In addition to practices of primary care, Dr. Gaglione has been treating mental health disorders for over 20 years by combining both psychiatric and medical components of each patient individually.  This comprehensive approach to care appropriately considers medical conditions that may be responsible for or amplify symptoms of psychiatric illness. Dr. Gaglione performs lab work, physical and mental health assessments and referrals for imaging when necessary.

Our practice also offers psychotherapy services by in house mental health providers who see patients privately and when necessary, consult with Dr. Gaglione regarding their psychotropic and medical treatment (mutual patients only.) Many patients will find that this collaboration improves their overall quality and success of care. Furthermore, our center will coordinate care outside our office for patients interested in alternative treatment options.

The following are common psychiatric conditions treated in our office:

  • Addiction
  • Adjustment Disorders
  • Anxiety Disorders
  • Attention Deficit/Hyperactivity Disorder
  • Childhood Disorders
  • Depressive Disorders
  • Eating Disorders
  • Obsessive Compulsive Disorders
  • Pain Disorders
  • Post-Traumatic Stress Disorder
  • Psychotic Episodes & Disorders
  • Sleep and Wake Disorders

 

“Mood ‘instability’ can afflict anyone, given the specific set of circumstances they are exposed to.”

Mood Stability Center

What is Mood Instability?

Dr. Gaglione has developed the concept of “mood instability” as an integral component of medical diagnosis and treatment. Many refer to mood “disorders” but Dr. Gaglione likes to consider himself an expert in the field of treating the physiologic aspects of brain chemistry that affects moods.

Dr. Gaglione has developed an understanding of the great care and deliberation required in the diagnosis of ‘mood disorders’ and a profound respect for the importance of prescribing correct treatment regimens when trying to ‘normalize’ or stabilize our most important and complex organ – the brain.

Time for Change

In general, mood ‘instability’ can afflict anyone, given the specific set of circumstances they are exposed to.  However, there is a strong genetic component, as we have gradually discovered for many other medical conditions. Many people are predisposed to variable disruptions in brain chemical levels and functions when faced with stimuli that may have completely different or no effect on others.

One of the ‘sea changes’ in medical practice occurred with the development of the SSRI (selective serotonin reuptake inhibitor) class of antidepressants (think, Prozac, the progenitor in this category). These agents proved to be generally well tolerated, generally effective, and far less potentially toxic than the medications used to treat ‘depression’ up until that point. Unfortunately, as helpful as most of these agents can be, the fact is that they are being used inappropriately for the majority of patients to whom they are prescribed. For this reason, Dr. Gaglione has considered them, and others to be “antidepressants of mass destruction.” When given to the wrong patients, especially alone or within an incorrect regimen, the results can range from ineffectiveness to reduced quality of life to devastating tragedy.

The Future of Mental Health

Dr. Gaglione is very passionate about the Mood Stability Center and will continue to see and treat patients, teach and oversee other health care professionals, and incorporate complementary modalities when appropriate (eg counseling, group therapy, etc). Hopefully, the Mood Stability Center will serve as a model for similar clinical facilities elsewhere.

Dr. Gaglione hopes to promote a better understanding of the challenges we are facing in the area of mental health care. There needs to be a more accurate model for diagnosis and management of brain chemical dysfunction amongst medical professionals.

For more information about the
  Center for Mood Stability, call
757-321-8160.