Compassionate, Patient-Centered Care Of The Highest Quality

A conscious choice towards a sustainable change.

At Conscious Change, your mental health and well-being matter. Facilitating a better quality of life through medication management is a task we do not take lightly. Mental health diagnoses can be a delicate, emotionally taxing subject.

Rest assured, there is a profound and validating freedom in placing a name to the symptoms you’ve been experiencing! I always say, "What people don’t learn, they can’t apply." This is why mental health and medication management education are vital components of our clinic.

Let us help you make a Conscious Change today!

Conscious Change is an equitable practice, offering care to individuals from all communities and walks of life, regardless of race, identity, religion, or culture.

Krisna Hervey, MSN, PMHNP-BC

Krisna

Services We Offer

It is important to note that there is no one-size-fits-all approach to mental health treatment. The best treatment plan for you will depend on your individual needs and preferences.

  • Are you looking for the best way to manage your mental health? At Conscious Change, the first step is a comprehensive psychiatric evaluation.

    Our psychiatric nurse practitioner takes a detailed inventory of your current symptoms, past life circumstances, and any issues that have driven you to explore treatment options regarding mental health concerns. Our individualized, evidence-based approach to mental health care will help you find the right treatment plan for your individual needs.

  • Are you ready to take control of your mental health? If recommended, you can get the support you need through psychopharmacology treatment options most beneficial to you.

    Our experienced team can help you make informed decisions about your treatment to promote efficacy and safety. Together, we will create a personalized plan that will help you on the path to feeling better and living a healthier, happier life.

  • Are you looking for a way to improve your mental health? Psychotherapy provides the treatment you may need through an ongoing, cooperative process.

    With the help of an experienced therapist, you can find relief from long-standing issues and uncover solutions for your current struggles. Explore your past, dreams, goals, and pains in a safe, compassionate environment.

  • Get the most out of your mental health treatment with pharmacogenomic testing. Pharmacogenomic testing is a psychotropic analysis of your individual genetics. This gives your clinician important information about how you respond to different prescription medications for depression, anxiety, ADHD, and other mental health conditions.

    Pharmacogenomic testing increases the likelihood of finding the right medication and dosage that works best for you, reduces the risk of side effects, and maximizes treatment outcomes. Pharmacogenomics testing is a safe and simple procedure that can be done in the privacy of our office. We currently use GeneSight as our vendor.

  • QbTest is an objective ADHD assessment that we offer as part of our medication management services. It is an FDA-cleared, CE-marked, and widely used test that can be used alongside other clinical measures and cognitive tests to rule in or rule out ADHD.

    We believe that objective data can help us to better understand your ADHD symptoms and make informed decisions about your treatment plan. QbTest results can also be used to track your progress over time and make adjustments to your treatment as needed.

    If you are interested in learning more about QbTest or our medication management services, please contact us today.

Conditions We Treat

Our experienced team is dedicated to guiding you through your journey to better mental health.

We take a holistic approach that addresses both symptoms and underlying causes, creating personalized treatment plans that may include medication management, therapy, or a combination of approaches.

Our goal is to empower you to actively participate in your treatment and achieve meaningful, lasting improvements in your well-being and overall quality of life.

  • Depression is a mental health disorder affecting people's thoughts, feelings, and behavior. It can cause intense feelings of sadness, hopelessness, and worthlessness. It can also lead to physical symptoms such as fatigue, changes in appetite or sleep patterns, and difficulty concentrating. If left untreated, depression can seriously affect an individual’s life, including work performance and relationships.

    Depression is an issue that may not go away quickly. Major Depressive Disorder is the most common type that, without appropriate treatment, could last for weeks, months, or even years. Unfortunately, many individuals suffer from chronic depression that waxes and wanes with severity.

    Fortunately, many treatment options are available to help people manage their depression symptoms. These include medication, psychotherapy, lifestyle changes such as exercise or diet modification, support groups, etc. By understanding the signs of depression and getting help early on, it is possible to reduce its effects and live a full life.

