Dr. Raymond Zakhari, NP Dealing with addiction is very difficult. Many people are reluctant to address their addiction and detox from alcohol, opioids, benzodiazepines because they perceive a significant inconvenience in going away to a program. These people are usually highly successful in their chosen professions and have a tremendous incentive to get clean and
Read MoreWelcome to the Metro Medical Direct Blog
The Problem and Goal of Psychiatry
Unlike neurology, psychiatry deals with the issues of the mind. In psychiatry, the symptoms that are being treated often have no visible neurological basis. The entire psychiatric field is based on diagnosing problems by eliminating alternative explanations. That means that the psychiatrist, along with the rest of your medical team, must rule out a host
Read MoreBillions: Psychiatry Performance Coach
No doubt, you have seen the Showtime series “Billions” in which Axe Capital has employed a full-time psychiatrist-performance coach to enhance profitability. This role does exist at many financial institutions and funds, but confidentiality may be lacking. One never knows for sure what information a corporately hired counselor can keep from the employer. To eliminate this uncertainty,
Read MoreLuxury health care: Concierge Medical Practices
Dr. Raymond Zakhari, NP Getting the best of everything delivered in New York City is not an unusual experience unless you are talking about health care services. Imagine calling or texting your doctor and getting a response immediately. The $28,000 membership fee allows clients access to an uncommon type of concierge medical practice in Manhattan. The standard of
Read MoreIs the man in your life depressed? Or is it something else?
Dr. Raymond Zakhari, NP Before you run through the usual symptoms of a Major Depressive Disorder and immediately declare that the man in your life is not depressed, consider the symptoms of atypical depression which can also be called high functioning depression. In Major Depression, the symptoms are relatively easy to identify because it looks
Read MoreHave you thought about having psychotherapy? How about home psychotherapy?
A psychotherapist who makes house calls: Psychotherapy is also known as talk therapy (by someone trained in psychology, psychiatry, or mental health counseling), and can be an essential part of treatment for depression or bipolar disorder (manic depression). A good psychotherapist can help you cope with feelings and symptoms, and change behavior patterns that may
Read MoreDetox and Addiction care Medical House Calls
By Dr. Raymond Zakhari While it may seem obvious in order to stop an addiction one has to stop using the addictive substance. Quitting a narcotics addiction, in particular, can be very uncomfortable, and the discomfort during the initial detoxification process often leads people to abandon their efforts. A medically supervised detox may alleviate some
Read MoreWhat can you expect in talk therapy?
by Dr. Raymond Zakhari Are you man enough for this type of therapy? Effective therapy is not about the therapist providing you the answers to your questions, but rather being asked the right questions. In therapy you will be invited to expand your perspective. In our sessions you will not be told what you ought
Read MoreExecutive health and Concierge Care at Home
What is concierge medical care? What is boutique care? What is direct primary care or personalized care? These are all euphemisms for paying directly for your care and not going through an insurance provider. This allows for the patient and no other party to have control of the healthcare encounter. These concierge care practices are
Read MoreAre you a real man? Irrational fears and insecurities
In the grand scheme of mental health problems the fear of being naked is not topping any charts. However, there seems to be a growing epidemic based on my own experience and reports in general media that some “men” are either afraid or highly uncomfortable being naked around other men. Modern Western culture seems to
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