Dr. Deering – Practice Site Content Clinic Content Home Welcome to Oakland Psychiatric Associates, PC OPAPC is a group of behavioral health professionals who have a long tradition for providing behavioral health services in Oakland County, Michigan for over 30 years. The founding members continue to practice in the group, providing psychiatric evaluations, medication management, counseling services, psychological testing, behavioral health care which is being delivered in a variety of settings. The psychiatrists who practice in the group have privileges to treat patients in the area hospitals including St Joseph Mercy Oakland Hospital, Crittenton Hospital, and Havenwyck Hospital. They provide services at their office with a behavior health care team consisting of psychiatrists, psychologists, and clinical social workers. Home – About Us Box Our staff is highly-trained and compassionate, and we always put our patients first. The founding members continue to practice in the group, providing psychiatric evaluations, medication management, counseling services, psychological testing, behavioral health care. About Us OPAPC is a group of behavioral health professionals who have a long tradition for providing behavioral health services in Oakland County, Michigan for over 30 years. The founding members continue to practice in the group, providing psychiatric evaluations, medication management, counseling services, psychological testing, behavioral health care which is being delivered in a variety of settings. The psychiatrists who practice in the group have privileges to treat patients in the area hospitals including St Joseph Mercy Oakland Hospital, Crittenton Hospital, and Havenwyck Hospital. They provide services at their office with a behavior health care team consisting of Psychiatrists, Nurse Practitioners, Physicians Assistants, Psychologists, Social Workers and Professional Counselors. Our Staff Neel R.Jolepalem, M.D. Child & Adult Psychiatrist Raj Kanneganti, M.D. Child & Adult Psychiatrist Andrew Pasternak, M.D. Child & Adult Psychiatrist Donald E.Deering, Ph.D. - Counselor & Psychologist Kelly Kling-Selander, Ph.D. - Psychologist Kelli A. Shaheen, M.A. - Limited Licensed Psychologist Suzanne E.Meloche, M.A. - Limited Licensed Psychologist Chris A. Shreve, M.A. - Licensed Professional Counselor Marieanne Buchanan, A.C.S.W. - Clinical Social Worker Anne Dunlop, A.C.S.W. - Clinical Social Worker Marisa Chewning, A.C.S.W. - Clinical Social Worker David Moore, A.C.S.W., B.C.D. - Clinical Social Worker, Licensed Family Therapist Office Policies Due to the increasing volume of prescription phone requests we ask that you call at least 72 hours prior to running out of medication. Additionally, prescriptions will not be called in on the weekends. Please be advised that there may be a charge for any appointment missed or cancelled without 24 hours notice. Please allow upt o 5 business days for all records requested to be processed. Please inform us of any changes to your insurance coverage prior to seeing the provider. The providers of Oakland Psychiatric Associates do not fill out SSI disability paperwork without a charge. All co-pays are due at the time of service unless other arrangements have been made with the billing company or your provider. Privacy Policy Click here to view, download or print a copy of our Office Privacy Policy. Modality Content Individual Therapy Individual psychotherapy is an approach in which all therapists at Oakland Psychiatric Associates, P.C. are trained in. Individuals receive assistance in addressing issues related to self, family, school and work. Clients who chose to participate in individual therapy work together with their therapist to gain insight and increase coping skills in order to improve general mental health. At Oakland Psychiatric Associates, P.C. the Therapists work closely with the Psychiatrists and Nurse Practitioners in a therapeutic team approach. This provides a broader viewpoint of existing mental health issues. When deemed necessary by the mental health professionals at Oakland Psychiatric Associates, P.C. (in conjunction with the patient), Psychiatric evaluations, medication reviews, group therapy, family or marital counseling may be undertaken. The professionals at Oakland Psychiatric Associates, P.C. also encourage clients to take an active role in participating in their therapy. They may provide psychoeducation through the use of videos, bibliotherapy and opportunities to attend seminars pertaining to individual mental health issues. Please see on the "Our Staff" page to view the background information and related interests of a particular therapist. Marital and Conjoint Therapy Oakland Psychiatric Associates, P.C. offers marital and conjoint therapy sessions. Professionals at Oakland Psychiatric Associates, P.C. first carefully evaluate each member of the couple to ensure that no other condition is interfering with the marital or familial