Alternatives to medication - Kolli Psychiatric & Associates

Shruti nadkarni , MD

Education

-NYIT College of Osteopathic Medicine Old Westbury, NY
Doctor of Osteopathic Medicine (D.O.)

– Kean University Union, NJ
Bachelor of Science (B.S.) Science & Technology (Biomedicine)

Residency and Fellowship

– Christiana Care Health System Newark, DE
Psychiatry Residency

– Christiana Care Health System, Newark, DE
Psychiatry Resident, Senior Chief Resident

Dr. Nadkarni grew up in central New Jersey, in a community rich with cultural diversity. Her early exposure to various populations sparked an interest in medicine, particularly through her volunteering in medical settings. She quickly learned that adapting her communication style to suit the individual she was speaking with made her more effective and helpful. This experience guided her toward a career where she could continue to tailor her approach to meet each person’s unique needs.

It was during her third year of medical school, while completing rotations, that she realized psychiatry was her true calling. She came to appreciate the importance of patient-centered, individualized care, seeing firsthand how it led to better outcomes and improved quality of life for the communities served. She believes in understanding a person’s life story—how their childhood, relationships, and experiences have shaped their worldview. Once she gains insight into their motivations, goals, fears, and hardships, she can develop a treatment plan uniquely suited to them, avoiding approaches that would be ineffective.

Her philosophy on treatment is deeply influenced by her osteopathic training, which emphasizes the interconnectedness of the mind, body, and spirit. She takes a holistic, personalized approach to care, aiming to improve her patients’ health across all three domains. As a psychiatrist, her role is to guide patients toward better quality of life outcomes, prioritizing their goals while also considering the needs of those around them, such as caregivers or dependents.

Her aim is for her patients to achieve mental wellness in all aspects of their lives, and she strives to work collaboratively with them to find their path to healing. She uses her osteopathic training to heal the mind, body, and spirit, integrating techniques and managing medications in a way that supports all three pillars of health.

Her personal interests enhance her ability to provide holistic care. She enjoys spending time with family and friends, exploring both local and international destinations, trying different cuisines, and playing board games. These hobbies help her continuously hone her interpersonal and interviewing skills, which in turn improve her ability to offer high-quality care to her patients. Maintaining a balance between personal life and professional commitments is key to her well-being, and it enables her to give her best to her patients.

As a mother of a young child, she is deeply committed to her family, both immediate and extended. Her family-centric life keeps her grounded and mindful of how patients navigate their roles within their own families and social circles. This perspective helps her better understand her patients’ needs and the support systems they rely on.

Her goal is to improve the lives of her patients holistically, one person at a time. By helping individuals reflect on their mental health journey, she hopes to empower them to lead healthier, more fulfilled lives. In doing so, she aims to strengthen not only her patients but also the community as a whole. She wants her patients to leave feeling heard, knowing they received comprehensive, personalized care that addressed their unique needs, wishes, and goals. Her hope is that they walk away feeling emboldened, confident in her ability to support their mental health journey.

Therapy:

Trauma-focused therapies have proven to be effective PTSD treatments. These sessions typically last between 8 to 16 visits, depending on the patient’s status and progress. The therapies involve exploring trauma in a safe space and developing coping strategies. Some of these include:- Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): This approach helps in identifying and modifying unhelpful thought patterns.

– Eye Movement Desensitization and Reprocessing (EMDR): EMDR uses eye movements to assist patients in processing and making sense of traumatic memories.

– Prolonged Exposure Therapy: This therapy involves gradual, repeated exposure to thoughts, feelings, and situations related to the trauma to reduce fear and anxiety.

– Cognitive Restructuring: Helps patients make sense of the bad memories by reframing negative thoughts.

These treatments offer a ray of hope for individuals battling PTSD, aiding them on their recovery journey and enhancing their life quality.

Medication management:

One of the common treatment methods recommended by our psychiatrists includes the use of antidepressants. Some types of antidepressants successfully used in managing PTSD symptoms include Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) and Selective Serotonin Reuptake Inhibitors (SSRIs). Antidepressants can provide relief from specific symptoms and enhance feelings of well-being.

Diagnosis:

A PTSD diagnosis requires very specific criteria because it tends to overlap or be misidentified as similar conditions. When assessing for PTSD, our psychiatrists, employ a detailed examination of the patient’s history and symptoms. They conduct a careful evaluation, typically incorporating an in-depth interview and an assessment.

