Gateway psychotherapist Andrea Starn, LMFT will be offering an introductory class on mindfulness starting March 7th that is available to Gateway patients. This class will be accessed via Zoom. Andrea Starn is currently completing certification as a Mindfulness Meditation Teacher after a 2-year intensive training program sponsored by Gateway Psychiatric. The program is the most widely recognized certification program in …
Functional Brain Imaging Sheds Light on Human Problems that Society Might Want to Deny
In the current edition of Biological Psychiatry there are several articles that point out how an understanding of brain function derived from new techniques that allow us to see how the brain functions much more clearly and to identify changes in the structure and function of the brain that could not be detected before may change our response to human …
Fee Changes 2022
It is time to update our fee list. June 2020 was the last time we revised our fees. Fee revisions occur every year. Usually we revise our fees based on an analysis of data from the Bureau of Labor Statistics relevant to changes in overall health care costs in the Bay Area. We also look at data in the FairHealth.org …
Breathing, Hyperventilation, Carbon Dioxide and Panic
How does a panic attack relate to how we are breathing and the level of carbon dioxide and oxygen in our blood, and what is the fundamental flaw in brain programming that makes some of us so vulnerable to panic attacks? I was debriefing with a young woman who took too much of a new medication and ended up in …
Giving Support to a Mentally Ill Family Member
When a loved one is diagnosed with a mental illness, it can throw the whole family into a tailspin, rife with self-doubt, suspicion, guilt, and helplessness. How we respond to the illness of a family member can make all the difference to their recovery and the rebuilding of the family’s foundations. Through many years of practice, we have evolved some …
Inflammation and Depression – Specific Symptom Cluster
A study of 15 population-based cohorts, totalling 56,351 individuals, suggests that there is a correlation between inflammation as measured by elevated C-reactive protein (CRP) and interleukin-6 (IL-6) and a specific sub-group of symptoms of depression. The inflammation cluster consisted of four physical symptoms: changes in appetite, felt everything was an effort, loss of energy, sleep problems; and one cognitive symptom: little …
Psychology Tools – Resources to Support Clinical Care at GPS
Psychology Tools offers a wealth of new resources for patients and therapists at Gateway Psychiatric. These tools include hundred of worksheets, handouts, exercises, podcasts, and information sheets that are solidly founded in clinical research. The entire collection is searchable by resource type, problem and therapy type and thus easily accessible. Gateway is licensed to share these materials with any patient …
The New Gottman Relationship Builder
A powerful online assessment that automatically scores a couple’s strengths and challenges. Created by Drs. John and Julie Gottman in collaboration with The Gottman Institute and Affective Software Inc. This clinical tool consists of 337 questions about friendship, intimacy, how well you know your partner, how you manage emotions and conflict, how you share your values and goals, and what …
Psychotropic Medications and Breastfeeding
80% of women in the U.S. will experience at least one pregnancy and 84% of babies will be breastfed. In addition, more than half of women use medications during lactation. There are many reasons for using medications during breastfeeding, but the post-partum period is a time of high vulnerability to mood and anxiety episodes, and the effects of a mood …
Depressive Symptoms COVID
The COVID-19 pandemic appears to be associated with a higher burden of depressive symptoms than might have been predicted in comparison with earlier disasters and society-wide disruptive events, such as the September 11th attacks. Since April 2020, self-reported symptoms of depression have increased over the previous year, and remain high. A survey1 published in The Lancet Regional Health – Americas …