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Adult psychiatry
A careful approach to concerns that can affect how you feel, think, sleep, work, and connect with other people.
We evaluate and treat a broad spectrum of adult mental-health concerns, including anxiety, depression, bipolar and other mood disorders, trauma and PTSD, OCD, ADHD, and sleep difficulties. Treatment may include medication, therapeutic strategies, coordination with your existing clinicians, or a combination of approaches.
- Evaluation that considers competing explanations—not just symptoms
- Plain-language discussion of benefits, risks, and alternatives
- Care that is affirming of LGBTQIA+ identities and lived experience
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Addiction psychiatry
Evidence-based, nonjudgmental care for alcohol, opioid, and other substance-use concerns with Dr. Gaiani.
Addiction care works best when it recognizes the whole person—not a moral failing or a single diagnosis. Dr. Gaiani is fellowship-trained and board-certified in addiction psychiatry. Care can include evaluation of co-occurring psychiatric symptoms and medication-assisted treatment, such as buprenorphine/naloxone, when clinically appropriate.
- Alcohol, opioid, and other substance-use concerns
- Dual-diagnosis and co-occurring mental-health treatment
- Recovery planning grounded in the patient’s own goals
How our team stays connected →03
Focused medication–psychiatric evaluations
A focused psychiatric evaluation when a clinical question needs dedicated clarification.
For a new concern, a complex medication regimen, an unclear diagnosis, or treatment that has stalled, we offer timely, focused medication–psychiatric evaluations when capacity and clinical fit allow. The purpose is to understand the question, examine the relevant history and options, and identify a responsible next step.
- Diagnostic clarification for a new or changing concern
- Medication, interaction, and risk–benefit review
- Second-look consultation for a complex or unsatisfying plan
- Written recommendations or coordination when appropriate
An evaluation is required; no diagnosis, prescription, or medication is guaranteed. This service is not emergency care.
What to expect from an evaluation →04
Medication management
Medication can be useful. It should never feel mysterious, automatic, or disconnected from the rest of your life.
We review what has helped, what has not, side effects, interactions, medical context, and your own preferences. You receive a clear explanation of the reasoning behind each option and follow-up that can adapt to new information.
- New diagnostic and medication evaluations
- Second-look reviews for complex or unsatisfying regimens
- Ongoing follow-up and coordination when appropriate
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Integrative psychiatric care
Psychiatric care with a wider medical lens, provided by Eric O'Connor, DNP, APRN.
We consider how sleep, medical conditions, medications, and daily function shape mental health. Treatment may draw on therapy, lifestyle changes, and coordinated medical care alongside psychiatric medication.
Explore the mind–body approach →Meet Eric O’Connor →
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Registered Nurse Care Support with Lisa Curtiss, RN
A steady remote clinical connection between appointments.
Lisa helps you stay connected through secure check-ins, pharmacy and refill coordination, and practical follow-through on your care plan.
See Lisa's RN support →07
Physician & healthcare-professional health
Clinically grounded evaluation and support for healthcare professionals navigating mental-health or substance-use concerns.
Dr. Gaiani provides evaluations for physician-health programs and support for clinicians interacting with DPH or another oversight agency. The aim is careful assessment, appropriate care, and clear documentation.
Explore healthcare-professional support →
