Medication Management

Medication is sometimes a critical piece in the treatment of psychiatric disorders. The decision to medicate a child is never taken lightly. Dr. Gold is known to be the child and adolescent psychiatrist who is reluctant to prescribe medication. She feels strongly that medication alternatives should always be considered first, and that children and adolescents should never be solely medicated. Patients should view medication as one tool of many used to treat psychiatric illness. Dr. Gold has three children of her own and is often quoted as saying that she won’t prescribe a medication for your child that she would be uncomfortable giving to her own children in a similar situation. Prior to starting medication, our psychiatrists will make sure that the family understands why a particular medication is being used and fully understand the risks and benefits of each medication. Our board certified pediatric & adult psychiatrists utilize evidence based practices to coordinate, manage and titrate medication. Parents, pediatricians, and therapists are always very involved in the process. Medications will be titrated and changed as a child grows and their life situations evolve. Psychiatrists at the Gold Center have the unique opportunity to follow their patients who are being seen by other Gold Center therapists. They also have the opportunity to consult with therapists and families who have questions and concerns about medication but who are unclear if medication is an appropriate modality.

Our psychiatrists are available for psychopharm evaluations, second opinions on the use of current medications, as well as ongoing medication management.

Psychotherapy Plus Medication Management

In addition to medication management, all of our psychiatrists offer dynamic and cognitive based psychotherapy in an array of focused areas. Combined treatment offers the psychiatrist additional insight into how the medication may be affecting the patient in his/her daily life. Combined treatment can allow for a more cohesive treatment and affords your psychiatrist a deeper understanding of your situation. This, in turn, can allow for a more direct understanding of the role of medications in your individualized treatment plan. Combined treatment is a particularly useful modality for a patient who has both psychiatric and medical concerns.

Reproductive & Infant Psychiatry

At the Gold Center, we treat the entire family starting at birth. Dr. Gold completed subspecialty training in working with parents and babies, and has given talk, lectures and media appearances on post-partum depression and managing motherhood.

Our psychiatrists are trained to offer medication consultations during prenatal, perinatal and post partum periods. We are happy to work in collaboration with a current treater if preferred We also offer an array of services that help mothers prepare for pregnancy, manage pregnancy and adjust to parenthood The Gold Center is unique in offering services to both mother and children. As pediatric subspecialists, we are trained to see parents together with their babies and toddlers. We are happy to provide early childhood assessments and diagnose when needed. Often, adult clinicians do not feel comfortable addressing attachment and assessing healthy development. We often assess development in babies and toddlers and work with parents to address parenting challenges that arise with newborns and babies.

Neuropsychological and Educational Testing

A neuropsychological evaluation is a helpful tool for assessing diagnosis and prognosis of a variety of neurological, psychiatric, and learning disorders. The testing is generally composed of a comprehensive set of norm-based assessments, questionnaire data, interviews and qualitative observations of the child culminating in a thorough picture of individual strengths and areas of challenge. Our evaluations address both academic and social/emotional components of your child. The results are critical in developing an Individual Education Plan (IEP), 504 plans and school and testing accommodations.

The results are shared through a parent feedback and a comprehensive report. We often meet with parents and educators to help make decisions about appropriate school placement, the need for services and supports, and specific strategies to help your child succeed. At the Gold Center, we also meet with adolescents and adults to give feedback about their strengths and weaknesses. The Gold Center is unique because we can tailor evaluations based on specific recommendations from our psychiatrists and therapists. The entire treatment team will make recommendations on how to best tailor an evaluation to meet the needs of a particular child and adolescent.
We have veteran school psychologists who are available to help manage the relationship between the family and school. Often, schools request “testing” but what they actually want is a thorough evaluation and do not need a long report. Our school psychologists can foster necessary communication and clarify concerns with the school while maintaining appropriate privacy. Our school psychologists are also skilled at helping schools to implement recommendations from the neuropsychological evaluations.

Our psychologists are flexible in their approach. We can modify testing when questions and concerns are very narrow.