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Call or Text: 407-846-0533

Frequently Asked Questions

Services

We offer counseling, couples/family counseling, medication management, Transcranial Magnetic Stimulation (TMS), and psychiatric evaluations.

If this is your first visit, call us at 407-846-0533 and one of our representatives will walk you through the process. Please have the following available to make your first appointment at our office:

  1. Insurance Card
  2. Email
  3. Best Contact Number

Once an appointment has been booked, we ask that you complete our intake packet via DocuSign before you arrive to your first appointment. This will allow a swift and timely check-in process on the day of your visit.

You must complete our Authorization to Release or Obtain Confidential Information Form and submit it to our Medical Records Department. You may mail the form to our office, bring the form in or call 407-846-0533, dial 4, and ask for our medical records email to submit the request.

If you are having an emergency, dial 9-1-1 or go to your nearest Emergency Room or Hospital. If you are experiencing medication side effects or have concerns regarding your medication, you may call our Patient Care Coordinator Department at 407-846-0533 and dial 3.

You may also submit a request through our patient portal and one our Patient Care Coordinators will process your request as soon as they are able. Although we typically respond to requests within the same day, please allow up to 48 hours to receive a response to your request.

Patient Portal

You may log in to our patient portal and create your account at any time.

Our patient portal allows you to pay off your balance, check your lab results, upload forms or medical records, request an appointment, update your demographic information and medical history, and so much more!

This feature allows us to stay up to date and connected in-between appointments so that we can offer more tailored services to your needs.

Medication Management

Medication Therapy Management is a service that utilizes drug therapy to provide clients with a positive therapeutic outcome. With medication management we prescribe evidence based medicine to treat mental, emotional and behavioral disorders.

We create a customized treatment plan that is contingent on our patient. No patient is the same, which is why each individual receives an effective treatment plan and review. Our goal is to ensure that each patient receives the appropriate treatment based on their daily living.

Medication management is used to treat a number of mental health issues, including but not limited to: depression, anxiety, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), bipolar disorder, and more.

Psychiatric Evaluations

A Psychiatric evaluation is a tool utilized by psychiatrists to diagnose problems with a patient’s mental health and behaviors.

The duration of an evaluation varies from person to person because it is a comprehensive assessment of an individual, which involves the following:

  • Information about their background
  • Past medical history
  • Past mental health history
  • Mental Status Evaluation
  • Determining their diagnosis
  • Development of a treatment plan
  • Referral to other services, as needed
  • Prescription and monitoring of psychotropic medications, as needed
  • Recommendations to the individual or referral source, as needed

We offer these evaluations for the purpose of individualized treatment and competency issues such as:

  • Competency for parental adoption
  • Competency for parental reunification
  • Social Security Disability assessment
  • Worker’s Compensation cases
  • Vocational Rehabilitation
  • Readiness for surgery or specific medical treatment
  • Academic and behavioral issues in children

A psychiatric evaluation may help patients by diagnosing or confirming a mental disorder that requires treatment. Once properly diagnosed  a customized treatment plan can be implemented. 

Psychiatric evaluations may take anywhere from 45 minutes to an hour, depending on your needs.

Psychotherapy & Counseling

We offer a variety of therapy treatments depending on your needs. We offer family therapy, couples counseling, parental counseling, play therapy for children, cognitive therapy which helps the patient identify and change negative thoughts and behavioral patterns, and mindfulness-based stress reduction.

The process of treating people with emotional symptoms that are affecting their daily functioning by allowing the expression of feelings and emotions affecting the individual. Mindful Behavioral Healthcare offers talk therapy to help patients work on areas of their lives related to their concerns. Therapy sessions are regularly weekly or biweekly, lasting about 45 minutes long. Therapists guide clients to identify aspects of their lives they would like to change, to better understand themselves and set personal goals.

The patient receives feedback from the therapist or counselor about how to manage their concerns. Different strategies may be used in this treatment process. Studies have shown that the best treatment options can be achieved by the utilization of psychotherapy and medication management.

There are a number of techniques that may be used in this process, such as:

  • Cognitive-behavioral therapy
  • Group therapy
  • Psychoanalytic oriented therapy
  • Client-centered therapy
  • Behavioral therapy

 

Not much! The words are used interchangeably to describe the process of working through what’s holding you back.