Key symptoms they search for include at least one recurring distressing memory or dream related to the traumatic event, as well as symptoms of avoidance, arousal, reactivity, cognition, and mood. Specifically, the diagnosis requires at least:- One recurring symptom, which could be distressing memories or dreams related to the trauma

One symptom of avoidance of the memories, thoughts or feelings related to the event
Two arousal and reactivity symptoms
Two negative changes in cognition and mood that are associated with the event

These symptoms must be prevalent for a minimum of one month and severe enough to interfere with significant aspects of life, such as relationships or work.

In making a firm PTSD diagnosis, the role of a trained mental health professional is crucial.

Therapy:

Postpartum depression (PPD) can be effectively treated with various therapy options, often used alone or in combination with other treatments.

Cognitive-Behavioral Therapy (CBT) is a commonly employed evidence-based approach that helps individuals identify and change negative thought patterns and behaviors associated with PPD. Interpersonal Therapy (IPT) focuses on improving relationships and communication skills, addressing issues in social support networks.

Supportive psychotherapy offers emotional support and a safe space for individuals to express their feelings. Mindfulness-Based Cognitive Therapy (MBCT) combines mindfulness meditation with cognitive-behavioral techniques.

Group therapy and family therapy are also available, providing peer support and addressing family dynamics, respectively. Online therapy and telehealth options have made accessing help more convenient. In some cases, medication may be prescribed alongside therapy.

Personalized treatment plans are key, emphasizing early intervention and ongoing support for PPD’s effective management and recovery. Seeking assistance from mental health professionals or support groups is crucial for new mothers experiencing PPD.

Medication management:

Once the evaluation is complete and medication is deemed appropriate, our psychiatrists select an antidepressant medication that is likely to be effective for the individual. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for PPD because they can help elevate serotonin levels in the brain, alleviating depressive symptoms. The specific choice of medication may vary based on factors such as the patient’s past response to antidepressants and any potential side effects.

The healthcare provider determines the initial dosage of the prescribed antidepressant, taking into account the patient’s individual needs. Dosage adjustments may be necessary over time to optimize the treatment’s effectiveness and minimize side effects.

Diagnosis:

Psychiatrists diagnose postpartum depression (PPD) by first conducting a comprehensive clinical evaluation with the patient. This includes a detailed interview to discuss the individual’s mental health history, current symptoms, and changes in behavior or mood since childbirth.

Particular attention is paid to signs of PPD, such as persistent sadness, excessive crying, feelings of hopelessness, severe mood swings, loss of energy, sleeping difficulties, changes in appetite or weight, difficulty bonding with the baby, withdrawal from family and friends, and reduced interest in activities that were previously enjoyed.

SIREESHA KOLLI, MD, MPH

Education

– Drexel University College of Medicine, Doctorate of Medicine

– Emory University, Masters of Public Health

– Monmouth University, Bachelors of Science

Residency and Fellowship

– Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, residency in adult psychiatry

– Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, fellowship child and adolescent psychiatry

Growing up locally in Freehold, Dr. Kolli’s interest in medicine started at an early age. However, it was during her psychiatry rotation in medical school that she recognized her calling.

Dr. Kolli was captivated by psychiatry because she noticed everyone’s struggle with things like depression was unique. She believed that because everyone’s story is different, their treatment should be just as personalized.

This insight fueled the philosophy that care must be as distinct and individual as the person seeking care and it has become the cornerstone of her practice. Dr. Kolli takes the time to delve into the tapestry of each person’s life—understanding the unique interplay of childhood experiences, relationships, educational and work history, and life stressors that combine to manifest conditions like depression or anxiety disorders.

For Dr. Kolli, a treatment plan is more than just a prescription—it’s a roadmap to modify various aspects of life that may contribute to a patient’s symptoms. Her specialty lies in the thoughtful integration of medication management with therapy, ensuring that each individual receives a holistic strategy for mental health wellness. This approach goes beyond dispensing medication; it’s about fostering an environment where healing and growth can flourish, tailored to each patient’s narrative and needs.

In her personal life, Dr. Kolli cherishes the balance between her professional commitments and her pursuits. An avid traveler and amateur photographer, she captures the beauty of the world around her, both near and far. Her weekends are often spent hiking with her family and reconnecting with nature, which she finds not only grounding but also a source of inspiration for her work.

As a dedicated mom, Dr. Kolli values the time spent with her son, believing that the strength of family ties contributes to personal and community health. She stands as a strong pillar in her community, guiding individuals through significant life transitions—from academic achievements and career milestones to personal growth and parenthood.