relationship. From there, individuals are brought together to begin conjoint therapy. Important steps in therapy include: reducing blame and negativity within the couple or family; creating common goals toward which individuals can work (both independently and together); and developing and implementing plans in order to accomplish these goals. The therapist may help the couple or family with: communication skills; coping techniques; patterns of interaction; and any other important areas of stress. Further, therapists will help the individuals to generalize the skills they have learned in therapy so they are able to apply these techniques to any future difficulties that may arise. Oakland Psychiatric Associates, P.C. therapists are highly flexible and willing to adjust the process of therapy in order to best meet the needs of each couple and family. Confidentiality is priority at Oakland Psychiatric Associates, P.C., and the therapists work hard to ensure the privacy of everyone involved. If you are interested in becoming involved in marital or family therapy, please contact us to set up an appointment. Cognitive Behavioral Therapy Oakland Psychiatric Associates, P.C. uses Cognitive Behavioral Therapy (CBT) for the treatment of anxiety and depressive disorders. This therapy combines behavioral exposure therapy along with cognitive restructuring to help enable the patient to confront avoidances, correct negative automatic thoughts, and return to optimal functioning. CBT is particularly effective for the Anxiety Disorder spectrum, such as Panic Disorder, Post Traumatic Stress Disorder, Obsessive Compulsive Disorder, Social Anxiety Disorder and Specific Phobias. The hallmark of CBT is the patient's role in learning and practicing skills outside the session, to maximize the therapeutic benefit of this therapy. In mood disorders, the patient will learn coping skills to master tasks often thought too arduous for the depressed patient. The use of CBT with or without medication management is addressed, and the ultimate decision is made between the patient and the Oakland Psychiatric Associates, P.C. Professional. Parenting Techniques It is not uncommon for Oakland Psychiatric Associates, P.C. clinicians to be faced with overwhelmed parents, many of whom have attempted to implement a variety of parenting techniques but have not found success. These failed attempts can lead to feelings of hopelessness and helplessness for these parents, which often exacerbate the problematic dynamics in the household. The key elements include consistency and remaining calm, both of which can be difficult during stressful parenting situations. Here at Oakland Psychiatric Associates, P.C., our therapists take into consideration the age of the child, the presenting concerns, and the family dynamics in order to tailor-make a treatment plan. Often, therapists will use a combination of techniques to meet their needs. These may include education about special considerations for their child as well as exploration and practicing of parenting techniques. Work with the child alone, the caregivers alone, and the family together are all integral parts of the treatment plan. Women's Group Womens' support group meets weekly emphasizing goal setting, self love and positive coping skills to a wide range of issues effecting women on a daily basis including: self esteem, work, depression, anxiety, intimacy, sex, money, relationships, divorce, aging, grief and addictive behaviors. Our Psychiatric Services We are dedicated to improving the quality of life experience for our clients. We combine the treatment modalities of Cognitive-Behavioral & Client-Centered psychotherapies with medication to help people lead happier, more productive lives. See the menu at left for more information on our treatment approaches. Attention Deficit Hyperactivity Disorder (ADHD) Treatment A major emphasis of Oakland Psychiatric Associates, P.C. is the identification and treatment of Attention Deficit Hyperactivity Disorder throughout the life span. We offer comprehensive screening and evaluation of this particular disorder. Screening is done through thorough psychiatric interview and the use of collateral history and symptom checklists. When needed, neuropsychological testing is available. The staff of Oakland Psychiatric Associates, P.C. possess a great deal of experience in identifying and treating this particular disorder and associated conditions such as mood disorders, anxiety disorders and learning disabilities. Often times, coaching and psychotherapy are essential in the treatment of this condition. The staff of Oakland Psychiatric Associates, P.C. works together to offer our patients these services. If you are from out of town or even local and are interested in pursuing a thorough and time-efficient one-day evaluation* for ADHD, or to learn more about our ADHD Fast TRACK Evaluation please contact us. *Note: This evaluation is geared toward