Photo of Chris Pagnani MD PC, Psychiatrist in 19102, PA
Chris Pagnani MD PC
Psychiatrist, MD
Verified Verified
9 Endorsed
Philadelphia, PA 19102
Founder and Medical Director of Rittenhouse Psychiatric Associates - a network of over 20 psychiatric providers that are academically focused and utilize evidence based practice. In-office (Philadelphia, and The Main Line in Paoli, PA) and virtual Telehealth psychiatric appointments. We treat anxiety, depression, bipolar disorder and ADHD. Child and adolescent psychiatric appointments. Fee for service practice, treating moderate levels of psychiatric illness for safety purposes (we do not have admitting privileges or a 24 hour emergency line). Board Certified and licensed in PA, NJ, NY, MD, DE, FL, CA. Visit www.RittenhousePA.com.
Founder and Medical Director of Rittenhouse Psychiatric Associates - a network of over 20 psychiatric providers that are academically focused and utilize evidence based practice. In-office (Philadelphia, and The Main Line in Paoli, PA) and virtual Telehealth psychiatric appointments. We treat anxiety, depression, bipolar disorder and ADHD. Child and adolescent psychiatric appointments. Fee for service practice, treating moderate levels of psychiatric illness for safety purposes (we do not have admitting privileges or a 24 hour emergency line). Board Certified and licensed in PA, NJ, NY, MD, DE, FL, CA. Visit www.RittenhousePA.com.
(267) 415-8618 View (267) 415-8618
Photo of Thomas Scary, Psychiatrist in 19102, PA
Thomas Scary
Psychiatrist, MD
Verified Verified
1 Endorsed
Philadelphia, PA 19102
I offer psychiatric evaluations and medication management for anxiety, depression, bipolar/mood disorders, OCD, and ADHD.
I am currently scheduling patients for both in-person (PA/NJ) and telehealth (PA/NJ/MA) appointments. I welcome patients who are looking for medication management, therapy, a second opinion, or any combination of the above. My interests include diagnostic clarification of mood/anxiety/attention disorders, evaluation of young adults who may be seeking help for the first time, and treatment of substance use disorders that often present with other common diagnoses.
I offer psychiatric evaluations and medication management for anxiety, depression, bipolar/mood disorders, OCD, and ADHD.
I am currently scheduling patients for both in-person (PA/NJ) and telehealth (PA/NJ/MA) appointments. I welcome patients who are looking for medication management, therapy, a second opinion, or any combination of the above. My interests include diagnostic clarification of mood/anxiety/attention disorders, evaluation of young adults who may be seeking help for the first time, and treatment of substance use disorders that often present with other common diagnoses.
(267) 358-6155 View (267) 358-6155
Photo of Danielle Couture, Psychiatrist in 19102, PA
Danielle Couture
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102
If you are currently searching for a therapist or psychiatrist, it may be because you would like some help dealing with current unhappiness or dissatisfaction in your life. I collaboratively work with patients to identify issues, make goals, and create personalized treatment plans. My practice is focused on treatment for adults with anxiety, attention-deficit/hyperactivity disorder (adult ADHD), and mood disorders. I can also help you deal with life transitions, low motivation, grief, stress, establishing relationships, and work-life balance.
If you are currently searching for a therapist or psychiatrist, it may be because you would like some help dealing with current unhappiness or dissatisfaction in your life. I collaboratively work with patients to identify issues, make goals, and create personalized treatment plans. My practice is focused on treatment for adults with anxiety, attention-deficit/hyperactivity disorder (adult ADHD), and mood disorders. I can also help you deal with life transitions, low motivation, grief, stress, establishing relationships, and work-life balance.
(215) 372-8563 View (215) 372-8563
Photo of Paula Bu, Psychiatrist in 19102, PA
Paula Bu
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102
When depression, anxiety, or trauma overshadows your thoughts, it can be difficult to even imagine how life could be different. Whether you are struggling with work-life balance, relationships, or life transitions, I offer new ways of thinking and a personalized treatment plan that empowers you to live your most meaningful life. I also have significant experience treating college students, members of the LGBTQ+ community, and people of color.
When depression, anxiety, or trauma overshadows your thoughts, it can be difficult to even imagine how life could be different. Whether you are struggling with work-life balance, relationships, or life transitions, I offer new ways of thinking and a personalized treatment plan that empowers you to live your most meaningful life. I also have significant experience treating college students, members of the LGBTQ+ community, and people of color.