Dr. Kolli’s commitment to her roots is a testament to her character and is reflected in the personalized care she provides to each patient. She remains a steadfast advocate for mental health, guiding her patients toward healing and fulfillment.

Genetic Testing for Psychiatric Medications

Your genes play a key role in the effectiveness of your medication— a treatment that works well for one person may not for another. Genetic testing helps our doctors take a personalized approach to prescribing. Using DNA gathered with a simple cheek swab, a genetic test will analyze your genes and provide individualized information to help select medications that better match your genes.

Telehealth Appointments

We understand that life is busy, and adding a commute to the mix is not always ideal. TeleMedicine can help you enjoy a more convenient approach to your mental health.

Our psychiatrists and therapists can perform either initial evaluations or follow-up appointments online, allowing you to engage in treatments from the comfort of your own home. Ask our staff about setting up your next TeleMedicine appointment today. Please note that all ADHD/ ADD evaluations need to be conducted in-person if a stimulant medication needs to be prescribed.

Adult Psychiatric Evaluation

A psychiatric evaluation is designed to diagnose emotional and behavioral disorders. The initial evaluation will explore many aspects including developmental history, medical history, family history, social and environmental influences, work concerns, relationship factors, and emotional and cognitive issues.

Each psychiatrist has his or her own system for the initial evaluation. After information is gathered, the psychiatrist will arrive at a diagnosis and provide treatment recommendations. The individual will be educated about the treatment options and together with the psychiatrist, will come up with a treatment plan.

Second-Opinion Consultation

When individuals are already working with a provider and are looking to get a second opinion on diagnosis or treatment recommendations, this form of consultation is recommended.

Our psychiatrist will obtain a thorough history of current and past symptoms, review past medical records and coordinate with the individual’s other treatment providers in order to help clarify any diagnosis or treatment questions.

The individual can then decide to continue to work with their previous provider or switch to the consulting psychiatrist for follow-up appointments. We also work closely with referring physicians to design the best treatment plan for each individual.

Teen Therapy

At Kolli Psychiatric and Associates, we understand that adolescence is often like a rollercoaster ride, filled with ups and downs. Today’s teen faces a lot of pressure—from academics, extracurriculars, friends, family, and social media— and it can become overwhelming.

In the midst of it all, they are exploring their newfound independence and evolving sense of self, often stepping out from under the direct supervision of adults.

Teens, faced with peer pressure, may sometimes deviate from their typical behavior, experiencing setbacks and struggles with substance use, depression, anxiety, and other mental health disorders. However, we believe in their capacity to overcome these challenges and grow stronger.

We at Kolli Psychiatric and Associates firmly believe that teens can overcome the issues they are dealing with and benefit significantly from targeted strategies to tackle them. It’s crucial for them to realize that they aren’t the problem but a vital part of the solution.

We collaborate closely with families and teens to craft tailored solutions and instill positive habits. We empower teens with the necessary skills to handle the overwhelming pressures they face today, enabling them to manage peer pressure, academic issues, and more successfully.

Why Choose Kolli Psychiatric and Associates?

– We provide a supportive and non-judgmental environment.

– We offer personalized strategies and solutions.

– We believe in the potential of every adolescent to overcome their challenges.

If your adolescent is struggling, don’t hesitate to reach out. Let’s work together to help them navigate this challenging phase and emerge stronger and more resilient. For more information about adolescent treatment or to book an appointment, contact our office today.

Our dedicated team is here to support you and your teen in every step of the journey towards a happier, healthier future.

Talk Therapy

Making mental health a priority in our busy lives can be a challenge, but we at Kolli Psychiatric and Associates aim to make it easier. Psychotherapy, also known as Talk Therapy, helps get to the root of your struggles by building up the skills you need to live a healthier, freer life. We have a dedicated team of trained therapists that offer in-person and telehealth therapy to help you manage the complexities of the day-to-day.

To learn more about specific types of therapy we offer such as cognitive behavior therapy, dialectical behavioral therapy, solution focused therapy and supportive therapy, please visit our blog. Our therapists are here to guide you on your path towards mental wellness— set up a consultation today to begin your healing journey.

School Fit-to-Return Evaluations

When children and adolescents are overtly and repeatedly aggressive, make threats to harm themselves or others at school or display erratic or questionable behavior of any sort, the school is required to suspend the child from school immediately, pending psychiatric clearance or a “ Fit-to-Return” evaluation.

Our board-certified child and adolescent psychiatrist, Dr. Naqvi is trained to do such an assessment. This involves clinical interview, reviewing collateral information, and investigating stressors and behavior at home, school and with peers.

