Tom's Services
Evaluations
Individuals seek my services because they want to resolve important blocks in achieving satisfaction, success and happiness. Generally, the problems involve being stymied in thinking effectively, in feeling emotional balance, and in relating satisfactorily to others.
An evaluation provides information to guide a person in how to better understand and remedy these problems.
Types of Evaluations
- Diagnostic Psychiatric Evaluations:
These evaluations focus on problems involved with disorders in behavior, emotional balance, and thinking.
- Neurocognitive Evaluations:
These focus on problems in memory and executive function due to brain irregularities or damage.
- Educational Evaluations:
These evaluations focus on determination of learning disabilities and/or behavioral limitations that interfere
with learning in school.
- Vocational Evaluations:
These focus on vocational concerns, goals, career choice, maximizing potential and problem-solving improvement.
- Evaluations of Drug and Alcohol Use Disorders:
These evaluations involve determinations that are required for DUI case resolutions
Psychotherapy
I offer individual psychotherapy to adults and adolescents. Over my 30-plus years of practice I have worked with most psychiatric illnesses. Generally, I address one or more of the following:
- Anxiety (performance, social and generalized)
- Depression
- Mania
- Psychosis
I treat these problems as they occur along a continuum of intensity from severe to significant but less limiting. This has meant that I work in one of two contexts:
- In post-crisis or post-hospitalization maintenance of recovery and improvement, or
- When a life problem or crisis arises. Here, the client and I try to help reduce problems so they are manageable, and then we attempt to better prepare for future problem solving.
The length of my psychotherapy varies according to the need, but my specialty has been with helping people who have persistent and repetitive problems with mood, thinking and behavioral control that have previously been resistant to change.
Case Management
In my consultations and evaluations I describe the nature and causes of the problems at hand and I recommend remedies. Sometimes, my clients need to have support and guidance at a psychiatric residency or intensive outpatient program. In these instances, to ensure a good fit and transition, I offer support via periodic consultative contacts with the treatment program, the client and the family.
This type of case management has proven useful to the family and client when they have concerns about the effectiveness of treatment. It has also been helpful to the treatment programs, as it enhances their understanding of optimal ways of working with the client.