(484) 207-6264 View (484) 207-6264
Photo of Rachel Reis, Psychiatric Nurse Practitioner in 19102, PA
Rachel Reis
Psychiatric Nurse Practitioner, CRNP
Verified Verified
Philadelphia, PA 19102
Providers at Rittenhouse Psychiatric Associates evaluate and treat Children, Adolescents and Adults for Anxiety disorders, Mood Disorders, Depression, Bipolar Disorder, And Attention Disorders (like ADHD).
Rittenhouse Psychiatric Associates offers virtual and in-office appts. As a psychiatric mental health nurse practitioner, my goal is to facilitate overall wellness and quality of life for those struggling with their mental health, through the application of evidence-based interventions including medication management and supportive psychotherapy. Fundamental to my practice is truly listening to what an individual is communicating, relieving them of their burden of struggling alone. I strive for a genuine partnership in treatment, encouraging individuals to take an active role in their care, facilitating resilience and growth.
Providers at Rittenhouse Psychiatric Associates evaluate and treat Children, Adolescents and Adults for Anxiety disorders, Mood Disorders, Depression, Bipolar Disorder, And Attention Disorders (like ADHD).
Rittenhouse Psychiatric Associates offers virtual and in-office appts. As a psychiatric mental health nurse practitioner, my goal is to facilitate overall wellness and quality of life for those struggling with their mental health, through the application of evidence-based interventions including medication management and supportive psychotherapy. Fundamental to my practice is truly listening to what an individual is communicating, relieving them of their burden of struggling alone. I strive for a genuine partnership in treatment, encouraging individuals to take an active role in their care, facilitating resilience and growth.
(215) 515-7870 x5 View (215) 515-7870 x5
Photo of Ayanna Logan, Psychiatric Nurse Practitioner in 19102, PA
Ayanna Logan
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
3 Endorsed
Philadelphia, PA 19102  (Online Only)
Do you feel like your life is not where you want it to be? Are you experiencing mental difficulties and believe that this is preventing you from moving forward in your life? Well I'm here to lend you some assistance. Whatever you're going through, I want to help you work through it so you can be the best you possible.
Do you feel like your life is not where you want it to be? Are you experiencing mental difficulties and believe that this is preventing you from moving forward in your life? Well I'm here to lend you some assistance. Whatever you're going through, I want to help you work through it so you can be the best you possible.
(267) 704-8657 View (267) 704-8657
Photo of Loretta Sernekos, Psychiatric Nurse Practitioner in 19102, PA
Loretta Sernekos
Psychiatric Nurse Practitioner, CRNP, PhD
Verified Verified
2 Endorsed
Philadelphia, PA 19102  (Online Only)
She treats Anxiety, Depression, Bipolar Affective Disorder and ADHD.
Dr. Loretta Sernekos, PhD, CRNP of Rittenhouse Psychiatric Associates, provides holistic, empathic, and evidence-based care to her patients. Her prior experience as a nurse practitioner in outpatient primary care informs her thinking regarding psychiatric conditions and their relationship to the whole person’s physical and emotional health. Her appointment as a Senior Lecturer, teaching pharmacology and pathophysiology at the University of Pennsylvania School of Nursing allows her to stay current with evidence-based diagnosis and treatment of psychiatric conditions, as well as other medical conditions.
She treats Anxiety, Depression, Bipolar Affective Disorder and ADHD.
Dr. Loretta Sernekos, PhD, CRNP of Rittenhouse Psychiatric Associates, provides holistic, empathic, and evidence-based care to her patients. Her prior experience as a nurse practitioner in outpatient primary care informs her thinking regarding psychiatric conditions and their relationship to the whole person’s physical and emotional health. Her appointment as a Senior Lecturer, teaching pharmacology and pathophysiology at the University of Pennsylvania School of Nursing allows her to stay current with evidence-based diagnosis and treatment of psychiatric conditions, as well as other medical conditions.
