Patient Care Experience

You can expect to receive expert care in a safe, nonjudgmental environment. The process is built around the needs of the patient, not algorithms or insurance plans. The approach is insight-oriented, practical, and interactive. Your care is based on your needs. Virtual visits are available after the first visit, which must be in person.

Initial consultation

Treatment begins with a 90 minute 1:1 evaluation, review of medical history, information from previous providers, and review of labs or imaging as indicated. After the initial evaluation, you will receive a preliminary diagnosis and treatment recommendations. Emphases are: ruling out general medical causes, integrating previous therapy experiences, assessing need and extent of therapy, and providing a foundation for exploring deeper more complex issues. My theoretical orientation is psychodynamic, and my technique is transference based and Socratic.

CBT techniques are supported but not specifically prescribed.

The style is direct, warm, but professional.

Psychopharmacology

Medication is not a substitute for change, but it can help to manage symptoms, especially in a crisis. Effectiveness, simplicity, and safety guide the practice. Alternative approaches into treatment can be integrated, but traditional allopathic medicine is the primary mode of treatment.

Medication management and psychotherapy should be provided together because it is the simplest and most effective design for the patient. For patients that already have therapists, medication management only is available.

Process

APPOINTMENTS - use Appointments link above or directly on the Google page.

CONTACT - for routine questions, text me through the NexHealth app. My response time is < 24 hours.

In case of emergencies call 443-562-0119

PAYMENT- use Payment link above. I take all forms of payment and expect all bills to be paid by the end of the calendar year. The payment application requires patients to give credit card information in order to secure an appointment.

CANCELLATIONS - cancellations must be done 24 hours before the appointment on the NexHealth Calendar. Patients are responsible for the cost of the appointment if < 24 hours or no notice. See Policies section.

PARKING for patients

is in space #2 in the rear lot on D St.

Costs

Psychiatric examination (90 minutes) $500

Therapy + Medication Management $300

Medication Management only $200

Psychotherapy only (50 minutes) $200

Hourly rate $300

The FRONT DOOR is facing Pennsylvania Ave, but the entrance to the office is from the rear.

Office

The office is located at 906 Pennsylvania Ave SE, one block from the Eastern Market Metro station.

The ENTRANCE to the waiting room is on D Street at the rear of the building.

Policies

Psychotherapy relies on a trusting, confidential, therapeutic environment. The following rules are based on the ethical guidelines provided by the American Psychiatric Association. Because psychotherapy is a unique experience, policies and expectations are stated clearly up front. Further elaboration is available at your request. Initiation of treatment will serve as acknowledgement of policies.

Black and yellow lines of barrier tape forbids passage. Concept of No entry. Protection fr

Boundaries

Once a patient, always a patient. After treatment begins, we cannot meet in any other capacity. Meetings occur only in the office or in the hospital. Family members are included only when the patient is present. Family can share clinically relevant information in writing. (except in an emergency)

Roles

As your psychiatrist, doctor and patient is the only relationship that is permissable.

Transparency

Pharmaceutical companies, hospital groups, or health care organizations are not involved in your care whatsoever. I do not hold patents on any products or procedures or have any financial ties with any other providers. You can expect transparency in clinical decision making and candor about effectiveness, risks, and benefits of specific treatments.

Cancellations

Patients will be expected to pay the full fee, if appointments are cancelled less than 24 hours ahead on NexHealth. IF THERE ARE UNAVOIDABLE CIRCUMSTANCES , THE FEE WILL BE WAIVED.

Insurance

I do not participate in any insurance plans. All communications regarding reimbursements and payment are between you and your insurance company. I will complete prior authorizations for medication and provide completed claim forms and super bills.

Confidentiality

I am bound by oath and law to jealously protect your privacy. I will not share any information about you with anybody, unless you permit it, it is medically necessary, or I am compelled legally. I do not routinely respond to simple subpoenas or depositions.

About Dr. Isaac

As a native of Washington D.C., I have been practicing in Northern Virginia and Washington D.C. for 22 years. Alongside of a private practice, I was a psychiatric hospitalist at INOVA Fairfax Hospital for ten years and a community psychiatrist in Washington D.C. for five years, I taught at Virginia Commonwealth University as an Assistant Professor, and currently supervise residents from Georgetown University School of Medicine and George Washington University School of Medicine. I was born in the United States, but my family is Eastern European.

Restructuring attachments, optimizing role functioning, interpretation of transference, and reframing developmental experiences through insight are the core features of my technique. The school is contemporary psychodynamic, with training in Brief Psychodynamic Psychotherapy and Cognitive Behavioral Therapy.

My approach to patient care is collaborative, egalitarian, flexible, non-judgmental, and transparent. As a patient, your ethnic, racial, political, religious, or partisan identities CANNOT adversely effect the delivery of your care. However, since these group memberships form "identity" they are often relevant.

Education

Georgetown University School of Medicine

Fellowship

Consultation-Liaison psychiatrists specialize in treating people with medical illnesses that have

co-morbid psychiatric needs.

Residency

University of Maryland/

Shepard Pratt Hospital

UMMS/Shepard Pratt provided community based and psychodynamic training. Shepard-Pratt Hospital pioneered the humane and scientific care of mentally ill patients in the 19th century and has carried that tradition forward.

Medical School

The Chicago Medical School/ Rosalind Franklin University

Dean's Award

Undergraduate

Philosophy/Math

St. Johns College

"The Arts & Humanities" have provided a richer and deeper matrix than traditional Western medicine to understand the subjective experience of patients.