David M. Scarpino, MD

Evaluation All new patients are first given an introduction to the office and allowed time to get acquainted and feel comfortable.  Privacy is a top priority and protected as much as possible following HIPPA guidelines.  The evaluation is thorough but informal.  The patient simply has a conversation with the doctor and is allowed to tell his or her story.   Issues important to the patient are discussed.  After listening to the patient Dr. Scarpino will provide his initial assessment and begin to formulate a plan with the patient to help resolve the problem or symptoms. Medication Medications are not for everyone but are an important treatment option for some.   Dr. Scarpino may prescribe medications for many problems including for depression, anxiety, poor sleep, appetite, pain, or concentration.  Safety and risks and benefits are reviewed first.  Medications and monitored and adjusted over time to receive optimal benefit.  Finally, medications are discontinued if not effective or when symptoms have resolved. Therapy It is understandable that most people are at first hesitant to share there problems with the doctor.  The value of therapy is that one can share their most private thoughts and know that it is completely private and protected.  The doctor's only concern is helping the patient and will not violate privacy or make negative judgements.   Therapy is a process to improve understanding or insight, change negative or distorted thinking , improve behaviors and resolve painful issues from the past.  To share one's deepest thoughts and emotions in therapy is a profound and unique experience.  Therapy can truly change one's life.