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Neuropsychiatric Clinic

Thinking of you!

Bogdan Mikhailuk

Don't put your dream aside! Make it true!

Our Services

Conditions We Treat

Conditions We Treat

Depression

Depression has various subtypes. Major Depression is commonly diagnosed, however there can be chronic symptoms i.e. Dysthmia  that do not meet the criteria yet can cause significant impairment. Unlike Bipolar Depressive illness which would typically have an onset prior to 40 years old, Unipolar Depressive illness can have an onset at any age and can often be recurrent, chronic and debilitating. Symptoms may vary and does not only include sadness but could also include anger,irritability, social withdrawal, isolation and suicidal ideation. 

Bipolar Disorder

Bipolar disorder has a broad spectrum and is frequently misdiagnosed and inappropriately treated as the milder forms may have low grade mania, i.e. hypomania or mood elevations that do not significantly impair an individual during the episodes. However, over the course of time there can be progressive and more frequent episodes, i.e. rapid cycling which can worsen the immediate and long term prognosis if improperly treated. Typically, a mood stabilizing medication would be at the core of treatment for persons suffering from various subtypes of bipolar illness.Recent and ongoing studies have shown promising evidence of safety and efficacy of Transcranial Magnetic Stimulation in off label use of the depressive symptoms of bipolar affective illness when performed carefully with mood stabilizing medications. The depressive symptoms of bipolar illness can be quite bothersome,problematic and often debilitating with severe impairments in functioning and quality of life.

Anxiety

Anxiety has a broad spectrum of disorders which can be quite debilitating. A comprehensive approach which might include laboratory testing to address any underlying physical condition is often necessary. As well, each individual may have a combination of factors including family history, psychosocial stressors, traumatic experiences and/or current lifestyle issues that may also require more extensive or particular modalities of psychotherapy. Medications such as Selective Serotonin and/or Norepenephrine Inhibitors are often useful, and in some instances judicious use of Benzodiazepines or other anxiolytic medications for short term or more immediate relief..

Depression

Depression has various subtypes. Major Depression is commonly diagnosed, however there can be chronic symptoms i.e. Dysthmia that do not meet the criteria yet can cause significant impairment. Unlike Bipolar Depressive illness which would typically have an onset prior to 40 years old, Unipolar Depressive illness can have an onset at any age and can often be recurrent, chronic and debilitating. Symptoms may vary and does not only include sadness but could also include anger,irritability, social withdrawal, isolation and suicidal ideation.

PTSD

Post Traumatic Stress Disorder is not limited to persons who have been exposed to combat. It may occur due to any type of trauma. Medications are somewhat useful in addressing the myriad of symptoms that may be present in persons suffering from the disorder. As well,  psychotherapy and other non medication therapies that are currently in use might be helpful such as Transcranial Magnetic Stimulation. We offer this unique modality of treatment in our practice.

Psychotic Disorders

Schizophrenia is the most common disorder in this category of psychiatric illness. What is observed commonly are the positive symptoms which include auditory and/or visual hallucinations. Also it is quite common patients to suffer with delusions of reference, persecution, paranoia or other impairments in reality orientation. As well, the formerly more difficult negative symptoms such as impairment in thought processes and extreme apathy are now more adequately addressed with newer, more sophisticated and/or advanced medications which address dopamine and serotonin imbalances in more specific targets in the brain. Untreated or inadequately treated, the positive or negative symptoms of schizophrenia can be quite debilitating and problematic

Telepsych

We are now offering telepsychatric services on a case to case basis for patients located in the state of GA using Zoom software via mobile phone or personal computer. For a limited time during this Covid-10 pandemic most insurers are reimbursing to the extent that they are responsible. This shall not apply to co-pays and/or deductibles that are the patient's responsibility and would be due prior to the appointment.  Self pay patients would be required to pay a deposit at the time of booking and the remainder of the visit prior to the appointment. For self pay patients,there are no restrictions on treatment site location now or prior to the Covid-19 pandemic other than the prescribing of controlled substances which is currently allowed due to our national health crisis.

We now offer Transcranial Magnetic Stimulation (TMS) a highly effective and safe non medication treatment that can be used with or without medication. Although FDA approved for treatment resistant depression it has been found to be effective for a variety of co-morbid psychiatric conditions including Anxiety and Post Traumatic Stress Disorder (PTSD). It is covered by Tricare, Medicare and most major insurance networks in primary and/or secondary coverage. In many instances there may be little to no out of pocket cost to the patient. We will be offering afternoon and evening hours in our TMS practice for the accessibility and convenience of all patients, including the typical working person.