Sometimes, medication is necessary to help you manage a mental disorder or condition. At Coping Nurse Practitioner in Psychiatry Services in Uniondale, New York, and via telehealth, Judy E. Vansiea, DNP, MA, MS, APRN, NPP, balances the use of medications with therapy. While a “pill” can’t fix everything, it can be an important tool in helping you overcome mental challenges. Call or book online to receive a comprehensive psychiatric evaluation and treatment plan that may include medication management to help you heal. Telehealth appointments are available for those residing in the boroughs of New York such as Bronx, Brooklyn, Manhattan, Queens and Staten Island. Services continue to be available as well to Nassau and Suffolk Counties and all residents of the state of New York; along with all college students needing services within New York.
Dr. Vansiea's best practice philosophy of care is not to prescribe control substances as the first option for treatment related to your mental health. Adjustment of medications is also best done for new patients after a comprehensive psychiatric evaluation, review of records, labs, and diagnostic testing if needed. Dr. Vansiea does not start or adjust any existing medications on the initial appointment. Baseline labs are ordered and results are discussed with patients prior to starting or adjusting any medications in patients' best interest. She does not complete any forms also on the first appointment either. Dr. Vansiea's ultimate goal as a practitioner is to provide patient-centered and goal-directed care focused on doing good and not harm in her patients' best interest.
In many cases, psychotherapy is the best treatment option for mental health support. But, sometimes, medication can complement cognitive-behavioral therapy, motivational interviewing, Christian counseling, trauma-focused support, 12-steps, and talk therapy. Dr. Vansiea tailors all treatment approaches to you, the individual.
Dr. Vansiea prefers not to prescribe medications on the first visit until she reviews your medication history and allergies. This meeting is designed to be a comprehensive psychiatric evaluation and development of a treatment plan. Dr. Vansiea encourages signing a release of any previous records form to be completed on the first appointment. She reviews your past medical and mental health history and reviews any existing labs, screenings or diagnostic tests. She will explore all options for the management of your mental health condition in conjunction with prescribing medications if needed. Dr. Vansiea orders pharmacogenomics testing to determine what medication will be best suitable for your genetic makeup. This information in the long run will improve compliance of medication management when you have less side effects based on the best medication option to prescribe for how an individual's genetic makeup will metabolize it.
If you’re prescribed medication, Dr. Vansiea carefully monitors your use and the effects on your health. In addition, medication teaching is done on each drug risk and benefits prior to proceeding to take a medication. Dr. Vansiea believes in monotherapy as an initial prescribing option versus polytherapy for medication management.
She’ll want to know if you have any allergies or have had complications with other medications. Dr. Vansiea ensures you understand exactly how to use the medicine and your dosage before you start using it. She will emphasize that you should not share your medications with another person or take someone else’s medication. She will also encourage that you don't mix alcohol with other prescription or illegal drugs since this can lead to drug interactions, compromise safety or death mixing different drugs. So it's important to disclose if you are using substances or taking other medications to prevent complications. If you fear that you’re having a reaction to your medication — physical or mental — contact the Coping Nurse Practitioner in Psychiatry Services right away to adjust the dose or change medications.
Medications can be used in conjunction with therapy to address a number of different conditions. Dr. Vansiea may recommend:
These medications treat depression and sometimes help with pain, insomnia, and anxiety. Dr. Vansiea monitors your dosage and use so that you don’t come off the medication too suddenly, as this can lead to a relapse.
Anti-anxiety medications can help if you suffer from extreme worry and fear or frequently experience panic attacks. Because it’s possible to build up a tolerance to anti-anxiety medications over time, Dr. Vansiea will regularly check in to make sure your prescription is still working for you.
Stimulants are used to increase your energy, attention, and alertness. If you have narcolepsy, attention deficit disorder, or depression, a stimulant may be appropriate for you.
For people suffering from psychosis, antipsychotics may be necessary to help ground you in reality. If you’re having delusions, hallucinations, or other symptoms of psychosis, Dr. Vansiea may prescribe an antipsychotic to clear your mind so you can benefit from counseling and other therapies.
At Coping Nurse Practitioner in Psychiatry Services, Dr. Vansiea may employ Medication-assisted treatment (MAT) if you’re wrestling with a substance use disorder. She routinely offers MAT for patients who are addicted to opioids, alcohol, and smoking.
MAT for substance use disorders uses FDA-approved medications such as Suboxone, Buprenorphine, Naltrexone and Campral in combination with counseling and behavioral therapies, to provide a whole-patient approach to treatment of opioid and alcohol use disorders.
If you’ve been prescribed medication to help manage your substance use disorders, you need an expert for your medication management for your dosage. Call Coping Nurse Practitioner in Psychiatry Services or book online to begin the process of an evaluation and assessment treatment intervention.