How Can We Help?
At Pasadena Neuropsychiatry, we treat all general psychiatric conditions with an emphasis on Neuropsychiatry & Interventional Psychiatry, which includes the most novel and promising treatments in psychiatry. These evidence-based interventions that we provide at our Pasadena Clinic include neuromodulation in the form of deep transmagnetic stimulation (BrainsWay dTMS™) for treatment-resistant depression and now OCD (moderate to severe).
We also are a Janssen-designated Spravato Center. Dr. Sepah is also the only provider of Zulresso in the Los Angeles area.
We see patients for a variety of reasons, including:
- HIV Psychiatry
- Cognitive Disorders, including MDD, OCD, and Dementia
- Traumatic Brain Injury
- Reproductive Psychiatry
- Sexual Dysfunction
We believe that psychiatry contributes to a person’s overall health as much as any other medical specialty. By coordinating with our patients and their primary care physicians and specialists, we work to create an integrated “continuum of care.” In addition to our work to reduce the stigma surrounding asking for help, this allows us to empower our patients.
As part of our goal to provide the best care to our current and future patients, we also act as a learning facility for third-year family medicine residents. By providing information on psychiatric conditions and showing residents how to help patients through evidence-based interventional treatments, we do more than teach – we advance the medical practice of psychiatry.
We Specialize in Female Sexual Dysfunction
We now prescribe Vyleesi!
We treat PMDD (Premenstrual Dysphoric Disorder) and hormonal changes that occur during perimenopause and menopause with bio-identical hormones* as well as traditional HRT. Vyleesi is used to treat acquired, generalized HSDD (Hypoactive Sexual Desire Disorder) in premenopausal women.
Note: These treatments are not covered by insurance plans.
Neuropsychiatric & Interventional Treatments
- We are a REMS certified Spravato center; Spravato is an intranasal esketamine for those experiencing treatment-resistant depression.
- We provide medication-assisted treatment (MAT) for those struggling with substance abuse disorders, including Vivitrol.
- We provide Reproductive Psychiatry, including in the process of establishing a collaboration with an inpatient setting for administering the infusion-based Brexanolone.
- We offer treatment in the area of Schizophrenia, including the administration of evidence-based therapy in the form of long-acting, second-generation agents such as Invegasustena.
Genetic Testing
We also provide GeneSight testing to patients who are interested.
How We Work
Labs
All labs and EKGs can be done in-house, and the results will be sent to the patient’s PCP for collaboration and for the continuity of care per the patient’s consent.
BrainsWay Deep TMS™
Deep brain stimulation goes beyond traditional TMS treatments. BrainsWay dTMS™ is approved for both MDD and OCD. Learn more about BrainsWay dTMS™ in Pasadena.
Treatment Guidelines
We follow APA+ADA guidelines for monitoring hepatic, renal, hematopoietic, and cardiovascular parameters in both the diagnostic and treatment processes. These include vital signs at each appointment and typically standard baseline labs at the initiation of treatment and with recurrence based on details of treatment and results.
Almost all patients considered for a psychotropic medication or already on them will require an ECG for a baseline assessment of key markers affected by most medications, age, chronic illness, and particular psychotropics.