Gateway Psychiatric uses a number of services to provide our patients with comprehensive care. This page links to information about those services which range from online therapies to genetic tests and applications.
Patient Support
Psychology Tools offers a wealth of new resources for patients and therapists at Gateway Psychiatric. These tools include hundred of worksheets, handouts, exercises, podcasts, and information sheets that are solidly founded in clinical research.
Sleep
Insomnia Coach is a free mobile app designed for Veterans, military Servicemembers, and civilians who struggle with insomnia. Based on Cognitive Behavioral Therapy for Insomnia (CBT-I), the app provides a guided, weekly training plan to improve sleep habits. Users can track their sleep patterns, receive personalized feedback, and access various tools to promote restful sleep. Whether you’re a veteran or civilian, this app offers a practical approach to conquering insomnia. For more information and to download the Insomnia Coach App, click Here.
Sleepio is a six-session sleep improvement program, created by sleep expert Professor Colin Espie and featuring proven Cognitive Behavioral Therapy (CBT) techniques. We are happy to add this treatment option to the list of state of the art therapies available at Gateway Psychiatric. Sleepio joins SHUTi, a longer program that we have found to be extremely useful for patients with insomnia and have been using for the last three years. For More Information…
Genetic Testing
We have been using the Genecept Assay from Genomind for several years to help guide treatment selection in patients with either unusually high rates of side effects from medications or those who have failed multiple trials of medications. Although the test can be expensive, costing anywhere from a couple of hundred dollars to five hundred dollars or more, it is our experience that in about a third of such patients it short-circuits what can be a frustrating and debilitating process of trying medications to find the right one to treat depression. For More Information…
PGxOne™ Plus is a comprehensive, pharmacogenomics test that assays 50 genes and detects 200 variants and CNVs in a single, cost-effective test. Numerous therapeutic areas include (but not limited to) psychiatry, cardiology, pain, gastroenterology, neurology, rheumatology, oncology, hematology, women’s health, infectious disease, and endocrinology. Advanced next generation sequencing technology enables comprehensive coverage of variants in 50 genes. PGxOne™ Plus results are delivered quickly via an intuitive, clinically relevant, medically actionable report. This is the latest test to be added to our panel and is in many ways the most comprehensive.
The Genesight panel have been studied more extensively than the Genecept panel. Unlike the Genecept panel, Genesight has four separate panels:
- Psychotropic panel
- Analgesic panel
- ADHD panel
- MTHFR panel
To get the same depth of information as the Genomind panel you need to order all four of the Genesight panels which increases the cost. For more information…
The CNS Dose panel focus is on a smaller number of genetic tests and is not report individual data for each of these genes, but rather summarizes it with a set of recommendations specifically focused on antidepressant selection and dosing. This has advantages and disadvantages. One of the advantages is that it is quite clear what the recommended course of action is in this may make it somewhat easier to test the usefulness of the panel. Perhaps for this reason, the data supporting the value of the CNS Dose panel is particularly compelling in those patients being considered for initial treatment with an antidepressant. For More Information…
- Tempus Pro does a complete genome analysis (something like 23 and Me) whereas all of the other companies just study a small number of genes.
- The data from this analysis is presented in a way that implements the CPIC guidelines. Strong associations are listed first and associations with weaker evidence are noted in a portion of the report entitled “Emerging Evidence.”
- Tempus Pro also provides patients, and clinicians,with tools for monitoring the results of medication trials.
Mindfulness
Foundations of Wellbeing is a remarkable course designed to teach you how you can change your approach to life so that you avoid the natural bias we all have to focus on the negative. Rick Hanson has put together a science based program that includes lectures, interviews, and interactive content. For more on this course you can read this blog post. Highly recommended.
