What to expect

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Initial phone call

Dr. Madan will have a 10-20 minutes conversation with you for an initial screen to ensure that she is the right person to provide services.  If that is not the case then she will help you find a suitable referral.  Before your appointment with Dr. Madan, take some time to identify what you want from treatment and how you would know if treatment is successful. 

Evaluation phase

Dr. Madan does a thorough evaluation that includes review of current symptoms and presenting problems, she reviews history of these problems, previous treatments if any and response to such treatments.  During the first session, Dr. Madan will ask you to review and complete a treatment agreement.  Please read this agreement carefully and be sure to raise any questions you may have with her.  Dr. Madan will provide you with  questionnaires relevant to your presenting problems to be completed by the subsequent session.  She also may ask you to do some reading that would help you clarify the presenting problems and provide education about your symptoms.  Evaluations phase can take 1-2 sessions that are each of 50 minutes length.  At the end of the evaluation phase, she will review treatment options and provide recommendations for treatment.  She will also discuss an approximate length of your  treatment and frequency of sessions related to your treatment goals. 

Treatment phase

Treatment phase begins once you and Dr. Madan agree on a treatment plan.  Treatment is collaborative which means that we work together towards achieving goals.  You and Dr. Madan will together identify homework assignments in sessions which are relevant to goals you are working on.  It would be important for you to create at least 30 minutes or more of time between sessions to follow through with homework or identify obstacles that interfere with homework so that you and Dr. Madan can continue to work together. Periodically, you will  review your progress towards treatment goals and both you and Dr. Madan will modify goals if necessary.

Relapse prevention phase

You will conclude treatment with review of skills learned and identifying additional skills that would help you recognize and manage relapse.  Follow up booster sessions or tapering of sessions will be collaboratively planned.