Your Treatment plan evaluation

Causes of Psychiatric Symptoms

  • Genetic
  • Developmental
  • Medical Illness
  • Endocrine / Hormones
  • Nutritional Deficiency
  • Defenses / Coping Strategies
  • Relationship Stressors
  • Occupational
  • Addiction
  • Sleep Disorders

Causes of Treatment Failure

  • Incomplete Evaluation
  • Wrong Diagnosis
  • Psychodynamic Causes
  • Medical / Endocrine / Nutritional
  • Poor Compliance
  • Wrong Medication
  • Inadequate Medication Dosing
  • Drug-Drug / Drug-Food Interactions
  • Genetic / Idiopathic

Your Treatment plan

online psychiatry

Your Treatment plan may consist of the following features:

  1. Screening for causes of symptoms
  2. Education and information
  3. Treating medical/nutritional endocrine causes of symptoms e.g. sleep apnea
  4. Lifestyle changes  e.g. exercise, diet, sleep hygiene
  5. Choosing the correct therapy modality if desired/recommended
  6. Selecting the correct medication regimen if required
  7. Careful monitoring and titration

Will I need to take medication?

If you are having persistent symptoms of anxiety, insomnia, depression, chronic fatigue, hyperphagia, anorexia, obsessions, compulsions, low sex drive, apathy, mood swings, severe premenstrual symptoms with polycystic ovarian syndrome, paranoid delusions, hallucinations, voices, low energy, seasonal affective symptoms, irritability or anger despite all efforts at natural treatment and is suffering from poor work performance and impairment in social relationships– you may need to take medication in order to live your life to the fullest and achieve your personal and professional goals.

I took medications before & it didn’t work.

Reasons for poor response to medication include:

  • Inadequate trial of medication (not finding the correct medication)
  • Inadequate dosing
  • Drug, drug interactions
  • Poor compliance
  • Nutritional Deficiencies
  • Vitamin D deficiency
  • Endocrine Problems: including PCOS, menopause, subclinical hyperthyroidism, and hypothyroidism
  • Sleep problems including sleep apnea
  • Developmental, Past Trauma, PTSD
  • Unresolved external stressors
  • Genetic
  • Wrong diagnosis
  • Wrong medication

I have had side effects to Psychiatric medications BEFORE.

Reasons for side effects to psychiatric medications can be:

  • Idiopathic
  • Slow enzyme metabolizer
  • Drug/drug interactions
  • Drug/food interactions
  • High Dose

Ways to avoid side effects include:

  • Discontinue the offending agent
  • Screen for family history of drug interactions.
  • Screen for possible drug/drug interaction
  • Slow titration
  • Screen for food /drug interactions

I only want Psychotherapy and Natural Remedies

Research has shown that supportive psychotherapy & cognitive behavioral therapy create similar changes in the frontal lobe on PET scan as SSRIs. Many patients with symptoms of depression, anxiety, PTSD and mild OCD improve with psychotherapy alone.
Natural treatments for depression, anxiety, OCD,  include :

  • sunlight
  • exercise
  • n-acetylcysteine
  • nutritional supplementation
  • screening for heavy metal toxicity
  • treat subclinical hypo&hyperthyroidism
  • progesterone
  • psychotherapy

What if I don’t want to take medication?

No one can force you to take medication if you do not want to unless you are in the hospital and often not even there!
At GABA Telepsychiatry, we work with you to address all the possible causes of psychiatric symptoms including developmental, genetic, emotional, trauma, environmental, endocrine (due to hormones); medical including sleep apnea, diabetes, stroke, obesity, poor exercise and physical fitness and the medical causes of psychiatric symptoms.
However, there are some individuals who still demonstrate significant impairment, who continue to suffer and are still symptomatic despite psychotherapy and efforts towards natural remedies. In these cases, we aim to work with you to find the correct medication and minimize side effects.

Did you know that the most common causes of poor response to psychiatric medication are poor compliance, inadequate dosing, and inadequate trial of medication.