Online Assessment
A large study published in the prestigious journal, JAMA Psychiatry, suggests that, for patients with unipolar depression (not bipolar depression) a scientifically developed antidepressant selection survey may predict which antidepressant, or combination of antidepressants, is more likely to be effective. Developed by Yale psychiatrists and data scientists, validated machine-learning algorithms use 25 questions to match you to the right antidepressant. It’ll take just 10 minutes. It is designed specifically for use with patients who have not been previously tried on an antidepressant. For More Information…
Many of our patients take about two minutes every day to complete a daily check in which allows their clinicians to track their mood ups and downs and also allows them to learn more about what affects their mood. This daily check-in relies on a Google form which is covered under our Business Associate Agreement with Google and is secure and confidential. For More Information…
We have assembled a huge library of standardized tests to help us assess our patients. These tests are hosted online by Alchemer (formerly Survey Gizmo). The test results are encrypted and stored securely. For More Information…
For several years we’ve had an ongoing collaboration with Health which allows us to provide an alternative way of doing a daily mood check in. Several of our patients prefer Health because it includes a smart phone application which makes setting up reminders easier. The focus of the company has shifted and is now more aimed at providing direct access for clients to therapists but we can still use their application for our patients.. For More Information…
eMoods is a free Mood Tracking app that lets you easily chart your daily highs and lows, sleep, medications, and other symptoms related to Bipolar and other common mood disorders. Send printable reports to your doctor or therapist and receive valuable insights about your triggers and mood patterns. For more information…
Cognitive Function
There are a number of commercially available brain training courses. One of the most comprehensive was developed by a company called Posit Science. Its current flagship product is a subscription-based online program called BrainHQ. One important feature of this company is its commitment to sponsoring good quality research on its products. Recent large studies have supported its effectiveness in improving cognition in patients with bipolar, and in improving cognitive function in the elderly. Several patients in the clinic have been using the Brain HQ product and report good results. For more information…
Problems with memory, inattention, distractibility and cognitive function are common symptoms of mood and anxiety disorders. They may also be side effects of the medications used to treat those conditions. Or they may be a sign of some other condition that needs to be evaluated. A key part of a comprehensive assessment of cognitive symptoms is a formal neurocognitive assessment. We have used CNS Vital Signs as our primary neurocognitive assessment tool for many years. It incorporates a number of well validated tests and these tests can be used more than once to help assess the relationship between psychiatric symptoms or psychiatric medications and cognitive function. For more information…
In addition to the CNS Vital Signs neurocognitive testing platform we are offering Savonix testing. As with CNS Vital Signs, the Savonix tests allow you to make a change and then take the test again. So if you are wondering if a different medication might help with your cognitive performance, you can find out easily. Unlike CNS Vital Signs, to use the Savonix battery you need to get a test code number AND you need to download the Savonix app on your tablet or smartphone. For More Information….
Healthy Living
The ProLon Fasting Mimicking Diet is the first and only meal program that has gone through clinical trials at the University of Southern California and been patented for providing healthy-aging. This 5-day meal program delivers scientifically researched micro- and macro-nutrients in precise quantities and combinations that nourish you, but are not recognized as food by your body and therefore mimics a fasting state. For More Information….
Strategic Nutrition Design is founded Alison Acerra MS, RDN a nutrition and lifestyle coach who supports her clients on their path to building better energy and experiencing more joy and wellbeing in their lives through the nourishing power of food and holistic health practices. She takes a collaborative, client-centered approach to her work, guiding each individual on their own personal path towards achieving their health goals. Alison brings 20 years of professional experience to her work with clients as well as her own personal experience in recovery from disordered eating and digestive and hormonal imbalances. She helps her clients in a variety of ways including building routines and strategies that sustain healthier behaviors and mindset as well as identifying and dismantling the limiting stories and beliefs that are preventing them from living a healthy, productive life. For More Information…
LiveWell is a digital health and wellness support app designed to helping patients make and keep plans for exercise, diet, and sleep schedules. It is designed to helps users strengthen the “four pillars” of health: physical, mental, social, and financial. The program includes regular calls with a coach, so patients are not just on their own to follow the instructions on their phone. For more information…
Relationship Issues
A powerful online assessment that automatically scores a couple’s strengths and challenges.
Created by Drs. John and Julie Gottman in collaboration with The Gottman Institute and Affective Software Inc.
The Gottman Method was developed by the world-renowned psychologists Drs. John and Julie Gottman. It consists of two important parts: a thorough assessment and a series of effective interventions.
The assessment identifies challenging areas of your relationship. Over the last 40 years, Drs. John and Julie Gottman developed scientifically proven intervention techniques that have helped more than 100,000 couples. We will use these powerful techniques to strengthen your bond as a couple.
Clinical Laboratories
Get Labs Drawn at your Home or Office
Sprinter Health offers their Mobile Phlebotomy Service
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes to perform blood draws, vitals checks, COVID-19 testing, and more.
Home Medical Tests and Monitoring
EKG360 in partnership with QT Medical, provides Xpress ECG service, a mail order home ECG testing kit. This service also includes an expert cardiologist’s interpretation. Instructions for purchase of EKG360 Service here.