How We Think

how we thinkSpecialization helps us focus our clinical work and our educational activities. Increased experience with individuals with bipolar and related mood problems enhances our clinical ability to work effectively in this area.

Approximately one-half of our patients have recurrent mood problems. This concentration helps us learn more and learn faster about this area than occurs in more general psychiatric practices.

We appreciate the value of both biological and psychological treatments.

We do not subscribe to any single treatment orientation or philosophy. We try to think multi-dimensionally and approach problems from different points of view.

Psychotherapy often has a vital role in the care of those with mood disorders.

Each of us have had extensive training in multiple forms of psychotherapy both during and following our residencies.

Ongoing learning and study in the field of mood-related research is a priority.

We engage in extensive educational work at our practice. We systematically review the medical and psychological literature on particular aspects of mood disorders. This includes:

  • The neurobiology of emotional experience
  • The role of vagal states in mediating emotion
  • The pathophysiology of 2nd messenger systems in mood illnesses
  • The role of attachment in the development of mood regulation
  • The genetics of bipolar disorder
  • Neurocognitive dysfunction in mood disorders
  • Interpersonal social rhythm therapy
  • Psychoeducation
  • Family-Focused psychotherapies
  • Neuroimaging
  • Comprehensive and impartial medication updates on duloxetine, pregabalin, riluzole, N-Acetyl cysteine, omega 3 Fatty Acids, modafinil, lithium, agomelatine, vilazodone, and others
  • The role of dynamic psychotherapy in the treatment of bipolar disorders
  • Chronotherapeutics, including sleep deprivation, sleep phase advance, bright light therapy, dawn simulation, and melatonin
  • A complete review of all published studies from the STEP-BD project
  • Psychoanalytic theories on affect and affect regulation

In addition, we attend lectures and conferences, and give talks on manic-depressive illness to various hospitals and educational groups. Through our group structure, we are able to leverage our colleagues wisdom and experience when we confront clinical problems that benefit from peer supervision.