This process can be very stressful for parents. While it’s not uncommon for children to say things they don’t really mean or fully understand to get negative attention from peers and adults, more serious comments tend to reflect a child’s internal desire for help or severe distress.

Dr. Naqvi’s goal is to quickly and effectively determine if the child is safe to return to school and how best to proceed in terms of individual or family treatments or additional evaluations.

Medication Management

Medication is sometimes necessary for treatment of depression, anxiety, adhd, and other mental health disorders. At Kolli Psychiatric and Associates, we take a conservative approach to medication management, maintaining standards that prioritize a patient’s overall health and wellbeing. Too often patients visit a medical professional and leave with only a prescription.

Our highly-trained psychiatrists not only help their patients receive the proper dosage, but will monitor their progress closely, adjusting treatment to fit their needs. Our objective is to create a safe space where you can ask any questions about your treatment.

Our providers have strict rules regarding the prescription of controlled medications. We follow all state and federal regulations. There should never be an expectation that a provider will write a patient for a controlled medication, even if the patient has previously taken a specific medication, or previously been given a diagnosis (like ADHD, anxiety or insomnia) by another provider.

If a patient feels that they “need” a controlled medication urgently prescribed, we are not the right practice for them to schedule with.

Women’s Behavioral Health Treatment

At Kolli Psychiatric and Associates our experienced psychiatrists and therapists provide women with comprehensive evaluation and treatment for behavioral health issues specific to the female patient.

Areas of clinical emphasis include:

– Menstrual cycle-related mood disorders such as severe Premenstrual Syndrome and Premenstrual Dysphoric Disorder

– Menstrual exacerbation of on-going anxiety and mood disorders

– Evaluation and treatment of psychiatric disorders during pregnancy

– Postpartum depression and anxiety

– Adjustment to parenthood

– Psychiatric issues during the menopause

We provide clinical consultations and evaluations regarding psychotropic medications in pregnancy and lactation, medication management for postpartum depression and anxiety, and mood disorders specific to the menstrual cycle and menopausal transition.

These evaluations can function as a one-time comprehensive consultation only, or as an ongoing resource for patients during a difficult period. Our in-depth psychiatric evaluations can determine the most appropriate course of treatment including non-medication options such as therapy. When appropriate, we also work closely with referring physicians to design the best treatment plan for each individual.

Adult ADD/ ADHD Evaluation

Adult ADD (Attention Deficit Disorder) and ADHD (Attention Deficit Hyperactivity Disorder) can manifest as a persistent difficulty with attention, hyperactivity and/or impulsivity that interferes with function or causes distress.

For an adult to be diagnosed with ADHD, symptoms must be present since childhood and affect your ability to function daily.

Our psychiatrists are specifically trained in the diagnosing and treatment of Adult ADHD. During an evaluation they may ask you to recall your childhood behavior and school experiences and to describe current difficulties caused by your symptoms. You may also be asked about any stressors, difficulties in relationships, and performance in work and home tasks.

Adults with ADHD are likely to have one or more comorbid disorders, such as anxiety or depression, which may contribute to additional emotional distress and difficulty meeting the demands of everyday life. During an ADHD evaluation, our psychiatrist will ask about your mood, thoughts, and behavior patterns to determine if your symptoms may be caused by one of these conditions.

If ADHD is diagnosed, as well as any other potential disorders or conditions, we will develop a tailored treatment plan for you. Treatment can consist of therapy, psychiatric medication management and/or behavioral modification

Child and Teen Psychiatric Evaluation

The presenting symptoms of a mood, anxiety or a learning disorder in a child, are often quite different, than the symptoms of an adult. For example, irritability or behavioral disturbances are commonly associated with the onset of depression in childhood, while sadness tends to be the initial complaint for adults.

Having a provider with specialized training in child and adolescent psychiatry, may increase the likelihood of obtaining an accurate diagnosis and the best treatment plan.

At Kolli Psychiatric and Associates, our board certified child and adolescent psychiatrists all have specific training in the diagnosing and treatment of children.

During the initial evaluation they will explore child developmental history, medical history, family history, social and environmental influences, academic/school concerns, peer relationships, social media influences, emotional and behavior issues, and observations of a child’s behaviors and affect.

After information is gathered from both the child and parent, the psychiatrist will arrive at a diagnosis and provide treatment recommendations. The family will be educated about the treatment options and together with the psychiatrist, will come up with a treatment plan.

