I have been practicing psychiatry for more than 17 years. I have settled in Southwest Florida bringing all my expertise to this beautiful community. My specialty is the treatment of Oxycontin Addiction, Cocaine Addiction, Alcohol Dependence, and Crystal Meth Addiction using state of the art outpatient Suboxone and new medication treatments.
I would like to welcome you to my practice's site. Although I commonly treat mood, anxiety, and post-traumatic stress disorders, my professional interest is in the specialty of addiction. This interest evolved in a response to the poorly addressed needs of different communities. Addiction Recovery was not my first choice because, at the time of my training, addiction was marked an incurable problem. It was not even viewed as a disease, but instead as a character flaw by medical and mental health professionals, as well as patients.
As my studies progressed, I began to notice that society had a vital need for physicians and allied health professionals to treat addiction and its consequences. Thus, there were many professional opportunities created that were geared toward this specialty. By default, in order to truly address the needs of my patients, the treatment of addictions became a prime focus during the development of my specialization. Drug rehab almost always requires the management of other conditions, such as depression and anxiety. Addiction becomes the logical consequence for sufferers who self medicate to seek relief from, instead of proactively treat, illnesses that have continued to evolve since childhood. The stigma and negative media stereotypes are much to be blamed for these self destructive choices and behaviors, along with our impulses for immediate gratification. The metaphor, "no pain, no gain" is nonexistent in the addict's mind since the solitary focus, through the use of drugs and alcohol, is simply to hide the pain.
However, I came to the realization that the belief system, that addiction was a problem of character, was obviously flawed. Addiction is a real medical disease with specific areas of the brain being affected. The efforts of many agencies including Substance Abuse and Mental Health Services Administration, and physicians from the American Society of Addiction Medicine, American Society of Addiction Psychiatry and many other specialties have brought to light, via research, that addiction can literally rewire your brain.
We physicians were trained with a mind set to cure and alleviate suffering. Drug addiction was not one of those illnesses that fit this belief because there were frequent readmissions and relapses of patients. Drug rehab, during my training, had few effective treatment practices that helped patients. Addictions became a revolving door illness; each entrance caused the patient to lose more of themselves, their jobs, marriages, their children, their families, their spiritual purpose in life, and yes, even their "minds." Addictions lead often to psychosis, from just masking mood disorders and anxiety and letting these get worse. During my training, there appeared to be no relief for these patients in sight. Drug rehab was seen as a specialty that was not very interesting and was indeed frustrating and psychologically exhausting.
Fortunately, continuously developing discoveries and research has lead to safe and effective treatment options. These options allow the addicted individual to start gaining some control of their lives during their recovery, especially in outpatient settings. There are many new and exciting treatment options that include Campral, Suboxone and the most recent PROMETA Treatment Program. Prometa treatment is the only treatment available today that has a proven immediate impact in reducing cravings from methamphetamine, cocaine, and alcohol addictions as well as improving cognitive functions that are impaired by these chemicals. Each of these treatments has an important role in drug rehab.
One of the messages I like to send out to the public, via this web page, is that because of research, physicians currently define addiction as a medical disease and therefore now have medication options to treat these diseases in drug rehab. Also, I want to express that these diseases coexist with and are often symptoms of other underlying problems such as anxiety, mood disorders and severe personality dysfunction.
The biggest challenge in the field of psychiatry are simply two fold. Making the correct psychiatric diagnosis and matching the medications with persons own metabolism. My practice has the ability to do both Computer Assisted Psychiatric Diagnosis and Pharmacogenetic Testing for Psychotropic Medication response which takes out the guessing game of matching the right medication for the highly probable diagnosis and patient metabolism. Pharmacogenetic testing is now possible in our facility and obtain results within 3 days. A very good web seminar on how this technology works in our practice is best described by Genelex. Right now, in doctors' offices all over the world, patients are given medications that either don't work or have bad side effects. Often, a patient must return to their doctor over and over again until the doctor can find a drug that is right for them. Pharmacogenomics offers a very appealing alternative. Leonard Lado MD now offers a simple and rapid test of your DNA, This give me the abilify to determine if the patients have the possibility of suffering a severe negative reaction to the medication due to side effects. Pharmacogenomic testing is now availabe in Lee, Collier and Charlotte counties right here in our bonita springs office.
Mood disorders (depression and bipolar disorders), anxiety disorders (social phobia, panic disorder, and GAD-generalized anxiety disorders), thought disorders (schizoaffective disorders) and addiction disorders are all treatable diseases. The brain is an organ like the heart, lungs, kidneys and pancreas. The diseases that affect the brain deserve the same urgency as ones that affect other organs and body systems.
As a principal investigator and sub investigator in many pharmaceutical research projects, I have been privy to new and exciting treatments to come. I have been invited to various radio interviews including The Judyth Piazza show. This interview was done while I was practicing in Miami. My current practice now resides in Bonita Springs Florida surrounded by tropical sights and the most spectacular sunsets. Despite all of my work in the field, I have managed to find an outlet over the many years of being a classical singer. At the request of my patients and colleagues I have included a song from a recording studio from my music cd on this webpage on the left.
I am now able to offer new medical treatments and Suboxone in Naples, Fort Myers, Bonita Springs, Southwest Florida and South Florida for Narcotic Addiction, Oxycontin Addiction, cocaine, meth and alcohol addiction. This is now a reality without needing hospitalization. Continuous monitoring with new sophisticated devices allow physician to perform detox procedures without hospitalization. Computer assisted psychiatric diagnosis and pharmacogenomic medication testing is also available.