A standard individual session is 45 minutes long, but this may vary between individuals.

Studies have shown that therapy is most powerful when conducted weekly, but we provide counseling anywhere from twice a week to once a month depending on your individual needs.

The first session is typically dedicated to information gathering, building rapport with your counselor, and developing a treatment plan. Your counselor will assist you in creating goals for yourself and to set expectations of what you want to get out of your treatment.

Transcranial Magnetic Stimulation (TMS)

Trans-cranial magnetic stimulation or TMS, is a therapy that uses pulses of magnetic fields to stimulate nerve cells in the area of the brain thought to control mood.

TMS Therapy is an outpatient procedure that consists of 36 treatment sessions over 6 weeks. Each treatment is approximately 18-30 minutes.

Each therapy treatment:

  • Involves no surgery, anesthesia or sedation, the patient is awake and alert during the treatment.
  • Isn’t injected or done orally therefore it does not circulate in the bloodstream throughout the body.
  • Is FDA cleared for patients who have depression and did not benefit from any antidepressants.

The magnetic field produced by TMS therapy produces an electric current in the brain that stimulates neurons. This results in changes that are thought to be beneficial in the treatment of depression.

Medication like anti-depressants are systemic, which means that the medication is absorbed into the blood stream which can cause numerous side effects. TMS is typically prescribed when anti-depressants have failed or the side effects are intolerable; this may be called treatment resistant depression, or TRD.¹

Other treatments for TRD include Electro-Convulsive Therapy (ECT), which works by applying a brief electrical pulse to the brain that medically induces a seizure. ECT is performed in a hospital and you will be anaesthetised and restrained during the procedure. ECT can be associated with numerous side effects. TMS is a gentle, non-systemic, outpatient procedure with has few known associated side effects. Patients can return to their daily activities after treatment.

1. https://www.ncbi.nlm.nih.gov/pubmed/12706951

No, the two procedures are very different. While both are effective in the treatment of depression, there are many differences in safety and tolerability.

During TMS Therapy, patients sit in a chair and are awake and alert throughout the entire 19-37 minute procedure – no sedation is used with TMS Therapy. Patients can transport themselves to and from treatment.

A typical course of TMS Therapy is 5 times per week for 19-37 minutes sessions, depending on what the doctor determines is the correct protocol, over 4-6 weeks.

Any additional treatments are based on clinical judgment.

No, the most common side effect related to treatment was scalp discomfort during treatment sessions. This side effect was generally mild to moderate, and occurred less frequently after the first week of treatment.

If necessary, you can treat this discomfort with an over-the-counter analgesic. If these side effects persist, your doctor can temporarily reduce the strength of the magnetic field pulses being administered in order to make treatment more comfortable.

You may contact our TMS Department at 407-846-0533 and dial 5 to schedule a time to come in and speak with our TMS Coordinator or let your provider know that you are interested in TMS and wish to schedule a consultation.

Telehealth

If this is your first time visiting our office for psychiatry services, we do not offer initial evaluations via telehealth. We require your first visit to be in-person in order to do a full assessment and create a treatment plan based on your needs. Once we have this information on file, it is up to the provider’s discretion to continue treatment via telehealth. Please keep in mind that it is our office policy to see patients in-person at least once a year in order to ensure proper monitoring of treatment. This allows us to take proper vitals, as needed for medication management.

However, we do allow initial evaluations via telehealth if you are only interested in counseling services.

Call our office to schedule your appointment and for more information!

Our telehealth platform is called Athenahealth and you may connect either on your computer or your smart phone. Prior to your visit, you will receive an appointment confirmation email and a reminder message via email or text, depending on your preferred method of contact on file. These messages will include the details of your visit and the URL for access to your telehealth session.

On the day of your appointment, one of our staff members may give you a call to check you in over the phone, at which point you may request that your link be resent if you are unable to locate it. You may also call or text the office to request your link be re-sent.

Yes. See Athenahealth’s Telehealth FAQ sheet for browser requirements and more information.

Please keep in mind that if you are unable to connect both audio and video, your provider may discontinue the visit or schedule your next visit in-person. Our office policies require telehealth visits to be both audio and video.

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