One in five people will experience clinical depression at some point in their life, and in any given year, 5% of men and 10% of women will meet criteria for clinical depression. There are many different causes and types of depression, and there are an ever growing number of treatment options. Our practitioners aim to learn about your depression and recommend the set of research backed treatment options that fit you best. All medications have potential side effects, so we are well versed in the many non-pharmacological treatment options for depression as well. When feasible, we work with our clients to come off medications once they have been stable for a period of time.
Anxiety hits individuals in unique ways, but the common denominator is that it can be extremely debilitating. We have experience in treating Generalized Anxiety, Social Anxiety, OCD, Separation Anxiety, Panic Disorder, and specific phobias with therapy, medication management, breathing techniques (look at www.freespira.com), meditation, exercise, and, in cases where the research backs it, supplements.
We are conservative with who we diagnose with ADHD. However, there is no debating that there are a subset of patients who are limited by their problems with focus and impulse control. With these patients we attempt to find the treatment options that maximize their goals while minimizing side effects and misuse of the medications.
OCD, or obsessive compulsive disorder, and related disorders such as skin picking, hair pulling (trichotillomania), and hoarding, can be very debilitating disorders. We have years of experience and training from some of the top practitioners in the field of OCD. We also partner with many OCD specialists in the area.
Intermittent Explosive Disorder (IED) is a condition in which the patient has anger outbursts that are out of proportion the triggering event. Unlike those with DMDD and bipolar disorder, their mood tends to be stable between these episodes. There are many causes for this and various comorbidities, such as ADHD, should also be ruled out.
DMDD, or disruptive mood dysregulation disorder, is a disorder in some children and adolescents that involves a predominantly irritable mood that can have accompanying temper outbursts. The temper outbursts are often out of proportion to whatever triggered them. These patients often are diagnosed incorrectly as having bipolar disorder. Some may also have undiagnosed ADHD that is contributing to their anger and issues with impulse control. There are many approaches to treating DMDD, so it’s especially important that you seek a psychiatrist or psychiatric NP who is well versed in this disorder, which we are.
Autism Spectrum Disorders (ASD) are a spectrum of symptoms related to social interactions and communication, and restricted interests and behaviors, that can manifest in very different ways in each patient. Through training at Upenn and CHOP, among other institutions, followed by years of experience working with this population in both inpatient and outpatient settings, the practitioners at Alpine Psychiatry are very well versed at serving the ASD population.
Bipolar disorder afflicts 1% to 3% of the population and can present as either depression or as episodes of hypomania or mania. Because it is often over-diagnosed and treatment options are as complex as they are varied, it requires the diagnosis by a clinically trained and very experienced mental health provider and treatment with a psychiatrist or a psychiatric nurse practitioner. We are experts at diagnosing and treating bipolar disorder. Similar to depression, those with bipolar disorder often benefit from some level of therapy to help manage the various phases and co-occurring disorders that can arise in patients with bipolar disorder.
Afflicting close to 1 in 200 people, schizophrenia (and another disorder called schizoaffective disorder, which involves both psychosis and a comorbid mood disorder) is an illness that is varied in its severity of symptoms, age of onset, and prognosis. Just as is true with most other psychiatric disorders, there is no single cause for these psychotic spectrum illnesses and the treatment options are ever growing; a detailed knowledge of their relative efficacies and side effect profiles is essential. Our practitioners have extensive experience working with clients of all ages who have psychotic spectrum illnesses.
PTSD, or Post Traumatic Stress Disorder, afflicts millions of Americans and can lead to many comorbid disorders including mood swings, depression, suicidal ideation, anxiety, distractibility, insomnia, severe flashbacks, and intense nightmares. We have practitioners certified in prolonged exposure therapy for PTSD and have had great success treating clients of all ages.
Despite popular belief, eating disorders can afflict clients of all genders and ages. They can present as undereating, overeating, an overemphasis on healthy foods, restricted food variation (“picky eaters”), purging (forced vomiting), body dysmorphia (an overfocus on one’s body as being flawed), or a combination of some of these. While we do not have a specialized eating disorder therapist at this time, we collaborate with many across the region and can help with the many co-occurring disorders that accompany eating disorders such as anxiety, OCD, and depression.
We view substance use disorders and addiction as a disease that deserves intense treatment. We work closely with area therapists and group practitioners that specialize in addiction treatment, while we focus on both the addiction and co-occurring disorders.
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