Archive for the ‘Individual Therapy’ Category

Apex Insurance Info

Monday, June 4th, 2012

Apex Behavioral Health is not in network with most state insurances.

  • The only state insurance we accept is Total Health Care.
  • We do NOT accept Great Lakes insurance. Great Lakes has us listed as a network provider but we are NOT in network with them – this applies to Great Lakes under United Behavioral Health.
  • We are not a Bluecaid provider.

In regards to Medicare:

  • Medicare covers 50% of an office visit.
  • For an initial doctor visit, the cost would be $80.25. A follow-up visit will be $26-28.
  • While we are not a Medicaid provider, we do accept a secondary Medicaid insurance provided you are in network with Medicare.
  • Medicaid will pay for doctor’s visits, but therapy is not covered.
  • The first therapy visit is $60.19, with the follow-ups costing $49.15.

In relation to low fee costs:

  • The first doctor’s visit is $125, second visits are $55.
  • Therapy visits are $90, second visits are $70.
  • All co-pays are due at the time services are rendered, and we do not have a sliding pay scale.
  • If you have a large deductible that it seems unlikely you will ever meet, consider switching to the low fee scale.

Other notable insurance facts:

  • We are in network in HAP, but not Henry Ford HAP.

Please leave a comment with any further questions you may have!

Updates on Apex!

Thursday, May 31st, 2012

 

Our Plymouth building

Are you aware Apex has a Livonia office? Or a Plymouth office? If our  Westland office seems too congested or overwhelming for you, Livonia or Plymouth may be a great alternative.

They are both small, cozy offices. Some information on each is listed below.

Livonia is located on 17940 Farmington Rd.,  Suite 280. This is located just off of Curtis road. The Livonia phone number is 734 466-3311, if no one answers please leave a message and someone will call you back, as there is not someone in the office 24/7.

Therapists  at our Livonia office include: Robert Graham, Glenna Washburn, Judy Anderson, Ricky Jentons. Dr. Joseph is the psychiatrist and she is in one Saturday a month. Ricky is in Monday-Thursday;  he sees children and adults.

Our Plymouth office is located 199 N. Main Street, ste 202, Plymouth, MI. Sharon Garant is always accepting intakes, she sees clients aged 18+ and is in the office Tuesday- Thursday. She has day and night time appointments available.

Kristin Hammoud is in the office on Wednesdays from 9:30-5:30. She is an APRN, meaning she can prescribe medication and counsel clients. Kris does not see ADD patients and has much experience with PTSD, depression, substance abuse, and mood disorders.

Shawn Miracle is one of our child therapists and she is available for Saturday appointments.

The number to make an intake appointment at Plymouth is 734-254-9316. The therapist’s direct voicemails are on 734-254-9380.

You can also call the Westland number at 734-729-3133 and ask to schedule an appointment at Plymouth!

I Think I’m Depressed – What Now?

Thursday, March 3rd, 2011

Many people have a hard time accepting that they may be depressed. They feel some level of shame or embarrassment, which is unfounded considering that depression is a disease. If you had cancer, wouldn’t you go to a doctor?

Depression hits people of all ages and races. Currently, there are an estimated 15 million people in the US suffering from depression. Realistically, that number is probably higher than what’s reported. Regardless, 2/3 people don’t get any sort of treatment for depression, which is a waste because depression is a treatable illness.

Nobody knows what causes depression. You may be able to identify a trigger, or a stressful event like divorce or death of a loved one as causing your depression, but it may have existed prior.  There is no one reason why depression sets in; however, stress, hormones, and genetics can increase the risk. 

The longer depression lasts, the worse your symptoms may get and the harder it will be to treat.

Without treating depression, people can struggle for months or years feeling absolutely miserable. If you do decide to seek treatment, there are a lot of effective and proven ways to treat depression. Doctors will try psychotherapy or antidepressant medication. Studies have found that combined treatment of therapy and medication works better than medication on its own.

Lifestyle changes can help depression, which is something you and your therapist can talk over. Managing stress, getting enough sleep, eating healthy, and exercising have all been shown to help. The important thing is that there are many options out there.

