Telepsychiatry is an application of telemedicine to the specialty field of psychiatry. The term typically describes the delivery of psychiatric assessment and care through HIPAA compliant telecommunications technology, usually videoconferencing.

 

One of the drivers behind the growth of telepsychiatry within the United States has been a national shortage of psychiatrists, particularly in specialty areas such as child and adolescence psychiatry. Telepsychiatry allows doctors to serve more patients by providing healthcare to rural or under-served areas that have a barrier to access. 

Here at Virtual Consult MD, we provide telepsychiatry services at our many office locations. Our clinical staff is available at each location to assist patients with their medical needs. We collaborate with local community healthcare providers, hospitals, and medical agencies/facilities in an effort to provide quality and continuity of care.

Our board certified psychiatrists and advanced nurse practitioners are compassionate, dedicated and strive for excellence in care.  The next time you need the help you deserve, contact Virtual Consult MD and communicate your way to better health. “We Connect. We Consult. We Care.”

Types of Mental Health Issues

Anxiety

What are Anxiety Disorders?

Anxiety is something that can be part of everyday life, but generally subsides once a stressful situation ends. If you have an anxiety disorder, these fears or worries don’t go away and can sometimes get even worse. An anxiety disorder can cause impairment in your daily functioning, strain relationships, or affect workplace or academic performance. If your anxiety symptoms haven’t subsided and have lasted over 6 months, an evaluation and subsequent treatment can help to get you back on track.

Specific Anxiety Disorders:

• Specific Phobia
• Social Anxiety Disorder (Social Phobia)
• Panic Disorder
• Agoraphobia
• Generalized Anxiety Disorder
• Substance/Medication-Induced Anxiety Disorder
• Anxiety Disorder Due to Another Medical Condition

What are some general signs or symptoms of Anxiety Disorders?

In general, most people with anxiety disorders experience a sense of fear and worry.
However, there are unique symptoms for each disorder as well.

Generalized Anxiety Disorder (GAD):

• Inability to relax
• Startle easily
• Concentration difficulties
• Fatigue
• Muscle tension
• Nausea

• Sweating
• Trembling
• Difficulty swallowing
• Irritability
• Light-headedness
• Difficulty falling or staying asleep

Panic Disorder:

Panic attacks (heart racing, sweating, difficulty breathing, sense of impending doom, chest pain, stomach pain, tingling sensation, dizziness)

Diagnosis and Treatment:

After a careful clinical evaluation, we will determine which anxiety disorder you may have and begin treatment with a combination of medication management and psychotherapy. Research has shown that this combination of therapy and medication is the optimal treatment for anxiety disorders.

We offer Cognitive Behavioral Therapy (CBT), which can help alter negative thinking patterns that promote anxiety states. We also offer stress management techniques, coping strategies, and can help you to develop an overall wellness plan that will diminish your anxiety.

Depression

What are Depressive Disorders?

Many people can feel sad or upset at times, but these feelings generally subside after a few days and things go back to normal. A Depressive disorder is something different and not simply a case of having the blues. Someone who is depressed has difficulty functioning in their daily life and will have difficulty at work, home, and everywhere in between. Often, people do not seek treatment for depression even though there is very effective treatment available. There are several forms of depressive disorders that are listed below. If you are suffering from depression, we can help you.

Specific Depressive Disorders:

• Disruptive Mood Dysregulation Disorder
• Major Depressive Disorder, Single and Recurrent Episodes
• Persistent Depressive Disorder (Dysthymia)
• Premenstrual Dysphoric Disorder
• Substance/Medication-Induced Depressive Disorder
• Depressive Disorder Due to Another Medical Condition

What are Depressive Disorders?

• Feeling sad, anxious, or empty more often than not
• Hopelessness or helplessness
• Eating too much or too little
• Sleeping too much or too little
• Fatigue and lower energy level than before
• Inability to concentrate
• Loss of interest in previously enjoyable activities
• Feeling guilty or worthless
• Excessive weight gain or weight loss
• Aches and pains which won’t go away

Diagnosis and Treatment:

If you think you may have a depressive disorder, come in for an evaluation. Depression is something that can be effectively treated, and we will determine your diagnosis and begin treatment right away. Research has shown time and again that medications can be very helpful, and the combination of medications and therapy is even better. We offer treatment using Cognitive Behavioral Therapy, Problem Solving Therapy, Psychodynamic Psychotherapy, and judicious medication use.

Bipolar

What are Bipolar Disorders?

