About Our Services…
Our goal is to provide high quality psychiatric care to our patients. We start with a careful evaluation of the individual or family. At the end of the evaluation, we try to present patients with a range of possible treatment options. We like for our patients to be well informed and play an active role in planning treatment. Treatment options may include counseling, play therapy, medication, family therapy, hypnosis, light therapy, or behavioral interventions. We maintain strict confidentiality, and do not release records without permission. We will work with primary care physicians, clergy, family members or schools if the patient requests it. We offer outpatient consultations to physicians, and consultations to schools and mental health professionals. In some limited situations, we can offer forensic psychiatric consultations. Each of our professional staff has had a number of years of experience in the mental health field. We are active in our professional societies and keep up with new information in our fields.
Anyone can feel overwhelmed by depression, work, relationship problems, or other difficult life circumstances. Often, family and friends can help work it out, but sometimes, you need something more. Our qualified psychiatrists and psychologist can help. We offer brief, solution-oriented counseling as well as more in-depth, intensive therapy. Counseling can teach you to use creative problem-solving to help you handle future problems.
Children and some adolescents may feel more comfortable expressing their feelings through the metaphor of play. A child may use puppets or dolls, or play dough to work through difficult feelings. A child may talk about a doll’s problems rather than to directly acknowledge his or her own hurt. Some children mix direct talking therapy with play therapy.
We provide outpatient services. In the rare situations when psychiatric hospitalization is necessary, we will help arrange the admission and will help coordinate services with the inpatient psychiatrist. We will provide follow up after discharge.
Our clinicians have all had training in family therapy. This technique is often a powerful way of producing lasting change. We help families build on their strengths and develop clear lines of communication. We work with couple’s issues and parenting issues. Dr. Brynes has experience working with families who are dealing with difficult situations involving aging parents or relatives.
Family therapy help a couple avoid separation or divorce. If a couple have decided that separation is inevitable, family work can help minimize stress and help the mother and father work out parenting issues.
Family therapy can be either short or long term. Some situations can be improved within a few sessions by helping each family member clearly communicate with the others about a particular issue. Other family situations may require an integrated team approach. In this situation, one therapist in our group might see one family member for individual therapy and medication and another therapist in the group would see the family.
We also are offering a parenting workshop for parents of children with disruptive behavior disorders. Your Challenging Child.
A number of psychiatric illnesses have a biological basis. In the past two decades, the psychiatric field has witnessed a great increase in knowledge about biologically based brain disorders. We now have more specific, effective treatments for mental illnesses. We treat depression, bipolar disorder, schizophrenia, anxiety disorders, dementia and other related conditions. We also treat a number of adults and children with attention deficit disorders.
Before starting medication, we do a careful psychiatric evaluation. Sometimes, we suggest that the patient be evaluated for physical conditions which can mimic or complicate psychiatric illnesses.
We try to look at the biological mental illness in the context of the whole person and his surroundings.
If the individual is in therapy, we like to keep in close communication with the therapist. If a prospective patient is seeing an outside clinician for psychotherapy, we prefer to keep active communication with the therapist so that we can gain a greater understanding of how internal and external events affect each individual.
Otto Learns About his Medicine by Matthew Gavin, Magination Press, New York, 1988. explains medication for ADHD so that a five to eight year old child can understand.
Medical hypnosis is quite different from the amateur or “stage” hypnosis. Medical hypnosis requires advanced studies during or after medical or mental health training.
We can use hypnosis to help treat phobias, psychosomatic disorders, and anxiety. We also use hypnosis and visualization to augment psychotherapy in certain situations. We prefer not to use hypnosis for memory retrieval or legal cases.
Bright Light Therapy
Many people suffer from varying degrees of fall and winter depression. This type of depression is often accompanied by sleep changes and weight gain. The medically supervised use of a bright light source, such as a light box, can often cause significant improvement. Light therapy is also sometimes used for other forms of depression and for pHs. If we feel that light therapy is indicated, we can often lend out one of our light boxes so that the individual can try one out for a month before deciding to buy one.
Consultation to Primary Care Physicians
- Sometimes a primary care physician wishes to treat a behavioral problem in his own office. We will be happy to see the patient for a single consultation or discuss the case by phone. Our staff can give a second opinion on psychiatric medication management issues.
- We can see an individual or family to help clarify issues related to medical treatment non-compliance.
- If you have a number of patients who are having difficulty coping with a particular illness, we would be willing to set up a short term group at our office.
- We also provide ongoing outpatient psychotherapy for children, adults and the elderly.
Consultation to Schools and Mental Health Professionals
- We are happy to perform a single or short-term psychiatric evaluation for another mental health professional.
- If we recommend on-going medication, we will also be willing to interface with the physician who will be doing the medication management.
- We do our best evaluations when we receive, prior to the evaluation, background information and specific questions.
- We will consult to schools on a programmatic or an individual basis. If we are consulting on a specific student, we need prior written consent from a parent. If possible, we prefer to contact both parents of the individual student.
- If scheduling permits, we will be willing to attend an ARD meeting, either in person or by telephone. This must be arranged on an individual basis, and is usually not covered by health insurance.
Legal (Forensic) Consultation
- Although we primarily do diagnostic and therapeutic work, we will sometimes perform a forensic evaluation.
- If a forensic evaluation is desired, we need to know before the first interview. Payment is different from therapeutic sessions and must be arranged in advance. These evaluations are generally not covered by health insurance.
- In the case of custody evaluations, we need to meet with both parents. Multiple sessions are usually necessary.
- We prefer not to do a forensic evaluation on someone who is already under our care. lf one of our established patients requests a forensic evaluation, we will help him or her find another mental health provider for the evaluation.
- We abide by the Custody Evaluation Practice Parameters of the American Academy of Child & Adolescent Psychiatry.