Understanding psychosis
Psychosis describes experiences in which a person loses some contact with reality, such as hearing or seeing things others do not (hallucinations), holding fixed beliefs that are not based in reality (delusions), or having disorganized thinking. Psychosis can occur in schizophrenia, schizoaffective disorder, bipolar disorder, severe depression, and some medical or substance-related conditions.
Outpatient care we provide
- Comprehensive psychiatric evaluation, including review of medical factors that can cause psychotic symptoms
- Antipsychotic and other medication management, with monitoring of side effects and physical health, including laboratory tests when appropriate
- Psychoeducation for patients and families
- Coordination with therapists, case managers, primary care, and community programs
- Support for school, work, and daily functioning goals
Early intervention matters
When a teen or young adult experiences a first episode of psychosis, early evaluation and treatment can make a meaningful difference in long-term outcomes. We can help families understand what is happening and connect with specialized early-psychosis programs in Maryland when appropriate.
When a higher level of care is needed
Outpatient care is appropriate for many people, but some situations require more support. If someone is at risk of harming themselves or others, or cannot care for themselves safely, call 911 or 988, or go to the nearest emergency room. We work with patients and families to identify appropriate higher levels of care when needed.
Our providers
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. 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.