Psychiatrists in 07045
Margaret Gorny
Psychiatric Nurse, APN
Verified Verified
Montville, NJ 07045
I have worked in the Mental Health field for over 30 years and have treated adults ranging in age from 18 to 80. I have also done extensive work with couples and families. My clients have had a wide variety of presenting problems from depression, anger management, relationships issues, anxiety, mood disorders, marital problems, phobias and obsessive compulsive behaviors. I see my client as a whole person not as a person with a problem. A person with strengths and weaknesses. Our job together is to find the answers and develop the skills to move forward to an enriching life.
I have worked in the Mental Health field for over 30 years and have treated adults ranging in age from 18 to 80. I have also done extensive work with couples and families. My clients have had a wide variety of presenting problems from depression, anger management, relationships issues, anxiety, mood disorders, marital problems, phobias and obsessive compulsive behaviors. I see my client as a whole person not as a person with a problem. A person with strengths and weaknesses. Our job together is to find the answers and develop the skills to move forward to an enriching life.
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Dissociative Disorders (DID) Psychiatrists
How does therapy for dissociative disorders work?
Dissociation may be triggered by stress or other upsetting circumstances, and therapy can address the traumatic events at the core of an individual’s dissociation. Understanding why a person may dissociate can help the therapist and the individual come up with alternative methods of coping. A person with a dissociative disorder may get stuck on negative thinking, for example, and treatment like Cognitive behavioral therapy is a gold standard for breaking such thinking. And dialectical behavior therapy, for example, can help a person manage their anguish through better emotion regulation.
Which therapies are best for dissociative disorders?
Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, schema therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful memories and past traumas. These therapies work to integrate an individual's different identities into one person.
Are there specific medications for dissociation?
There are no specific medications prescribed for dissociative disorders. However, psychosis, depression, anxiety, and/or panic often co-occur in dissociative disorders. A psychiatrist may prescribe medications for any accompanying symptom—which may include antipsychotics like aripiprazole, antidepressants like selective serotonin reuptake inhibitors, or anti-anxiety drugs like benzodiazepines.
How often and how long are therapy sessions?
Like any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, others may opt for 20 to 30 sessions over, perhaps, a six-month period. There are still other patients, especially those who have co-occurring conditions like depression and anxiety, who may need to continue sessions for up to 12 to 18 months.