Psychiatry and Psychotherapy

Psychiatric Services

I provide comprehensive psychiatric evaluations, medication management, psychotherapy, and psychoanalysis. Care is most effective when it is individualized and responsive to each person’s unique needs and circumstances at different times of the individual's life. Treatment may include psychotherapy, medication, or a thoughtful combination of both.

During the evaluation process and as we progress in treatment, we will discuss what approaches seem best for you. Treatment is collaborative and evidence-based with attention paid to psychological meaning, development, and relationships.

Beyond Labels

Psychiatric diagnoses, as outlined in manuals such as the DSM or ICD, are based on clusters of symptoms. While diagnoses can be useful, reducing treatment to addressing a checklist of symptoms can be inadequate. Often issues such as low self esteem, inability to feel joy or sadness, difficulties communicating or relating to others, difficulties sticking to a schedule, performing well or reaching one's potential get neglected by following a manual or checklist based diagnosis or treatment. I strive to adopt a problem-based approach that takes into account your individual circumstances and our therapeutic relationship  while integrating an evidence-based perspective in a sensitive way.

Being Heard

Grounded in attentive listening, the therapeutic approach is non-judgmental and respectful, with sensitivity to each individual’s cultural background, personal history, and lived experience. The experience of being heard in a deep and meaningful way can be transformative; providing the required safe space for a therapeutic alliance that nurtures growth. Often individuals come to treatment never having the experience of being heard in their personal life or even in their experience with the medical system. I believe complaints that are not heard on a deep and meaninful level will manifest even stronger; a pain that refuses to diminish, a weakness or insomnia that is resistant to any medications, demanding its deserved attention. I hope that through effective listening, I can provide you the space to be heard, understood and together we can address those complaints in a better way.

Psychodynamic Psychopharmacology

Research tells us that a person’s relationships affect the way that medications work. The side effects and benefits one derives from medications is not only related to the biological effects but can also be influenced by past and ongoing relationships. Providing the space to explore emotional experiences and recurring patterns over time can maximize the benefit from medications and can help a person manage side effects better. This effect occurs in a range of settings including both inpatient and acute care or chronic and long term outpatient care.

 

Psychodynamic Psychotherapy

Psychodynamic psychotherapy is a form of psychotherapy that helps individuals understand how emotional patterns, relationships, and past experiences influence current symptoms and difficulties. Treatment emphasizes insight, reflection, increased emotional awareness rather than focusing on symptom reduction alone, allowing a patient to build on their strengths and affect lasting changes in addition to being able to address any future challenges long after therapy is completed.

This approach is well suited for individuals seeking psychotherapy that goes beyond short-term or technique-driven models. Sessions are usually carried out 1-2 times per week but can be tailored to the individuals needs and circumstances to address both present concerns and longer-standing patterns that affect mood, relationships, and functioning.

For those considering a more intensive, depth-oriented treatment, additional information about psychoanalysis is available here.

Self-Pay, Private Psychiatric Care

Harth is a self-pay private practice. Privacy is ensured without the need for communication with insurance. Superbills can be provided to you for reimbursement without the need to share notes with your insurance or clinical information. Depending on your insurance, reimbursements can cover up to 80% of the total cost. Fees are discussed transparently prior to beginning treatment and a good faith estimate is available on request.

Conditions Treated

Depression and mood disorders

Anxiety disorders

Attention-Deficit / Hyperactivity Disorder (ADHD)

Bipolar disorder

Obsessive-Compulsive Disorder (OCD)

Personality disorders

Autism spectrum conditions with associated emotional or behavioral difficulties

Psychotic disorders, including schizophrenia and schizoaffective disorder

Substance use disorder

Neurocognitive disorders, including Alzheimers and Dementia

 

This list is not exhaustive. Many individuals seek care not because they fit neatly into a diagnostic category, but because they are struggling with patterns of thinking, feeling, or relating that cause distress or interfere with life.