Finding the proper diagnosis
Dr. Sachs understands that psychiatry can be one of the most complex medical specialties because, unlike many other medical fields, there are no definite tests, imaging, or procedures that give us the exact answer. A psychiatrist works to develop a diagnosis and treatment plan tailored to the individual, often in tandem with other specialists. There are absolutely no outside influences -- no drug company pressures, no insurance pressure, and no "one size fits all" standard of care. If you lined up 100 psychiatrists, sometimes you could get 100 different diagnoses for the same mental condition, along with 100 treatment ideas. You may have already been given diagnoses by others, but you will get a fresh take. We will start from scratch with the diagnostic process, and we will either find new ways to approach the issue or continue what has already been working for you.
Targeting the right treatment
We are all unique, and our brain chemistries are not identical. Because of that, there are hundreds of medications available for treatment, and my duty is to know them all, even the newest ones that come out every year. That said, the newest medications aren’t necessarily better than the time-tested ones, but they can be much more expensive. I often tell people treatment that medication therapy is a little bit like a game of darts (with a very experienced dart player). If we pick a medication, I try and hit the bullseye right from the start, but I'm not perfect. That's why there are so many medications -- there are so many different brains! I may not hit the center on my first try, but my solemn pledge is that I will keep trying until we get as close as possible. That could mean a different dose, or a different medication, or a combination of medications. Whatever it takes. I will keep trying if you will keep trying. That's what it really comes down to. In psychiatry, you need someone who will fight alongside you until you feel better and not quit when the going gets tough. I am that person.
A Team-Based approach
Not every case requires medication. Please understand the Hippocratic Oath is "do no harm." If I don't think medication is the right, first step, I will be honest and tell you. I might advise therapy first, or group therapy first, or self-help. Time can be its own prescription, just one that doesn't come in a bottle.
I will need your input. This is a team-based approach branch of medicine. I will need your feedback to fine-tune your treatment. Together we can make significant strides. Neither you nor I will make you better individually, rather, "WE" will make you better. I will be your wingman. I look forward to the road ahead.