Bipolar Disorder is a serious condition that can cause impairment in daily life, damage to relationships with family or friends, and can impair work or school functioning. Also known as manic-depressive illness, patients with Bipolar Disorder experience unusual shifts in their mood, energy level, sleep patterns, and general functioning. Although it can be difficult to diagnose in some cases, the illness can be thoughtfully and effective treated. Patients suffering from it can lead meaningful and productive lives after getting the proper treatment under the care of a psychiatrist. If you think that you might be suffering from this illness, come in for a consultation and we can start to help you. There are different forms of Bipolar Disorder that are listed below.

Specific Bipolar Disorders:

• Feeling on top of the world or exceedingly happy
• Feeling very irritable
• Talking very fast, not allowing others to interrupt you
• Increased impulsivity
• Trying to complete many tasks but finishing none
• Being distracted
• Restlessness
• Engaging in high-risk behaviors
• Feeling tired or run down
• Thinking of hurting yourself or trying to hurt yourself
• Sleeping very little

What are some general symptoms of Bipolar Disorders?

• Feeling on top of the world or exceedingly happy
• Feeling very irritable
• Talking very fast, not allowing others to interrupt you
• Increased impulsivity
• Trying to complete many tasks but finishing none
• Being distracted
• Restlessness
• Engaging in high-risk behaviors
• Feeling tired or run down
• Thinking of hurting yourself or trying to hurt yourself
• Sleeping very little

Diagnosis and Treatment:

If you think you may have a Bipolar Disorder, don’t hesitate to come in for an evaluation. Since there can be overlap in symptoms with other mood disorders and especially depressive disorders, it is important to fully understand your history and establish an accurate diagnosis. We conduct careful assessments and if you are diagnosed with a Bipolar Disorder, we can start treatment using a combined approach of medications and therapy.

Eating Disorder

What are Eating Disorders?

Patients suffering from these disorders may eat too little or too much, and may also have excessive concern about body shape or weight. Three of the most common disorders include Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder. In Anorexia Nervosa, patients see themselves as overweight despite being underweight. In Bulimia Nervosa, patients can binge on large amounts of food and then purge to compensate. In Binge-Eating Disorder, patients can lose control over the amount they eat but they do not purge afterwards.

Specific Eating Disorders:

• Pica
• Rumination Disorder
• Avoidant/Restrictive Food Intake Disorder
• Anorexia Nervosa
• Bulimia Nervosa
• Binge-Eating Disorder

What are some general signs or symptoms of Eating Disorders?

Anorexia Nervosa:
• Intense fear of gaining weight or becoming fat
• Distorted body image
• Restricted eating
• Emaciation
• Unwillingness to maintain a normal or healthy weight
Bulimia Nervosa:
• Recurrent binge eating
• Lack of control over eating
• Self-induced vomiting, laxative misuse, or diuretics
Binge-Eating Disorder:
• Recurrent episodes of binge-eating
• Eating until feeling uncomfortably full
• Eating large amounts of food when not hungry
• Eating alone due to embarrassment about amount of food

Diagnosis and Treatment:

After a careful clinical evaluation, we utilize a Cognitive Behavioral Therapy (CBT) approach that is uniquely tailored to the individual patient to help regain control over binging and purging behavior. We work through distorted thought patterns and use specific medications to help target reduction in these binging and purging behaviors while also targeting symptoms such as depression, which can also occur in tandem with eating disorder symptoms.

Neurocognitive

What are Neurocognitive Disorders?

In the past, neurocognitive disorders were known by a different name, dementia. Today, these disorders are a group of illnesses centered on a decline in cognitive functioning, each with various signs and symptoms. Delirium is by definition caused by a reversible medical problem. Other disorders such as Neurocognitive Disorder due to Alzheimer’s Disease or Lewy Bodies require the careful diagnosis and treatment by a qualified geriatric psychiatrist.

Specific Neurocognitive Disorders:

• Delirium
• Major Neurocognitive Disorder
• Mild Neurocognitive Disorder
• Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease
• Major or Mild Frontotemporal Neurocognitive Disorder
• Major or Mild Neurocognitive Disorder With Lewy Bodies
• Major or Mild Vascular Neurocognitive Disorder
• Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury
• Major or Mild Neurocognitive Disorder Due to HIV Infection
• Major or Mild Neurocognitive Disorder Due to Prion Disease
• Major or Mild Neurocognitive Disorder Due to Parkinson’s Disease
• Major or Mild Neurocognitive Disorder Due to Huntington’s Disease
• Major or Mild Neurocognitive Disorder Due to Another Medical Condition
• Major or Mild Neurocognitive Disorder Due to Multiple Etiologies

What are some symptoms of Neurocognitive Disorders?