  • Anxiety is a feeling of unease or fear ranging from mild to severe and can be experienced in various situations. It is a normal response to stress, but it can affect your daily life and relationships when it becomes overwhelming.

    Anxiety disorders come in various forms, such as generalized anxiety disorder, panic disorder, social phobia, agoraphobia, and obsessive-compulsive disorder.

    Psychiatric experts recognize Generalized Anxiety Disorder (GAD) as a serious mental health condition in which an individual experiences persistent and excessive worrying about everyday situations such as health, finances, work, and family. Symptoms of this disorder usually last for six months or longer.

    Panic disorder is a condition in which people experience sudden, recurrent episodes of intense fear with no apparent cause. These panic attacks usually come on quickly and last several minutes or more.

    Phobias are irrational fears that can be debilitating for individuals who experience them. These often involve fear of spiders, flying, crowded places, or social interactions (social anxiety). Notwithstanding these things' insignificant threats, phobics feel anxious and distressed when exposed to them.

  • Attention Deficit Hyperactivity Disorder (ADHD) is a mental health disorder characterized by difficulty paying attention, impulsive behavior, and hyperactivity. It is a common condition that affects both children and adults.

    ADHD can be broken down into three categories, depending on which symptoms dominate an individual's condition. These include the predominantly Inattentive type, predominantly Hyperactive-Impulsive type, and Combined type.

    Individuals with Predominantly Inattentive Presentation have difficulty staying focused on a task, may overlook important details, and can be easily distracted. They may also forget everyday activities or struggle to follow conversations and instructions.

    Predominantly Hyperactive-Impulsive Presentation is a condition in which people experience difficulty sitting still for extended periods of time and controlling their impulses. Individuals affected by this struggle to stay seated for extended periods, such as during a meal or while doing homework, and often show signs of restlessness and talking excessively. People with impulsive behavior demonstrate certain tendencies, such as interrupting people, speaking at unsuitable times, or snatching items from others. Moreover, it is rather difficult for them to wait for their turn or pay heed to instructions patiently. Such individuals have a greater inclination towards accidents and injuries in comparison to the rest of the population.

    Combined type ADHD is a situation in which someone has signs of both inattention and hyperactivity-impulsivity. This can lead to various challenges when trying to concentrate and complete tasks.

    ADHD can persist into adulthood, and the criteria for diagnosis in adults and adolescents aged 17 and up differs from that of younger children.

    ADHD can significantly impact an individual’s life, making concentrating on tasks, maintaining relationships with others, and managing everyday activities difficult. The symptoms of ADHD can be managed through medication, therapy, lifestyle changes, and other strategies.

  • Bipolar disorder is a mental health condition that causes extreme shifts in mood, energy, and activity levels. It affects people of all ages and can cause serious disruption to everyday life.

    Bipolar disorder can be divided into three distinct types. These are Bipolar I, Bipolar II, and Cyclothymic Disorder. Each type of bipolar disorder has its own unique set of symptoms and treatment approaches.

    Bipolar I disorder is characterized by having experienced one or more manic episodes in combination with hypomanic or major depressive episodes. For some people, mania can lead to psychosis, a temporary disruption of reality.

    Bipolar II Disorder is a distinct mental illness characterized by depression and hypomania. The symptoms are very similar to bipolar I disorder; however, the symptoms may be milder and occur for shorter durations of time.

    Bipolar disorder and other related conditions encompass a variety of symptoms and behaviors. These can include manic or hypomanic episodes, as well as depressive states. The symptoms could lead to dangerous mood swings and erratic behavior, which could seriously impact an individual's life.

    Mania and hypomania are two related conditions, but they have different severities. While the symptoms of both these episodes are similar, mania is more intense and, as a result, can cause more visible issues regarding a person's work, education, social life, and relationships. Individuals experiencing mania may find themselves in a state of psychosis and require inpatient hospital care to recover.

  • Sleeping disorders, also known as sleep disorders or sleep disturbances, encompass a range of conditions that interfere with an individual's standard sleep patterns and quality. Insomnia, perhaps the most prevalent sleep disorder, involves difficulty falling or staying asleep. This can result from stress, anxiety, or lifestyle factors. On the other end of the spectrum is hypersomnia, where excessive daytime sleepiness occurs, often leading to extended naps during the day.

