Inflammation and C Reactive Protein Inflammation is often seen in people with depression. And there is evidence to suggest that it predicts treatment response. The most widely accepted standard test to measure inflammation is the C-reactive protein, or CRP. This is a protein that is produced by the liver in inflammatory states. The American Heart Association and the Centers for …
Chronotherapy and Bipolar Disorder
Chronotherapy refers to treatments for depression, mania, or both, that focus on changing sleep and wakefulness patterns. This blog post provides an update of this important area. Background The International Society of Bipolar Disorders (ISBD) task force on chronobiology and chronotherapy published a comprehensive review of chronotherapy techniques and their effectiveness in bipolar disorder in 2019. This article summarizes the …
CBASP Advanced Training and Certification for Gateway Therapists – Update
Gateway Psychiatric was established with the belief that in order to give our patients the best care possible, it is necessary to invest heavily in training for the clinical staff. We particularly focus on evidence based practices that have been shown to address significant problems facing our patients. Since chronic depression is one of the most common problems seen in …
Pharmacy Apps
One of the most perplexing things about our healthcare system is how complicated it can make even simple tasks. This is particularly true when the issue involves sharing information among providers of care. Elsewhere we have talked about the “silo” problem and why it has motivated us to develop a clinic that tries to provide integrated care. Here I want …
“Are You Living a Life You Value?”
Sometimes our lives can become so full of the myriad items to manage and tend to that we lose track of what is most meaningful. Rarely do we afford ourselves the time to stop and ask, “How do I really want to be spending my time? What is it that I value?” The end-result of this way of functioning tends …
Gateway Staff attend APA Annual Conference in San Francisco – Chris
Recently the American Psychological Association (APA) held their annual conference here in San Francisco and Gateway staff was there to take advantage of the opportunity to update our knowledge of the most recent developments in the field. Gina Gregory, LCSW and I spent the long weekend attending workshops, presentations, and discussions in order to align ourselves with the current research …
Retrospective Mood Charting
Once again we are reminded of the power of retrospective mood charting to transform treatment. A young man who has “tried every medication” without any success and has been seriously suicidal, recently came in to see us and we convinced him to try putting together a retrospective mood chart. The process was quite time intensive, but the result was a …
Sleepio CBTi for Insomnia
Sleepio is a six-session sleep improvement program, created by sleep expert Professor Colin Espie and featuring proven Cognitive Behavioral Therapy (CBT) techniques. We are happy to add this treatment option to the list of state of the art therapies available at Gateway Psychiatric. Sleepio joins SHUTi (now Somryst™) [updated 2022], a longer program that we have found to be extremely …
Specialty Care for Bipolar Matters
Bob Post (one of the most eminent psychiatrists of our time) published a passionate article in the March 2018 edition of the Journal of the American Medical Association in support of the importance of specialty care for bipolar disorder. Of course, we couldn’t agree more. That is one of the reasons we founded the clinic. We saw that specialty care …
Invisible Work for New Patient Consultations
New patient consultations at Gateway are expensive, in large part because of the hidden or invisible work that takes place as part of the consultation process. The table below contrasts the visible work, which is contained in the two sessions with clinicians, to the hidden work done by clinical and nonclinical staff in order to make those two in person …