Some people are appropriately apprehensive when it comes to taking medication. Common worries include if the drugs will change one’s personality, or concerns regarding the side effects. The doctor will inform you about potential side effects. Regarding altering your personality, depression has already put you in a fog and the medication may help you return to your original self.

For those that are interested, antidepressants work by making the nerve cells form stronger and healthier connections to specific parts of the brain. The most common antidepressants are called SSRIs. These types of drugs can take weeks or months to be effective.

Therapy has been shown to have more lasting benefits than medication. Talking to a stranger about the problems bothering you may make you feel uncomfortable. It’s important to remember that therapists are a skilled professional and they will not judge you. Everything is confidential!

Cognitive behavioral therapy helps you see how your own thought patterns can contribute to your depression and it teaches practical ways to change them.

Many people seek a holistic approach to treat depression. There’s the view that if it comes from the Earth, it is natural, and therefore less harmful. However, natural supplements have side effects as well. You should talk to a doctor or do extensive research before taking them. The evidence is unclear if natural herbs actually work or not. Supplements like fish oil and folic acid may have some benefits, but other supplements really don’t do anything.

So how does one start treatment? You can get a referral from your family doctor or call the 1-800 number on the back of your insurance card and they will find you a mental health provider. The American Psychological Association and the American Psychiatric Association also have online locators. Some family doctors prescribe antidepressants but finding a psychiatrist (someone who specializes in mental disorders as opposed to general medicine) will be more beneficial for treatment.

Physical symptoms of depression can include: headaches, back pain, muscle aches, joint pain, chest pain, digestive problems, exhaustion & fatigue, sleeping problems, change in appetite or weight, dizziness or lightheadedness.

Benefits of treating depression include: better sleep, better libido, pain or discomfort relief, improved health, better work performance, better memory, happier home life, healthier lifestyle, increased sense of control, decreased future depression, and stronger ties with family.

Some people avoid getting treatment for the following reasons:

  • “I’ll snap out of it if I give it time.”  You can’t snap out of being depressed. Having the blues may pass, but clinical depression will linger and get worse if it is not treated.
  • “‘I don’t want to take antidepressants.” Psychotherapy is always an option. Cognitive behavioral therapy deals with your thoughts and feelings now; it works to improve your thought pattern and your quality of life.
  • “I don’t feel sad all the time. Why do I need treatment?” Sometimes, people with depression see their clinical physician for ailments like muscle pain or sleeping problems, not knowing that they are symptoms of depression. You don’t need to be crying all the time to be depressed.
  • “I’m embarrassed to talk to my doctor about it.”  Depression is not something to be ashamed of, it is a common medical condition. Your doctor has already treated patients just like you.

You can always voice your concerns to your therapist or doctor and they will work with you to make you feel more comfortable. Apex Behavioral Health is always available to help treat your depression. Make an appointment and help yourself!

Understanding and Helping the Suicidal Individual

Thursday, September 30th, 2010

Be aware of the warning signs! Are you or someone you love at risk of suicide? Get the facts and take action!

Get help immediately by contacting a mental health professional or calling 1-800-273-8255 for a referral should you witness, hear, or see anyone exhibiting any one or more of the following:

  • Someone threatening to hurt or kill him/herself, or talking of wanting to hurt or kill him/herself.
  • Someone looking for ways to kill him/herself by seeking  access to firearms, available pills, or other means.
  • Someone talking or writing about death, dying or suicide when these actions are out of ordinary for the person.

Seek help as soon as possible by contacting a mental health professional or calling 1-800-273-8255 for a referral should you witness, hear, or see anyone exhibiting any one or more of the following:

  • Hopelessness
  • Rage, uncontrolled anger, seeking revenge
  • Acting reckless or engaging in risky activities, seemingly without thinking
  • Feeling trapped – like there’s no way out
  • Increased alcohol or drug use
  • Withdrawing from friends, family and society
  • Anxiety, agitation, unable to sleep or sleeping all the time
  • Dramatic mood changes
  • No reason for living; no sense of purpose in life

Be aware of the facts!