Child ADHD/ADD Evaluation

Attention-Deficit Hyperactivity Disorder (ADHD) is characterized by inattention, impulsive behavior, hyperactivity, and emotional dysregulation. In children and teens, ADHD looks like struggling to concentrate or pay attention, difficulty following directions, acting impulsive and fidgeting, and finding themselves easily frustrated or angry.

At Kolli Psychiatric and Associates, our board certified child and adolescent psychiatrists all have specific training in the diagnosing and treatment of children with ADHD/ ADD.

Their holistic and comprehensive assessment includes a combination of clinical interview of the child and parent, reviewing parent and school reports, and clinical observation.

We also include assessment for other comorbid conditions that might be complicating a diagnosis of ADHD or worsening symptoms. For example, we can easily assess the presence of other common co-occurring conditions, such as anxiety, depression, autism, or behavioral problems (such as oppositional defiant disorder).

Similarly, physical health conditions such as sleep problems, gastrointestinal issues, metabolic issues or vitamin deficiencies, immune problems (asthma or allergies) can also complicate ADHD symptoms. We can liaise with relevant specialists if needed.

If ADHD is diagnosed, as well as any other potential disorders or conditions, we will develop a personalized treatment plan specifically for your child. We will develop this with your input, based on your child’s needs and unique circumstances.

We offer a wide range of medication and non-medication treatments for ADHD. If medications are chosen, we will typically recommend therapeutic support to work on optimizing the effects of those medications by learning executive functioning skills to help manage ADHD symptoms. The treatment will include an integrated approach so that your child can achieve their full potential, both academically and socially.

Diagnosis:

Our expert psychiatrists reference Diagnostic and statistical manual (DSM-5) criteria to spot signs of this disorder effectively. Key indicators include:

– Consistent substance use – Feeling compelled to use a substance daily or multiple times a day, especially more than initially intended.

– Time consumption – Spending considerable time seeking the substance, using it, and then recovering from its effects.

– Cravings – An overpowering desire to use the substance.

– Increased tolerance – Needing larger amounts of the substance to achieve the same effect.

– Withdrawal symptoms – Experiencing bodily distress when refraining from the substance.

– Priorities shift – Neglecting home, work, or school responsibilities because of the substance use.

– Compulsive usage/feeling helpless – Multiple unsuccessful attempts to quit the substance.

– Relationship impacts – Persisting with substance use despite it causing relationship strife.

– Health issues – Continued use even when it leads to or worsens mental or physical health problems.

– Social sacrifices – Reducing social or recreational activities because of substance use.

– Risky usage – Utilizing the substance in situations that could be dangerous.

Therapy:

Behavioral counseling has proven to be effective for addiction treatment. This allows individuals to identify triggers, change harmful behaviors, manage stress, and improve relationships with friends and family.

Support groups and twelve-step programs such as Alcoholics Anonymous also aid recovery. They offer needed peer support, personal growth opportunities, and strategies for maintaining sobriety.

Furthermore, residential treatment provides a structured environment which can be beneficial for severe addictions.

Medication Management

Medication management plays a pivotal role in managing withdrawal symptoms and reducing cravings, particularly in cases involving substances like alcohol.

For substance abuse treatment, medication is tailored to individual needs to assure the best possible outcome and is regularly adjusted and monitored for effectiveness and side effects.

Medication-assisted treatment is an evidence-based approach that combines medication with counseling and behavioral therapies.

Therapy:

Exposure and Response Prevention (ERP), a form of cognitive-behavioral therapy (CBT), is a highly effective treatment for OCD. In an ERP session, patients face their fears directly via situations or images related to their obsessions.

The treatment typically starts with scenarios that spark mild to moderate anxieties. Patients may experience heightened anxiety initially. Patients are guided to refrain from their compulsive behaviors, which is the “response prevention” part of ERP.

Over time, as patients remain in their feared circumstances without any harmful occurrence, they learn to understand that their fears are merely thoughts. This realization can greatly assist in their journey towards overcoming OCD.

Medication Management:

Medication management is one of the ways to manage OCD symptoms. A specific group of medicines, known as selective serotonin reuptake inhibitors (SSRIs), are usually employed to treat depression but can also effectively treat OCD.

SSRIs are often administered in higher dosages for OCD than for depression. Some patients, who don’t see improvement with one SSRI, may respond well to another.

It is important to remember that the maximum benefits from this treatment usually become evident between six to twelve weeks.

Diagnosis:

To diagnose Obsessive-compulsive disorder, our mental health professionals conduct an in-depth interview with the patient. They ask about any symptoms, worries, or repetitive behaviors. This helps understand the patient’s thought patterns.

