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         As a psychopharmacologist, I attempt to maintain the highest scientific standards and practice evidence based medicine.   I also consider alternative treatment  modalities such as diet and exercise. I believe in the importance  of combining medication mangement with psychotherapy when appropriate.  
 
As a therapeutic option, I offer medication management for   clients who are already under the care of a therapist.  Likewise, there may be clients who prefer to have their primary  care physician prescribe their psychotropic medication but who wish to consult with a psychiatrist. For these clients,   I am available for a consultation in which I will give my treatment recommendation to their primary care physician.   It is my practice philosophy that the maintenance of   an open line of communication between the psychiatrist, primary care physician and therapist be allowed.  
 
 Medications can be very helpful for many psychiatric conditions such as   depression and anxiety.   Any medication, however, does have side effects, and it is important to take medication   only when it is indicated. I attempt to create an environment in which my clients can openly  discuss the risk, benefits and alternatives to medication treatment.  
 
Before I make the decision to start medication,   I conduct a thorough diagnostic evaluation.   After starting medication, I take care to keep clients informed about   their medications as well as monitor them for serious side effects. 
 
It is difficult to say how long patients have to stay on their medication.  Each person is unique and therefore may respond differently. Some clients  may only need to stay on medications for a relatively short period, whereas others may  require lifelong treatment.  
 
I recognize that there are some situations where it can be very difficult for a client to   decide whether or not to start psychiatric medications. These cases include taking psychotropic medication  during pregnancy or in the post-partum period as well as when the risk of more serious side effects  arise. In these more complex scenarios, I highly recommend the client seek consultation with a psychiatrist.
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