It is important to note that various patients suffering from mental illness may suffer cognitive deficits, but the neurocognitive disorders specifically refer to a decline in cognition from previously normal functioning. In general, patients may suffer from difficulties in environments with a lot of things happening at once; TV, phone, radio, conversations happening at the same time, and thinking in general just takes longer and is less robust. Patients may need to focus on one thing at a time and can find themselves repeating words during conversations. They may often use general terms like “that thing, that place” and have trouble with specifics. Patients may also engage in behavior that was previously socially unacceptable.

Diagnosis and Treatment:

Neurocognitive disorders can be especially difficult for family members and caregivers, and if you suspect that a loved one is suffering from one of the illnesses mentioned above, please contact us. The mainstay of treatment involves careful selection of medications, which can help with depressive symptoms, hallucinations, or anxiety. We use a multi-disciplinary treatment model including family, caregivers, geriatric care managers, and other physicians involved in the patient’s care.

OCD

What are Obsessive-Compulsive Disorders (OCD)?

These disorders are characterized obsessions (intrusive and unwanted recurrent thoughts, urges, or images) and/or compulsions (repetitive mental acts or behaviors that one is compelled to perform). Some other related disorders include body-focused repetitive behaviors such as hair pulling (Trichotillomania) or skin picking (Excoriation Disorder). Patients with Body Dysmorphic Disorder suffer from preoccupation with perceived flaws or defects of their body that are not visible to others. Patients with Hoarding Disorder have difficulty throwing out objects even when the accumulated clutter makes it difficult to live at home. If you have symptoms of any of these disorders, contact us to schedule an evaluation today.

Specific OCD:

• Obsessive-Compulsive Disorder
• Body Dysmorphic Disorder
• Hoarding Disorder
• Trichotillomania (Hair-Pulling Disorder)
• Excoriation (Skin-Picking) Disorder
• Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
• Obsessive-Compulsive and Related Disorder Due to Another Medical Condition

What are some general signs or symptoms of OCD?

In general, most people with OCD experience the obsessions and compulsions as described above. Sometimes, the obsessions can be about dirt, germs, violent thoughts, religious beliefs, and compulsions can involve locking and unlocking doors, checking behaviors (making sure the stove is turned off or that the lights are off), or repeated hand-washing. The intrusive nature of these thoughts and behaviors means that patients experience significant distress and impairment in daily functioning.

Generalized Anxiety Disorder (GAD)

• Inability to relax
• Startle easily
• Concentration difficulties
• Fatigue
• Muscle tension
• Nausea

• Sweating
• Trembling
• Difficulty swallowing
• Irritability
• Light-headedness
• Difficulty falling or staying asleep

Diagnosis and Treatment

If you feel as though any of these conditions may describe what you are experiencing, please contact us to schedule an evaluation. OCD can be successfully treated with a combination of psychotherapy and medications. We utilize Cognitive Behavioral Therapy (CBT) to help change thinking patterns to decrease obsessional thoughts and consequently decrease compulsive behavior. We will also determine which specific medication is right for you and will work best in combination with your psychotherapy.

Psychotic Disorder

What are Schizophrenia Spectrum and other Psychotic Disorders?

Schizophrenia is a brain disorder that can be severe and disabling, causing impairment in functioning. Sometimes people can hear voices that others don’t hear, feel that others may control their thoughts, or that people want to harm them. Often times family or other caregivers must help care for patients suffering from these disorders. However, it is important to realize that safe and effective treatment exists and people suffering from psychotic disorders can lead meaningful lives if given the proper chance. If you are concerned about a loved one or yourself, come in for an evaluation.

Specific Psychotic Disorders:

• Schizophrenia Spectrum and Other Psychotic Disorders
• Schizotypal (Personality) Disorder
• Delusional Disorder
• Brief Psychotic Disorder
• Schizophreniform Disorder
• Schizoaffective Disorder
• Substance/Medication-Induced Psychotic Disorder
• Psychotic Disorder Due to Another Medical Condition
• Catatonia

What are some general signs or symptoms of Psychotic Disorders?

In general, people with psychotic disorders experience the following symptoms in various combinations. Hallucinations are things that someone sees, hears, or feels that others do not. Commonly, patients complain of hearing voices that others cannot hear. Sometimes, these voices can command a person to do things. Delusions are fixed and false beliefs not otherwise part of a person’s culture that are unshakable even if shown to be illogical or untrue. Disorganized thinking can take on many forms including difficulty connecting thoughts together in a logical manner, making up meaningless words, or even stopping talking mid-sentence (thought blocking). Movement Disorders can take the form of repetitive movements or even catatonia, which is where a person does not move and does not respond to other people.

