Therapeutic Approaches Offered
The focus of integrative psychiatry is to blend traditional and non-traditional treatments in the healing process. In integrative psychiatry clients are assessed and treated holistically. All aspects are taken into consideration: from diet to exercise, symptoms and disease processes as well as the spiritual aspects of a person’s life. Traditional medicine often teaches treatment of disease processes as singular entities. Integrative medicine seeks to treat the client with the understanding that all things are inter-related. Treatments can be found in therapeutic approaches as well as teaching proper nutrition, exercise, mindfulness and self-healing. Tulaya Wellness is a clinic that strives to reconnect people to themselves and to teach them that with the proper tools and treatments they can find healing and enrichment in their lives.
This is considered “talk therapy” by many. There are many different approaches one can utilize in this interaction. Dr. Negrette will tailor her approach to the individual client’s needs and capabilities. Talk therapy is more intensive and demanding than it sounds. It requires a patient to be fully engaged in their healing process. Oftentimes when engaging in therapy a person can experience an increase in their symptoms. It is important for the client and the therapist to have a trusting/safe relationship where the client is able to openly discuss these symptoms and emotions that come up. It is important that the client feels comfortable with the therapist as it needs to be “the right fit.”
Conducted by: Dr. Gina Negrette
Creative Arts & Therapies
Dr. Negrette has trained in utilizing creative modalities to aid in expression and processing of thoughts and emotions. There are numerous ways to engage in creative therapy including painting, writing, drawing, zentangles, journaling, music, etc. Dr. Negrette is hoping that clients would be open to utilizing these modalities individually as well as in group settings.
Please check back for more details and availability.
Nutrition and Supplements
In the integrative approach a client’s daily habits are very important aspects to the healing process. Exercise as well as nutrition are imperative components to living an optimal life. Clients should expect to have a thorough history of diet as well as possible laboratory testing to determine if essential nutrients or vitamins are deficient. If the client is interested in more intensive nutrient and supplemental inquiry and treatment Dr. Negrette or Kelly Theodore will make referrals to specialists that can engage the patient in homeopathic remedies as well as naturopathic processes.
Conducted by: Dr. Gina Negrette, Kelly Theodore PMHNP and Kate Meine, DNP, PMHNP
In some instances, when talk therapy, exercise and supplementation is not enough, medications are indicated to aid in the treatment and management of a client’s symptoms and treatment. In these cases, Dr. Negrette or Kelly Theodore will discuss with the client the risks, benefits and side effects of these medications that she feels are indicated and will only prescribe if both she and the client are in agreement. Tulaya Wellness has a strict policy against prescribing opiates as these are not indicated in psychiatric and mental health concerns. In the case that other narcotic level medications are prescribed, a strict contractual agreement will be entered by provider and client.
Conducted by: Dr. Gina Negrette, Kelly Theodore PMHNP, Becky Sobanski, PMHNP-BC and Kate Meine, DNP, PMHNP
Spravato treatment is conducted by Kelly Theodore and is available now.
Ketamine is the generic equivalent of Spravato. It has been used as an off-label treatment for depression for a number of years with excellent efficacy. However, until now ketamine was available only as an intravenous (IV) treatment. Spravato is a nasal spray with a novel delivery mechanism that provides precise dosing without the need for an IV. This provides a simpler, more comfortable option for patients who are suffering from depression.
Spravato has a novel chemical mechanism of action. Traditional antidepressants work by augmenting the levels of serotonin, norepinephrine, or dopamine in the brain through what is known as reuptake inhibition. Spravato works on a completely different neurochemical system. It is known as an NMDA-receptor antagonist which regulates glutamate, a neurotransmitter distinct from those previously targeted by antidepressants.
Ketamine can cause feelings of euphoria and dissociation. It can also cause sedation and a temporary increase in blood pressure (on average 10 points). For these reasons Spravato has to be administered in a doctor’s office that has been certified by the FDA mandated monitoring program for the medication.
Safe and Effective TMS Depression Treatment Coming Soon
Since the late 1990s, physicians have explored the therapeutic potential of transcranial stimulation therapy, better known as Transcranial Magnetic Stimulation (TMS) to treat a variety of mental health diseases. Among those diseases, depression, and severe depressive disorder have been the most thoroughly studied, with brain stimulation therapy as a proven effective treatment in those suffering from depression. In October of 2008, the FDA cleared the usage of TMS for depression therapy patients who are suffering from depression and have not achieved satisfactory improvement from prior antidepressants.
TMS is a non-invasive procedure, meaning that it requires no surgery, anesthesia or sedation, and the patient remains awake and alert during the treatment. Initially, the treatment takes around 19-40 minutes and depending on what the doctor determines is the best length of treatment, can be performed daily over 4-6 weeks.
If you suffer from depression and have noticed that medication is no longer working for you, we have TMS Depression Therapy treatments coming soon to Tulaya Wellness. Inquire today by calling 414-671-9355 or emailing our intake team at firstname.lastname@example.org.
**Dr. Negrette is very aware that “Walk and Talk” therapy will be done in public places (parks, lake path/shore, malls, etc) and that confidentiality may be a concern of the patient. These concerns will be discussed more fully and further consent will be obtained prior to engaging in these sessions. By engaging in walk and talk therapy the patient will hopefully find enjoyment not only in the therapeutic process but also in connecting to nature and learning how to heal through this relationship.