To keep our community safe during COVID-19 we are offering tele-health sessions until further notice
(917) 740-5287

Psychiatric consultations in New York City

Meet with a medical professional who can weigh medical, psychological, and lifestyle factors to find the best treatment approach for you.

 

 

 

 

Psychiatric consultations in New York City

Meet with a medical professional who can weigh medical, psychological, and lifestyle factors to find the best treatment approach for you.

Image of two adults and a baby smiling together in a living room. This image depicts how meeting with a psychiatrist for psychiatric consultations in New York City can help you feel better. | 10001 | 10002 | 11211

Personalized psychiatric consultations

Our psychiatric consultations include a thorough clinical assessment and advanced testing. However, we try very hard to make it comfortable and not overly medical. Our process hopefully feels just like an extended conversation with someone who cares and wants to help. We get to know you, understand the course of your symptoms and background, and then get a sense of the current symptoms and how they are affecting your life.

Many psychiatric conditions have typical courses and symptoms that may not be apparent to laypeople but are easily diagnosed by mental health professionals. There are also times when psychiatric symptoms can come from medical causes, and figuring out the root cause is the best way to treat them. We can order and interpret both advanced blood tests and genetic tests that can better inform the best treatment approach for you. Once we have made our assessment, we’ll review each component with you, getting your thoughts and input in the process.

 

Digital image of two orange outlines of people with word bubbles above their heads as if speaking. This image depicts how one would speak with a psychiatrist for psychiatric consultations in New York City. 11211 | 10010 | 10011

Clinical assessments

The information needed to diagnose psychiatric conditions is obtained from a clinical exam and thorough history of your lifestyle, family history, and symptoms over time. We will get this information from you, yourself. But with your permission, we can also review reports and speak to other members of your family or treatment team. Often, we have a general impression of our plan after the first visit. However, sometimes it may take multiple visits to finetune our diagnosis and treatment plan.

Digital image of an orange outline of a test tube. This image illustrates that a psychiatrist in New York City can provide psychiatric consultations that include blood tests. | 10005 | 10003

Blood tests

Sometimes medical issues can cause or worsen psychiatric symptoms. At our New York City-based practice, we can check blood tests to look at factors like thyroid function, vitamin levels, blood counts, liver function, and more. Looking at these results and your life as a whole, we can advise you about potential treatment approaches. The results can inform which supplements or medical treatments may be most helpful.

Digital image of an orange outlined DNA strand. This image depicts how a psychiatric may use genetic testing as a part of psychiatric consultations in New York City. 10018 | 11103

Genetic testing

We do a nasal swab and send it to the laboratory. Then we sit down with you and interpret the results. Everyone’s genome is unique. So, genetic testing can give us clues as to which medicines may work best for you and which may have more side effects. Some people metabolize medicine faster or slower than others, and knowing this can help us find the right dosage for you.

Blood tests

Sometimes medical issues can cause or worsen psychiatric symptoms. At our New York City-based practice, we can check blood tests to look at factors like thyroid function, vitamin levels, blood counts, liver function, and more. Looking at these results and your life as a whole, we can advise you about potential treatment approaches. The results can inform which supplements or medical treatments may be most helpful.

Digital image of a beaker icon outlined in orange. This image represents how blood tests can be used by psychiatrists and psychiatric nurse practitioners during psychiatric consultations in New York City. 10001 | 10002
Digital image of an orange DNA strand. This image depicts how a psychiatrist in New York City may use genetic testing during mental health assessments and psychiatric consultations. | 11211 | 10010 | 10011

Genetic testing

We do a nasal swab and send it to the laboratory. Then we sit down with you and interpret the results. Everyone’s genome is unique. So, genetic testing can give us clues as to which medicines may work best for you and which may have more side effects. Some people metabolize medicine faster or slower than others, and knowing this can help us find the right dosage for you.

Holistic treatments

At our private practice located in New York City, treatment approaches include medical, psychiatric, and lifestyle solutions, as well as alternative healing strategies. For some people, healing occurs within a collective experience, so we offer wellness groups to help get and keep you well. While for others, Eastern medicine may play a large role. If so, we can work with your outside practitioners to develop a holistic plan. And for others, traditional medication and therapy strategies are ideal. After completing our psychiatric consultation and assessment, our team will work with you to develop the most well-rounded plan for you.

Image of a young woman relaxing and smiling. This image represents how people feel after doing psychiatric consultations in New York City with a psychiatrist or psychiatric nurse practitioner. | 11211 | 10005 | 10003

FAQs about psychiatric consultations

What can a psychiatric consultation help with?

A psychiatric consultation can provide answers to your questions about your symptoms. Sometimes, people just want to know if what they’re experiencing rises to a mental condition or not. Other times, people want to know if they fit a certain diagnosis. Then at times, a person may not have a mental health condition but wants to come in for a wellness check-up. This can be helpful to assess the strengths and weaknesses of their current mental health and get input on how to best optimize their mental health.

In cases where someone needs treatment, a psychiatric consultation can assess for types of effective treatment strategies, including medications. In some cases, it is important to see if there are underlying causes (sometimes genetic or medical) that might be contributing to the symptoms. If this is the case, we can order lab work to help diagnosis this. Psychiatric consultations can also serve as a second opinion or expert opinion if you are already working with someone. And the psychiatrist or other psychiatric provider you see can share their assessment with you and your outside provider.

Which types of clinicians can provide a psychiatric consultation?

