Services

"It is by going down into the abyss that we recover the treasures of life. Where you stumble, there lies your treasure." - Joseph Campbell

Psychiatric Treatment

I offer evaluation, diagnosis, and treatment of anxiety, depression, ADHD, and some personality disorders. I have expertise in the treatment of panic, social anxiety, obsessive-compulsive disorder, acute trauma reactions, PTSD, generalized anxiety, major depression, dysthymia, and adjustment disorders. Difficulty managing stress, unresolved grief and stress-induced behaviors are particular interests of mine. I also have specialized interest and expertise treating a range of emotional symptoms related to the search for meaning in life.

Perinatal Consultation

If you’re unsure whether you can safely conceive a child while on psychiatric medication, or have questions about balancing your wish to breastfeed with the desire to stay on medication, I can help you sort out the myths from the facts. Often, women are given black-and-white answers to these questions, but in fact these are complex topics that have to be individualized to every woman’s unique situation. I trained at the Perinatal Mental Health Clinic of the University of Michigan, so I have the necessary experience and knowledge to guide you to the right choice for you and your baby. After consultation, you’re welcome to return to your regular psychiatrist with my recommendations.

Psychotherapy

Psychotherapy (aka counseling, talk therapy) is a treatment that makes use of a safe, healing alliance to provide relief from suffering and to teach vital emotional skills. Research shows that psychotherapy alters neural pathways in the brain, and can be as effective as medication for treating anxiety and depression. Effective therapy builds self-awareness and self-compassion, and gives you tools for managing conflict both within and outside of yourself.

Therapy has long been a favorite treatment mode of mine, and I have extensive training and experience in its practice. I use an approach aimed both at resolving here-and-now challenges in your life, as well as uncovering and addressing the deeper roots of what keeps you stuck or struggling.

For Professionals

People with professional careers, including attorneys, physicians, healthcare workers, medical residents, business professionals, government workers, therapists, and others report high levels of distress. Given the intensity and drive of many in these professions, it is no surprise to see higher than average rates of burnout, anxiety, and depressive symptoms. Unfortunately, in this population, only about 6% of those who need it ever seek help.

The most common barriers are related to time, confidentiality, and stigma. I take several steps to work with you to address these concerns:

  • Flexible appointment times & after hours access

  • When you call or email, you are speaking directly with me

  • You are not required to sit in a waiting room with others

  • I do not discuss your care or confirm you are a patient with anyone unless there is a signed agreement between us

You have the right to get help without discomfort about who you might encounter in the process and what they might think of you. If these matters are a concern, call me on my cell 608-622-7776. I will work with you to make arrangements to meet your needs.

Insurance And Fees

I am an “out-of-network” provider and not contracted with insurance companies. This allows me to spend more time with my patients and ensures treatment decisions are made by patient and physician, not insurance companies.

Fees are due in full at the time of service. I will provide an invoice with the appropriate diagnostic information and services for patients seeking reimbursement from their insurance company.

Many insurance policies provide out-of-network benefits that reimburse 70-80% of provider fees and sometimes 100% (fairhealthconsumer.org).

Click here for a step-by-step guide to estimating your reimbursement rate.

It is important to note that prescriptions for BadgerCare enrollees are not covered under BadgerCare when seeing an out-of-network provider per Wisconsin state law. Further, a BadgerCare enrollee who chooses to see me will be unable to fill any prescriptions that I write. Therefore, I am unable to see BadgerCare enrollees at this time.

The First Visit

If you’re seeing me for perinatal or pre-conception consultation, your partner or spouse is welcome to accompany you. For all other appointments, it’s best if we meet 1:1 for the majority of the appointment. Your spouse or partner can join us toward the end of the visit if you’d find that useful.

On your first visit, we’ll spend about 60 minutes discussing your symptoms, mental health background, medical history and your goals for treatment. We’ll discuss other aspects of your life that help me understand you as a whole person. I’ll give you my initial impression about your condition and present the risks and benefits of various treatment options. Then together we’ll decide on a plan that provides the best chance for relief and works for your particular set of needs. Our plan might include medications, psychotherapy, lifestyle changes, skill-building exercises, self-education, or other interventions.

Before we finish, I’ll answer any questions you or your loved one have, and we’ll schedule any necessary follow-up appointments.

For Referrals

My areas of specialization make me best suited to provide exceptional care for patients 18 years of age and older with the following conditions:

  • Anxiety disorders: generalized anxiety, social anxiety, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and other stress-related anxiety

  • Mood disorders: major depression, complicated grief, peri-menopausal and premenstrual mood disorder, seasonal affective disorder, existential dread, end-of-life issues

  • Perinatal mental health: postpartum depression, postpartum anxiety

  • Sports and performance psychiatry

  • Adjustment disorders

  • ADHD

  • Some personality disorders

Ideal management of certain other conditions requires a larger team and/or someone with more expertise in that field. As a result, I am not a good fit for those who have challenges that involve, require, or include:

  • Emergency care or in-hospital care

  • Severe bipolar disorder and psychosis (e.g. schizophrenia, schizoaffective disorder)

  • Court-ordered treatment

  • Active eating disorders

  • Dementia

  • Autism Spectrum Disorders

  • ECT, TMS, or Ketamine