Why We are a Concierge Psychiatry Practice

Princeton Concierge Psychiatry has adopted the concierge model as an enhanced form of patient-focused treatment. The concierge model untethers our practice from insurance company reimbursements. In an effort to make our practice even more accessible to a wider range of patients, unlike some Medical Concierge models, we do not require an annual membership fee. Reliance [...]

Do Pesticides Cause ADHD?

In an article entitled “Attention-Deficit/Hyperactivity Disorder and Urinary Metabolites of Organophosphate Pesticides,” researchers conclude that “…organophosphate [pesticide] exposure, at levels common among US children, may contribute to ADHD prevalence.” (Maryse F. Bouchard, David C. Bellinger, Robert O. Wright and Marc G. Weisskopf in Pediatrics, Official Journal of the American Academy of Pediatrics, published online May [...]

Health insurance companies typically cover a 50-minute initial psychiatric evaluation followed by a 20-minute “med check” every three months or so. The psychiatrist’s role is to diagnose and prescribe. The more involved work of psychotherapy is relegated to psychologists and social workers. This arrangement generally has been considered the most cost effective. Unfortunately, it may [...]

Does My Child Need Psychiatric Care?

My review of Judith Warner’s new book: We’ve Got Issues: Children and Parents in the Age of Medication (Riverhead, Hardcover, February 23, 2010). In the United States, the debate over diagnosing and treating children and adolescents for psychiatric, behavioral, and learning disorders has become very polarized. You are either for it or against it. Unfortunately, [...]

Does My Child Have Bipolar Disorder?

Concerned parents often ask me, “Does my child have bipolar disorder?” Over the past 11 years, since the publication of the first edition of The Bipolar Child in 1999, this question has become more and more prevalent. Parents who struggle with this question face a serious dilemma – they are reluctant to have their children [...]

Do Antidepressants Really Work?

Recently, patients have been asking me about reports floating around the Internet that question the effectiveness of antidepressants. The source of most of these reports is a recently published study entitled “Antidepressant drug effects and depression severity: a patient-level meta-analysis.” The report concludes (emphasis mine): “The magnitude of benefit of antidepressant medication compared with placebo [...]

In an article published in December 2009 in the Neuroscientist titled “The Medial Prefrontal Cortex and Integration in Autism,” Dr. Dorit Ben Shalom, a researcher from Ben-Gurion University of the Negev, Israel offers a novel conceptual framework of known atypicalities in individuals with autistic spectrum disorders (ASD). The prevailing approach has tended to focus on [...]