Medication Management
Our skilled mental health providers have years of experience treating a wide variety of issues. Using their knowledge and resources to guide them, our psychiatrists and nurse practitioners will determine the diagnosis and psychopharmacological treatment best suited to your needs. We work with you to find and manage a prescription regimen that’s right for you.
Individual Therapy
The least intensive level of care is a weekly or bi-weekly meeting with an individual therapist and/or with a psychiatrist or nurse practitioner for medication. Our therapists are trained in Cognitive Behavioral Therapy (CBT) and Trauma Informed Care as well as other evidence based practices to optimize treatment of substance use and co-occurring disorder. Our prescribers are trained and experienced in the treatment of substance use and co-occurring disorders.
Group Therapy
For people looking to maintain their recovery, or wish to focus their treatment on a specific topic, SMG offers a number of outpatient groups. These groups meet once a week for an hour and can also be combined with individual therapy and medication assisted therapy as described above.
Intensive Outpatient (IOP)
The next level of care is the Intensive Outpatient Program (IOP). Square Medical Group offers a day IOP program virtually on Monday, Wednesday and Fridays from 9:00 AM-12:30 PM and In-Person in Weymouth and Woburn Monday through Friday 9:00 AM - 12:30PM (individuals can choose which 3 days they'd like to attend for the in-person IOP). The IOP is also a group program that provides similar opportunities to those listed below in the PHP. IOP participation can also be combined with individual therapy and medication assisted therapy.
The IOP option is a logical choice for someone who wants to strengthen their recovery, avoid a relapse or is discharging from an inpatient program and cannot make the time commitment of a PHP.
Partial Hospitalization (PHP)
Our most intensive level of service is the In-Person Partial Hospitalization Program (PHP). Weymouth and Woburn Partial Hospitalization Program offers a series of groups, Monday through Friday, five hours each day. When combined with individual therapy from a member of our clinical staff and medication assisted therapy from one of our psychiatrists or nurse practitioners, it provides the most comprehensive treatment program available outside a hospital setting. Groups include: relapse prevention, anxiety and depression symptom management, trauma recovery, healthy relationships and yoga and meditation. This option is often the next step for someone discharging from an inpatient stay or for someone who is struggling with their recovery and wants to intervene before they experience a full relapse.
Neuropsychological Testing
A psychological evaluation consists of an interview with a psychologist and completion of a variety of tests that cover areas of intellectual, emotional, and behavioral functioning. Other elements such as personality and executive functioning may be part of the evaluation. Executive functioning is your ability to make the most of your intelligence. For example, you may be very intelligent, but you will not be making the best use of your intelligence unless you can initiate, inhibit, switch, and sustain your attention as you navigate through the world around you.
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A good neuropsychological evaluation answers the question “what is this brain capable of doing?” by looking at the brain’s abilities. A neuropsychological evaluation covers the broad areas of reasoning, including working memory, and processing speed over a variety of tasks. A neuropsychological evaluation also assesses attention and concentration, verbal and visual memory, and has a greater focus on executive functioning than a standard psych evaluation. Motor and sensory measures may be part of the evaluation as well. You may seek neuropsychological testing to understand the likely underlying cause of a developmental abnormality, such as ADHD, or the behavioral and cognitive impact of an acquired brain injury resulting from events such as concussions, traumatic brain injury, or brain damage from drug use.
The testing process involves two to three meetings. At the first appointment, we gather background information, including your personal history and current mental health issues. Pending the necessity of testing and insurance authorization, we will schedule a second longer appointment during which we conduct objective testing. During this testing, we use standardized tests, including paper and pencil, question and answer, and puzzle-type tests. No electronic or medical equipment is involved. The testing may be broken up into different days at the patient’s request. We offer a third optional feedback session if the patient would like to go over the findings of testing. The purpose of testing is to establish the most accurate diagnoses so the therapist and prescriber can offer interventions that are most likely to be effective in alleviating the patient’s distress and helping them lead fuller, happier lives.
TMS
Transcranial Magnetic Stimulation (TMS) is a safe, innovative, non-invasive and effective treatment for depression. The FDA approved TMS as a treatment for depression in 2008, and it has a proven record of success without the side effects that many pharmaceuticals bring.
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TMS therapy involves stimulating an area of the brain that can be under-active in patients with depression with magnetic pulses, similar to an MRI. This regulates neural networks, increases blood flow to that area of the brain, and activates nerves that affect depressive moods.
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We perform the procedure in the office and no sedation is required. You are awake and alert during the treatment sessions and are able to drive and resume normal activities immediately afterward. The initial visit can last up to an hour while we take precise measurements. Subsequent visits last 20-30 minutes.
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For more information or assistance with scheduling an initial appointment for any service, please call us at 617-916-5069.