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Personalized Medication Management

Medication can be a powerful and necessary tool to correct imbalances and stabilize symptoms associated with conditions like depression, anxiety, Bipolar Disorder, and ADHD. Our medication management services, led by Cyndia Milord-Giordani, PMHNP-BC, focus on personalized prescribing and meticulous monitoring. The goal is to find the lowest effective dose that maximizes benefits while minimizing side effects, always in close consultation with you.

We view medication as one component of a holistic strategy, working alongside therapy and lifestyle changes.

 

 

Development of Optimal Regimen

The process of finding the right psychiatric medication involves continuous assessment and adjustment. It is rarely a one-size-fits-all solution. Our theoretical approach emphasizes pharmacogenomics (when appropriate) and careful observation of your response. We track symptom changes, monitor for side effects, and make precise adjustments until we achieve the optimal therapeutic effect that supports your functional goals.

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Management Interventions

We use structured interventions to ensure your medication plan is safe and effective:

  • Assessing current and past drug efficacy and side effects.

  • Carefully increasing or decreasing dosage to find the therapeutic window.

  • Proactive monitoring and management of any adverse reactions.

  • Ensuring medication is supporting the progress made in psychotherapy.

I was lucky enough this summer the challenges with travel, to get away to Croatia with my family

I was lucky enough this summer the challenges with travel, to get away to Croatia with my family

How often are follow-up appointments required?

Initially, appointments may be every 2–4 weeks while adjusting medication. Once stable, appointments are typically every 1–3 months.

How long will I need to take the medication?

The duration varies greatly based on your diagnosis and stability. This is a collaborative decision reviewed continually during follow-up sessions.

What if the first medication doesn't work?

It's common for initial medications to require adjustment or substitution. We use a structured, patient-centered approach to find a better alternative.

Do you prescribe controlled substances (like stimulants)?

Yes, when clinically indicated for conditions like ADHD, they are prescribed responsibly, according to state and federal regulations, and require consistent monitoring.