Psychiatrists in 19102
Dr. Jessica Spellun
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102
Not accepting new clients
Life is complicated. Despite our best efforts, everyone struggles at times. I understand that making changes in your life can be overwhelming. I encourage you to gather courage, ask questions, and have hope that things can get better if you are willing to work for it. My goal is to create a safe, caring, and nonjudgmental space for clients to be heard and understood. My approach prioritizes individuality and a holistic view of emotional wellbeing. Communicating feelings in a safe environment promotes healing through expression, leads to new insights about yourself, and can help you form more meaningful connections with others.
Life is complicated. Despite our best efforts, everyone struggles at times. I understand that making changes in your life can be overwhelming. I encourage you to gather courage, ask questions, and have hope that things can get better if you are willing to work for it. My goal is to create a safe, caring, and nonjudgmental space for clients to be heard and understood. My approach prioritizes individuality and a holistic view of emotional wellbeing. Communicating feelings in a safe environment promotes healing through expression, leads to new insights about yourself, and can help you form more meaningful connections with others.
Cara Gouldey
Psychiatric Nurse Practitioner, CRNP, PMHNP
Verified Verified
1 Endorsed
Philadelphia, PA 19102
The best psychiatric care is tailored to an individual's unique needs, understood through the context of their environment, relationships, and lived experience. With this foundation, I work with patients to identify and achieve their mental health and wellness goals. I am a board-certified Psychiatric Nurse Practitioner with over ten years of direct patient care experience in a diversity of roles, including diagnosing and treating mental health disorders in group practice, community settings, and via telehealth. I provide psychiatric evaluations and medication management for adults, adolescents, and school-aged children.
The best psychiatric care is tailored to an individual's unique needs, understood through the context of their environment, relationships, and lived experience. With this foundation, I work with patients to identify and achieve their mental health and wellness goals. I am a board-certified Psychiatric Nurse Practitioner with over ten years of direct patient care experience in a diversity of roles, including diagnosing and treating mental health disorders in group practice, community settings, and via telehealth. I provide psychiatric evaluations and medication management for adults, adolescents, and school-aged children.
See more therapy options for 19102
Bipolar Disorder Psychiatrists
What is the most successful approach to treating bipolar disorder?
Living with bipolar disorder can be challenging, and a number of therapies have been found effective in providing support to patients as they gain the skills to understand and manage the disorder. Family-focused therapy is often helpful for children and teens (the majority of cases develop before age 19); it aims to minimize mood cycling by improving family communication and reducing conflict. It also helps young people navigate the developmental challenges the disorder can create. Cognitive and behavioral therapy (CBT) and variants such as Dialectical behavior therapy (DBT)help patients manage the thoughts and feelings that influence bipolar mood swings as well as develop specific behavioral strategies to counteract them.
What happens in therapy for bipolar disorder?
Because the patterns of mood switching and its triggers differ for each person and can change over time, mood tracking or monitoring becomes a basic way patients learn about the nature of their condition. One of the most common features of therapy is finding a workable method of mood monitoring, in which patients track their daily activities and rate their moods, then use the findings to adjust routines accordingly. Patients learn ways of handling the many stresses that arise in life so that they do not trigger mood swings.
What kinds of problems does therapy help with?
Like many other mental health disorders, BPD is heavily influenced by stress; therapy provides skills for coping with stressors of all kinds. Therapy is extremely important for helping individuals identify the situations that may trigger mood switching, so that mood swings can be prevented. Therapy may especially target recognition of the early stages of mood change so that they can be managed. In addition, therapy helps patients deal with the significant amount of turbulence the disorder can create in relationships and in work life.
What is the goal of therapy for bipolar disorder?
Therapy helps patients set up their lives to maintain stability so that their mood isn’t constantly threatened by daily events. Perhaps the first task of therapy is to educate people about the nature of the disorder. At the same time, a primary goal of therapy is to enhance adherence to drug treatment. Extended periods of mood stability can prompt patients to discontinue medication, triggering relapse, while the early phases of manic episodes can feel so energizing that patients stop medication, ushering in full-blown mania and the altered self-perception that can lead to destructive behaviors. Another major goal of therapy is to understand one’s mood patterns so as to minimize both the frequency and intensity of mood cycling.