Based more than 40 years of medical and psychiatric experience, and knowledge of the literature, we have created a series of resources to help you in your journey toward wellness. These brief reviews contain a summary of the best of both the traditional psychiatric approach and the The Center for Whole Psychiatry + Brain Recovery approach to mental and physical health (which of course, are tied together). We hope you find this information useful.
We include, but are not limited to, the traditional psychiatric methods of medication and psychotherapy. Dr Hedaya, Certified in Psychopharmacology, is not against medication, but its use must be judicious, and limited when possible.Our motto is “Better health, Less Medicine.” Our goal is always to determine underlying causes of disease rather than using medication as a Band-Aid which masks underlying problems, and causes additional harm.
Why does Dr. Hedaya spend so much time with people during an evaluation (three and one half to five hours) when other doctors, including functional medicine doctors, spend an hour or so?
The simple answer:
How long do you think it would it take for 7 different doctors (a psychiatrist, an immunologist, an endocrinologist, a neurologist, a gastroenterologist, a nutritionist, a toxicologist, a sleep specialist) and a biochemist to thoroughly evaluate you, each in their own specialty? Probably a lot longer than 5 hours! Patients often say, “It’s like going to the Mayo clinic, only better, because all that information is in one doctor!”
The deeper answer:
Over the course of four decades in medicine Dr. Hedaya has learned that most medical sub-specialists are excellent at dealing with ‘train-wrecks’ (e.g., Graves’ Disease or pneumonia) but wholly inadequate when it comes to recognizing and treating the more subtle areas of dysfunction, which contribute to and cause all manner of chronic illnesses. Because his patients needed help from these subspecialists, but none was forthcoming, Dr. Hedaya took it on himself to learn what he needed to, so that he could give people the help they needed. Since the people seeking Dr. Hedaya’s help want to get to the root causes of their problems, Dr. Hedaya believes that a genuine evaluation cannot be partial. It must include a careful and thoughtful assessment of all of the above-mentioned fields of medicine.
As The Pioneer medical practice in the use of Functional Medicine in Neuropsychiatric disorders, we have more 35 years of experience in functional medicine, more than any one in the field. Dr. Hedaya leads the psychiatric training at the Institute for Functional Medicine, has written a monograph for the Institute of Functional Medicine on the subject of depression, in addition to contributing to the primary Functional Medicine textbook.
Dr. Hedaya is moving the neuropsychiatric field forward, with the use of cutting edge technologies that actually target specific brain pathways, bringing never before seen changes to people with neuropsychiatric disorders. He has taken traditional neuropsychiatry, Functional Medicine, and incorporated them into the unique FX-HYLANE Program™.
Patients ask what makes our practice different. The answer is so many things, but the short answer is, “We have been around long enough to know what works and what doesn’t work. Importantly, we also know how to get people better as quickly as possible. Our program is thorough, incisive, and fine-tuned and granular, down to the genetic level for each patient. Patients’ successes are dramatic. They are able to function at levels they once could, or have gone beyond to function at higher levels than ever.”
Current Treatment Options for Psychiatric Disorders
Medication and Psychotherapy
The primary way of helping people today is through the use of medication and psychotherapy. Medications can be augmented by adding other medications or thyroid hormone which results in a different mechanism of action together. Sometimes this works miraculously, but too often this approach leaves much to be desired.
Medication Problems & Limits
Many times the side effect burden is more than patients can handle and compliance becomes a major issue. Then there is the unpleasant fact that most of our medications increase the risk of metabolic syndrome, and push people along the path toward weight gain, diabetes, and osteoporosis over time. Diabetes increases inflammation in the body, and inflammation is a major contributor to nearly every chronic health problem in Western Society.
New Treatment Options
Time to Move to New Treatment Options
The new treatment has helped us significantly, but it simply cannot take us much further at this point. The evidence of this failure is manifest in the following facts:
- Most patients don’t have full recovery
- Psychiatric conditions develop along with, not separate from, the major chronic illnesses (e.g., diabetes, heart disease, early death, osteoporosis)
- The economic impact on individuals, families, co-workers, businesses, and communities of these limitations is quite large.
Yours in Health,
Robert J. Hedaya, MD, DFAPA
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Always speak with your primary healthcare provider before engaging in any form of self-treatment.