If someone is already in therapy and is looking for someone to manage their psychiatric medications, we are happy to do so and to work collaboratively with the therapist. This is known as "split treatment," We subscribe to the philosophy of using the lowest dose of medication necessary and the fewest medications possible. We are often in the position of helping people come off medications that are no longer necessary or that are not helping. We incorporate recommendations regarding sleep, diet and complementary therapies and refer patients for non-pharmacologic treatments such as Transcranial Magnetic Stimulation when appropriate. We are licensed suboxone providers and prescribe for patients already on suboxone maintenance. We also frequently order pharmacogenomic testing that can help determine which drugs may be a better fit for a person's genetic makeup. While therapy can be helpful for most cases, sometimes an individual may not need therapy and in that case, we can prescribe medications without a separate therapist being involved. Every visit, regardless of whether or not someone has a primary therapist, incorporates therapeutic components but medication management visits usually occur every month or every few months and are typically 30-45 minutes in length whereas individual therapy is usually at least once per every 1-2 weeks.