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Medication Management

Medications are rarely the only solution to emotional and behavioral difficulties, but they can play an important role in healing.


If you have anxiety, insomnia, lack of focus, or are concerned that you may be depressed or that you rely too much on alcohol, cigarettes, or recreational drugs, there may be medications that can help. If you decide that medication is an option you'd like to explore, we will work together to find what best suits your needs.


If you have been diagnosed with a specific condition such as depression, bipolar, ADHD, or an anxiety-related disorder, and would like to restart medication or have your current medications reassessed, we can help. If you already have a therapist you are making progress with and would like to consider whether medications can enhance your recovery, we will work collaboratively with your therapist.     


Medication Management
Michael Brus MD, psychiatrist, CBT, cognitive behavior therapy, DBT, dialectical behavior therapy, buprenorphine, Suboxone, New York, Manhattan, Upper East Side, Mount Sinai,, anxiety, depression, addiction, borderline, medication, 12 step
Cognitive Behavior Therapy

Cognitive Behavior Therapy (CBT) is not just a treatment, but a systematic way of cultivating positive feelings and acting more effectively in your world. 


Everyone negotiates the world with a certain set of assumptions and habits. But sometimes these assumptions and habits can keep you from reaching your goals and contribute to feeling depressed or anxious.


For example, many things happen in our daily lives that we assume should "cause" us to feel a certain way. But how you interpret a situation and how you react to it can profoundly affect how you feel about it.


In CBT, you learn techniques to identify and question your automatic interpretations and reactions. By applying these techniques to your daily life, you will feel better and be able to take new, more effective action. As a result, you will not only reach your goals faster, but you will enjoy yourself more along the way.


CBT is not designed to continue forever. It usually involves weekly sessions, where we identify ways for you to apply your new skills in the real world. Dozens of high-quality research studies have shown CBT to be effective for a wide range of problems. To read more, click here.


Dialectictical Behavior Therapy

Dialectical Behavior Therapy (DBT) was developed for people who want to change self-destructive behaviors and simultaneously develop a deep sense of self-acceptance. 


It's much more common than people realize to struggle with harmful behaviors. Some people eat so much that they feel numb or even inflict physical harm to their bodies. Others yell at people they love and drive them away. Still others feel overwhelmed by seemingly simple tasks, so they try to hide from the world while problems mount.


If you find yourself doing harmful things more than you would likethen DBT may be right for you. DBT is especially helpful for people who have been diagnosed with borderline personality disorder or have not found success in other psychotherapies. 


The ultimate goal of DBT is not just to stop self-destructive behavior, but to achieve a deeper level of healing to give you more access to joyful moments and expand your sense of life purpose.


DBT gives you the opportunity to participate in regular skills-coaching groups and to call your therapist outside of appointment hours to get help in applying those skills. To read about how DBT works at Transformation Psychiatry, click here. To read more about DBT in general, click here.



Opiate Agonist Therapy
Buprenorphine (Suboxone) Therapy

If you find yourself dependent on prescription painkillers or other opioid drugs, Buprenorphine (sometimes called Suboxone) can help. 


Unlike methadone, which requires going to specialized clinics every day, buprenorphine can be prescribed during normal office visits and picked up at your local pharmacy. Buprenorphine is also safer than methadone.


Studies have shown that without some sort of medication to help with cravings, the vast majority of people with opioid dependence will relapse, even if they participate in regular addiction counseling or 12-step groups. Prescribing buprenophine requires specialized training, and only a small minority of physicians have the authority to prescribe it


Buprenorphine is only one part of a comprehensive plan for recovery. To maximize your chances for success, you should also participate in individual psychotherapy or an addiction-recovery group. To read more about buprenorphine treatment, click here.



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