSED focuses on creating stable, nurturing, and safe environments for the affected children. It involves educating caregivers on the importance of consistent, responsive care and may include therapeutic interventions designed to strengthen the child-caregiver relationship. Strategies to promote healthy social interactions and develop appropriate boundaries are also key components of treatment. Unlike RAD, the primary issue in DSED is not the absence of attachment but rather the lack of discrimination in social attachments and interactions.
Our clinicians are skilled at evaluating for, diagnosing, and treating Disinhibited Social Engagement Disorder, providing comprehensive support aimed at correcting the patterns of indiscriminate social behavior. Through focused intervention and caregiver education, we work to ensure that children with DSED can develop healthier, more appropriate relationships with caregivers and others, improving their overall social functioning and well-being.
Elimination Disorders refer to difficulties managing the elimination of urine or feces appropriately for the individual's age. These disorders include:
Enuresis (Urinary Incontinence): The repeated voiding of urine into bed or clothes, whether involuntarily or intentionally, occurring twice a week for at least three consecutive months or causing significant distress or impairment in social, academic, occupational, or other important areas of functioning. This condition is only diagnosed if the individual is at least 5 years old or has reached an equivalent developmental level.
Encopresis (Fecal Incontinence): The repeated passage of feces into inappropriate places (e.g., clothing or the floor), whether involuntary or intentional, occurring at least once a month for three consecutive months in a child who is at least 4 years of age or has reached an equivalent developmental level. Encopresis is often associated with constipation and overflow incontinence.
Treatment for elimination disorders typically involves a combination of medical, psychological, and behavioral approaches. For enuresis, interventions may include moisture alarms, bladder training exercises, and, in some cases, medication. Encopresis treatment often starts with addressing constipation through dietary changes, laxatives, and education on proper toilet habits, followed by behavioral strategies to encourage regular toilet use.
Our clinicians are adept at evaluating for, diagnosing, and treating Elimination Disorders, providing compassionate and multidisciplinary care tailored to the needs of each child and family. Through a comprehensive approach that may involve collaboration with pediatricians, we aim to address the physical and emotional aspects of these conditions, helping children achieve appropriate elimination behaviors and improving their quality of life.
Other Disorders
The realm of psychiatric diagnoses is vast and diverse, encompassing a wide array of conditions not all of which are detailed on this site. It's important to acknowledge that certain situations, including acute psychosis and suicidality, may not be suitable for telepsychiatry and require immediate, in-person intervention. If you're looking to make a positive change in your mental health, we invite you to start with our brief assessment.
