Dr. David Gennis

Well, exposure therapy can be effective at times but it's really dependent upon why the individual is having the anxiety. How is the anxiety presenting? When does the anxiety come out? An evaluation with a psychiatrist is helpful to determine if medication is needed and paired with therapy to understand and gain insight around the anxiety and eventually learn coping skills.

Due to the symptoms presented with I would recommend scheduling an appointment with a psychiatrist to rule out the diagnosis of Bipolar Disorder. Bipolar Disorder is usually treated with medication and I highly recommend participating in individual therapy to learn about ways to cope and manage the symptoms.

Anger is usually a secondary emotion and I explore with patients why they are angry and identify where it is coming from. Anger is a natural emotion and I relate it to emotional regulation. Emotional regulation strategies may be learned in therapy.

Well depression may be a biological issue and/or may be caused environmentally. Medication management services and therapy can be effective in treating depression. Dependent on the length of time the person has been depressed, the reason(s) why a person is depressed, and the intensity associated with the depression are all factors that contribute to how long an individual may be in therapy.

Patients presenting with depression usually benefit from being treated with medication management services coupled with weekly individual and/or family therapy.

Panic attacks can be debilitating for the individual. I would encourage the individual to initially meet with a psychiatrist to determine what psychotropic antianxiety medication may be helpful for the individual. Upon starting medication that the individual takes daily I would encourage the individual to participate in therapy to identify and address the root cause for the panic attacks. The individual needs to learn coping skills, practice utilizing coping skills in real time, and determine which coping skills are effective. Before the individual can determine when to stop taking the medication he or she need to become effective in utilizing coping skills to manage the anxiety so that medication may be assessed and discussed for termination.

Mental health and emotional wellbeing is very seriously. Some people don't believe in "mental health" due to their culture, religion, or how they were raised. If an individual's level of depression is severe enough where it's impairing the individual's level of functioning then I would take it seriously and seek out treatment which involves mediation management services and individual and/or family therapy.

There are different levels of care to treat alcohol addiction and dependent upon the severity of the addiction will determine what level of care may be needed. Treatment may range from participating in wraparound outpatient services to participating in an Intensive Outpatient Program to requiring Residential Treatment to needing inpatient hospitalization for detoxification services. Substance use treatment is individualized and the level of service intensity is determined by the individual's clinical presentation. The ASAM evaluation is commonly used to determine level of need.

Hello, Generalized Anxiety Disorder is a clinical disorder where an individual experiences a certain physiological response to several situations and in several environments where the person is emotionally aroused by many different things. The arousal or anxiety may impair the individual from participating in activities and may reduce one's desire to interact with others. Typicallly, GAD is treated by an individual participating in therapy and medication management services. *Dr. David Gennis, Psy.D., LMFT* Clinical Director Great Minds Counseling and Wellness Center 1600 East Desert Inn Road, #104 Las Vegas, NV 89169 NOTICE: This message and accompanying documents are covered by the electronic Communications Privacy Act, 18 U.S.C. §§ 2510-2521, may be covered by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and may contain confidential information or Protected Health Information intended for the specified individual(s) only. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. Violations may result in administrative, civil, or criminal penalties. If you have received this communication in error, please notify sender immediately by e-mail, and delete the message. 702-208-2194 (office) 702-208-2208 (fax)