    Sleep apnea, a potentially serious disorder, causes interruptions in breathing during sleep. This can be obstructive when the airway is blocked or central when the brain fails to signal the muscles to breathe. Restless Legs Syndrome (RLS) gives rise to irresistible urges to move the legs due to discomfort, usually at night, impacting sleep initiation.

    Narcolepsy involves sudden and uncontrollable episodes of falling asleep during the day, often accompanied by sleep paralysis and vivid hallucinations. Parasomnias, such as sleepwalking, night terrors, and sleep-related eating disorders, encompasses abnormal behaviors during sleep. These can result from genetic factors or underlying medical conditions.

    Shift work disorder occurs when an individual's work schedule clashes with their natural sleep-wake cycle, leading to insomnia and excessive sleepiness. Circadian rhythm disorders like jet lag arise from rapid changes in time zones, disrupting the body's internal clock.

    Finally, insomnia disorder stems from psychological and emotional factors rather than a medical condition and can persist for extended periods. Effective diagnosis and management of these disorders are essential, as untreated sleep disorders can lead to cognitive impairment, mood disturbances, and even an increased risk of accidents due to daytime sleepiness. Consulting a healthcare professional for proper evaluation and guidance is crucial for those facing persistent sleep disturbances.

  • The postpartum period introduces a spectrum of changes, both physical and emotional, as a result of childbirth. Physically, the process of recovery involves adapting to a different daily routine and grappling with exhaustion due to disrupted sleep patterns, which are an inherent part of caring for a newborn.

    Hormonal fluctuations, another facet of postpartum, can trigger mood shifts. The "baby blues," characterized by mood swings and emotional sensitivity, tend to be transient and usually dissipate within a few weeks. However, more intense emotional challenges, like postpartum depression, might arise, marked by prolonged feelings of melancholy and anxiety. In such cases, seeking professional help is crucial.

    Healthcare providers play a pivotal role during this phase. Their expertise can offer assistance and strategies for addressing physical discomfort, nurturing emotional well-being, and overall health management. Approaches encompass refining sleep patterns, exploring therapeutic interventions such as counseling or joining support groups, and gradually integrating physical activity back into daily life, all of which can facilitate a smoother transition into motherhood.

    With appropriate care, support, and guidance, women can effectively navigate these challenges, emerging from the postpartum period with increased resilience and a strengthened sense of well-being.

  • Item descriptionPost-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after a person experiences or witnesses a traumatic event. It's characterized by a range of symptoms that can significantly impact a person's daily life. These symptoms typically fall into four categories: intrusive thoughts, avoidance, negative changes in mood and thinking, and heightened arousal.

    Intrusive thoughts are a hallmark of PTSD. Individuals may experience distressing memories, flashbacks, or nightmares related to the traumatic event. These thoughts can feel overwhelming and uncontrollable, often causing severe anxiety and emotional distress.

    Avoidance behaviors are common in those with PTSD. This involves steering clear of reminders or situations that trigger memories of the trauma. People with PTSD might isolate themselves, avoid talking about the event, or even experience emotional numbness to cope with the distressing memories.

    Adverse changes in mood and thinking are another facet of PTSD. Individuals may develop negative beliefs about themselves, others, or the world. They might lose interest in activities they once enjoyed and feel detached from loved ones. Feelings of guilt, shame, or a sense of foreshortened future can also arise.

    Heightened arousal is the fourth category of symptoms. Those with PTSD might experience constant vigilance, irritability, difficulty concentrating, and exaggerated startle responses. These physical and emotional reactions can make it challenging to relax and feel safe.

    It's important to note that not everyone who experiences a traumatic event will develop PTSD. Risk factors include the severity of the trauma, a history of previous traumas, and the presence of support systems. PTSD is a real and treatable condition, and seeking professional help is crucial for managing its effects. Therapies such as cognitive-behavioral therapy (CBT), exposure therapy, and medications can help individuals cope with their symptoms and work towards recovery, allowing them to regain control of their lives.

