This is an important question for many people these days - including me.  While I have received training in psychopharmacology, my bias is against medication - and in favor of counseling - for most situations involving a mild to moderate course.  This position is well supported in both the psychological and the medical research literature.  While it is often the case that either medication or therapy may be effective, my position is that the insights developed and the skills acquired in counseling not only help to resolve the current symptoms, but provide tools that will reduce the likelihood of relapse in the future, as well as improve normal day-to-day functioning.  Of course, for some people, and in some situations, combination therapy - with both therapy and medication - can be the preferred course of action.  These situations can usually be handled in conjunction with your primary care physician.

For more serious or acute problems, or for some specific disorders (especially those disorders with a known biological component, such as psychosis or serious addictions), medication may be preferred or required.  This will usually be in conjunction with psychotherapy to address accompanying psychological or emotional issues or patterns that may have developed in the context of the disorder. These situations will typically require the attentions of a psychiatrist (as opposed to your family physician), with whom I will consult as appropriate.  Referrals can be provided but I will usually suggest that you check with your insurance company to make sure that you select one who accepts your coverage.

 
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