Diagnosis and Treatment

If you think that you or a loved one may have a schizophrenia spectrum disorder, contact us to come in for an evaluation and we can discuss various options for treatment. There are safe and effective medications ranging from pills taken on a daily basis to long acting injectable medication given every 2 weeks, 4 weeks, or even 12 weeks.

Sexual Dysfunction

What are Sexual Dysfunctions?

These disorders cause a person to experience a significant disturbance in the ability to respond sexually or to experience sexual pleasure. There are many things that can affect sexual functioning, from differences in expectations between partners to poor perception of body image and lack of confidence.

Specific Sexual Dysfunctions:

• Delayed Ejaculation
• Erectile Disorder
• Female Orgasmic Disorder
• Female Sexual Interest/Arousal Disorder
• Genito-Pelvic Pain/Penetration Disorder
• Male Hypoactive Sexual Desire Disorder
• Substance/Medication-Induced Sexual Dysfunction
• Gender Dysphoria
• Premature (Early) Ejaculation

What are some general signs or symptoms of Sexual Dysfunctions?

In general, most people with anxiety disorders experience a sense of fear and worry. However, there are unique symptoms for each disorder as well.
Premature Ejaculation:
• Occurs within 1 minute
Erectile Disorder:
• Difficulty maintaining an erection
Substance/Medication induced Sexual Dysfunction
• Caused by other medications / drugs / alcohol

Diagnosis and Treatment

After a careful clinical evaluation, we will determine which sexual dysfunction you are suffering from and develop a treatment plan that will help you. We will begin treatment with a combination of medication management and psychotherapy. We offer Cognitive Behavioral Therapy (CBT), which can help alter negative thinking patterns that can affect sexual functioning. We can also work to streamline medication management in the case of sexual side effects caused by medications.

Sleep Disorder

What are Sleep Disorders?

Patients suffering from sleep-wake disorders generally have difficulty with the quality, amount, and timing of their sleep. Often, the lack of sleep at night causes distress during the day and can impair performance at work, school, or just in daily life. Sleep disorders can also contribute to development of anxiety, depression, difficulty with memory, and the lack of sleep itself can promote further mental illness.

What are some general signs or symptoms of Sleep Disorders?

Although individual sleep disorders have different symptoms, they share the common features of daytime distress and impaired functioning.

Insomnia Disorder:
• Poor sleep quality or quantity
• Distress or impairment in social, academic, occupational, or other areas of functioning due to poor sleep
• At least 3 nights/week and for at least 3 months

What are some general signs or symptoms of Sleep Disorders? (cont)

Hypersomnolence Disorder:
• Excessive sleepiness despite at least 7 hours of sleep
• Recurrent sleep episodes during the day
• Main sleep period of more than 9 hours that is unrefreshing

Narcolepsy:
• Recurrent periods of irrepressible need to sleep, falling asleep, or napping at least 3 times per week over the past 3 months.
• Brief loss of muscle tone caused by laughter or joking.

Circadian Rhythm Sleep-Wake Disorders:
• Sleep disturbance due to an alteration in circadian rhythm system
• Excessive sleepiness or insomnia

Diagnosis and Treatment

After a careful clinical evaluation, we can diagnose which sleep disorder is affecting you. We use Cognitive Behavioral Therapy targeted at sleep difficulty using varied techniques including the use of sleep diaries, sleep schedule modification, and sleep hygiene improvement. We also use medication when necessary as an adjunctive treatment. Improving sleep is often the first step to an overall wellness plan, and if you are suffering from any of the above sleep disorders, please contact us for an evaluation and to begin treatment.

Anxiety
Depression
Bipolar
Eating Disorder
Neurocognitive
OCD
Psychotic Disorder
Sexual Dysfunction
Sleep Disorder

What are Anxiety Disorders?

Anxiety is something that can be part of everyday life, but generally subsides once a stressful situation ends. If you have an anxiety disorder, these fears or worries don’t go away and can sometimes get even worse. An anxiety disorder can cause impairment in your daily functioning, strain relationships, or affect workplace or academic performance. If your anxiety symptoms haven’t subsided and have lasted over 6 months, an evaluation and subsequent treatment can help to get you back on track.