  1. Suicide is preventable. Most suicidal individuals desperately want to live; they are just unable to see alternatives to their problems.
  2. Most suicidal individuals give definite warnings of their suicidal intentions, but others are either unaware of the significance of these warnings or do not know how to respond to them.
  3. Talking about suicide does not cause someone to be suicidal.
  4. Approximately 32,000 Americans kill themselves every year. The number of suicide attempts is much greater and often results in serious injury.
  5. Suicide is the third leading cause of death among young people aged 15-24, and it is the 8th leading cause of death among all persons.
  6. Youth (15-24) suicide rates increased more than 200% from the 1950′s to the late 1970′s. Following the late 1970′s, the rates for youth suicide have remained stable.
  7. The suicide rate is higher among the elderly (over 65) than any other age group.
  8. Four times as many men kill themselves compared to women, yet three times as many women attempt suicide as compared to men.
  9. Suicide occurs across all age, economic, social, and ethnic boundaries.
  10. Firearms are currently the most utilized method of suicide by essentially all groups (male, female, young, old, non-white, white).
  11. Surviving family members not only suffer the trauma of losing a loved one to suicide, and may themselves be at higher risk for suicide and emotional problems.

Ways to be helpful to someone who is threatening suicide:

  1. Be aware. Learn the warning signs.
  2. Get involved. Become available. Show interest and support.
  3. Ask if he/she is thinking about suicide.
  4. Be direct. Talk openly and freely about suicide.
  5. Be willing to listen. Allow for expression of feelings. Accept the feelings.
  6. Be non-judgmental. Don’t debate whether suicide is right or wrong, or feelings are good or bad. Don’t lecture on the value of life.
  7. Don’t dare him/her to do it.
  8. Don’t give advice by making decisions for someone else or tell them to behave differently.
  9. Don’t ask ‘why.’ This encourages defensiveness.
  10. Offer empathy, not sympathy.
  11. Don’t act shocked or react negatively. This creates distance.
  12. Dont’ be sworn to secrecy. Seek Support.
  13. Offer hope that alternatives are available, do not offer glib reassurance; it only proves you don’t understand.
  14. Take action! Remove means! Get help from individuals or agencies specialize in crisis intervention and suicide prevention.

Be Aware of Feelings, Thoughts, and Behaviors

Nearly everyone at some time in his or her life thinks aboutsuicide. Most everyone decides to live because they come to realize that the crisis is temporary and death is not. On the other hand, people in the midst of a crisis often perceive their dilemma as inescapable and feel an utter loss of control. Frequently, they:

  • Can’t stop the pain
  • Can’t think clearly
  • Can’t make decisions
  • Can’t see any way out
  • Can’t sleep, eat or work
  • Can’t get out of the depression
  • Can’t make the sadness go away 
  • Can’t see the possibility of change
  • Can’t see themselves as worthwhile
  • Can’t get someone’s attention
  • Can’t see to get control

TALK TO SOMEONE, YOU ARE NOT ALONE!

Contact:

  • A community mental health agency like Apex Behavioral Health
  • A school counselor or psychologsit
  • A suicide prevention/crisis intervention center
  • A private therapist
  • A family physician
  • A religious/spiritual leader

National Phone Numbers

National Suicide Prevention Lifeline 800-273-7600

National Mental Health Association 703-684-7722

Local Phone Numbers

Wayne County 313-224-7000

Washtenaw County 734-936-5900

Oakland County 248-456-0909

If you are experiencing suicidal thoughts, you need to know that you are not alone. By some estimates, as many as 1 in 6 people will become seriously suicidal at some point in their lives. Fortunately, most people do not on their suicidal thoughts – crises pass and problems are solved. However, sometimes thoughts lead to self harm.

Suicide thinking is usually associated with problems that CAN be treated. Clinical depression, anxiety disorders, chemical dependency, and other disorders produce profound emotional distress. They also interfere with effective problem-solving. New treatments are available and studies show that the vast majority of people who receive treatment improve or recover completely.

Even if you have received treatment before, you need to know that different treatments work better for different people in different situations. Sometimes several tries are needed before the right combination is found.

If you are unable to think of solutions other than suicide, it’s not that solutions don’t exist, only that you are unable to see them. Therapists and counselors can help you to see solutions that are otherwise not apparent to you.

Suicidal crises are almost always temporary, it’s important to realize that crises are usually time-limited. Solutions are found, feelings change, unexpected positive events occur. Suicide is sometimes referred to as “a permanent solution to a temporary problem.” Don’t let suicide rob you of better times that will come your way when you allow more time to pass.

