Special Interest: Mood Disorders and Advanced Psychotherapy. Psychoanalyst. Offer Psychotherapy in combination with Psychopharmacology. Everyone’s journey through life is unique, and so too are their paths
to healing and growth. I believe that each individual, with
collaborative help from their doctors, should become the expert on their
own mental health so that they can monitor change and be in the
driver’s seat of their recovery and/or growth. Because of the
interference and difficulty of achieving this goal with my clients under
the managed healthcare system (which is more about money-making than
care-giving), I formed the Cairn Center. Some have called it “concierge
care,” some “boutique healthcare.” We just call it honest, quality
healthcare, and see it simply as a return to common sense. To
familiarize yourself with our care model, collaborative approach, and
our fee structure, please read below. The Cairn Center is comprehensive,
collaborative care on your terms. Isn’t this the way it should be?
Comprehensive and collaborative care.
At the Cairn Center, we don’t believe a true diagnosis can be made or
quality treatment provided without a deeper understanding of you as a
person. Instead of the seven-minute medication management sessions
favored by managed care providers (who work on volume), we offer
comprehensive psychiatric care that starts with in-depth understanding
of your unique situation. We also believe that healthcare works best as a
collaborative effort. No one has more of an interest in your health
than you, and we’d like to work with you to put you, not insurance
companies, in control of your own healthcare decisions.
Availability and access.
To better fit your busy schedule, we do our best to offer flexible
office hours and will work with you to create a schedule that works for
you. For first-time visitors and those in need of prompt attention, we
will always do our utmost to manage timely appointments. As a commitment
to those we treat, we make ourselves personally available for
emergencies should they arise. We also make ourselves available for
phone and web consultations should this prove necessary or more
Increased sessions, increased time, and individualized attention.
We keep the size of our practice limited for this very reason, so that
we can schedule longer appointments and truly focus on you and your
unique situation. While in large insurance-driven practices doctors can
usually only see a patient for an allotted number of visits and only for
shorter, proscribed time slots, at the Cairn Center we will schedule as
much time as needed for any particular patient. Insurance companies
should not map out your treatment plan, you and your doctor should.
Responsiveness, with return calls made promptly.
We understand that when you have a health concern of any kind, you want
to speak with your health care provider and get answers as quickly as
possible. Because of our smaller patient list and just because we
believe it’s the right way to provide care, with the Cairn center you
can be assured that not only will you get a return call in a timely
manner, but that it will not be a nurse or receptionist who calls you
back but will be your doctor who knows you and knows your situation.
No waiting and no double booking.
How often have you conscientiously made it to you doctor’s appointment
on time or even early only to sit for the next hour waiting for your
turn (to be called into another room to wait some more!). Not with Cairn
Center. As we build our business and our reputation on quality of
care, not on the number of patients we see in a day, at the Cairn Center
we do not double book patients and make you wait. You’re on time for
your appointments and it’s our commitment that we are too.
A further note on collaborative care: we believe
strongly that your mental health is only one aspect of your entire
health, and we are happy to be (assuming you, as a patient, are
comfortable with this) in close contact with your primary care physician
or specialists. Psychiatric medications can have adverse effects like
weight gain, sexual dysfunction, and in some instances can worsen
existing medical illnesses like diabetes and high cholesterol if not
properly monitored. Likewise, medical illnesses and medications you may
be on or may be started on during the course of treatment may have
psychiatric effects. For this reason, communication and collaboration
between you, your doctors, and Cairn Center is important. Likewise, when
therapy with us is not an option, I believe in referring you to other
therapists depending on what your treatment requires and will work
closely with your therapists in gaining a better understanding of you so
that we can collaborate on providing you the best care possible.
A final cornerstone of our care model is our payment structure. We do not accept insurance.
This is not out of convenience for ourselves, this is because we have
found that the type of thorough and proper care we choose to practice is
impossible under the current managed health-care system in this
country. This was not an easy decision for us to make, but we feel that
it is for the best of our clients.