Specific Anxiety Disorders:

• Specific Phobia
• Social Anxiety Disorder (Social Phobia)
• Panic Disorder
• Agoraphobia
• Generalized Anxiety Disorder
• Substance/Medication-Induced Anxiety Disorder
• Anxiety Disorder Due to Another Medical Condition

What are some general signs or symptoms of Anxiety Disorders?

In general, most people with anxiety disorders experience a sense of fear and worry.
However, there are unique symptoms for each disorder as well.

Generalized Anxiety Disorder (GAD):

• Inability to relax
• Startle easily
• Concentration difficulties
• Fatigue
• Muscle tension
• Nausea

• Sweating
• Trembling
• Difficulty swallowing
• Irritability
• Light-headedness
• Difficulty falling or staying asleep

Panic Disorder:

Panic attacks (heart racing, sweating, difficulty breathing, sense of impending doom, chest pain, stomach pain, tingling sensation, dizziness)

Diagnosis and Treatment:

After a careful clinical evaluation, we will determine which anxiety disorder you may have and begin treatment with a combination of medication management and psychotherapy. Research has shown that this combination of therapy and medication is the optimal treatment for anxiety disorders.

We offer Cognitive Behavioral Therapy (CBT), which can help alter negative thinking patterns that promote anxiety states. We also offer stress management techniques, coping strategies, and can help you to develop an overall wellness plan that will diminish your anxiety.

What are Depressive Disorders?

Many people can feel sad or upset at times, but these feelings generally subside after a few days and things go back to normal. A Depressive disorder is something different and not simply a case of having the blues. Someone who is depressed has difficulty functioning in their daily life and will have difficulty at work, home, and everywhere in between. Often, people do not seek treatment for depression even though there is very effective treatment available. There are several forms of depressive disorders that are listed below. If you are suffering from depression, we can help you.

Specific Depressive Disorders:

• Disruptive Mood Dysregulation Disorder
• Major Depressive Disorder, Single and Recurrent Episodes
• Persistent Depressive Disorder (Dysthymia)
• Premenstrual Dysphoric Disorder
• Substance/Medication-Induced Depressive Disorder
• Depressive Disorder Due to Another Medical Condition

What are Depressive Disorders?

• Feeling sad, anxious, or empty more often than not
• Hopelessness or helplessness
• Eating too much or too little
• Sleeping too much or too little
• Fatigue and lower energy level than before
• Inability to concentrate
• Loss of interest in previously enjoyable activities
• Feeling guilty or worthless
• Excessive weight gain or weight loss
• Aches and pains which won’t go away

Diagnosis and Treatment:

If you think you may have a depressive disorder, come in for an evaluation. Depression is something that can be effectively treated, and we will determine your diagnosis and begin treatment right away. Research has shown time and again that medications can be very helpful, and the combination of medications and therapy is even better. We offer treatment using Cognitive Behavioral Therapy, Problem Solving Therapy, Psychodynamic Psychotherapy, and judicious medication use.

What are Bipolar Disorders?

Bipolar Disorder is a serious condition that can cause impairment in daily life, damage to relationships with family or friends, and can impair work or school functioning. Also known as manic-depressive illness, patients with Bipolar Disorder experience unusual shifts in their mood, energy level, sleep patterns, and general functioning. Although it can be difficult to diagnose in some cases, the illness can be thoughtfully and effective treated. Patients suffering from it can lead meaningful and productive lives after getting the proper treatment under the care of a psychiatrist. If you think that you might be suffering from this illness, come in for a consultation and we can start to help you. There are different forms of Bipolar Disorder that are listed below.

Specific Bipolar Disorders:

• Feeling on top of the world or exceedingly happy
• Feeling very irritable
• Talking very fast, not allowing others to interrupt you
• Increased impulsivity
• Trying to complete many tasks but finishing none
• Being distracted
• Restlessness
• Engaging in high-risk behaviors
• Feeling tired or run down
• Thinking of hurting yourself or trying to hurt yourself
• Sleeping very little

What are some general symptoms of Bipolar Disorders?

• Feeling on top of the world or exceedingly happy
• Feeling very irritable
• Talking very fast, not allowing others to interrupt you
• Increased impulsivity
• Trying to complete many tasks but finishing none
• Being distracted
• Restlessness
• Engaging in high-risk behaviors
• Feeling tired or run down
• Thinking of hurting yourself or trying to hurt yourself
• Sleeping very little

Diagnosis and Treatment:

If you think you may have a Bipolar Disorder, don’t hesitate to come in for an evaluation. Since there can be overlap in symptoms with other mood disorders and especially depressive disorders, it is important to fully understand your history and establish an accurate diagnosis. We conduct careful assessments and if you are diagnosed with a Bipolar Disorder, we can start treatment using a combined approach of medications and therapy.