At our New York City-based practice, psychiatrists, psychiatric nurse practitioners, and psychiatric nurses can provide psychiatric consultations. Psychiatrists are medical doctors who go to medical school for 4 years, studying all fields of medicine. Then, psychiatrists complete at least 4 years of residency specializing in psychiatry. Psychiatric nurse practitioners go to nursing school for two years where they focus on nursing generally. Next, they complete at least 2 years of advanced study as nurse practitioners specializing in psychiatry. Some nurse practitioners also go on to obtain a doctorate degree as a psychiatric nurse practitioner and may have the title “Doctor.”

The specialization in psychiatry for both psychiatrists and psychiatric nurse practitioners includes medical knowledge in the assessment and treatment of mental health conditions. They must also have specialties in prescribing psychiatric medications as well as training in psychotherapy. At our practice, we also have psychiatric nurses who work with us as clinical interns, who can be seen at a lower fee. They are already board-certified, registered nurses and are currently finishing their programs to become nurse practitioners. As they are clinical interns, they can see you in a psychiatric consultation while supervised by our psychiatrist or nurse practitioners.

Which type of clinician should I see?

For most mental health inquiries or conditions, psychiatric nurse practitioners have sufficient expertise. Psychiatric nurse practitioners are able to assess, diagnose, order and interpret lab testing, prescribe medication. They are also able to engage in therapy and work through other holistic methods. So, in most cases, either a psychiatrist or psychiatric nurse practitioner will be a good fit.

In cases where there may be significant medical complications affecting the psychiatric condition, working with a psychiatrist may be helpful. If this is the case, we suggest at least getting a consultation from a psychiatrist, as they have training in a broad range of medical conditions outside of psychiatry, and are a better fit for medically complicated cases. At our practice located in New York City, we have a psychiatrist as well as psychiatric nurse practitioners. So, if you choose to work with a psychiatric nurse practitioner, you can still obtain a consultation from our psychiatrist as needed during your treatment.

Some people may choose to have their initial consultation with our psychiatrist, who will provide an initial assessment. Then, the psychiatrist will recommend a nurse practitioner within our practice who would be a good fit for your treatment. In other situations in which someone might have financial concerns or a pretty straightforward case, a psychiatric nurse would be a good fit. This is especially since our psychiatric nurse practitioners receive training, supervision, and guidance from our senior clinicians. Additionally, any prescriptions are sent in by the supervising clinician on the case.

How can the doctor diagnose me so quickly?

Many mental health conditions have typical patterns in which they present. Although each person has unique experiences and may present different symptoms, it isn’t difficult for a psychiatric provider to come up with a diagnosis. They will look at the big picture of your life and how your symptoms have progressed to identify the most likely diagnosis. Of course, there are cases that are not so clear, in which it may take multiple sessions and gathering more background knowledge to figure out what is going on.

However, for the most part, a thorough history and exam can often yield at least one of the diagnoses within the first or second session. For most people, if they are suffering from a mental health condition, they often have more than one diagnosis. Mental health conditions typically occur together. For example, having anxiety and depression, or depression and ADHD, or autism spectrum and anxiety. At times, it may take multiple sessions to get a sense of the whole clinical picture. But typically, in at least a couple of sessions, your psychiatric provider can diagnose your most prominent condition and begin treatment.

What if I don’t fit into a diagnosis?

If your symptoms don’t clearly fit into a diagnosis, you are not alone. In fact, we find that most people don’t easily fit into boxes of symptoms. A psychiatric diagnosis lists a constellation of types of symptoms, of which most people will have some, but not all. To meet the criteria for a diagnosis, you need to have a certain number of symptoms for a certain duration or frequency of time. Additionally, the symptoms must negatively affect your ability to function.

Many people have symptoms that fall short of the exact criteria. Likewise, many people have symptoms in multiple categories, each falling short of the diagnostic criteria. For instance, you may have some symptoms of anxiety, depression, and ADHD, but not meet the criteria for any of these. At the same time, the symptoms may still be affecting your function, and your quality of life would be much better if they were treated. In these cases, we may say that you have depressive symptoms, anxiety symptoms, or some distractibility and inattention. Whereas the typical diagnosis would be a depressive disorder, anxiety disorder, or ADHD. Of course, our team would still work with you to treat the symptoms that are impairing your life, as our goal is not necessarily to put a label on what you’re experiencing. Instead, our goal is to understand which difficulties are interfering with your life and develop strategies to overcome them.

If I’m not open to medication, will a psychiatric consultation still be helpful?

Yes! Medication is only one treatment option, and it is not for everyone. At our practice in New York City, we will offer a well-rounded treatment plan with multiple strategies and treatments. So, even if you are not interested in medication, you could still benefit from our other suggestions. In cases where we feel that medication should be an important part of your treatment, we will share that with you. However, we will respect your wishes as to whether you want to follow our recommendation or not.

Can I come for just one session or do I need to continue with you?

Sometimes just one session can be enough to give you a sense of what is going on and a tentative plan to improve. If your symptoms are mild enough, then you can continue on your own while following the treatment strategies recommended. On the other hand, if your symptoms are more than mild, it is often helpful to continue working with a psychiatrist or other psychiatric provider for a while to treat them.

If you are already working with someone outside of our practice, you could also just come in for a session or two and we can give you or your provider feedback from our consultation. Or sometimes, you may not be interested in treatment at the moment, but you still want answers about what is going on from a trained professional. So, a psychiatric consultation could provide that without you having to continue in treatment.