Services

ABH Services Include:

Psychiatric diagnostic evaluation and medication management

A comprehensive psychiatric evaluation entails obtaining a thorough history to help understand what is contributing to current distress. This includes discussing not only the more immediate incidents, but also past history of any physical or mental health issues, past treatment, developmental and family history, and current level of functioning. When warranted, additional information may be requested from other sources, and at times referral to outside medical providers may be made for further evaluation. By utilizing all of this information Dr. Klegon can determine the best plan of treatment to most effectively help you.

When, as part of the psychiatric evaluation and treatment plan, Dr. Klegon recommends medication treatment, he will discuss this with you. You will be informed about the uses, risks, and benefits of the medication. If you then decide to take medication, he will prescribe this for you and arrange with you for proper medication follow-up appointments.

Mood disorders

Difficulties with mood can range from a mild sense of unhappiness and dissatisfaction to very severe depression with impairment in eating, sleeping, concentration, and motivation to do things. Alternately, a mood disorder may include times of abnormally heightened mood or energy states, or may manifest as anger/irritability, all of which may impair one’s daily activities. Periodic times of having mild alterations in mood are a normal part of life. However, prolonged or significantly intense episodes may be a sign that professional help is needed.

Acadia can work with you to help overcome the negative effects of a mood disorder which can impair functioning in work, family, and other important aspects of one’s life including physical health. The clinical treatment can include medication, referral to a therapist, or both.

Anxiety, panic and phobias

Anxiety manifests in different ways, from an inner sense of tension and worry to distinct physical symptoms such as shortness of breath, pounding heart, stomach distress, and shaking hands. It can exist as a somewhat constant state or occur in discrete, intense episodes which may or may not seem to be associated with specific feared situations. Anxiety can be a very crippling emotion, significantly interfering with one’s better functioning.

Anxiety can be helped with psychotherapy, relaxation techniques, and appropriate medication. As with mood disorders, doing this clinical work can result in a significantly improved quality of life and an enhanced ability to meet one’s goals.

Substance abuse problems

Alcohol or other drug use can be a significant problem when it interferes with one’s functioning in any of the major spheres of life: family, interpersonal relationships, work and/or school. This can manifest as repeated social or interpersonal problems such as verbal arguments and/or physical fights, or as the failure to fulfill one’s role or obligations at home, in school, or at one’s job. It can significantly worsen other emotional problems. Substance abuse can also lead to legal issues and health problems, and also result in an increased risk of harm to self or others, either intentionally or by accident.

Medication treatment and referral to professional counseling can help with both the substance use directly and also any underlying conditions that may be contributing to its use. This in turn can help a person achieve far greater control over his or her life.

Trauma

Severe trauma, where an event or ongoing events cause one to fear for the life or physical security of oneself or someone close by, evokes feelings of fear and helplessness. After experiencing such an event(s) a person may develop symptoms soon after (or sometimes not until quite a long time after) the event. Symptoms may include disturbing, recurrent daytime recollections or actual re-experiencing of the event, nightmares, or feelings of numbness. In addition there can be avoidance of things associated with the event, or problems with sleep, anger, and hypervigilance. It can cause one to feel detachment from others and that she or he will never be able to accomplish what they want in life.

Such states can be extremely debilitating and can contribute to depression, anxiety, and substance abuse. Psychiatric medications can often be of help in dealing with trauma. In addition, Dr. Klegon can make a referral to a skilled psychotherapist to help with the healing process.

Major mental illness

Major mental illnesses are those that present obvious and undeniable signs and symptoms, both to the person experiencing them and to those around them. They include the more serious mood disorders as well as conditions where there are disturbances of thought content or processes leading to disorganized thought, hallucinations, or delusions. They are chronic and/or recurrent conditions and often have a genetic component. They are often severe enough to prevent a person from working, playing and fulfilling daily responsibilities.

Medication treatment can help stabilize these illnesses and allow the individual to reach a higher level of functioning and fulfillment in their life.

Stress reduction

Managing stress in today's hectic environment has become an increasingly complex challenge. The obvious stresses of physical and emotional pain, as well as the more subtle stresses of work, family, relationships, and society seem endless. More than ever, our day to day lives have been severely compromised with job demands (or the lack of work when one wants and needs it), fast paced lifestyles, and self-imposed expectations. Stress, while sometimes being caused by physical or emotional pain, can in itself lead to those or make existing conditions worse.

Psychotherapy can help an individual examine the causes of stress in their life and develop new and more beneficial ways to diminish the stressors, as well as arrive at better coping strategies for those things that cannot easily be changed. Medication at times is also warranted when the stress is too great and causing too many symptoms of distress. As with other conditions, appropriate medication treatment can often enable a person to utilize psychotherapy more effectively.

Self-harming behaviors

Whether because of past trauma or current issues in one’s life, some people turn to self-harming behaviors in an effort to feel better. This could manifest as cutting or burning oneself, or other ways of inflicting pain on oneself. While these behaviors sometimes bring about short-term relief of the emotional pain, they are often followed by deeper feelings of depression, guilt, and lowered self-worth.

Psychiatric medication, together with referral to an appropriate therapist, can help stabilize these behaviors and allow a person to move forward in a more constructive direction.

Attention-Deficit Disorders

Attention-deficit disorders occur in persons of all ages. They can manifest as problems primarily with attention, concentration, and distractibility, as issues with hyperactivity, or both. The person is often forgetful and has trouble organizing activities and tasks. Hyperactivity is primarily in children although some adults retain this as a frequent fidgeting or inability to sit still for very long. Because of these difficulties, a person with attention-deficit commonly has problems with peer and family relations and in school or work settings. These in turn frequently lead to feelings of depression or anxiety.

Psychiatric medication can often be helpful in treating attention-deficit disorders, both the primary disorder itself and, when necessary, secondary issues of depression, anxiety, or substance use.