What are Eating Disorders?

Patients suffering from these disorders may eat too little or too much, and may also have excessive concern about body shape or weight. Three of the most common disorders include Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder. In Anorexia Nervosa, patients see themselves as overweight despite being underweight. In Bulimia Nervosa, patients can binge on large amounts of food and then purge to compensate. In Binge-Eating Disorder, patients can lose control over the amount they eat but they do not purge afterwards.

Specific Eating Disorders:

• Pica
• Rumination Disorder
• Avoidant/Restrictive Food Intake Disorder
• Anorexia Nervosa
• Bulimia Nervosa
• Binge-Eating Disorder

What are some general signs or symptoms of Eating Disorders?

Anorexia Nervosa:
• Intense fear of gaining weight or becoming fat
• Distorted body image
• Restricted eating
• Emaciation
• Unwillingness to maintain a normal or healthy weight
Bulimia Nervosa:
• Recurrent binge eating
• Lack of control over eating
• Self-induced vomiting, laxative misuse, or diuretics
Binge-Eating Disorder:
• Recurrent episodes of binge-eating
• Eating until feeling uncomfortably full
• Eating large amounts of food when not hungry
• Eating alone due to embarrassment about amount of food

Diagnosis and Treatment:

After a careful clinical evaluation, we utilize a Cognitive Behavioral Therapy (CBT) approach that is uniquely tailored to the individual patient to help regain control over binging and purging behavior. We work through distorted thought patterns and use specific medications to help target reduction in these binging and purging behaviors while also targeting symptoms such as depression, which can also occur in tandem with eating disorder symptoms.

What are Neurocognitive Disorders?

In the past, neurocognitive disorders were known by a different name, dementia. Today, these disorders are a group of illnesses centered on a decline in cognitive functioning, each with various signs and symptoms. Delirium is by definition caused by a reversible medical problem. Other disorders such as Neurocognitive Disorder due to Alzheimer’s Disease or Lewy Bodies require the careful diagnosis and treatment by a qualified geriatric psychiatrist.

Specific Neurocognitive Disorders:

• Delirium
• Major Neurocognitive Disorder
• Mild Neurocognitive Disorder
• Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease
• Major or Mild Frontotemporal Neurocognitive Disorder
• Major or Mild Neurocognitive Disorder With Lewy Bodies
• Major or Mild Vascular Neurocognitive Disorder
• Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury
• Major or Mild Neurocognitive Disorder Due to HIV Infection
• Major or Mild Neurocognitive Disorder Due to Prion Disease
• Major or Mild Neurocognitive Disorder Due to Parkinson’s Disease
• Major or Mild Neurocognitive Disorder Due to Huntington’s Disease
• Major or Mild Neurocognitive Disorder Due to Another Medical Condition
• Major or Mild Neurocognitive Disorder Due to Multiple Etiologies

What are some symptoms of Neurocognitive Disorders?

It is important to note that various patients suffering from mental illness may suffer cognitive deficits, but the neurocognitive disorders specifically refer to a decline in cognition from previously normal functioning. In general, patients may suffer from difficulties in environments with a lot of things happening at once; TV, phone, radio, conversations happening at the same time, and thinking in general just takes longer and is less robust. Patients may need to focus on one thing at a time and can find themselves repeating words during conversations. They may often use general terms like “that thing, that place” and have trouble with specifics. Patients may also engage in behavior that was previously socially unacceptable.

Diagnosis and Treatment:

Neurocognitive disorders can be especially difficult for family members and caregivers, and if you suspect that a loved one is suffering from one of the illnesses mentioned above, please contact us. The mainstay of treatment involves careful selection of medications, which can help with depressive symptoms, hallucinations, or anxiety. We use a multi-disciplinary treatment model including family, caregivers, geriatric care managers, and other physicians involved in the patient’s care.

What are Obsessive-Compulsive Disorders (OCD)?

These disorders are characterized obsessions (intrusive and unwanted recurrent thoughts, urges, or images) and/or compulsions (repetitive mental acts or behaviors that one is compelled to perform). Some other related disorders include body-focused repetitive behaviors such as hair pulling (Trichotillomania) or skin picking (Excoriation Disorder). Patients with Body Dysmorphic Disorder suffer from preoccupation with perceived flaws or defects of their body that are not visible to others. Patients with Hoarding Disorder have difficulty throwing out objects even when the accumulated clutter makes it difficult to live at home. If you have symptoms of any of these disorders, contact us to schedule an evaluation today.

