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Dr. Madow is the only psychiatrist practicing
in Las Vegas who has special training in both psychopharmacology and psychodynamic psychotherapy. He
is certified as a
master psychopharmacologist by the Neuroscience Education
Institute in Carlsbad,
California, the preeminent national society for advanced
psychopharmacological training.
Dr. Madow has extensive training in psychoanalytic
psychotherapy. Dr. Madow has
presented many talks for pharmaceutical companies for the
purpose of training other
physicians in the uses of psychotropic medications. He has
also been on radio and
television on numerous occasions.
Dr. Madow’s special area of expertise is in the treatment of
mood and anxiety
disorders, including major depressive disorder, bipolar
disorder, obsessive-compulsivedisorder, panic and phobias, generalized anxiety disorder,
and post-traumatic stress
disorder. In most cases he treats patients with medications,
and in some instances
treats patients with both psychotherapy and medications. He
is also available for
consultation to therapists who have questions about the
progress they are making with
their patients.
EVALUATIONS
Psychiatric evaluations include a complete psychiatric
history, which consists of the
chief complaint; history of the present illness; past
psychiatric history, including medications, therapy, and hospitalizations; drug and alcohol
history; education; occupational,
marital, work, family, religious, legal, and childhood
history. In addition, activities of daily
living are reviewed.
A complete medical history is taken, which includes
surgeries, medical problems,
allergies to medications, specific male or female problems
depending on the patient’s
gender, and any current medications the patient may be
taking and from what source.
An extensive mental status examination follows, which
includes an evaluation of the
patient’s attire, grooming, orientation, attitude, eye
contact, level of alertness, and
level of anxiety. Concentration, memory, and judgment are
evaluated. Mood and
affect are evaluated, especially for suicidal, homicidal,
and violent tendencies, as are
neurovegetative signs of depression. Speech and content of
thought are evaluated,
following which a determination is made with regard to
whether the patient is delusional,
hallucinating, or has obsessions, compulsions, or phobias.
Insight and ability to abstract
are also evaluated.
The diagnosis is then made.
This includes:
AXIS I: Major psychiatric diagnosis
AXIS II: Personality disorders
AXIS III: Medical disorders
AXIS IV: Stressors, including medical, physical,
psychological, and social
problems
AXIS V: General assessment of functioning diagnosis
Subsequently an opinion, comment, and plan for treatment are
offered.
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