An important part of the process is ruling out other causes for the symptoms. These could be physical health issues or other mental health disorders. Psychiatrists will often administer psychological questionnaires or tests for help in diagnosis.

The primary indicators for an OCD diagnosis are having obsessions, compulsions, or both.

Treatment:

Eating disorders, such as anorexia, bulimia, and binge eating, can be challenging. Thankfully, a variety of treatments can help individuals on their path to recovery. Medical care is essential for those facing immediate health concerns related to their disorder. Meanwhile, therapy sessions can address underlying emotional triggers and thought patterns.

Nutritional counseling offers guidance towards a balanced relationship with food. For some, medication management might be recommended to handle certain symptoms or coexisting mental health conditions.

Moreover, joining support groups can provide a platform to share experiences and feelings. Remember, treatment should be individualized, as everyone’s journey with an eating disorder is unique.

Causes:

Eating disorders come from a combination of factors. Some are biological, like genes that might make someone more likely to develop these conditions. Chemicals in the brain, which control our feelings about food and emotions, can also play a role. Personal traits, such as a drive for perfection or fear of change, might add to the risk.

Our environment plays a part too. Society often values a thin appearance, leading some to feel insecure about their bodies.

Peer pressure or teasing, especially during the sensitive teenage years, can be triggers. Additionally, stressful or traumatic events might push someone toward an eating disorder. So, it’s often a mix of inner and outer factors that lead someone down this path.

Do I have an eating disorder?

Diagnosing eating disorders involves a thorough evaluation of a person’s behaviors, thoughts, and physical health. The diagnosis typically includes a clinical interview, a physical exam, and various diagnostic tests.

Psychiatrists start the process by conducting an in depth interview with the patient and collecting important information. They delve into the patient’s eating habits, their body image perceptions and their attempts to control weight. In these discussions, they commonly involve family members for additional insight.

Therapy:

We explore non-medication options like mindfulness-based practices, exercise regimens, and dietary adjustments.

Our goal is to provide you with comprehensive care that addresses the root causes of your depression and helps you on your path to recovery.

If you’re seeking effective depression treatment, we are here to support you every step of the way, ensuring that you receive the care and attention you deserve

Treatment:

Effective treatment for depression is essential for regaining mental well-being and improving the quality of life. At Kolli Psychiatric and Associates, our experienced team offers a range of evidence-based treatment options tailored to your specific needs.

These treatments may include psychotherapy, such as cognitive-behavioral therapy (CBT) or interpersonal therapy (IPT), medication management with antidepressants or mood stabilizers, lifestyle modifications, and support from our compassionate mental health professionals.

Diagnosis:

For a precise diagnosis of depression, certified mental health experts, such as our team of psychiatrists at Kolli Psychiatric and Associates, carefully evaluate your symptoms in accordance with established diagnostic criteria.

Our thorough psychiatric assessments are crucial in comprehending the extent and nature of your depression symptoms, enabling us to create a personalized and effective treatment plan tailored to your needs.

Our evaluation process involves a detailed review of your mental health history, current lifestyle factors, and any potential contributions from physical health conditions.

It may encompass the use of questionnaires, direct observation, and discussions to assess the type, severity, and duration of your depression. Our psychiatric assessments adhere to the guidelines outlined in the Diagnostic and Statistical Manual, ensuring accurate diagnoses and facilitating targeted treatment.

Treatment:

Treatment for bipolar disorder can involve a combination of medication management, therapy, and lifestyle changes.

Finding the right treatment for bipolar disorder may require patience and persistence. Different medications affect individuals in unique ways, so what works best may vary from person to person. Sometimes, a treatment plan takes a little while to provide full relief from symptoms – it could be a month or more.

Medication Management:

One commonly used treatment type for bipolar disorder is mood stabilizers, like, lithium. They can be very effective in managing the condition.

Sometimes, other types of medications complement the treatment plan. This might include anticonvulsants, atypical antipsychotics, or antidepressants. Each has a role in controlling different aspects of bipolar disorder.

Identifying the most effective treatment can take time and might involve some trial and error. Finding the right medication balance is important for managing bipolar disorder. We can assist you with this at Kolli Psychiatric and Associates.

Diagnosis:

Bipolar disorder is a mental health condition that causes frequent mood swings, including mania and depression. Diagnosing bipolar disorder can be a have a couple of different steps.

The first step in diagnosing bipolar disorder involves a detailed medical evaluation. It usually includes a physical examination and a review of your medical history. The doctor might also order blood tests to rule out other conditions that may have similar symptoms.