(215) 703-9672 View (215) 703-9672
Photo of Kimberly Joffe, Psychiatric Nurse Practitioner in 19102, PA
Kimberly Joffe
Psychiatric Nurse Practitioner, CRNP
Verified Verified
Philadelphia, PA 19102
Kimberly Joffe, CRNP is a Board-Certified Psychiatric Nurse Practitioner and part of Rittenhouse Psychiatric Associates, which treats children, adolescents and adults for in-office and Virtual Telehealth Psychiatry. Ms. Joffe is trained in all areas of psychiatry including Attention Deficit Disorders, Major Depressive Disorder, Bipolar Disorders, and Anxiety Disorders. Ms. Joffe is available for Psychiatric evaluations and medication management for adults 18 years of age and up. She is board certified to prescribe psychiatric medications. She is also a Clinical Instructor for The University of Pennsylvania’s School of Nursing.
Kimberly Joffe, CRNP is a Board-Certified Psychiatric Nurse Practitioner and part of Rittenhouse Psychiatric Associates, which treats children, adolescents and adults for in-office and Virtual Telehealth Psychiatry. Ms. Joffe is trained in all areas of psychiatry including Attention Deficit Disorders, Major Depressive Disorder, Bipolar Disorders, and Anxiety Disorders. Ms. Joffe is available for Psychiatric evaluations and medication management for adults 18 years of age and up. She is board certified to prescribe psychiatric medications. She is also a Clinical Instructor for The University of Pennsylvania’s School of Nursing.
(610) 854-9406 View (610) 854-9406
Photo of Karen (Yang) Chen, Psychiatric Nurse Practitioner in 19102, PA
Karen (Yang) Chen
Psychiatric Nurse Practitioner, CRNP, PMHNP, MSN
Verified Verified
1 Endorsed
Philadelphia, PA 19102
Rittenhouse Psychiatric Associates is a network of over 20 psychiatric providers including Psychiatrists, Psychiatric Nurse Practitioners, and Psychotherapists. We offer in-office and Virtual Telehealth appointments in Philadelphia, The Main Line of Philadelphia and Virtually to NJ, NY and FL. I am a Psychiatric Mental Health Nurse Practitioner specializing in medication management for a variety of mental health conditions in adults ages 18+, including depression, anxiety, ADHD, PTSD, PMDD, bipolar disorder, and more.
Rittenhouse Psychiatric Associates is a network of over 20 psychiatric providers including Psychiatrists, Psychiatric Nurse Practitioners, and Psychotherapists. We offer in-office and Virtual Telehealth appointments in Philadelphia, The Main Line of Philadelphia and Virtually to NJ, NY and FL. I am a Psychiatric Mental Health Nurse Practitioner specializing in medication management for a variety of mental health conditions in adults ages 18+, including depression, anxiety, ADHD, PTSD, PMDD, bipolar disorder, and more.
(215) 770-3879 View (215) 770-3879
Photo of Dr. Jessica Spellun, Psychiatrist in 19102, PA
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.
(267) 848-9216 View (267) 848-9216
Photo of Rommel Rivera MD, PC, Psychiatrist in 19102, PA
Rommel Rivera MD, PC
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102  (Online Only)
I offer you expertise in medication management of your depression, anxiety, mood disorder, ADHD (attention-deficit hyperactive disorder, PTSD (post-traumatic stress disorder).
Expertise in Psychopharmacology and Medication Management
I offer you expertise in medication management of your depression, anxiety, mood disorder, ADHD (attention-deficit hyperactive disorder, PTSD (post-traumatic stress disorder).
Expertise in Psychopharmacology and Medication Management
(484) 430-3514 View (484) 430-3514
Photo of Eboni Freeman, Psychiatric Nurse in 19102, PA
Eboni Freeman
Psychiatric Nurse, DNPc, APN
Verified Verified
Philadelphia, PA 19102  (Online Only)
“Mental Health is not a destination, it is a journey and a process” (Happiness360). My name is Dr. Eboni Freeman (DNP) and I specialize in psycho-pharmacologic management of mental health symptoms. Everyone is unique in their treatment needs and as a result, the approach to one's Psychiatric Treatment Plan should be an individualized one. I believe in a collaborative approach to practice and am looking forward to working with you in developing the best treatment plan with the goal of optimizing your overall quality of life.
“Mental Health is not a destination, it is a journey and a process” (Happiness360). My name is Dr. Eboni Freeman (DNP) and I specialize in psycho-pharmacologic management of mental health symptoms. Everyone is unique in their treatment needs and as a result, the approach to one's Psychiatric Treatment Plan should be an individualized one. I believe in a collaborative approach to practice and am looking forward to working with you in developing the best treatment plan with the goal of optimizing your overall quality of life.
