INITIAL CONSULTATION & ASSESSMENT
The initial assessment is a 2 hour comprehensive evaluation- the first meeting is with the parents only, for 60 minutes. The second 60 minute meeting is with the parents and child, focused on obtaining an accurate psychiatric diagnosis and identifying symptoms for treatment.
CHILD and ADOLESCENT SPECIFIC CARE
Our doctors take a family-centered approach to working with children and adolescents. Following the comprehensive Initial Assessment, follow up appointments are typically 45 minutes in length. At each visit, we will meet with the parent and child separately as well as together. By having longer appointment times, there is ample time to hear concerns from parents as well as the child or teenager. Our physicians consider developmental stages and work with the family to create a specific treatment plan that works for the whole family.
Drs. Bradshaw and Brownridge use an evidence-based medicine approach for psychiatric medication management. They provides extensive education regarding symptoms and diagnosis, treatment plan and medication regimen. Our physicians' treatment philosophy involves using the least amount of psychotropic medications necessary for treatment. Not all child and adolescent patients are started on medication. Before psychotropic medications are initiated, target symptoms, outcomes, medication side effects, risks/benefits and alternatives are discussed at length. Patients are typically seen for medication management more frequently if a medication is started.
IN OFFICE VISITS- Temporarily suspended due to Covid-19
Our doctors prefer in person visits at their office with you and your child during the evaluation period and for follow-up visits. While connecting through the privacy and convenience of telepsychiatry is available, child and adolescent visits are recommended to be in person. There are times that an in person visit is necessary for diagnostic clarity or due to prescribing laws. These visits are scheduled on an individualized basis and will be coordinated with your convenience, as well as best practice, in mind.
Your doctor may refer you for individual or family psychotherapy. Here are a few options that may be offered:
Dr. Bradshaw has completed lengthy training in multiple types of therapy, including psychodynamic psychotherapy, CBT (cognitive behavioral therapy), DBT (dialectical behavioral therapy) and mentalization based treatments. She utilizes psychodynamic psychotherapy as a foundation and has comprehensive training from the Florida Psychoanalytic Institute as well as the St. Louis Psychoanalytic Institute. She is currently an advanced candidate at the Florida Psychoanalytic Institute. This type of therapy focuses on understanding an individual on a deeper, more personal level. Psychotherapy is offered once or twice weekly.
Victoria de Arrigoitia has completed training in individual psychotherapy, treating adults and children with various diagnoses including anxiety, depression, PTSD, and bipolar disorder. They utilize psychodynamic psychotherapy as well as CBT (cognitive behavioral therapy) components within their therapies. They have each completed a Masters degree in Clinical Mental Health Counseling with a certificate in Marriage and Family Therapy.