Services

Comprehensive Mental Health Care Tailored to Your Needs

Services

Your path to personalized mental health care

My practice offers two levels of care, regular and comprehensive

At the regular level, your initial appointment up to 75 minutes long; follow-up appointments are thirty minutes. Follow-ups are usually scheduled once every four weeks until your medication regimen is stabilized. During the maintenance phase, we will meet approximately once every three months. 

At the comprehensive level, your initial appointment is two hours, allowing us to delve more deeply into your history. At the end of every appointment, I will send you a visit summary detailing our plan. I will also send your greater care team (such as partner, parent, therapist, or other doctors) with an assessment and plan of our meeting so we are all on the same page.

Our Services

Areas of Expertise

Anxiety Disorders

Common anxiety symptoms include restlessness, trouble concentrating, physical signs like a racing heart or sweating, difficulty sleeping, and avoiding situations due to fear.

Mood Disorders

Common mood disorder symptoms include feeling sad or down, losing interest in usual activities, extreme energy shifts, sleep problems, difficulty concentrating, and feelings of hopelessness or guilt.

Trauma and Related Disorders

Common trauma-related symptoms include reliving the event through memories or flashbacks, avoiding reminders, feeling on edge, struggling with sleep or concentration, and feeling numb or detached.

Grief/Loss

Common grief symptoms include intense sadness, difficulty accepting the loss, trouble finding joy, feeling numb or disconnected, physical issues like fatigue or sleep problems, and feelings of hopelessness or anxiety.

Obsessive Compulsive Disorders

Common OCD symptoms include intrusive thoughts or urges causing anxiety, repetitive behaviors to reduce anxiety, the need for perfection in compulsions, and spending excessive time on these behaviors, interfering with daily life.

Sleep Disorders

Common sleep disorder symptoms include trouble falling or staying asleep, waking up too early, feeling tired during the day, loud snoring or gasping, trouble concentrating, and irritability or anxiety from poor sleep.

ADHD

Common ADHD symptoms include inattention, difficulty focusing or staying on topic, hyperactivity, restlessness, and impulsivity, such as acting without thinking or interrupting others.

Eating Disorders

Common eating disorder symptoms include extreme concern about weight or body image, avoiding meals, binge eating, fear of gaining weight, purging behaviors, and feeling out of control around food.

Personality Disorders

Common personality disorder symptoms include difficulty understanding others’ feelings, mood swings, unstable relationships, extreme or unhealthy behavior patterns, and a persistent sense of distress or dissatisfaction with life.

Women’s Mental Health

Common women’s mental health symptoms include mood swings, depression, and anxiety related to menstruation, pregnancy, postpartum depression or psychosis, and menopause-related changes like irritability and anxiety due to fluctuating hormone levels.

LGBTQ+ Related Issues

I provide a respectful and affirming environment for LGBTQ+ individuals, offering compassionate, personalized support that honors your identity and experiences. I’m committed to helping you navigate your mental health journey with understanding and care.

Payments

Payment Information

I am an "out-of-network" provider and do not accept any insurance plan including Medicare and Medi-Cal. I can provide a billing statement ("super-bill") should you wish to submit for insurance reimbursement. Payments are accepted through credit card, debit card, Zelle, and Venmo. Payment is due at the time of service.

 

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public: https://openpaymentsdata.cms.gov

Faq

Your Questions Answered

Contact Me

Start Your Journey
With Ascend Psychiatry

Examples of Anxiety Disorders:

  • Generalized Anxiety Disorder (GAD): Constant worrying about everyday things, even when there’s no real danger.
  • Panic Disorder: Sudden episodes of intense fear that come with physical symptoms, like a racing heart or difficulty breathing.
  • Social Anxiety Disorder: Fear of being judged or embarrassed in social situations.
  • Phobias: Intense fear of specific things or situations, like heights, flying, or spiders.

How Anxiety Can Be Managed:
The good news is that anxiety disorders are treatable! Therapy, lifestyle changes, and sometimes medication can help you feel better and regain control.

Examples of Mood Disorders:

  • Depression (Major Depressive Disorder): Feeling deeply sad or empty for weeks or months, with little energy or interest in life.
  • Bipolar Disorder: Having extreme mood swings, from very high energy and excitement (mania) to very low energy and sadness (depression).
  • Persistent Depressive Disorder (Dysthymia): Long-lasting sadness or low mood that might not be as severe as depression but can still affect your life.
  • Seasonal Affective Disorder (SAD): Depression that happens at certain times of the year, often in winter.

How Mood Disorders Can Be Managed:
Mood disorders are treatable. With therapy, medication, and lifestyle changes, many people find relief and can live full, happy lives. If you’re struggling, help is available.

