Gateway Psychiatric Services

CoVID-19 Update: We are currently accepting new patients for telehealth appointments.

Clues that can help us provide more effective care for those with treatment resistant depression are urgently needed. Sidney Zisook and colleagues report an analysis of the data from a large study of veterans with chronic depression (VAST-D) and conclude that two clinical features can help predict likely response to medications changes for some patients who have failed at least one trial of an antidepressant. [ 122 more words ] https://www.gatewaypsychiatric.com/treatment-resistant-dep/

What are the best strategies for using ketamine to treat major depression in the short term? Although we know that ketamine (and, now, esketamine) can be helpful we really don't know that much about what strategy works best. The most commonly used ketamine infusion protocol is adapted from studies using ketamine to treat chronic pain. An article in the March issue of the American Journal of Psychiatry suggests that treatment three times a week may be helpful in the acute phase (standard treatment protocols have usually been twice a week) and that infusions once a week, after an initial period of two weeks of infusions three times a week, will preserve the response for at least a month without any short term evidence of tolerance (reduced response over time). [ 116 more words ] https://www.gatewaypsychiatric.com/ketamine-short-term-tre/

We are highly enthusiastic about our new therapist and case manager, Alana Kivowitz, LCSW joining Gateway's team just before the new year. Alana is a San Francisco native who is returning after completing her master's degree in social work at the University of Michigan, Ann Arbor, where she remained for a number of years working with adults and adolescents in a variety of settings. [ 143 more words ] https://www.gatewaypsychiatric.com/gateway-welcomes-new-th/

Gateway Psychiatric Services is excited to announce the release of our latest book: The Bipolar Disorder Workbook from Callisto Media. Designed to educate and motivate people who have questions, particularly about Bipolar II and cyclothymia, the workbook walks users through a series of structured exercises, beginning with a basic checklist intended to identify symptoms that may warrant further investigation. The Workbook guides readers through an understanding of the diagnostic process and teaches skills for management of the condition, using both medication and lifestyle change approaches. [ 54 more words ] https://www.gatewaypsychiatric.com/bipolar-workbook-from-g/