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
Drs. Bradshaw, Brownridge and Shahid 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, Brownridge and Shahid 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
Drs. Bradshaw, Brownridge and Shahid 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.
Drs. Bradshaw, Brownridge and Shahid 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. This type of therapy focuses on understanding an individual on a deeper, more personal level. Psychotherapy is offered once or twice weekly, and may be an additional component in an individual's treatment plan.
Victoria de Arrigoita offers a family-focused psychotherapy, specializing in the treatment of anxiety and depression in children and adolescents. She utilizes an approach that appreciates the complexities of children's lives and well-being, including the family dynamics, school setting and deeper psychodynamic factors. She has completed her Masters degree in Clinical Mental Health Counseling with a certificate in Marriage and Family Therapy.