Conditions We Treat

Perinatal Mood and Anxiety Disorders (PMADs) 
The PMADs consist of a group of symptoms that can affect individuals during pregnancy and the postpartum period, causing emotional and physical problems that make it hard to enjoy life and function well. 

Mood Disorders

- Depression
- Dysthymic Disorder
- Adjustment Disorder
- Bipolar Disorder
- Postpartum Depression
- Postpartum Psychosis

Anxiety Disorders

- Generalized Anxiety Disorder
- Panic Disorder
- Obsessive Compulsive Disorder
- Social Phobia
- Post Traumatic Stress Disorder (PTSD)

Relationship Problems

Relationship problems can pre-date the birth of your first child, or can arise as a result of the changes and additional stressors following birth. We can help you navigate these difficulties. 

Our Treatment Approach

Our clinicians work as partners using both psychotherapy and medication management, where appropriate. We adhere firmly to the principles of informed consent and make sure that patients are informed about both the risks associated with a proposed treatment as well as the risks associated with untreated symptoms. As a partner in your recovery, we do not dictate your treatment. Our role is to equip you with the information that will assist you to make your own individual decisions that align with your priorities and needs. 

We prefer to partner with your health care providers including obstetricians, family practice providers and midwives. We encourage you to look for and make use of other partners in your recovery. These partners can include family members, your religious community, other mothers in your area or any additional social supports. You may also wish to attend a support group just for mothers who are experiencing depression and/or anxiety during pregnancy or the postpartum period.

Psychotherapy with
Patricia Fuss, PsyD
or Deborah Balak, LCSW

Dr. Fuss and Ms. Balak will see  patients referred to PWMH for therapy. After an initial therapy consultation, if it is agreed that our clinicians are best suited to your treatment needs, you and your treatment team will create a partnership to formulate your treatment goals and the methods by which you can meet them. Therapy sessions are approximately 45 minutes long and can be scheduled weekly, bi-weekly, or on whatever schedule works best to meet your needs.

For Dr. Fuss, in-person therapy sessions are greatly preferred, although telehealth sessions are available when in-person sessions are not practical. 
Ms. Balak is only available for telehealth therapy sessions.

Please be aware that you will need to be in the state of VA even for telehealth sessions,  as that is where all  of our clinicians are licensed. 

Telepsychiatry Services with Christine Truman, MD

In general, initial medication consultations will be face-to face in our Norfolk office. After an initial consultation and initiation of treatment, the option for telepsychiatry appointments via a secure video platform may be a treatment option offered to you by Dr. Truman.

If an in-person initial session does not work for you, you can request that your session be conducted virtually. Dr. Truman will approve such requests on a case-by-case basis. 

Please be aware that you will need to be in the state of VA even for telehealth sessions, as that is where all of our clinicians are licensed. 

Treatment with Olivia Reichenbacker, PMHNP


 
A Psychiatric Mental Health Nurse Practitioner (PMHNP) provides psychiatric care for your mental health concerns, including medication management, supportive psychotherapy, and other treatment recommendations. Both new patient consultations and follow-up appointments will be conducted in-person in the Norfolk office. Telehealth sessions for follow-up appointments may be available if in person sessions are not clinically advisable. If an in-person initial evaluation is not possible for you, you can request a virtual consultation. These requests will be approved on a limited case-by-case basis.

Please be aware that you will need to be in the state of VA even for telehealth sessions, as that is where all of our clinicians are licensed

Payment for Services

Our Clinicians are providers with the insurance companies listed below, otherwise we accept self payment for services.  If you are insured through a company not listed below, you may be eligible for full or partial reimbursement of your payments for our services as out-of-network providers. It is your responsibility to inquire about this benefit with your individual plan and submit your own claims. You may also use a health savings plan or a flexible spending plan to pay for our services. 
For individuals who are not enrolled in a plan or coverage or a Federal health care program, or who are not seeking to file a claim with their plan or coverage, we will provide a “Good Faith Estimate” of expected charges prior to your initial appointment or upon request.
** Please be aware that we are not Medicaid providers **

Blue Cross Blue Shield (Anthem)

Tricare

Tricare Certified 
Non-Network Provider
Check with your Tricare Select or Prime benefits for coverage and out-of-pocket costs

Optima