Conditions We Treat

 

Anxiety and Depression

At Armonk Integrated Psychiatry, we understand the unique pressures that living in Fairfield and Westchester counties and surrounding areas can bring. While you may have great success in some areas of life, anxiety or depression may occur and you may not be sure why, or crises  may occur upsetting the balance in your life. It may be difficult to ask for help, when on the outside it can seem like “you have it all.” We know that living in this competitive environment has its own consequences, and can contribute to strained marriages, anxious children, and stressed, unhappy parents.

 

Whether you are suffering from a temporary sense of feeling overwhelmed, or have a lifelong struggle with significant depression or anxiety, we use a variety of treatment methods to help. We will do a thorough evaluation to help determine the cause of the problem, including assisting in referral for neuropsychological testing when needed.

 

We offer short term evidence based therapies such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), informed psychotherapy, as well as other problem focused approaches such as parent coaching.  These are oriented towards getting you back to peak functioning as quickly as possible.

 

For those who are interested, we can also use medication as an adjunct in treatment. For those who would like a deeper understanding of the issues that interfere with their goals we offer longer term psychodynamic psychotherapy, as well as offering a relational approach to treatment that examines how our relationships with others are impacting our sense of satisfaction with life. 

 

 

Services

Conditions we treat

 

Eating Disorders

Armonk Integrated Psychiatry specializes in the treatment of eating disorders, including anorexia, bulimia, and binge eating disorder. We also treat those suffering from disordered thinking or behavior, but who do not have a formal eating disorder. This includes people who are unhappy with their relationship with food or their bodies and would like some help to feel more in control of their eating, and feel satisfied with their bodies.

 

Treatment is given under the supervision of Dr. Wendy Harris, who was formerly the director of the world renowned inpatient eating disorders unit at New York Presbyterian Hospital. While at New York Presbyterian Hospital, Dr. Harris received extensive experience treating a wide variety of eating disorders, including the most complicated and severe cases, and oversaw a multidisciplinary treatment team.

 

For the past 20 years Dr. Harris has been in private practice, continuing to help hundreds of eating disordered patients heal and reclaim their lives. She has worked extensively with clinicians in the community and is happy to coordinate with them to provide you with the best possible care. Eating disorders can be notoriously hard to treat, but Dr. Harris has a proven track record of success.

 

Dr. Harris personally evaluates every eating disordered patient, and then matches him or her with the therapist that will best suit the patient's needs. Armonk Integrated Psychiatry takes a practical, results oriented approach, utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), psychotherapy and medication, and nutrition therapies to facilitate progress. The family is integrated into treatment for adolescents, and for adults when appropriate. Above all, care is delivered in an atmosphere of compassion and understanding. Many times patients with eating issues feel that treatment at Armonk Integrated Psychiatry is the first time they feel truly understood.

Dr. Harris is happy to work as a partner or consultant to patients who are already involved in treatment elsewhere.

 

Women's Issues

At Armonk Integrated Psychiatry, we understand the particular pressures that women face, and how these evolve through the various phases of life, from puberty, to childbirth, to menopause. We are attentive to the natural hormonal changes that a woman goes through during these various life stages, and the impact these changes have on a woman’s psyche and sense of well being.

 

The challenges that face a girl as she goes through puberty and the teen years are enormous. The pressure to “succeed,” to be perfect in every realm, to get good enough grades for a top college and to fit in and be popular at school is huge. As a result, many girls begin to feel very stressed, anxious, overwhelmed or depressed. This is also the time when dating becomes a concern, and there is intense focus on being pretty and thin- all too often leading to eating disorders.

Having extensive training and experience in treating eating disorders in adolescents, Dr. Wendy Harris is uniquely suited to address this tumultuous time for girls.

The childbearing years can also be very challenging for women.

Difficulties conceiving can be an extremely stressful time psychologically, when emotional and often physically painful events such as hormone treatments, in vitro procedures or miscarriages can dominate daily life. This period can place inordinate stress on couples, and at times cause financial pressures as well.

Often women facing the challenge of infertility feel isolated and alone and unable to discuss these issues with their friends who all seem to be conceiving effortlessly. 

 

Pregnancy, while a wonderful time full of eager anticipation, can also be a difficult time, when underlying depression or anxiety can worsen.

Having a safe, understanding space to process the physical, emotional, and relational life changes inherent in having a baby can help to make the most of this special time. Making sense of a range of emotions can help prepare a mother for the changes to come. Having extra support postpartum can ease the transition to motherhood, and help a new mother feel prepared for her new role. This is a time of extreme hormonal, physical and emotional highs and lows, and a comforting, supportive therapist can be a lifeline in this wonderful but tumultuous time. 

 

The menopause transition is a particularly challenging time for women. Psychological symptoms can start years before the actual cessation of menstruation, and often these changes are not recognized as being related to the perimenopausal hormone fluctuations that have begun. Women will wonder why after years of feeling well they are suddenly feeling tense and anxious or more moody and not like their usual selves. This can be compounded by hormonal changes causing sleep to become more interrupted, especially if hot flashes make sleep even more difficult. 

 

Suddenly a woman can feel like she is experiencing something akin to puberty in reverse, where her body and her emotions feel unfamiliar and out of her control. To make matters worse, this transition often hits at a time when she has many other obligations such as children to take care of, a career that may be in full swing, and possibly aging parents to care for. The result can be an overwhelming mix. Dr. Harris understands the biologic changes that a woman is going through, can coordinate with your gynecologist regarding hormone replacement therapy if desired, and can help you to understand and manage this time of transition.

 

ADHD

Armonk Integrated Psychiatry takes a comprehensive approach to the evaluation and treatment of ADHD. Dr. Wendy Harris has many years of experience evaluating and treating ADHD, as well as truly understanding what parents of children with ADHD are faced with, being herself a parent of 2 children with ADHD. She will use medication when needed and desired, but is also supportive of alternate methods of managing ADHD symptoms, such as evaluation of diet and exercise, and behavioral or organizational interventions.

 

Allison Drieves LCSW brings another perspective to parent coaching and management of young children with ADHD from her years of experience working in schools.

 

Social Difficulties

At Armonk Integrated Psychiatry, we believe feeling socially connected is integral to a sense of well-being. Studies support that good social support is important in the prevention of and recovery from many mental health concerns. However, many of us experience trouble in this area. Some people have the social skills, but become very anxious in social  situations and thus avoid all but the safest social interactions. This often leads to a very restricted life or other issues such as substance abuse and eating disorders.

Some people may not be socially anxious, but lack the skills to interact effectively with others, and therefore find social life bewildering or unsatisfying at best, or possibly alienating and hurtful. Poor social skills can increase the incidence of being a victim of bullying. Loneliness and isolation can be devastating and can lead to anxiety and depression.

 

Armonk Integrated Psychiatry offers help for adolescents & adults including; individual counseling, support and skills training for all ages, as well as cognitive behavior therapy (CBT) for social anxiety disorder.

If you have any questions, or would like to find out more about our services and treatment options please feel free to contact us.

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