Anonymous wrote:Recommendation for psychiatrists in MD (autism, anxiety ADHD, psychosis) for med management?

DC tried Risperidone, Seroquel, Zoloft, Clonidine, Lorazepam, Mirtazapine and Lamictal in the past 2 years (some were activating, some were effective for a only couple of months even after increasing the dose). DC still have intense psychotic episodes. Maybe should try Lithium and Zyprexa next?

Ouch, that’s a lot of trials.

I’d go ask for clozapine with the Team Daniel Laitman protocol in Maryland. Dr Laitman developed a system to manage clozapine and its side effects effectively. Team Daniel has an active Facebook group for local doctors using this method. I believe a few doctors are in Maryland.

Clozapine had a bunch of blood tests that were unnecessary over the long term. People hated the blood testing. FDA has scaled back required testing and left it up to doctors to manage. There are many bad things about 2025 federal actions but this clozapine change gets the US to international standards on its use.

Recommendation for psychiatrists in MD (autism, anxiety ADHD, psychosis) for med management?

DC tried Risperidone, Seroquel, Zoloft, Clonidine, Lorazepam, Mirtazapine and Lamictal in the past 2 years (some were activating, some were effective for a only couple of months even after increasing the dose). DC still have intense psychotic episodes. Maybe should try Lithium and Zyprexa next?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Dr Pavan Segal in Bethesda. He was great and helped my teen tremendously

I do not recommend Dr. Segal.

PP here. I am very surprised. If I may ask, what happened?

I’m not comfortable being specific because I don’t want him to be able to identify me. But there was an incident that made me doubt his integrity.

Anonymous wrote:

Anonymous wrote:Dr Pavan Segal in Bethesda. He was great and helped my teen tremendously

I do not recommend Dr. Segal.

PP here. I am very surprised. If I may ask, what happened?

Anonymous wrote:Im in mental health, if this was my child i would use the Fairfax County CSB if in Fairfax. Why pay thousands out of pocket? the CSB has way more programs-wrap around services and so on-outcomes are better and it is covered by taxpayer dollars.

This is reassuring to hear. Thanks for the feedback.

I had a lot of success with cobenfy for an adult child with autism, anxiety and schizophrenia. Managing the meal schedule is tough. Nausea is a nasty side effect. But the anxiety is gone for the first time in 20 years.

I’d go through your local CSB psychosis prorgan.

Cobenfy is available through Medicaid. Private insurance won’t cover it.

Im in mental health, if this was my child i would use the Fairfax County CSB if in Fairfax. Why pay thousands out of pocket? the CSB has way more programs-wrap around services and so on-outcomes are better and it is covered by taxpayer dollars.

Anonymous wrote:bump.
Looking for a psychiatrist for a 19-year-old with autism, ADHD, anxiety, and recurring psychotic episodes over the past two years. Cognitive ability is average, but social–emotional functioning is much younger. Things have not been going well—there have been multiple ER visits and an inpatient psychiatric admission. IOP, PHP, and DBT were not successful because she is unable to participate in group-based discussions.

We are hoping to transition to a psychiatrist with extensive experience in medication management for individuals with autism and psychosis (hallucinations during manic episodes or periods of heightened anxiety).

Please provide recommendations for psychiatrist (or treatment). Thank you.

She is excellent for med management https://www.childadultpsychiatry.com/

Anonymous wrote:Dr Pavan Segal in Bethesda. He was great and helped my teen tremendously

I do not recommend Dr. Segal.

Dr Pavan Segal in Bethesda. He was great and helped my teen tremendously

If you are located in Maryland, I recommend Dr. Miriam Bloom. She was very helpful to us when we were desperately looking for a psychiatrist that you could see DC right away. She's out of network so we used her until we got off the waiting list for a psychiatrist (Inova Keller) that takes insurance. I was and still sad to have left her practice, but DC's needs were too high to continue services and care out of network and we live in Virginia so dealing with traffic with a child who is reluctant or unstable was challenging.

If you are in Fairfax County, I've heard that the community services board is a good place to start while you are looking for a psychologist or psychiatrist as that process can take a while. I don't have personal experience with them but have kept that in mind because the intake is on a walk-in basis.

bump.
Looking for a psychiatrist for a 19-year-old with autism, ADHD, anxiety, and recurring psychotic episodes over the past two years. Cognitive ability is average, but social–emotional functioning is much younger. Things have not been going well—there have been multiple ER visits and an inpatient psychiatric admission. IOP, PHP, and DBT were not successful because she is unable to participate in group-based discussions.

We are hoping to transition to a psychiatrist with extensive experience in medication management for individuals with autism and psychosis (hallucinations during manic episodes or periods of heightened anxiety).

Please provide recommendations for psychiatrist (or treatment). Thank you.

Anonymous wrote:Would someone please recommend psychologists or psychiatrists who have a lot of experience with teens who have autism, anxiety and mild psychosis? Looking for someone who can see DD on a regular basis and teach her strategies to reduce her anxieties. DD is verbal, but has limited ability to have a back and forth conversation or to talk about her feelings or what's bothering her.
CT Gordon and David Pine are not taking new patients.

Pine gave us a referral to Everett (and someone else) also at Ross. Everett has been great.

If you’re in Virginia call the city or county and ask about the first psychosis program. It’s for young adults having a first psychotic episode.

While you don’t have an adult yet, these programs are easy to get into and have a team focused on managing psychosis.

Would someone please recommend psychologists or psychiatrists who have a lot of experience with teens who have autism, anxiety and mild psychosis? Looking for someone who can see DD on a regular basis and teach her strategies to reduce her anxieties. DD is verbal, but has limited ability to have a back and forth conversation or to talk about her feelings or what's bothering her.
CT Gordon and David Pine are not taking new patients.