  • Conduct disorders refer to a group of behavioral and emotional disorders typically diagnosed in childhood or adolescence. These disorders are characterized by persistent patterns of behavior that violate societal norms and the rights of others. Oppositional Defiant Disorder (ODD) is characterized by a recurrent pattern of defiance, hostility towards authority figures, and irritable mood. Children with ODD often struggle to control their temper and may purposely annoy others.

    Another conduct disorder is Conduct Disorder (CD), which involves more severe behavioral problems. Children or adolescents with CD may engage in aggressive behaviors, including physical aggression towards people or animals, destruction of property, theft, and serious rule violations. This disorder can significantly impair academic and social functioning and put individuals at risk for legal issues.

    It's important to note that conduct disorders can have a range of underlying causes, including genetic predisposition, neurological factors, family environment, and social influences. Early intervention is crucial to prevent these disorders from escalating into more serious issues in adulthood. Treatment approaches often involve a combination of psychotherapy, family therapy, and, in some cases, medication.

    Parenting skills training can help caregivers learn effective strategies for managing behavior and fostering healthy communication. Cognitive-behavioral therapy (CBT) addresses distorted thought patterns and teaches coping skills. Family therapy focuses on improving family dynamics and communication to create a supportive environment.

    In conclusion, conduct disorders encompass a spectrum of disruptive behavior and emotional challenges observed in children and adolescents. Recognizing the signs early and seeking appropriate interventions can pave the way for improved outcomes and healthier future societal interactions.

  • Eating disorders are serious mental health conditions characterized by abnormal eating behaviors that can have detrimental effects on physical and emotional well-being. Anorexia nervosa involves severe restriction of food intake, resulting in dangerously low body weight. Individuals with bulimia nervosa engage in episodes of binge eating followed by compensatory behaviors like vomiting or excessive exercise. Binge eating disorder is marked by recurrent episodes of excessive eating without compensatory actions.

    Orthorexia nervosa is an obsession with consuming only "healthy" foods, leading to rigid dietary restrictions and social isolation. Avoidant/Restrictive Food Intake Disorder (ARFID) is defined by limited food preferences, often due to sensory sensitivities or past negative experiences. Pica involves eating non-food items with no nutritional value, posing serious health risks.

    EDNOS (Eating Disorder Not Otherwise Specified) is a category for disorders that don't fit neatly into other classifications. Regardless of the specific disorder, eating disorders can lead to malnutrition, electrolyte imbalances, heart issues, and mental health challenges such as depression and anxiety. Early intervention is crucial for recovery, often involving a combination of medical, nutritional, and psychological therapies. A multidisciplinary approach tailored to the individual's needs is key.

    Prevention includes fostering a healthy relationship with food, promoting body positivity, and recognizing societal pressures contributing to these disorders. If you or someone you know is struggling with an eating disorder, seeking professional help is essential. Remember, recovery is possible with the right support and treatment.

  • Personality disorders are a group of mental health conditions characterized by enduring patterns of thoughts, feelings, and behaviors that deviate from cultural norms and cause significant distress or impairment. One such disorder is Borderline Personality Disorder (BPD), where individuals often struggle with intense mood swings, unstable relationships, and a distorted self-image. Impulsive behaviors and self-harm tendencies are also common.

    Another personality disorder is Antisocial Personality Disorder (ASPD), marked by a disregard for others' rights and feelings. People with ASPD may engage in deceitful, manipulative behaviors and show a lack of remorse for their actions. They often have a history of legal and social problems.

    Avoidant Personality Disorder involves a pervasive fear of rejection, criticism, or embarrassment, leading individuals to avoid social interactions and opportunities. People with this disorder desire connection but feel inadequate and avoid situations where they might be judged.

    Narcissistic Personality Disorder (NPD) manifests as an exaggerated sense of self-importance and an insatiable need for admiration. Individuals with NPD often lack empathy and exploit others for their own gain.

