I like people. That is the plain truth under all of it. I became a
psychiatrist because I wanted to sit with someone on the hardest week of their life and be
useful, not just interested. 17 years in, the work still holds me. I get to watch
people go back to their jobs, their families, their own minds, and stay there.
I do both halves of the care myself. Psychotherapy and medication, in the
same appointment, with the same doctor. Most psychiatrists now write the prescription and send you
elsewhere for the talking, and something real gets lost in the handoff. When one person is
holding both, the medicine is adjusted by someone who heard how your week actually went. I
believe that combination is what supports a rapid return of functioning, and I have seen
little reason to change my mind about it.
A large part of my practice is reproductive psychiatry. That means the
mental health of the years around pregnancy and around menopause. Trying to conceive.
Pregnancy. The postpartum months. Perimenopause. These are stretches when hormones, sleep
and identity all shift at once, and what follows gets waved off as normal for the stage of
life. Some of it is not, and much of it is treatable. I know this territory, including what
the current safety data says about medication during pregnancy and while nursing, and I
will walk you through those trade-offs in plain language.
I practice evidence-based medicine. I read the psychiatric literature and I
keep reading it, because what was standard ten years ago is not always what is right for
you today. That also means I will tell you when the evidence is thin, when a medication is
worth trying, and when it is not. You will always know my reasoning. Nothing about your
treatment should be a mystery to the person receiving it.
As a person, I am warm and I am direct. I am curious about your life and
honest with you about what I see. I will ask questions that go past the symptom list, and I
will not rush you through the answer. You do not have to arrive organized or articulate.
You only have to arrive.