Secondly, a psychiatric assessment is carried out by a mental health professional. They ask the patient about their thoughts, feelings, and behavior patterns. This helps to understand the nature of their mood swings and any potential triggers.

Bipolar disorder is diagnosed based on certain criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It includes specific requirements for manic and depressive episodes.

Diagnosing bipolar disorder is a collaborative process between the patient and the mental health professional. Remember, a correct diagnosis is crucial for treating and managing bipolar disorder effectively.

Therapy:

To enhance the effectiveness of medication management, we also suggest Cognitive Behavioral Therapy (CBT). This integral part of therapy helps patients identify and change harmful thought patterns that induce distressing emotions and behaviors.

CBT empowers patients to recognize and shift detrimental thought patterns, thereby reducing distressing emotions and behaviors. With our holistic approach, which fuses focused psychiatric care and tailored medication management, we aim to arm patients with the tools they need for sustained mental well-being.

Diagnosis:

It’s important to remember that anxiety disorders are not a sign of weakness or failure. They are legitimate medical conditions that deserve attention and treatment. By acknowledging your struggles and seeking help, you are taking a brave step towards a brighter and more peaceful future.

Our qualified psychiatrists make an anxiety diagnosis based on careful observation, understanding the person’s medical history, and suggesting psychological tests. We adhere to the criteria set out in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to ensure our diagnosis is accurate and appropriate.

Medication Management:

Seeking help for an anxiety disorder is crucial. With the right support and treatment, it is possible to regain control of your life and find relief from the constant worry. Therapy, medication, and self-care techniques can all play a role in managing anxiety and reducing its impact on your daily life.

While medications do not cure anxiety disorders, they can provide substantial relief from symptoms. In combination with CBT, this dual approach helps foster resilience, and self-confidence, and improve mental health.

We use focused psychiatric care and medication management and we aim to equip patients with the necessary tools to manage their symptoms effectively and promote lasting well-being.

Our commitment to monitoring each patient’s progress means we can adapt, in real time, to adjust medications to guarantee the best therapeutic outcomes.

Therapy:

Behavioral therapy plays a vital role in treating ADHD, especially in children and teens. This approach involves working with a therapist to develop coping strategies and skills to handle challenging situations and decrease disruptive behaviors.

For young children, parent training in behavior management, often referred to as Parent-Child Interaction Therapy (PCIT), can be especially effective. In school-aged children, classroom interventions and strategies that provide more structure and consistent daily routines can be beneficial.

Additionally, adults with ADHD can gain a lot from cognitive-behavioral therapy, which helps in addressing time management skills, and organizational challenges, and improving overall self-esteem. In combination, medication, and therapy can significantly improve daily functioning and quality of life for those with ADHD.

Medication Management:

One of the primary treatments is medication, specifically stimulant and non-stimulant medications.

Stimulant medications, like Ritalin or Adderall, are commonly prescribed and work by increasing the levels of certain neurotransmitters in the brain, enhancing focus and reducing impulsive behaviors.

Non-stimulant medications, on the other hand, might be chosen for those who don’t respond well to stimulants or if there’s a concern about potential side effects.

They act differently in the brain but also help reduce ADHD symptoms.

Danielle Ruchaevsky, LCSW

Education

– Monmouth University, Masters of Social Work

– Kean University, Bachelors of Social Work

Danielle Ruchaevsky is a licensed clinical social worker at Kolli Psychiatric and Associates, dedicated to making a positive impact on her clients’ lives. She believes in empowering her clients and finds deep professional satisfaction in witnessing their personal growth. Danielle advocates for a change in how we view mental health, emphasizing that seeking help is a proactive step toward well-being rather than a sign of weakness. Her goal is to promote a culture where diverse ways of thinking are respected and supported with empathy.

Her therapeutic approach is all about being genuine and understanding each client’s unique journey, rather than focusing on diagnosing issues. Danielle believes that everyone’s mind works differently, and we should celebrate this diversity in thoughts and behaviors.

Outside of her work, Danielle enjoys spending quality time with her children, whether it’s supporting them at their activities or doing fun things together. She loves the outdoors and often goes to the beach, reads outdoors, and enjoys the peacefulness of nature.

Growing up with strong, determined, and caring individuals has had a significant influence on Danielle’s approach to life. Her authenticity and approachability allow her to form deep connections with her clients, whether they are adults or teenagers.