    Obsessive-Compulsive Personality Disorder (OCPD) is characterized by perfectionism, rigidity, and an obsession with orderliness. While similar to Obsessive-Compulsive Disorder (OCD), OCPD primarily pertains to personality traits, whereas OCD involves specific, intrusive thoughts and compulsions.

    Schizotypal Personality Disorder entails eccentric behaviors, peculiar thought patterns, and social discomfort. People with this disorder may have odd beliefs or experiences, often feeling detached from reality.

    It's important to note that individuals with personality disorders can experience varying degrees of impairment and may benefit from psychotherapy, medication, and support. Early intervention can significantly improve their quality of life and relationships. If you or someone you know is struggling with these challenges, seeking professional help is crucial for proper diagnosis and effective management.

  • Substance use disorders encompass a range of conditions characterized by the harmful or uncontrolled use of substances such as alcohol, drugs, or medications. These disorders can have severe physical, mental, and social consequences.

    Alcohol Use Disorder (AUD) involves the compulsive consumption of alcohol despite negative consequences. Symptoms include tolerance, withdrawal, unsuccessful attempts to quit, and prioritizing alcohol over other responsibilities.

    Opioid Use Disorder (OUD) revolves around the misuse of opioids, leading to an intense craving and difficulty controlling use. This disorder can result in overdose and poses a significant public health concern.

    Stimulant Use Disorder involves substances like cocaine, methamphetamine, and prescription stimulants. It increases energy, attention, and euphoria, but prolonged use can lead to anxiety, paranoia, and health issues.

    Cannabis Use Disorder is marked by excessive marijuana consumption, leading to cognitive and psychomotor impairments. Regular use, despite its negative effects, characterizes this disorder.

    Sedative-Hypnotic or Benzodiazepine Use Disorder involves the misuse of medications like tranquilizers and sleep aids. When not taken as prescribed, these drugs can cause drowsiness, coordination problems, and addiction.

    Hallucinogen Use Disorder involves substances that alter perception, thoughts, and feelings. While not as addictive as other substances, misuse can lead to distressing experiences and lasting psychological effects.

    Addressing substance use disorders often requires a combination of medical, behavioral, and social interventions. Treatment may involve detoxification, counseling, therapy, and support groups to help individuals regain control over their lives.

    Early intervention and prevention are vital in combating these disorders. Building awareness, providing accessible resources, and reducing the stigma surrounding substance use disorders can contribute to healthier communities and improved overall well-being.

  • Obesity is a complex and prevalent medical condition characterized by an excessive accumulation of body fat. It poses significant health risks and is often associated with various chronic conditions, including type 2 diabetes, heart disease, high blood pressure, and joint problems.

    The primary cause of obesity is an imbalance between calorie intake and expenditure. Consuming more calories than the body burns leads to storing excess energy as fat. Genetic factors, lifestyle choices, socioeconomic status, and environmental influences all play a role in its development.

    Obesity is diagnosed using the body mass index (BMI), which considers an individual's weight in relation to their height. A BMI of 30 or higher is generally classified as obesity. However, it's important to note that BMI has limitations and doesn't account for factors like muscle mass and distribution of fat.

    Prevention and management of obesity involve adopting a balanced diet and engaging in regular physical activity. Lifestyle changes can be effective strategies, such as increasing fruit and vegetable intake, reducing sugary and fatty foods, and practicing portion control. Physical activity helps burn calories and improves overall health.

    In cases where lifestyle modifications aren't sufficient, medical interventions may be considered. These could include supervised weight loss programs, behavioral therapy, prescription medications, and, in severe cases, bariatric surgery.

    Addressing obesity requires a comprehensive approach involving healthcare professionals, policymakers, communities, and individuals. Education about healthy eating habits, promoting physical activity, and creating environments that support healthy choices are crucial steps in tackling this significant public health concern. If left untreated, obesity can lead to a range of serious health issues, highlighting the importance of early intervention and management. Always consult a healthcare provider for personalized advice and guidance on obesity and weight management.

You are allowed to be both a masterpiece and a work in progress.

— Sophia Bush