PROFESSIONAL SERVICES

PSYCHOPHARMACOLOGY

Medications are helpful for a number of mental health issues, including depression, bipolar disorder, anxiety, ADHD, OCD, and problems with thoughts or perceptions.  I have vast knowledge, training, and experience in evidence-based prescribing of psychiatric medications, as well as ample experience in managing side effects related to their use.  I offer GeneSight genetic testing to help personalize psychiatric medication treatment.  While medications alone may not be enough, they often provide significant relief for people suffering from mental health issues, and can improve functioning and quality of life.

PSYCHOTHERAPY

In addition to psychopharmacology, I provide a number of psychotherapeutic modalities, including psychodynamic psychotherapy, interpersonal psychotherapy, cognitive-behavioral therapy, and motivational enhancement.  Depending on your specific needs and treatment goals, we will make a decision together on the type of therapy that is right for you.  The benefits of therapy include the development of life-long skills and coping strategies, and potentially gaining insights into your past or present that will positively affect your future.

ADDICTION

The treatment of substance addictions is complex and multifaceted.  My experience with addiction treatment predates medical school, as a research assistant in clinical trials for alcohol, cocaine, and methamphetamine addictions at the University of Virginia.  For more than 10 years, I have been mentored by addiction experts, and am currently an NIH-supported research fellow at Columbia University.  In addition to my research, I have significant experience in addiction treatment, including detoxification, the use of both FDA-approved and off-label medications to reduce cravings and withdrawal symptoms, and the use of psychotherapy to enhance motivation, develop alternative coping strategies, manage cravings, and reduce the likelihood of relapse.  I am a strong proponent of harm-reduction and medication-assisted treatment (MAT).  I have significant experience in prescribing medications for alcohol addiction (including naltrexone, acamprosate, disulfiram, topiramate, and gabapentin).  I have a waiver and experience with prescribing office-based buprenorphine (i.e. Suboxone) and with injectable naltrexone (i.e. Vivitrol) induction and maintenance.  I also provide off-label medications for the treatment of stimulant and cannabis addictions.  No single medication or therapy is right for everyone, and I am eager to work with my clients on finding a way for them to meet their goal of reduction or abstinence.

GENDER & SEXUALITY

Issues around gender identity and sexuality can be complicated and difficult to discuss with a health care provider.  I am sensitive to these concerns and have experience working with the LGBTQ+ population.  I have worked with young adults in both support groups and individual treatment, as well as adults in individual treatment.  In addition to discussing gender identity and sexuality and their relationship to other mental health concerns or substance use issues, I have experience in exploring these issues specifically in a way that encourages client personal growth and comfort.  Additionally, I have experience working with clients with HIV/AIDS, and performing pre-operative evaluations for gender affirmation surgeries, as well as any necessary provider communication and/or letter-writing.  I am comfortable treating clients of all gender identities and sexual orientations.

For questions regarding treatment of other issues or concerns not explicitly stated here, please contact me.

FEES & INSURANCE REIMBURSEMENT

PROFESSIONAL FEES

Fees for my services are based on time and complexity. An initial consultation fee includes a 60-90 minute comprehensive psychiatric evaluation. Follow-up fees vary depending on the type of service provided. Most services will include psychiatric medication management, and may include 30-45 minutes of psychotherapy.  Professional fees are based on neighborhood market value and can be discussed in detail during a free telephone consultation.

PAYMENT METHODS

Payment for professional fees is due at each appointment by electronic payment, credit/debit card, cash, or personal check.  If you are electing to use your out-of-network benefits, I will provide you with a detailed invoice after the initial consultation and on a monthly basis for follow-up visits, which you can submit for direct reimbursement from your insurance company.

INSURANCE REIMBURSEMENT

I am not currently enrolled to accept any commercial health insurance plans, Medicaid, or Medicare. However, many commercial health insurance plans offer out-of-network benefits. Your insurance may cover 60-80% of the cost. If you are interested in using these benefits, you should contact your health insurance provider prior to scheduling a consultation. The following worksheet may be helpful to better understand your out-of-network benefits and reimbursement.

 

© 2018 Derek Blevins, MD

Derek Bleins MD Lighthouse
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