Services Offered
Services Offered Permalink
Initial visits will include a comprehensive evaluation and consultation. After that, she works in collaboration with her patients with developing a treatment plan for their clinical condition and needs. The treatment approaches used include psychotherapy, or psychotropic medication management, or the combination of treatments, at a pace that they feel comfortable with.
Her treatment model includes helping the patients in their path of living more fulfilling lives while managing their clinical needs. She believes in developing a therapeutic relationship with her patients and helping them recognize and change some of their unhelpful and unhealthy behavior patterns. Her work includes looking at the relationship between mental health, physical health, women’s issues, nutrition, spirituality, cultural background, grief, loss, childhood, development, sense of identity and individuality. She draws on a variety of psychotherapy approaches including psychodynamic therapy, supportive therapy, behavioral therapy, and cognitive behavior therapy.
Medication treatment model is provided and reviewed in detail, if that is something that the patient prefers and is considered appropriate for treatment. Treatment is based on current and evidence based psychopharmacological model. Careful attention is given to the patient’s complete medical condition including looking into their complete physical health, other medications prescribed by other doctors and their emotional life, psychological and social factors. She also provides medication management appointments for patients who are stable on medications and want to regularly monitor and manage their treatment with a more comprehensive approach. Her work includes proactive and continual reassessment of the appropriateness of existing medications before passively represcribing them. She has experience working with complex and treatment resistance cases, where integrating psychosocial evidence bases to guide effective prescribing has shown to be beneficial. If the patient has other medical issues along with psychiatric issues, she works with their primary care doctor and other medical specialists in providing a comprehensive care for the patient.
Services also include providing consultation visits for diagnostic clarification and medication management for patients who are working with another therapist. She works on a collaborative approach with the patient’s current therapist in providing appropriate care for these patients. Some patients need medication management treatment with a psychiatrist and psychotherapy treatment with another therapist or psychiatrist. In such cases, she helps you with referral to appropriate clinician who does psychotherapy work.
In some cases, patients have treatment resistant psychiatric illness, where they have already tried different medication therapies and have not felt many benefits or had issues with tolerating them. In such cases, our office can help you with the Pharmacogenomic testing consultation. Through these testing, prescription drugs can be adjusted or modified based on what is more tolerable to your unique genetic factors.
Additional Information Permalink
Dr. Gulwadi is a provider of outpatient, office based and non-emergent services. Since this is a small practice, it is not equipped to manage psychiatric conditions that require urgent care or 24/7 treatment or other forms of intensive services.
Certain patients with recurrent crisis in their mental health conditions require a large team and multiple providers from various disciplines (e.g. psychiatric subspecialists, case managers, social workers, psychologists, etc.) and this type of care is not available at this location. Other services not provided at this location are - Court-related testimony, paperwork or mandated treatment, treatment of minors (<18 years old), long term disability assessments.
