Mood Charting for Complicated Problems

Peter Forster Best Practices

I want to share a link to a blog post one the Moodsurfing site which talks about the value of mood charting when trying to understand complicated problems. The story is about Lucy, a patient at Gateway (name changed, of course) and our session yesterday. I think that the story neatly illustrates why keeping track of symptoms is so important when …

Cognitive Behavioral Analysis System of Psychotherapy

Peter Forster Best Practices, GPS Update, Major Depression, Treatments of Depression

I have just posted another page on the site devoted to orienting patients to types of psychotherapy that we may recommend for them. This most recent page talks about Cognitive Behavioral Analysis System of Psychotherapy, an approach to the treatment of patients with chronic depression that many people have benefitted from during the course of their treatment at Gateway Psychiatric. …

Collaboration with Your Clinician

Peter Forster About GPS, Best Practices, Self Care, Treatments of Depression

There are a number of things about the clinical practice at Gateway that are a little bit different.  If you have seen another psychiatrist or psychotherapist it might be helpful to read this blog post to orient yourself to those differences and also to see if this is the right place for you to be receiving treatment. We strive to …

Medical Records

Peter Forster About GPS, Best Practices

As many of you may know, either as a patient in our clinic or by reviewing the information on our website, we pride ourselves in our comprehensive and thorough assessment process. We use the information gathered during this phase to understand the problems that are bringing someone to see us and to develop an individualized treatment plan based on her/his …

Treatment History Records Retrieval

Kelsey Schraufnagel About GPS, Best Practices, Costs of Treatment, General, GPS Update

As many of you may know, either as a patient in our clinic or by reviewing the information on our website, we pride ourselves in our comprehensive and thorough assessment process. We use the information gathered during this phase to understand the problems that are bringing someone to see us and to develop an individualized treatment plan based on her/his …

Pre visit Questionnaire

Peter Forster About GPS, Best Practices

For more than a year we’ve been sending out reminders about future appointments along with a link to a pre-visit survey form. The idea for doing this originally came from new documentation requirements that were embedded in a revision of the standard billing codes for psychiatry a couple of years ago. We realize that the new documentation requirements would take …

Frequency of Visits

Peter Forster About GPS, Best Practices, Costs of Treatment

The frequency of visits to the clinic can be a source of considerable irritation. Why do we recommend that people come in once a week, or once every two weeks, or once a month, or less often? A wonderful young man I have been seeing for several years got very angry when I replied to his request to reschedule his appointment …

LOCUS and Level of Care

Peter Forster Best Practices, Costs of Treatment

LOCUS© and CALOCUS© instruments were developed by the American Association of Community Psychiatrists (AACP). They are clinical tools that evaluate and determine level of care placements for psychiatric and addiction services for both adult and child/adolescent populations. We use these tools when we are working with the patient or family who is seriously symptomatic, failing to improve despite aggressive outpatient treatment, …