Psychiatric Medication Management
Medication can be a useful tool in the treatment of a variety of conditions related to mental health. It can help to accelerate the brain's own healing processes, while we address all elements of mental health.
I utilize traditional medication protocols as well as offering expert guidance on safety when combining nutraceuticals with prescription treatments.
Psychotherapy is my preferred way to get to the root of the issue. Through discussion, exploration, and validation of your experience, we will begin to move the elements of your life that are holding you back.
I use several different modalities, including CBT, DBT, Psychodynamic, and Behavioral Activation principles, as they apply to the unique person and situation.
I use evidence informed, recognized treatment protocols. Nutraceuticals or "plant medicine" can be used alone, or more often in combination with traditional medications, lifestyle modification, and psychotherapy. This allows us to achieve a better result than any one approach, and can reduce treatment resistance.
When appropriate I use both basic and specialized lab testing to better understand and address mental health concerns. These can include (but are not limited to)
Genetic Testing for MTHFR, MAO, Serotonin levels, HLA, and other mutations. I also offer Genomind testing for those who have had difficult tolerating medications.
Food Allergy Testing
Mental and physical health cannot be separated. That is why I evaluate each person I work with for:
Potential dietary allergies and intolerances
Potential nutrient Deficiency and more!
If you have been referred or scheduled for bariatric surgery, I will work with you and your surgical team to assess for any barriers to a successful outcome. Then we work together to move any road blocks that may be related to your mental health or lifestyle, with the purpose of fully preparing your for surgery and helping you to achieve optimal results!
I specialize in the care of those who are seeking pre-maternal counseling, having mental health concerns during pregnancy, and/or those who have recently given birth and needing assistance navigating all the new complexities, fatigue, worry, and responsibility that comes with new parenthood. This service is also available to anyone wanting to be a parent. As an LGBTQIA+ ally, I am happy to help grow all families.
Chronic Pain Focused Medications and Psychotherapy
I provide unique therapeutic insights on how to manage this debilitating condition, and offer chronic pain focused medication and lifestyle interventions. This can include CBT-R, activity pacing, mindfulness, managing the "pain gate," with medications, and cognitive restructuring.
How It Works and Fees
All services are provided via teleheatlh (video) visit
My services are provided on a cash only basis*
*Insurance exceptions can be accommodated on an individual basis
Book Your FREE 15 Min Phone Consultation
See How Dr. Alexander Can Help!
When we speak with one another by phone, the goals are to get acquainted, to understand your treatment goals, and ensure a good fit. I will provide honest feedback on the interventions that will be needed to get you feeling better, and can give an estimate on about how long that might take. If we are in agreement, we then can move forward to scheduling a 90 min Initial Consultation.
Step 3: Regular Follow Up Visits
Step 2: 90 Minute Initial Consultation
Creating and Implementing Your 360 Degree Treatment Plan
Our first visit will be very eventful! I want to get to know you. I will take a full medical, social, lifestyle, and psychiatric history. I go into depth regarding every aspect of your overall health, with the goal of identifying areas of improvement as they pertain to your mental health concerns. I then apply a 360 degree approach to create a plan that includes recommendations on medications, supplements, diet, lifestyle modifications, psychotherapy, and lab testing, as necessary, based on my findings and your goals. I approach every recommendation with time and cost effectiveness in mind.
Fee: $ 650
Stay Connected and Monitor Your Progress
Part of what makes this rewarding is seeing my patients get better! Once we set your 360 degree plan in motion, we will meet every few weeks-more frequently a first--to make sure you are tolerating treatment, and to find out how you are thinking, feeling, functioning, and improving. This is also the time when we can make adjustments as needed. I sometimes use rating scales to provide an objective measure of your progress.
Your psychiatric follow up visits can also be combined with therapy. In that case, we would first go over your medications, supplements, lifestyle changes, and lab results as necessary, then smoothly transition into your therapy session.
75 Minute Follow up +Therapy Session $375
45 Minute Follow Up Session $250
How Therapy Works
Let's talk! If we agree that taking a deeper look into the issue using psychotherapy would be the best course of action, I will recommend that we see each other weekly, or every 2 weeks. Everyone experiences psychotherapy differently and there are many different techniques. Before we get started with therapy, we would agree on specific goals and outcomes, the timing and frequency of sessions, and a tentative projection of how many sessions we will have. As we get to know each other, I will use appropriate interventions (CBT, DBT, EMDR, EFT Tapping, Stress Inoculation, Behavioral Activation, Psychodynamic principles,) to gently guide you to your own self realizations. I will provide honest feedback and specific recommendations when appropriate as well. The goal is for you to feel safe, supported, heard, seen, and known.
Fee: 60 Min Therapy Session $300