Specific OCD:

• Obsessive-Compulsive Disorder
• Body Dysmorphic Disorder
• Hoarding Disorder
• Trichotillomania (Hair-Pulling Disorder)
• Excoriation (Skin-Picking) Disorder
• Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
• Obsessive-Compulsive and Related Disorder Due to Another Medical Condition

What are some general signs or symptoms of OCD?

In general, most people with OCD experience the obsessions and compulsions as described above. Sometimes, the obsessions can be about dirt, germs, violent thoughts, religious beliefs, and compulsions can involve locking and unlocking doors, checking behaviors (making sure the stove is turned off or that the lights are off), or repeated hand-washing. The intrusive nature of these thoughts and behaviors means that patients experience significant distress and impairment in daily functioning.

Generalized Anxiety Disorder (GAD)

• Inability to relax
• Startle easily
• Concentration difficulties
• Fatigue
• Muscle tension
• Nausea

• Sweating
• Trembling
• Difficulty swallowing
• Irritability
• Light-headedness
• Difficulty falling or staying asleep

Diagnosis and Treatment

If you feel as though any of these conditions may describe what you are experiencing, please contact us to schedule an evaluation. OCD can be successfully treated with a combination of psychotherapy and medications. We utilize Cognitive Behavioral Therapy (CBT) to help change thinking patterns to decrease obsessional thoughts and consequently decrease compulsive behavior. We will also determine which specific medication is right for you and will work best in combination with your psychotherapy.

What are Schizophrenia Spectrum and other Psychotic Disorders?

Schizophrenia is a brain disorder that can be severe and disabling, causing impairment in functioning. Sometimes people can hear voices that others don’t hear, feel that others may control their thoughts, or that people want to harm them. Often times family or other caregivers must help care for patients suffering from these disorders. However, it is important to realize that safe and effective treatment exists and people suffering from psychotic disorders can lead meaningful lives if given the proper chance. If you are concerned about a loved one or yourself, come in for an evaluation.

Specific Psychotic Disorders:

• Schizophrenia Spectrum and Other Psychotic Disorders
• Schizotypal (Personality) Disorder
• Delusional Disorder
• Brief Psychotic Disorder
• Schizophreniform Disorder
• Schizoaffective Disorder
• Substance/Medication-Induced Psychotic Disorder
• Psychotic Disorder Due to Another Medical Condition
• Catatonia

What are some general signs or symptoms of Psychotic Disorders?

In general, people with psychotic disorders experience the following symptoms in various combinations. Hallucinations are things that someone sees, hears, or feels that others do not. Commonly, patients complain of hearing voices that others cannot hear. Sometimes, these voices can command a person to do things. Delusions are fixed and false beliefs not otherwise part of a person’s culture that are unshakable even if shown to be illogical or untrue. Disorganized thinking can take on many forms including difficulty connecting thoughts together in a logical manner, making up meaningless words, or even stopping talking mid-sentence (thought blocking). Movement Disorders can take the form of repetitive movements or even catatonia, which is where a person does not move and does not respond to other people.

Diagnosis and Treatment

If you think that you or a loved one may have a schizophrenia spectrum disorder, contact us to come in for an evaluation and we can discuss various options for treatment. There are safe and effective medications ranging from pills taken on a daily basis to long acting injectable medication given every 2 weeks, 4 weeks, or even 12 weeks.

What are Sexual Dysfunctions?

These disorders cause a person to experience a significant disturbance in the ability to respond sexually or to experience sexual pleasure. There are many things that can affect sexual functioning, from differences in expectations between partners to poor perception of body image and lack of confidence.

Specific Sexual Dysfunctions:

• Delayed Ejaculation
• Erectile Disorder
• Female Orgasmic Disorder
• Female Sexual Interest/Arousal Disorder
• Genito-Pelvic Pain/Penetration Disorder
• Male Hypoactive Sexual Desire Disorder
• Substance/Medication-Induced Sexual Dysfunction
• Gender Dysphoria
• Premature (Early) Ejaculation

What are some general signs or symptoms of Sexual Dysfunctions?

In general, most people with anxiety disorders experience a sense of fear and worry. However, there are unique symptoms for each disorder as well.
Premature Ejaculation:
• Occurs within 1 minute
Erectile Disorder:
• Difficulty maintaining an erection
Substance/Medication induced Sexual Dysfunction
• Caused by other medications / drugs / alcohol

Diagnosis and Treatment

After a careful clinical evaluation, we will determine which sexual dysfunction you are suffering from and develop a treatment plan that will help you. We will begin treatment with a combination of medication management and psychotherapy. We offer Cognitive Behavioral Therapy (CBT), which can help alter negative thinking patterns that can affect sexual functioning. We can also work to streamline medication management in the case of sexual side effects caused by medications.

