Collaborative Care

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Our Collaborative Care Model

At the Point Loma Clinic, we recognize that a person's overall mental health includes interrelated biological, psychological and social aspects (a biopsychosocial model).  Because of this complexity, we encourage you to allow us to coordinate your care with other providers, including physicians, therapists, or other health-care providers. If you choose, family members can also be part of a collaborative model.  This coordination between providers allows for more careful monitoring of your care and Drs. Papp and Myers to keep up-to-date with the latest information to improve their treatment.

Working Together:

Dr. Papp and Dr. Myers can work closely on cases, discussing your care on a daily basis. Dr. Myers is a psychologist with advanced training in psychopharmacology, while Dr. Papp is a psychiatrist who is trained in the integration of psychopharmacology and psychotherapy.  This allows for close collaboration between them, because each can understand the other's perspective. Dr. Myers and Dr. Papp are a wife and husband team, which makes communication between them easy and natural. Although you do not have to see both Drs. Papp and Myers, if you choose to see them both, you can be assured of close coordinated care. 

Collaborative Ketamine Approach:

A very special type of collaboration occurs with patients who receive ketamine treatment at the Point Loma Clinic.  It is ideal to be in therapy while receiving ketamine treatment.  Psychotherapy can help guide the patient to lifestyle changes that will help support the ketamine treatment.  Psychotherapy can also help the patient make the most out of each ketamine experience, either before the injection or during the ketamine administration.   In addition, it has been scientifically shown that ketamine may enhance the effects of psychotherapy, especially cognitive-behavioral therapy (CBT). (See article here).
When a therapist uses CBT with a patient within a few days after the ketamine administration, the effects of the ketamine treatment can be extended.  
 
Although you do not have to be in therapy with Dr. Myers if you are receiving ketamine treatment, if you are, then the close collaboration between Drs. Papp and Myers can help make communication seamless between your providers. 


Common Conditions That Behavioral Health Care Consultants Treat:
  1. Sleep Disorders
    A sleep disorder can affect your overall health, safety, and quality of life. Sleep deprivation can affect your ability to drive safely and increase your risk of other health problems.
  2. Medication Issues
    Getting your medication exactly right can be a hard task, and can sometimes cause issues with your daily life.
  3. Poor Lifestyle Choices
    Poor lifestyle choices, such as smoking, overuse of alcohol, poor diet, lack of physical activity and inadequate relief of chronic stress are key contributors in the development and progression of preventable chronic diseases.
  4. Health Anxieties
    Health anxiety is an obsessive and irrational worry about having a serious medical condition. It's also called illness anxiety, and was formerly called hypochondria
  5. Inattention
    Selective Inattention. Selective inattention is a prolonged or chronic lack of registering or perceiving particular stimuli. Typically the stimuli being disregarded is unpleasant, anxiety-inducing, distressing, or deemed unimportant.
  6. Mood Disorder
    Any of several psychological disorders (such as major depressive disorder or bipolar disorder) characterized by abnormalities of emotional state. — called also affective disorder.
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