individuals who are age 18 and older. Why hire an ADHD Coach? ADHD Coaching can be an important part of a comprehensive program for ADHD individuals. ADHD coaches educate clients regarding ADHD, reframe negative belief systems that inhibit progress, identify client's learning styles, and develop systems and strategies to overcome challenges. These challenges include; time management, organization, hyperactivity, impulsivity and procrastination. Coaching is individualized and action-oriented, so the client is working to build productive habits and systems that lead to a fulfilling life. Since most coaching is done via the telephone, coaches and clients can be in different states. As long as the client is motivated, and the coach is well-trained, the coaching/client partnership can be extremely beneficial. To find a well-trained ADHD Coach visit the ADD Coach Academy atwww.addca.com. Dementia Treatment and Cognitive Evaluations For some patients, it is important to assess cognitive functions such as memory, recall, alertness and overall aptitude. This is formally done via neuropsychological and psychological testing. This type of testing can be ordered following medical illness such as stroke or other brain based diseases such as Parkinson's Disease or Multiple Sclerosis. It is also used to characterize childhood developmental illness such as autism or Asperger's Syndrome. Psychological testing is also ordered to evaluate dementia. Dementia is the diminution in cognition and memory, it is associated with the aging process. The most common type of dementia is of the Alzheimer's Type. These are important diagnoses to make early on. Some dementias are reversible if caught early. For other types, such as Alzheimer's and vascular dementias, newer cognitive enhancing medications are available which can improve functioning and prolong quality of life. Outpatient Alcohol and Addictions Treatment Program At Oakland Psychiatric Associates, P.C., we offer an innovative multidisciplinary treatment approach to recovery. Our program has been developed through years of experience working with addicted clients. In addition, we have utilized many exciting new discoveries in the field of neurobiology. Recent discoveries in the field of addiction science have expanded our understanding of addictions and their impact upon the human brain. We have combined our years of experience with cutting edge discoveries in neuroscience in order to provide highly effective treatment for our patients. Research has shown that the combination of medication and therapy has proven most efficacious in treating mental health conditions. This is the model that we utilize at Oakland Psychiatric Associates, P.C. Substance Abuse & the Law Our advice to you: Take control of your addiction Do not wait for the legal system to make treatment mandatory; acknowledge responsibility and voluntarily seek treatment Take your addiction seriously. It is a life threatening problem. But remember there is hope. . . We can help by: Communicating with your attorney & the court system, at your request Ordering laboratory alcohol and drug tests Providing psychiatric consultation Offering individualized and family counseling When appropriate, utilizing cutting edge medications specially developed to help people with alcohol and substance addictions Understanding Addictions Our knowledge about addictions has rapidly grown. Research into the fields of genetics and neuroscience has produced encouraging new medications, including: Campral™ - to help control cravings Vivitrol™ - a new injectable medication with 30 days of coverage Antabuse™ - a powerful deterrent to drinking Suboxone™ - a medication for the treatment of opioid dependence Chantix™ - a medication used to aid in smoking cessation Other medications to decrease impulsive choices that can lead to relapse Did you know that . . . Many people with addictions also have undiagnosed and untreated mental health conditions such as: Depression Anxiety ADHD and Learning Problems Insomnia Identifying and treating these symptoms can strengthen the recovery process. Post-Traumatic Stress Disorder (PTSD) Treatment Post-traumatic Stress Disorder is an anxiety disorder which occurs after a person has personally experienced or witnessed a dangerous and life-threatening event. Individuals who are at risk for developing PTSD include but are not limited to: Soldiers who have been in combat Survivors or witnesses of violent crimes (including rape, kidnapping, robbery, etc.) Individuals who have lived through a natural disaster Survivors of accidents or grave illness These events can cause lasting psychological symptoms, including the following (taken from the National Institute for Mental Health Website--www.nimh.nih.gov): 1) Re-experiencing symptoms: Flashbacks - reliving the trauma over and over, including physical symptoms like a racing heart or sweating Bad dreams Frightening thoughts. 