Office based services

I provide office-based services for individuals 18 and older in a lovely office space in downtown Madelia.  This is an ADA accessible building (including bathroom) with on street parking in the front of the building that has a sidewalk with small ramp for wheelchairs and walkers.  I am always happy to help with ensuring safe entry and exit from the building.  Office based services include psychiatric medication management, psychotherapy in combination with psychiatric medication management, or one or the other of those.  Because I have skill and ability to prescribe medications I don't routinely see patients who want to be seen for psychotherapy alone as I have extremely skilled referral resources to offer for those interested in psychotherapy only but I have been known to make an exception in specific circumstances.  Most often it is a combination of both medications and psychotherapy and if we realize there is a greater need for psychotherapy we increase frequency of visits so that there is ample time to dedicate to both areas of treatment.  Sometimes it may be the case that a patient would benefit from more intensive services such as trauma-focused therapy, specific cognitive behavioral therapies that have a very well-defined curriculum such as DBT, and sometimes I might even suggest that someone engage in family therapy or couples therapy.  If this is the case I have been working in mental health services in this area for many years and have developed good relationships with a variety of excellent referral resources.