Clinical Services
Psychiatric Consultation
Dr. Givrad provides comprehensive psychiatric consultations designed to thoroughly understand your mental health concerns and develop a personalized treatment plan. This process typically involves one to three sessions, during which she conducts a detailed assessment of your symptoms, medical history, family dynamics, and life circumstances.
For children and adolescents, the consultation includes both individual sessions with the child and collaborative meetings with parents to gain a complete picture of the young person's emotional and behavioral needs.
Each consultation concludes with a comprehensive treatment plan that may include medication recommendations, therapy recommendations or referrals, lifestyle modifications, and ongoing care coordination. Whether you're seeking clarity on a diagnosis, exploring treatment options, or needing a second opinion, these consultations provide the foundation for effective, individualized mental health care tailored to your unique situation and goals.
Second Opinion Consultation for Perinatal Individuals
Dr. Givrad offers specialized second opinion consultations for women and individuals who are planning pregnancy, currently pregnant, or postpartum and have questions about psychiatric medications.
These consultations provide comprehensive risk-risk analyses of continuing, discontinuing, or adjusting psychiatric medications during the perinatal period. She carefully reviews your current medications, mental health history, pregnancy plans, and individual circumstances to help you make informed decisions about your psychiatric care.
Working collaboratively with your obstetrician, primary psychiatrist, and other healthcare providers, Dr. Givrad provides evidence-based recommendations that prioritize both maternal mental health and fetal/infant safety. These consultations offer peace of mind during a time when medication decisions can feel overwhelming, ensuring you have expert guidance to support your mental wellness throughout this critical period while minimizing risks to both you and your baby.
Medication Management
Dr. Givrad provides comprehensive medication management for children, adolescents, and adults with mental health conditions. Her approach involves careful assessment of your symptoms, medical history, and treatment goals to determine the most appropriate medication options. She monitors your response to medications closely, making adjustments as needed to optimize effectiveness while minimizing side effects.
Regular follow-up appointments ensure ongoing evaluation of your progress, medication tolerance, and any life changes that may impact your treatment. Dr. Givrad believes in collaborative decision-making, taking time to educate patients and families about medications, addressing concerns, and working together to find the most suitable treatment approach for your individual needs and circumstances.
Psychotherapy
Dr. Givrad offers individual psychotherapy grounded in psychodynamic principles while thoughtfully integrating elements from multiple therapeutic approaches to best serve each patient's unique needs. Her psychodynamic foundation helps explore unconscious patterns, early relationships, and how past experiences shape current emotional and relational difficulties. She skillfully weaves in cognitive behavioral techniques to address specific symptoms and thought patterns, problem-focused strategies to tackle immediate concerns, relational therapy concepts to improve interpersonal connections, and interpersonal therapy methods to enhance communication and relationship skills.
This integrative approach allows for deep psychological insight while providing practical tools for managing symptoms and improving daily functioning. Whether working with children, adolescents, or adults, Dr. Givrad tailors her therapeutic style to match each individual's personality, presenting concerns, and treatment goals, creating a rich therapeutic experience that addresses both immediate needs and underlying psychological dynamics.
Parent-Infant (Dyadic) Psychotherapy
Dr. Givrad provides specialized parent-infant psychotherapy focused on strengthening the emotional bond and communication between parent and infant. This therapeutic approach works with both parent and infant together in sessions, addressing relationship dynamics, attachment patterns, and interaction styles during this critical early period. Whether supporting new parents struggling with bonding, addressing feeding or sleep difficulties, helping families navigate the transition to parenthood, or working with families dealing with medical trauma and NICU admissions, parent-infant therapy creates a safe space to explore and improve the parent-infant relationship.
Dr. Givrad also specializes in helping parents whose mood and anxiety disorders are impacting their ability to bond with their baby, providing targeted support to address both the parent's mental health needs and the developing attachment relationship. She helps parents understand their infant's cues and developmental needs while supporting healthy attachment formation and emotional attunement. This collaborative approach often leads to improved family harmony, enhanced emotional regulation for both parent and infant, and stronger, more secure attachment relationships that provide the foundation for lifelong emotional wellbeing and healthy development.
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Let us start with a brief phone call (free of charge) to discuss.