Conditions Treated
I provide psychiatric evaluation and treatment for adults in Texas and Colorado via secure telemedicine. My approach emphasizes careful diagnosis, clear explanations, and evidence-based treatment planning.
Effective treatment begins with diagnostic clarity. Psychiatric symptoms often overlap across anxiety, mood, attention, and stress-related conditions. My evaluations focus on differentiating primary disorders from secondary effects of sleep disruption, medical contributors, substance use, or medication side effects.
Careful assessment reduces unnecessary medication changes and improves long-term outcomes.
Common Conditions Treated
- Anxiety disorders
- Depression
- ADHD
- Mood instability / bipolar spectrum concerns
- Stress & burnout
- Sleep issues related to mood/anxiety
Anxiety Disorders
Anxiety can affect sleep, concentration, and daily function. I evaluate symptom patterns carefully and consider medical, medication-related, and sleep contributors when relevant. Evaluation includes consideration of thyroid function, sleep patterns, medication effects, and co-occurring mood conditions when clinically indicated.
- Generalized Anxiety
- Panic Attacks
- Social Anxiety
- Health-related Anxiety
- OCD
Treatment planning may include psychotherapy-informed strategies, medication when appropriate, and structured follow-up to monitor progress.
Depression
Depression may present as low mood, loss of motivation, irritability, or emotional numbness. Assessment focuses on diagnostic clarity, including distinguishing unipolar depression from bipolar-spectrum patterns when indicated. Assessment includes screening for bipolar-spectrum features to avoid inappropriate antidepressant monotherapy when not indicated.
- Low mood or irritability
- Loss of interest or pleasure
- Fatigue / low energy
- Sleep or appetite changes
Treatment planning focuses on restoring function and stability with evidence-based options tailored to your history and preferences.
ADHD (Adult)
Adult ADHD often presents as difficulty sustaining focus, disorganization, procrastination, and inconsistent follow-through. Evaluation includes symptom history and differentiation from anxiety, depression, sleep disorders, and substance effects. Evaluation includes differentiation from anxiety disorders, sleep deprivation, mood disorders, and substance-related attentional effects.
- Inattention and distractibility
- Executive dysfunction (planning/organization)
- Procrastination and inconsistent productivity
- Emotional dysregulation
Treatment options are reviewed collaboratively and may include medication, behavioral strategies, and coordination with therapy when helpful.
Bipolar Spectrum and Mood Instability
Mood instability can present as fluctuating energy, irritability, periods of elevated productivity, or depressive episodes. Careful evaluation distinguishes bipolar spectrum conditions from unipolar depression and other causes of mood instability.
- Bipolar II Patterns
- Cyclothymic Mood Shifts
- Irritability and Reactivity
- Medication Consultation for Mood Stabilization
Treatment planning emphasizes stability, long-term functioning, and careful medication selection when appropriate.
Stress & Burnout
Chronic stress can impair concentration, sleep, and emotional regulation. Evaluation focuses on distinguishing burnout from depressive and anxiety disorders while identifying modifiable contributors.
- Work-related Burnout
- Performance-related Stress
- Adjustment-related Mood Changes
- Decision Fatigue
Treatment planning may include structured coping strategies, medication when indicated, and coordination with psychotherapy.
Sleep Issues Related to Mood and Anxiety
Sleep disruption often both contributes to and results from mood and anxiety conditions. Assessment includes evaluation of behavioral, psychiatric, and medical contributors.
- Insomnia Associated with Anxiety
- Early-morning Awakening in Depression
- Irregular Sleep Schedules
- Medication-related Sleep Concerns
Improving sleep often enhances overall psychiatric stability and treatment response.
Unsure Where You Fit?
A comprehensive psychiatric evaluation can clarify diagnosis and guide an appropriate treatment plan.
I provide telepsychiatry services for adults in Texas and Colorado seeking evaluation and treatment for anxiety, depression, ADHD, and mood disorders.