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Photo of Cara Gouldey, Psychiatric Nurse Practitioner in 19102, PA
Cara Gouldey
Psychiatric Nurse Practitioner, CRNP, PMHNP
Verified Verified
1 Endorsed
Philadelphia, PA 19102
My specialties include, but are not limited to treatment of depression, anxiety (generalized anxiety, social anxiety, panic disorder, and obsessive-compulsive disorder), and ADHD.
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.
My specialties include, but are not limited to treatment of depression, anxiety (generalized anxiety, social anxiety, panic disorder, and obsessive-compulsive disorder), and ADHD.
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.
(484) 207-6269 x1 View (484) 207-6269 x1
Photo of Tammy Lafferty, Psychiatric Nurse Practitioner in 19102, PA
Tammy Lafferty
Psychiatric Nurse Practitioner, CRNP
Verified Verified
Philadelphia, PA 19102
Provider within Rittenhouse Psychiatric Associates, a network of over 20 Psychiatrists, Psychiatric Nurse Practitioners and Psychotherapists offering in-office psychiatric evaluations, medication management and psychotherapy in Philadelphia and on The Main Line, and Virtual Telehealth Psychiatric Appointments to patients in New Jersey, New York, Pennsylvania and Florida. Treatment for Anxiety, Depression, Bipolar Disorder and ADHD. Call to discuss which providers are licensed in your specific location.
Provider within Rittenhouse Psychiatric Associates, a network of over 20 Psychiatrists, Psychiatric Nurse Practitioners and Psychotherapists offering in-office psychiatric evaluations, medication management and psychotherapy in Philadelphia and on The Main Line, and Virtual Telehealth Psychiatric Appointments to patients in New Jersey, New York, Pennsylvania and Florida. Treatment for Anxiety, Depression, Bipolar Disorder and ADHD. Call to discuss which providers are licensed in your specific location.
(484) 218-4634 View (484) 218-4634
Photo of Samantha Wyckoff, Psychiatrist in 19102, PA
Samantha Wyckoff
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102
I am a fellowship-trained Addiction Psychiatrist offering virtual appointments for patients in Pennsylvania and in-person appointments for patients in Philadelphia (call for NY availability). I have a special interest in working with individuals with co-morbid mental health and substance use disorders, and have extensive clinical experience treating a full range of psychiatric and substance use disorder diagnoses. I practice using a harm-reductionist approach and strive to work collaboratively with patients to help them achieve their goals, work through resistance, and develop motivation for behavioral change.
I am a fellowship-trained Addiction Psychiatrist offering virtual appointments for patients in Pennsylvania and in-person appointments for patients in Philadelphia (call for NY availability). I have a special interest in working with individuals with co-morbid mental health and substance use disorders, and have extensive clinical experience treating a full range of psychiatric and substance use disorder diagnoses. I practice using a harm-reductionist approach and strive to work collaboratively with patients to help them achieve their goals, work through resistance, and develop motivation for behavioral change.
(484) 603-3959 View (484) 603-3959
Photo of Richard M D'Amato, Psychiatric Nurse Practitioner in 19102, PA
Richard M D'Amato
Psychiatric Nurse Practitioner, MSN, CRNP
Verified Verified
1 Endorsed
Philadelphia, PA 19102
Rittenhouse Psychiatric Associates providers Telehealth Virtual Psychiatric evaluations, medication management and therapy and in-office appointments. In-office appointments are available in our Philadelphia and Mainline of Philadelphia location (Paoli, PA) and virtual appointments to patients in New Jersey, New York and Florida. Specifically, I treat adults with various psychiatric struggles, including anxiety, depression, bipolar disorder and ADHD. A large subset of my patients are college and graduate students, in additional to young professionals.
Rittenhouse Psychiatric Associates providers Telehealth Virtual Psychiatric evaluations, medication management and therapy and in-office appointments. In-office appointments are available in our Philadelphia and Mainline of Philadelphia location (Paoli, PA) and virtual appointments to patients in New Jersey, New York and Florida. Specifically, I treat adults with various psychiatric struggles, including anxiety, depression, bipolar disorder and ADHD. A large subset of my patients are college and graduate students, in additional to young professionals.