2) Avoidance symptoms: Staying away from places, events, or objects that are reminders of the experience Feeling emotionally numb Feeling strong guilt, depression, or worry Losing interest in activities that were enjoyable in the past Having trouble remembering the dangerous event. 3) Hyperarousal symptoms: Being easily started Feeling tense or “on edge” Having difficulty sleeping and/or having angry outbursts. Things that remind a person of the traumatic event can trigger avoidance symptoms. These symptoms may cause a person to change his or her personal routine. For example, after a bad car accident a person who usually drives may avoid driving or riding in a car. Hyperarousal symptoms may make it hard to do daily tasks, such as sleeping, eating, or concentrating. At Oakland Psychiatric Associates, P.C., PTSD is treated with a combination of cognitive-behavioral therapy and medications (when necessary). This effective approach can help individuals with PTSD to identify situations that trigger their "fight or flight" response. Using the cognitive-behavioral techniques of flooding and systematic desensitization, the therapist and patient can work together to safely reintroduce situations that have become too anxietyprovoking for the patient. Over time, irritability, flashbacks and nightmares will subside and the patient is able to return to their pre-trauma functionality. Treating PTSD is a rewarding experience for our clinicians, as long-term success is highly achievable and patient transformation is astounding to watch. Obsessive Compulsive Disorder (OCD) Treatment Obsessive Compulsive Disorder is an anxiety disorder which involves both obsessions (thoughts, images, or impulses that occur over and over again) and compulsions (acts that a person repeatedly performs in an attempt to make the obsession go away). The brain seems to get “stuck” on a thought or urge and cannot shake it. Individuals with OCD often have the sense that if that “obsession” continues without them taking part in any compulsions, the anxiety will become intolerable. Cognitive Behavioral Therapy (CBT) is an empirically-validated therapeutic intervention that is often used to help individuals with OCD to manage their symptoms. CBT is a concrete, proactive and goaloriented therapeutic style. With the help of a trained therapist, individuals with OCD can learn to control and even alleviate their obsessions and compulsions. Individuals will also learn coping strategies such as relaxation exercises and ways to challenge distorted thinking in an effort to reduce anxiety. Psychotropic medications may also be a part of the treatment plan for the individual with Obsessive-Compulsive Disorder. Grief/Loss/Coping with Illness Issues Sudden loss of a loved one from a heart attack, stroke, homicide, suicide or accident, often presents many issues for those left behind. People who experience loss from divorce, chronic or terminal illness face a different type of grieving. There are also differences in how adults, children, men and women experience grief and loss. Oakland Psychiatric Associates, P.C. clinicians are well-trained in helping individuals through the grieving process, whether grieving the loss of a loved one or coping with their own terminal illness. Some of the therapeutic interventions used at Oakland Psychiatric Associates, P.C. include techniques in relaxation, cognitive restructuring, stress management, goal setting, learning new coping skills, improving communication skills with loved ones as well as with medical personnel, and referral to community support groups. Each case is looked at individually and the type of loss is taken into consideration when a treatment plan is created. Oakland Psychiatric Associates, P.C. also offers the services of our psychiatrist who can evaluate patients who may need medication as an adjunct to their therapy. Psychological Screening & Testing Coming Soon... Psychiatric Forensic Services Oakland Psychiatric Associates, P.C. utilizes a team approach in offering the following forensic services: Comprehensive custody evaluations. Geriatric/Competency Evaluations. AD/HD and other Psychiatric Issues in the Workplace. Employment Discrimination. Custody and Divorce Disputes. Comprehensive Psychiatric Evaluation & Second Opinions Oakland Psychiatric Associates, P.C. offers independent psychiatric examinations. This can be helpful in challenging cases where a new diagnostic perspective is necessary. Examinations are performed regularly. Often other Oakland Psychiatric Associates, P.C. services such as psychological testing or the Dementia and Cognitive Evaluation Program are helpful in the diagnostic process. If treatment is needed, a myriad of services are available at Oakland Psychiatric Associates, P.C. such as Individual therapy, Marital and Conjoint therapy or Cognitive Behavioral Therapy. Contact Oakland Psychiatric Associates, P.C. to set up an evaluation. Neuropsychological Screening & Testing Coming soon...