Psychiatric Treatment for Anxiety, Depression, OCD, Social Phobia, Alcoholism or Addictions, Eating Disorders, Asperger's Syndrome.
Based in the Soho section of New York City, SHARON PACKER, M.D. Psychiatry Psychopharmacology supplements the newest, scientifically proven techniques with Nature Therapy plus Creative Therapies based on literature, music, visual arts and dance.
Individual Attention to your Situation Your situation is unique. Treatments are tailored to your needs and values. These days, we find many ads about psychiatric meds and psychiatric diagnoses, but diagnoses and treatments are rarely so simple and straightforward. To help you best, we lay the groundwork with a thorough evaluation (that sometimes takes two appointments).
About Eating Disorders
Eating disorders come in many shapes and sizes, just as people do. Some people start out anorexic, and restrict food, and run the risk of health problems. Many of those people will begin bingeing later in life, and behave more like people with bulimia, and need help for those cycles.
Luckily, several medications can help curb those cycles, stop the outward symptoms, and can make CBT more effective and faster-acting. Sometimes, people with eating disorders also suffer from depression, PTSD, obsessivetraits or even bone fide OCD, and some need help for bipolar.
Like clothes, it is rare that "one size fits all," so we customize treatment to your unique situation--after a full evaluation.
Because we stress medical issues as much as psychiatric issues, we ensure that you (or your relatives) receive medical care or preventative care for the complications of eating disorders from the get-go. We coordinate with GI specialists, endocrinologists, cardiologists, dentists. We are experienced in the use of meds that stop the urge to purge, and we stress the use of proven psychotherapies.
We also realize that concommitant alcohol or substance use disorders (even some herbals) often complicate eating disorders, and make them last longer than need be. So we pay close attention to those issues, to get the best relief.
About Alcohol Abuse or Alcoholism
In the 21st century, distressing symptoms can often be relieved faster than expected. Even alcohol problems and other addictions, including eating disorders, are easier to treat than ever before. To supplement time-honored "will power," we use newer, safer meds that relieve urges to drink or drug, binge or purge. People from alcoholic families often benefit most. We especially welcome ACOA, (adult children of alcoholics), and have treatments targeted to them.
About BINGE EATING DISORDER & BULIMIA
At long last, experts agree that BINGE EATING is a bona fide disorderthat deservesmedical and psychiatric treatment via insuranceplans.
Several safe, effective and affordable medications that curb appetite, stop cravings, and decrease impulsive acts are available and/or FDA-approved. To avoid side effects, and to individualize treatment plans, these meds should be prescribed by someone experienced with them.
DR PACKER has extensive experience with these meds--and knows how to make treatments affordable by combining already-available generic medications that are FDA-approved (instead of using expensive new brand namesthat combine less expensive meds into one pricey pill).
To find out how this works, contact us now!
Other issues that we can help with include:
FAMILY THERAPY or FAMILY INVOLVEMENT:
We encourage family involvement if it helps your situation. We help families overcome estrangement--but only with your permission and in your presence (and often via speakerphone if family is far away). Sometimes, reconciling with relatives provides stronger medicine than the newest pharmaceuticals. We recognize that many families are besides themselves because they want to help but do not know how to help. When relatives are reluctant to start treatment, we can schedule appointments to encourage them.
Important: If you believe that you, your relatives or your loved ones are not receiving strict supervision--as well as state-of-the art treatment-- for alcohol, drug, video game, gambling, Internet, sex or porn addiction, Dr. Packer can assure you that she keeps a watchful eye on all patients and prescriptions.
About Opioid Dependence or Addiction
Prescription opioid overuse and addictionhave reached epidemic proportions, and is now the leading cause of accidental death, surpassing motor vehicle accidents. Percoset, Percodan, Oxycontin (Oxy-C), Vicodan, Tramadol abuse and addiction are now several times more common than heroin addiction. Many people who accidentally fell into this harmful pattern are afraid or embarrassed to admit it, either to themselves, their loved ones, or their doctors.
But help is here--and it is available and affordable.
If you or your loved ones have fallen prey to such addictions, and are now ready for recovery, but are not ready to enter 24/7 residential care,you may be eligible for private, out-patient, office-based buprenorphine treatment (OBOT).
For opioid addiction, discrete, private Suboxone®(buprenorphine) treatment is available (after a screening interview confirms that it is safe for your situation).
Dr. Packer accepts many insurance plans and offers sliding scales to help those who aremotivated to stop opiate addiction. We add traditional approaches, including supportive therapy, traditional 12-step programs. Non-theistic 12-step support groups are available for those who are uncomfortable with religious overtones of AA/NA.
Quick Answers to Questions ABOUT requests for ADDERALL (and ADULT ADD/ADHD diagnoses)
When Prozac arrived on the market in 1987, the buzz spread, and many people asked doctors for Prozac prescriptions. Today, there is buzz about Adderall, which is quite different from Prozac. If you are not convinced that Adderall is in the news, please see the front page spreads about Adderall in the NY Times.
The short scoop: Many people have heard about Adderall and its use for ADHD and/or energy. Some people ask for Adderall prescriptions specifically. The fact of the matter is that there are standardized ways to diagnose ADHD. There are many ways to treat ADHD, and Adderall is not the only way. Nor is it the best treatment for everyone at all times. In fact, attention or concentration problems are not necessarily ADHD. (Psychiatrists sometimes prescribe stimulants to ailing patients for other reasons, but we will not delve into that here.)
What’s important is that many people ask for Adderall prescriptions either for “energy” or because they are not doing as well as they want to do in their jobs or their studies. Not infrequently, those dips in energy, concentration, motivation are the results of depression or anxiety. These problems sometimes accompany alcohol binges or use of over-the-counter sleeping pills or cold remedies, or even some acne meds that are popular among college students. Low thyroid is a known cause of concentration issues, as is sleep disruption. T There are many, many more possible causes, with more specific and more effective treatments.
Unless we know the cause of the problem, we cannot find the best treatment. Who wants to run the risk of inaccurate treatments and suffer the consequences? If someone has a mild and undiagnosed form of bipolar disorder or shows subtle signs of schizophreniform disorder, that person can benefit immensely from prompt and proper treatment, but will suffer severely if treated with stimulants from the get-go.
This office is happy to do a “differential diagnosis” of your symptoms, to help relieve them in the fastest, safest (and most affordable) way. Up to 85% of people who think that they have ADHD actually have another disorder that is solely or partly responsible for their symptoms. It is bad medicine to ignore those treatable conditions lurking in the background. Similarly, it is bad medicine to ignore ADHD symptoms. This office reviews medical--as well as psychiatric--causes of mood or mental symptoms to find treatments to improve your life.
Please note that this office does not offer “cosmetic psychiatry” or “performance psychiatry.” In other words, when someone requests Adderall or other stimulants for added “energy” or for improved performance (in the absence of a diagnosed psychiatric disorder), we cannot honor that request. Also, please recall insurance companies do not cover “cosmetic procedures," be it "cosmetic psychiatry” or “cosmetic surgery.”
In short, if your sole goal is to obtain a prescription for Adderall (without a comprehensive evaluation and recommendations for the best treatment options for your situation), this is NOT the office for you.
However, if your goal is to relieve distressing symptoms and to explore the treatment options for your specific situation—after a full review of medical, psychiatric, social and cultural factors--we are happy to help. We do not promise to refill all existing prescriptions for “ADHD meds” or Adderall, but we promise to review your past history and your current condition and suggest approaches that are most likely to improve your future.