Introducing the TelepsychHealth
ChARM App
With the app, you may:
Check in to your appointment
Send secure messages to your provider and staff
Check your day-to-day medications
View practice announcements
How it works
Contact us for an appointment
We will send you an intake form and then schedule your first appointment
Follow the recommendations regarding lighting, internet speed, privacy
Preparing for your first online appointment
Create a ChARM Account
You will receive an email link to sign up for an account. You will use this account to request appointments and send secure messages.
Download Zoom and join a test meeting.
Go to zoom, and join a test meeting, which will automatically download the secure app to your computer, iPhone, or Android device that also has a camera. Test your internet connection for >10 mb/sec download speed.
Log into Charm before appointment
Once you log into Charm, and go to appointments, then check-in, you can join the session up to 30 minutes prior to the start time. You may have a questionnaire to do prior to the appointment which you will see in your Charm inbox.
Write Down Your Questions
Think about questions you’d like to ask during your session and write them down so you don’t forget.
Find a Private, Well-Lit Area
Ensure you are in a private, well-lit area for the duration of your appointment, free of distractions.
Depression and Grief
Feelings of sadness, loss of pleasure, hopelessness, or irritability. Some people can meet criteria for depression despite not feeling sadness, per se. If you have had thoughts of suicide please be seen in a hospital setting immediately.
Anxiety and Panic
Anxiety is a normal emotion, but if you have felt feelings of excess worry, nervousness, or unease, to the point it impairs you, we can help.
Substance Use and Addiction Treatment
Our psychiatrist is fellowship trained in Addiction Psychiatry and can provide treatment for alcohol use, opiate use (heroin), methamphetamine, cannabis and nicotine/tobacco use.
PTSD
Sometimes life is not the same after trauma. We are all vulnerable, fragile beings and unwanted experiences can and will happen to all of us. We will emphasize healing through meaning, helping you enhance your own resilience as some aspects of our lives won’t ever be the same again. We will focus on restructuring these memories, managing current relationships, social redefinition, circadian disruption, and finding meaning.
Elderly Mental Health
Age causes us to reorder life priorities, to live life more intensely and authentically. Telepsychiatry is ideal for older individuals struggling with mobility and accessibility. We can provide treatment for mood disorders, coping with loss and finding meaning, medication review or simplification, or a second opinion.
Young Adult/College students
Telepsychiatry is ideal for college students who need to move frequently and may therefore deal with having to see numerous psychiatrists. Depression is a product of stressors such as pressure to perform in school, pressure to fit in socially, having a limited income, being isolated and overburdening one’s self with extra-curricular activities.
Sleep Problems
We will discuss your sleep habits and also determine if your mood or racing thoughts are contributing to your difficulty sleeping.
Fatigue
Fatigue, or low energy, can be caused by a variety of factors: mood, poor sleep, obstructive sleep apnea, low vitamin levels (vitamin D, vitamin B1, B6, B12, folate), low blood counts, or heart arrhythmias. It requires a very comprehensive evaluation to determine the cause, which is usually multifactorial.
Bipolar Disorder
Individuals with bipolar disorder can present very differently from one another. Sometimes concurrent use of substances can mimic bipolar disorder.
Schizophrenia
Schizophrenia, schizoaffective disorder, and other psychotic disorders can be treated with both medications and cognitive therapy to help individuals become more comfortable with various symptoms of psychosis. Hallucinations are in fact a surprisingly common symptom for most individuals, even those who never meet criteria for schizophrenia. For example, sometimes hallucinations can be experienced around the time of sleep, or with sleep deprivation, substance use, withdrawal from substances, or grief.
Chronic Pain
Although we do not prescribe opiates, there are a number of psychiatric medications that can be useful for treating chronic pain, such as duloxetine or cymbalta, milnacipran or savella, gabapentin, or clonidine. In addition to seeing your regular pain physician, there are strong psychiatric components to pain.
Sexual Disorders, Gender Dysphoria, LGBTQ
Sexual dysfunctions are widely varied and may include: hypoactive sexual desire, orgasmic disorder, delayed or premature ejaculation, genito-pelvic pain, dyspareunia. Paraphilic disorders include: exhibitionism, masochism, voyeurism. LGBTQ individuals are at higher risk of mood disorders, such as depression or anxiety.
Body Dysmorphic Disorder
Refers to having a preoccupation with perceived flaws in physical appearance, with associated repetitive behaviors (mirror checking, excess grooming, skin picking, reassurance seeking). A subtype includes muscle dysmorphia, where an individual has an obsessive desire for a muscular physique.
Eating Disorders
Eating disorders include anorexia nervosa, bulimia, binge eating, avoidant/restrictive, and pica.
Personality Disorders
Although one’s personality is thought of as an unchanging trait, a personality disorder can be treated/improved with insight oriented therapy. Personality disorders include: borderline, histrionic, narcissistic, avoidant, paranoid, antisocial, schizoid, schizotypal, and dependent.
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