As a client-centered therapist, Danielle’s main focus is on her clients—their goals, their desired path, and their journey toward empowerment. She is dedicated to providing support and helping her clients gain insights and take control of their personal growth. For Danielle, the most important part of therapy is ensuring that her clients leave with a sense of empowerment and a deeper understanding of themselves, ready to face life with renewed confidence.

Neha Naqvi, MD

Education

– University of Missouri-Kansas City, Doctorate of Medicine

– University of Missouri-Kansas City, Bachelor of Arts

Residency and Fellowship

– Atrium Health Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, residency in adult psychiatry

– Atrium Health Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, fellowship in child and adolescent psychiatry

Dr. Neha Naqvi’s dedication to psychiatry took root during her medical school years, driven by a deep-seated commitment to serve and uplift countless lives. Her focus naturally gravitated towards mental health, allowing her to hone her skills in adult psychiatry and further specialize through a fellowship in child and adolescent psychiatry.

A significant segment of Dr. Naqvi’s practice is dedicated to assisting elementary, middle, and high school-aged children. Recognizing a pressing need in psychiatric support for younger individuals, she endeavors to bridge this gap through her comprehensive services.

However, her expertise is not restricted to the younger age group. Adults seeking guidance through life’s challenges and aspirations can also benefit immensely from her assistance.

Dr. Naqvi believes in a holistic approach when treating psychiatric conditions. With specializations in managing depression, anxiety, and ADHD, among others, her overarching goal is to offer well-rounded support, empowering her patients to confidently tread their mental health journey.

Beyond her professional role, Dr. Naqvi enjoys life’s simpler pleasures—traveling to new destinations, immersing herself in films, and cooking and baking for her family. Having resided in diverse regions, from the Midwest and the South to now the Northeast, she has developed a deep appreciation for New Jersey’s unique offerings.

Whether it’s enjoying the tranquility of Red Bank’s rivers or immersing herself in the dynamic energy of New York City, her connection to her surroundings has deepened since moving to the area.

This bond extends to her active involvement in local community initiatives, such as teen social skills development and grief counseling groups. Dr. Naqvi is unwavering in her belief that these support systems play a crucial role in helping individuals overcome real-world challenges and attain equilibrium in their lives.

Monique Santone, LCSW

Education

– Fordham University Graduate School of Social Service, Masters of Social Work

– Rutgers University, Bachelor of Arts degree in Social Work

Monique Santone, a Licensed Clinical Social Worker at Kolli Psychiatric and Associates, has dedicated her career to assisting those aiming for meaningful change in their lives. Her expertise spans a spectrum of areas, including but not limited to self-esteem, depression, anxiety, and grief. However, her most recent passion lies in guiding new mothers through the intricacies of postpartum challenges.

Recognizing the monumental shift new parenthood brings, Monique stresses the importance of providing both new mothers and fathers the empathy and support they deserve during this pivotal phase.

Beyond her therapeutic role, Monique holds dear the moments she spends with her family. They often seek moments of relaxation on the water. It’s their way to disconnect and rejuvenate. Additionally, she’s fond of reading and photography, always eager to capture life’s memories.

Monique’s journey wasn’t without its moments of self-reflection. Throughout her life, she often sensed her perspective diverging from the mainstream. As she matured, this sense of individuality transitioned from a source of introspection to a professional strength. It has enriched her therapeutic approach, offering a unique lens of understanding.

She places immense value on building trust and ensuring that her interactions remain transparent and sincere. In her care, clients can expect not only expert guidance but also a safe and open environment where their stories and experiences are valued.

Diagnosis:

Diagnosing ADHD is a comprehensive process that aims to understand an individual’s unique behavioral patterns. When symptoms such as easy distractibility, impulsivity, or heightened hyperactivity arise, professionals might suspect ADHD.

To delve into these behaviors, specific tools like the Vanderbilt ADHD Assessment and the Conners ADHD Scales are employed. These tools ask detailed questions of parents, teachers, or even the individuals themselves to ascertain if the behaviors align with ADHD.

However, for a more holistic understanding, a neuropsychological evaluation by a neuropsychologist can be invaluable. This evaluation is an in-depth assessment of skills and abilities linked to brain function.

It offers insights into how a person’s brain processes information and can pinpoint specific areas of strength and challenge. Such an evaluation can help differentiate ADHD from other conditions that might have overlapping symptoms. Additionally, it can highlight coexisting issues that might be affecting an individual’s ability to focus or control impulses.

When combining the insights from these assessments with details about school performance, work challenges, and personal relationships, professionals can make an informed diagnosis and devise an effective treatment plan tailored to the individual’s needs.

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