Problems are seldom as great as they appear at first glance; job loss, financial problems, loss of important people in our lives, all are stressful events that can seem catastrophic at the time they occur. Then, months or years later, they usually look smaller and more manageable. Sometimes, imagining ourselves five years later can help us to see that a problem will pass and we will survive.

Reasons for living can help sustain a person in pain. A famous psychologist once conducted a study of Nazi concentration camp survivors and fount that those who survived almost always reported strong beliefs about what was important in life. You, too, might be able to strengthen your connection with life if you consider what has sustained you through hard times in the past.  Family ties, religion, love of art or nature, and dreams for the future are just as few of the many aspects of life that provide meaning and gratification; facts that you can lose sight of due to emotional distress.

Don’t keep suicidal thoughts to yourself! Help is available, whether through a friend, family member, therapist, or member of the clergy. Find someone you trust and let them know how bad things are. This can be your first step on the road to healing.

 

American Association of Suicidology

5221 Wisconsin Avenue, N.W.

Washington, DC 20015

www.suicidology.org

Email: info@suicidology.org

Antidepressants

Thursday, February 11th, 2010

Antidepressants are psychiatric medicines used to alleviate mood disorders. Antidepressants work on the brain in a variety of ways, different antidepressants target different areas of the brain  Tricyclic antidepressants were one of the first major antidepressants introduced in the late 1950′s, and were later replaced by selective serotonin reuptake inhitors, or SSRIs. SSRIs  increase the amount of serotonin available to bind to brain’s receptors; Prozac, Zolof, and Paxil are some of today’s most popular SSRI antidepressant drugs.  SNRIs, serotonin-norepinephrine reuptake inhibitors, such as Effexor and Wellbutrin, work by increasing the levels of the neurotransmitters serotonin and norepinephrine in the brain, which plays a role in one’s mood.  

Lately there has been controversy surrounding the overall success of antidepressants. Some researchers argue that people are being too over-medicated,  that antidepressants are not extremely beneficial in patients with mild depression. The placebo effect refers to a patient taking  a sugar pill and reporting  feeling better, simply because they took a pill they were told would improve their condition. In reality, the patient ingested a sugar pill and it was their change in thought that led their condition to improve.

Patient volunteers are told they will receive either the drug or a placebo, and neither the scientist nor the patient knows who is getting the sugar pill as opposed to the actual drug. Most volunteers want to get the actual drug, and several weeks into the clinical trial users know they are on the real drug when they experience side effects.  Some studies have shown that the worse the side effects, the more effective the patient believes the drug is, heightening expectations.

Newsweek argues that the belief in the power of a medical treatment can be self fulfilling, aka the placebo effect.

However, drug advocates argue that the FDA would not have approved ineffective drugs for millions of people to take. The FDA requires two clinical trials to prove that a drug is more effective than the placebo. In patient-doctor relationships, doctors personally monitor and see the positive effect antidepressants have on a patient’s mental state.

In an analysis of six experiments where depressed patients received a placebo or active drug, the true drug effect (the drug’s effect in addition to the placebo effect) was found to be “nonexistent to negligible” in patients with mild and moderate depression.  In patients with very severe symptoms, there was a statistically significant drug benefit.

Certainly, antidepressants have helped tens of millions of people, and people on antidepressants should not discontinue taking their medication. However, antidepressants may not be the best first choice for patients with mild depression.

Psychotherapy has shown to be extremely effective in treating patients with depression, depression ranging from mild to moderate to severe. For some patients, psychotherapy in addition to antidepressant medication works even better. Each individual experiences depression differently, and psychotherapy is particularly tailored to each person’s individual issues.

In the U.S., many patients with depression are treated by their primary care physicians, not psychiatrists.  If you are experiencing depression or any other mental problem, it is important to see a therapist or psychiatrist over a primary care physician. Therapists are able to truly individualize your treatment, and give your mental health the utmost attention.  Apex Behavioral Health can provide you with psychotherapy and psychiatry. Apex is specialized in mental health, all of our staff is certified and qualified. Please don’t hesitate to seek out a doctor or therapist – depression symptoms can get better.

The Newsweek article can be found here: http://www.newsweek.com/id/232781/page/1

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