What are Sleep Disorders?

Patients suffering from sleep-wake disorders generally have difficulty with the quality, amount, and timing of their sleep. Often, the lack of sleep at night causes distress during the day and can impair performance at work, school, or just in daily life. Sleep disorders can also contribute to development of anxiety, depression, difficulty with memory, and the lack of sleep itself can promote further mental illness.

What are some general signs or symptoms of Sleep Disorders?

Although individual sleep disorders have different symptoms, they share the common features of daytime distress and impaired functioning.

Insomnia Disorder:
• Poor sleep quality or quantity
• Distress or impairment in social, academic, occupational, or other areas of functioning due to poor sleep
• At least 3 nights/week and for at least 3 months

What are some general signs or symptoms of Sleep Disorders? (cont)

Hypersomnolence Disorder:
• Excessive sleepiness despite at least 7 hours of sleep
• Recurrent sleep episodes during the day
• Main sleep period of more than 9 hours that is unrefreshing

Narcolepsy:
• Recurrent periods of irrepressible need to sleep, falling asleep, or napping at least 3 times per week over the past 3 months.
• Brief loss of muscle tone caused by laughter or joking.

Circadian Rhythm Sleep-Wake Disorders:
• Sleep disturbance due to an alteration in circadian rhythm system
• Excessive sleepiness or insomnia

Diagnosis and Treatment

After a careful clinical evaluation, we can diagnose which sleep disorder is affecting you. We use Cognitive Behavioral Therapy targeted at sleep difficulty using varied techniques including the use of sleep diaries, sleep schedule modification, and sleep hygiene improvement. We also use medication when necessary as an adjunctive treatment. Improving sleep is often the first step to an overall wellness plan, and if you are suffering from any of the above sleep disorders, please contact us for an evaluation and to begin treatment.

Types Of Mental Health Specialists
Doctor, MD

Doctoral Level Licenses

Psychiatrist (M.D. or D.O.)

Psychiatrists first become licensed medical doctors. Additionally, they must complete a three-year residency program in psychiatric medicine. A Psychiatrists’ training emphasizes the biological basis of thought, emotion, and behavior. Psychiatrists can prescribe medication.

Masters Level Licenses

Advanced Nurse Practitioner (A.N.P.)

Advanced Nurse Practitioners complete a two-year master’s degree in nursing, complete a supervised clinical and psychotherapy training internship as part of the degree program, and pass a certifying examination. Not all advanced nurse practitioners have psychiatric training. Most psychiatric advanced nurse practitioners offer both psychotherapy and medication services.

Benefits of Telepsychiatry
Board Certified

Board Certified

Our Healthcare Providers and mental
health professionals are all US Board
Certified in Psychiatry.

Affordable

Affordable

Covered by Insurance.
Including Medicare / Medicaid.

Quality of Care

Quality of Care

Virtual Consult MD will improve the
continuity and quality of care for patients
with compassion and integrity.

Board Certified

Convenient

Relaxing and comfortable care
without schedule hassels.

HIPPA

HIPAA Compliant

Virtual Consult MD adheres to Good
Practice Standards (GPS) by implementing
a HIPAA compliant process.

Accessible

Accessible

On-Demand Mental Health &
Home Delivery Prescriptions

How It Works

Initially

Contact the nearest Virtual Consult MD Office or schedule your appointment online today by clicking on the “Make Appointment” button.

Step 1

Upon arrival to our office, please check in with the front reception desk where you will be registered. Complete any necessary forms prior to the start of your appointment. (If you are an existing patient, please provide our office with any updates to your medical history.)

Note: Please download and complete the “Intake Form” on our website and bring it to your visit. This will save time during the registration process.

Step 2

Once registration is complete, a medical professional will seat you in a Virtual Suite, where you will be informed of what is to be expected in a telepsychiatry visit.

Step 3

The medical professional will initiate the encounter between you and the healthcare provider. Once the connection has been established, the medical professional will leave the room and you may begin your private face-to-face visit with the specialist.

Finally

At the end of your visit, please check out at the reception desk.

Female Doctor

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Disclaimer:
Here at Virtual Consult MD we welcome ALL individuals regardless of age, ethnicity, gender, race, religion, sexual identity or orientation, socio-economic status, and marital status. We assure you that your beliefs and lifestyle are respected. We welcome you with complete acceptance and compassion.