Psychiatric care for adults at every stage of life
Adults come to us for many reasons: persistent worry or sadness, trouble focusing at work, mood swings, difficulty sleeping, the after-effects of trauma, or simply a sense that things are harder than they should be. Some are seeking psychiatric care for the first time; others have tried several treatments and are looking for a fresh, careful look at their situation.
Care is provided by Vivienne Gomes, M.D., Adult, Child & Adolescent Psychiatrist, and Emmanuel Sango, DNP, APRN, CRNP, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner.
Conditions we treat in adults
- Anxiety disorders, including panic disorder and social anxiety
- Depression
- Adult ADHD
- Bipolar and mood disorders
- Obsessive-compulsive disorder (OCD)
- PTSD and trauma-related disorders
- Schizophrenia and psychotic disorders
- Sleep problems and insomnia
- Adjustment disorders and life stress
Sleep problems and insomnia
Poor sleep is both a symptom and a driver of many mental health conditions. We review sleep habits, medications, and underlying causes such as anxiety, depression, or ADHD, and recommend treatment that may include sleep-focused strategies and, when appropriate, medication. When a primary sleep disorder such as sleep apnea is suspected, we help coordinate appropriate medical evaluation.
Adjustment disorders and life stress
Major life changes — a new job, loss, divorce, illness, relocation, or becoming a parent — can lead to anxiety, low mood, or trouble functioning. Short-term psychiatric support can help you regain stability and decide whether further treatment is needed.
How treatment works
Your first visit is a comprehensive psychiatric evaluation. We review your symptoms, history, medications, and goals, then discuss a treatment plan with you. Treatment may include:
- Psychiatric medication management
- Supportive psychotherapy during visits
- Psychoeducation about your diagnosis and options
- Referral to and coordination with a therapist for weekly psychotherapy when recommended
- Coordination with your primary care provider
In person or by telehealth
You can see us in person at our office at 18310 Montgomery Village Ave in Gaithersburg, or by secure video if you are located in Maryland at the time of your appointment. See telepsychiatry in Maryland.