One-on-one counseling is the cornerstone of behavioral healthcare at all of our locations. Our integrated care model allows our psychiatrists and nurse practitioners to easily refer their clients to our licensed therapists. In the event one of our on-site therapists is not a good fit for you, we’ll work to find a therapist who better suits your needs.
A group setting can be a powerful behavioral health tool, as it provides a community that can share in similar experiences and celebrate in successes. Groups run at both our Watertown and Weymouth locations. Currently our active groups are being held via videoconferencing. Most groups are ongoing/open ended and currently include all male, all female or mixed relapse prevention groups, a grief group, and a women’s group.
Psychological Evaluation and 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.
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
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.
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.
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.