(215) 703-9237 View (215) 703-9237
Photo of Christina L Persaud, Psychiatrist in 19102, PA
Christina L Persaud
Psychiatrist, MD, MPH
Verified Verified
1 Endorsed
Philadelphia, PA 19102  (Online Only)
My goal is to help you improve your quality of life through the right combination of medications and therapy. My therapy style combines elements of psychodynamic therapy, cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), mindfulness, and supportive therapy…along with the appropriate doses of sensitivity, empathy and humor.
My goal is to help you improve your quality of life through the right combination of medications and therapy. My therapy style combines elements of psychodynamic therapy, cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), mindfulness, and supportive therapy…along with the appropriate doses of sensitivity, empathy and humor.
(646) 956-5955 View (646) 956-5955
Photo of Shraddha Jani, MD, PC, Psychiatrist in 19102, PA
Shraddha Jani, MD, PC
Psychiatrist, MD
Verified Verified
Philadelphia, PA 19102
Not accepting new clients
I understand that having a good rapport with your psychiatrist is as important as the treatment itself. My aim is to help individuals explore their feelings to overcome the obstacles that lie in the way of gaining acceptance of themselves and reaching their goals. You may feel reluctant asking others for help, especially when it involves discussing personal issues with someone you barely know. I provide a brief telephone consultation at no charge to help new patients find out if we are a right fit.
I understand that having a good rapport with your psychiatrist is as important as the treatment itself. My aim is to help individuals explore their feelings to overcome the obstacles that lie in the way of gaining acceptance of themselves and reaching their goals. You may feel reluctant asking others for help, especially when it involves discussing personal issues with someone you barely know. I provide a brief telephone consultation at no charge to help new patients find out if we are a right fit.
Photo of Dr. Zheya Jenny Yu, Psychiatrist in 19102, PA
Dr. Zheya Jenny Yu
Psychiatrist, MD, PhD
Verified Verified
Philadelphia, PA 19102
Life is a journey, it does not always go as we have planned or not. Each stage of life brings us different kinds of fulfillment as well as challenges. If you find yourself having difficulties in overcoming these challenges whether they are loss, trauma, or extreme stress related to school, work, relationships, you are not alone. When not dealt with, these challenges may interfere with your daily function and affect your capacity to achieve your potential. As a result, you may experience combination symptoms of insomnia, appetite and weight change, muscle tension and fatigue, inability to focus, depression, anxiety or more.
Life is a journey, it does not always go as we have planned or not. Each stage of life brings us different kinds of fulfillment as well as challenges. If you find yourself having difficulties in overcoming these challenges whether they are loss, trauma, or extreme stress related to school, work, relationships, you are not alone. When not dealt with, these challenges may interfere with your daily function and affect your capacity to achieve your potential. As a result, you may experience combination symptoms of insomnia, appetite and weight change, muscle tension and fatigue, inability to focus, depression, anxiety or more.
(484) 209-1641 View (484) 209-1641
Photo of Rittenhouse Psychiatric Associates, Psychiatrist in 19102, PA
Rittenhouse Psychiatric Associates
Psychiatrist
Verified Verified
Philadelphia, PA 19102
Rittenhouse Psychiatric Associates is a private practice of Psychiatry, comprised of Johns Hopkins, University of Pennsylvania and similarly trained Physicians, Nurse Practitioners and therapists who treat Children, Adolescents & Adults for Depression, Bipolar Affective Disorder, Anxiety Disorders (GAD, OCD and Panic) and psychotherapy. We offer in-office and virtual Telehealth Psychiatric appointments for patients in the Philadelphia and Main Line areas, and Telehealth for patients in New Jersey, New York and Florida. Evidence based medicine from academically oriented providers, many of whom teach or have taught at academic centers
Rittenhouse Psychiatric Associates is a private practice of Psychiatry, comprised of Johns Hopkins, University of Pennsylvania and similarly trained Physicians, Nurse Practitioners and therapists who treat Children, Adolescents & Adults for Depression, Bipolar Affective Disorder, Anxiety Disorders (GAD, OCD and Panic) and psychotherapy. We offer in-office and virtual Telehealth Psychiatric appointments for patients in the Philadelphia and Main Line areas, and Telehealth for patients in New Jersey, New York and Florida. Evidence based medicine from academically oriented providers, many of whom teach or have taught at academic centers
(215) 447-7121 View (215) 447-7121
ADHD Psychiatrists

When should I seek treatment for ADHD?

You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.

How does treatment for ADHD work?

Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.

Are there specific medications for ADHD?

Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.

How long does treatment for ADHD take?

It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.