Examples of Trauma-Related Disorders:

  • Post-Traumatic Stress Disorder (PTSD): A condition where someone struggles to recover after a frightening or life-threatening experience.
  • Acute Stress Disorder: Similar to PTSD, but symptoms start immediately after a traumatic event and may last up to a month.
  • Adjustment Disorders: Emotional or behavioral challenges that happen after a big change or stressful life event, like a divorce or job loss.

How Trauma-Related Disorders Can Be Managed:
Healing from trauma is possible. Therapy, support, and sometimes medication can help you feel safer, regain control, and start to heal. You don’t have to face this alone.

Examples of Grief and Loss Disorders:

  • Complicated Grief: Intense grief that doesn’t seem to lessen over time, often interfering with daily life and lasting for months or even years.
  • Persistent Complex Bereavement Disorder: A disorder where someone’s grief becomes so severe it disrupts their ability to function and move forward with their life.
  • Adjustment Disorder with Depressed Mood: Difficulty coping with the loss, leading to feelings of sadness or depression.

How Grief and Loss Can Be Managed:
While grief is a personal and unique experience, there is help available. Therapy, support groups, and other resources can help guide you through the process of healing and adjusting to life after a loss.

Examples of Obsessive-Compulsive Behaviors:

  • Cleaning/Washing: Excessive hand washing, cleaning, or avoiding things that are considered “dirty.”
  • Checking: Repeatedly checking locks, appliances, or other things to make sure they are safe.
  • Counting/Arranging: Feeling the need to arrange items in a specific way or count certain actions a set number of times.
  • Reassurance Seeking: Asking others for reassurance or repeatedly seeking confirmation to reduce anxiety.

How OCD Can Be Managed:
OCD is treatable with therapy, especially Cognitive Behavioral Therapy (CBT), and sometimes medication. Many people with OCD find relief and are able to regain control of their lives with the right support and treatment.

Examples of Sleep Disorders:

  • Insomnia: Difficulty falling asleep or staying asleep, often leading to feeling tired during the day.
  • Sleep Apnea: A condition where your breathing stops and starts repeatedly while you sleep, causing disrupted sleep and poor rest.
  • Restless Leg Syndrome: An uncomfortable feeling in the legs that makes it difficult to relax or fall asleep.
  • Narcolepsy: A condition where people experience extreme sleepiness during the day and can suddenly fall asleep, even in the middle of an activity.
  • Circadian Rhythm Disorders: Problems with your internal body clock, such as shift work sleep disorder or jet lag, that cause trouble sleeping at the right times.

How Sleep Disorders Can Be Managed:
Sleep disorders are treatable. With proper diagnosis and treatment, including therapy, lifestyle changes, and sometimes medication, you can improve your sleep and feel more rested.

Examples of Eating Disorders:

  • Anorexia Nervosa: A condition where people restrict food intake, often to dangerous levels, due to an intense fear of gaining weight.
  • Bulimia Nervosa: Involves cycles of overeating (bingeing) followed by behaviors to prevent weight gain, such as vomiting or excessive exercise.
  • Binge Eating Disorder: Characterized by episodes of eating large amounts of food in a short period of time, often feeling a loss of control but not engaging in behaviors like purging.
  • Avoidant/Restrictive Food Intake Disorder (ARFID): A condition where someone avoids certain foods or restricts their diet, leading to nutritional deficiencies and weight loss, without a focus on body image.

How Eating Disorders Can Be Managed:
Eating disorders are treatable. Therapy, support, and sometimes medication can help address the underlying emotional and psychological issues. With the right treatment, people with eating disorders can learn healthier ways to relate to food and their bodies.

Examples of Personality Disorders:

  • Paranoid Personality Disorder
  • Schizoid Personality Disorder
  • Schizotypal Personality Disorder
  • Antisocial Personality Disorder
  • Borderline Personality Disorder (BPD)
  • Histrionic Personality Disorder
  • Narcissistic Personality Disorder
  • Avoidant Personality Disorder
  • Dependent Personality Disorder
  • Obsessive-Compulsive Personality Disorder (OCPD)

How Personality Disorders Can Be Managed:
While Personality disorders are mainly treated with therapy, including techniques like Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), medications can help aspects of personality such as mood swings, impulsivity, anger, and etc.

Examples of women’s mental health issues:

  • Premenstrual Dysphoric Disorder (PMDD)
  • Perinatal/postpartum Depression/Anxiety/Psychosis
  • Perimenopausal/Post-Menopausal Depression/Anxiety

How Women’s Mental Health Issues Can Be Managed:
Many of these conditions are treatable. Therapy, support, lifestyle changes, and sometimes medication can help manage symptoms. It’s important to talk to a psychiatrist. You don’t have to navigate these challenges alone.

 

Mental Health Support for LGBTQ+ Individuals:

  • LGBTQ+ individuals deserve to feel accepted and supported in all areas of life. Therapy, support groups, and mental health services tailored to LGBTQ+ experiences can provide important guidance and coping strategies.