Conditions We Treat

Brain Mind Harmony provides treatment for a wide range of psychiatric conditions. Below is an overview of the conditions we most commonly treat, along with honest information about what each involves.

Depression & Major Depressive Disorder

Depression is more than sadness—it's a persistent condition that affects how you think, feel, and function. Symptoms can include low mood, loss of interest in activities you once enjoyed, changes in sleep and appetite, difficulty concentrating, fatigue, and thoughts of worthlessness or death. Depression responds well to treatment, typically a combination of medication and therapy. Most people see significant improvement, though treatment takes time and often requires adjustment.

Anxiety Disorders

Anxiety becomes a disorder when worry and fear interfere with daily life. This includes generalized anxiety disorder (persistent, excessive worry), panic disorder (recurrent panic attacks), and social anxiety (intense fear of social situations). Treatment usually involves therapy—particularly cognitive behavioral therapy—and sometimes medication. The goal isn't to eliminate anxiety entirely, but to reduce it to manageable levels and give you tools to cope.

Bipolar Disorder

Bipolar disorder involves episodes of depression alternating with episodes of mania or hypomania (elevated mood, increased energy, reduced need for sleep, impulsive behavior). It's a lifelong condition that requires ongoing management, usually with mood stabilizers or other medications. With proper treatment, most people with bipolar disorder can live stable, productive lives—but it requires consistent medication adherence and regular monitoring.

PTSD & Trauma

Post-traumatic stress disorder develops after exposure to a traumatic event and involves re-experiencing symptoms (flashbacks, nightmares), avoidance, negative changes in mood and thinking, and heightened reactivity. PTSD is treatable through specialized therapies like EMDR and trauma-focused CBT, sometimes combined with medication. Treatment can be difficult—it requires confronting painful memories—but it works.

ADHD (Adults and Children)

Attention-deficit/hyperactivity disorder isn't just a childhood condition. Many adults struggle with ADHD symptoms: difficulty focusing, disorganization, impulsivity, restlessness. Proper diagnosis is important, as ADHD can look like other conditions. Treatment typically involves stimulant or non-stimulant medication along with behavioral strategies. Medication is highly effective for most people, though finding the right dose may take adjustment.

OCD (Obsessive-Compulsive Disorder)

OCD involves unwanted, intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) performed to reduce anxiety. It's more than being neat or organized—it's a disabling condition that can consume hours of each day. Treatment involves a specific type of therapy called exposure and response prevention (ERP), sometimes combined with medication. OCD is challenging to treat but responds well to proper care.

Psychotic Disorders & Schizophrenia

Psychotic disorders involve a break from reality—hallucinations, delusions, disorganized thinking. Schizophrenia is the most well-known, but there are other psychotic conditions as well. These are serious disorders requiring medication, typically antipsychotics. With treatment, many people with psychotic disorders can manage their symptoms and function in daily life, though it requires ongoing care and support.

Personality Disorders

Personality disorders are long-standing patterns of thinking, feeling, and behaving that cause distress and impair functioning. We treat borderline personality disorder, narcissistic personality disorder, and others. These conditions are challenging but treatable, primarily through specialized psychotherapy approaches. Progress is usually gradual and requires commitment to the therapeutic process.

Other Conditions We Treat

• Panic Disorder — Recurrent, unexpected panic attacks with fear of future attacks
• Social Phobia — Intense fear and avoidance of social situations
• Specific Phobias — Excessive fear of specific objects or situations
• Intermittent Explosive Disorder — Episodes of impulsive, aggressive behavior
• Trichotillomania — Compulsive hair pulling
• Eating Disorders — Including anorexia, bulimia, and binge eating disorder
• Insomnia & Sleep Disorders — Chronic difficulty sleeping

Specialized & Advanced Treatments

For treatment-resistant cases or specific clinical needs, we offer several advanced treatment options.

Ketamine Treatment

For patients with severe or treatment-resistant depression who haven't responded to traditional medications, ketamine treatment may be an option. Ketamine works differently than standard antidepressants and can provide rapid relief. This treatment is only appropriate for specific cases after careful evaluation.

Spravato (Esketamine)

Spravato is an FDA-approved nasal spray form of ketamine for treatment-resistant depression. It's administered in-office under medical supervision and can be effective when other treatments have failed.

Bio-Identical Hormone Therapy

Hormonal imbalances can contribute to psychiatric symptoms, particularly in perimenopause, menopause, and andropause. Dr. Marcus is certified in anti-aging medicine and bio-identical hormonal therapy, allowing her to address these factors when relevant.

Medical Marijuana Evaluation

When clinically indicated and legal requirements are met, Dr. Marcus can evaluate patients for medical marijuana certification. This is considered on a case-by-case basis when other treatments have been ineffective.

Telehealth

For patients who prefer remote appointments or have difficulty traveling, we offer telehealth visits. These work well for medication management and many forms of therapy, though some treatments require in-person attendance.