Genetic Tests for Antidepressants – CNS Dose

Peter ForsterBest Practices, GPS Update, Major Depression, Testing, Treatments of Depression Leave a Comment

About a year ago we reviewed the data on the use of genetic tests for antidepressants as well as other medications and identified three pharmacogenetic panels that seem to have research support: Genecept by Genomind, Genesight, and CNS Dose. Of these three we have been using Genecept and Genesight with some success but now we are happy to add to …

Health Problems

Health Problems

Peter ForsterGPS Update, Website Update Leave a Comment

We have updated the health problems page with quick links to important information about living well with moods, including information about diet and exercise, information about sleep, insomnia and the most effective treatments for insomnia, and general information about mood and mood disorders. Hopefully, this new format and the new content, will make the page much more useful for our …

We Are Not “In Network” Providers

Peter ForsterCosts of Treatment, GPS Update

Gateway Psychiatric Services is not an “in network” provider of care. Many of the patients we see get reimbursement for their care here, but this depends on the specific insurance plan and how it handles out-of-network claims. The most generous plans seem to be provided by larger “tech” companies which often have very generous out-of-network coverage. It is important to …

Bipolar 101 An Online Course

Peter ForsterAbout GPS, Bipolar Treatment, GPS Update

Bipolar 101, an online course hosted by Gateway Psychiatric begins March 17, 2017: Bipolar 101 – The Basics and Beyond. The class is based on the acclaimed Barcelona Bipolar Disorders Program. Bipolar 101 – An online course will cover topics such as: It will be taught by Dr. Peter Forster and Gina Gregory, and will have an interactive format with plenty of …

Fee Increase 2017

Hershe GesmundoAbout GPS, Costs of Treatment, GPS Update

We hope 2017 is off to a good start! We look forward to working with and supporting you in your goals toward mental health and wellness. We wanted to get in touch as we enter a new year, as we regularly examine our fee scales during this time. In preparation for this task we reviewed data on health care costs …

Controlled Substance Refills

Peter ForsterAbout GPS, GPS Update

Controlled substances are medications with a potential for abuse or misuse. They are often, also, medications that have powerful effects on brain function. Common controlled substances that doctors prescribe include: Narcotic pain medications (Demerol, Norco, Tyco, etcetera) Stimulant medications (Adderall, Ritalin, Concerta, etcetera) Benzodiazepines and similar sedating and anti-anxiety medications (Xanax, Valium, Ativan, Ambien, etcetera) Testosterone and some other hormone …

Telepsychiatry at Gateway – An Update

Peter ForsterGPS Update

An American contractor in Iraq suffering from the after effects of a violent attack needs help to prevent him from developing acute post-traumatic stress disorder. A young man who has been in the throes of an acute psychotic mania and who is now living with his father in remote Humboldt County is trying to rebuild his life. An older woman …

Welcome Gina Gregory – New Staff Member

Peter ForsterAbout GPS, GPS Update

We are very pleased to welcome Gina Gregory to Gateway Psychiatric. Gina will be working full time in our San Francisco office. Gina is a licensed clinical social worker (LCSW) (#73689) who specializes in trauma-related concerns, mood disorders, anxiety disorders and co-occurring substance use disorders.  She uses evidence-based approaches, such as cognitive-behavioral therapy and motivational interviewing. She earned a Master’s in …

Genesight – Genetic Testing to Predict Medication Response

Peter ForsterGPS Update, Psychobiology, Testing

We have been using the Genecept Assay from Genomind for several years to help guide treatment selection in patients with either unusually high rates of side effects from medications or those who have failed multiple trials of medications. Although the test can be expensive, costing anywhere from a couple of hundred dollars to five hundred dollars or more, it is our experience …