what we do

What is psychiatry?

Our area of practice is focused heavily on neuropsychiatry, an emerging field within psychiatry also clustered under the umbrella of "Interventional Psychiatry". Both of those along with the area of HIV Psychiatry which compromise the bulk of Dr. Sepah's patient demographic, all falll under one medical specialty, psychiatry,  governed by the American Board of Psychiatry & Neurology. While psychiatrists learn a great deal of psychology, including the five main talk therapy modalities while in residency, psychiatry differs in that its foundation is the practice of medicine--it includes a medical perspective and treatment.  It requires four years of medical school following four years of an undergraduate degree, typically in the sciences. All psychiarists must complete a basic medical internship following by a minimum of three years of hospital based residency program, which adds up to around 35k hours of training. To practice, all psychiatrists must acquire a medical license as physicians from the Medical Board. To qualify, they must pass the same three steps of the USMLE exams as other physicians in country and successfully complete a medical internship. All psychiatrists are licensed as medical doctors.  To recieve "Board Certification' from their specialty board, psychiatrists must complete a total of four years of a mostly hospital-based residency program which include neurology, pediatrics, and general medicine. To qualify for the 8 hr written exam, they must first pass a three part oral exam and of course complete their residency successfully. Once they have passed the oral exams and the written exam--they are considered 'Diplomates' of the American Board of Psychiatry & Neurology. They must retake the written exam every ten years and submit 300 hrs of continued medical education for maintenance of certification. These are separate requirements that medical board certification requirements.   Thus, psychiatry is truly a medical specialty and when you are seeing a psychiatrist, it is no different than seeing any specialist in medicine, be it an endocrinologist or allergist.  

 

     

 

 

  • At PNC, we treat all general psychiatric conditions with an emphasis in neuropsychiatryInterventional Psychiatry which includes the most novel and promising treatments in psychiatry such as neuromodulation in the form of deep transmagnetic stimulation(TMS) for treatment resistant depression and now OCD. We are also a REMS certified Spravato center (intranasal eskestamine for treatment resistant depression).

  • MEDICATION ASSISTED TREATMENT (MAT) FOR SUBSTANCE USE DISORDERS INCLUDING VIVITROL

  • HIV Psychiatry

  • cognitive disorders, including dementia

  • traumatic brain injury

  • REPRODUCTIVE PSYCHIATRY INCLUDING IN THE PROCESS OF ESTABLISHING A COLLABORATION WITH AN INPATIENT SETTING FOR ADMISTERING THE INFUSION BASED-BREXANOLONE TREATMENT IN THE  

  • SCHIZOPHRENIA, INCLUDING THE ADMINISTRATION OF EVIDENCE-BASED TREATMENT IN THE FORM OF LONG ACTING SECOND GENERATION AGENTS SUCH AS INVEGA SUSTENNA. 

  • WE FOLLOW APA+ADA GUIDELINES FOR MONITORING OF HEPATIC, RENAL, HEMEMATOPOETIC, AND CARDIOVASCULAR PARAMETERS IN BOTH THE DIAGNOSTIC PROCESS AND THE TREATMENT WHICH INCLUDES VITALS SIGNS AT EACH APPOINTMENT, AND TYPICALLY STANDARD BASELINE LABS AT THE INITATION OF TREATMENT WITH RECURRANCE BASED ON DETAILS OF TREATMENT AND RESULTS. ALMOST ALL PATIENTS CONSIDERED FOR A PSYCHOTROPIC MEDICATION OR ALREADY ON THEM, WILL REQUIRE AN ECG FOR A BASELINE ASSESSMENT OF KEY MARKERS AFFECTED BY MOST MEDICATIONS, AGE, CHRONIC ILLNESS, BUT ALSO PARTICULAR PSYCHOTROPICS. 

  • ALL LABS AND EKG CAN BE DONE IN HOUSE AND RESULTS WILL BE SENT TO THE PATIENT'S PCP FOR COLLABORATION AND CONTINUITY OF CARE PER THE PATIENT'S CONSENT. 

  

 

Dr. Sepah is trained in both Dialectical Behavioral Therapy (DBT) for borderline personality disorder and Cognitive Behavioral Therapy (CBT)  as evidence-based adjunct treatment for various disorders.  Due to limitations of schedule, there are limited openings for DBT and CBT. Please mention these when calling if they are treatment modalities of interest. 

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Call Today: 626-765-6704

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