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Welcome to the Metro Medical Direct Blog

Man Therapy: Heal or get off the couch!

August 4, 2017

Dr. Raymond Zakhari, NP The average male much less an alpha male is not going to eagerly lie on a stranger’s couch and discuss their feelings.  Feelings for many men are a tactile sensation commonly experienced through the use of their largest organ (the skin).   Most men characterize health in terms of function and form. 

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Filed Under: Addiction, Medical House Calls, Men's Health, Mind & Body, Psychiatric House Calls, Psychiatry Tagged With: addiction, anxiety, depression, house call nyc, man therapy, medical house call, medical house calls

Pharmacogenomics Testing

June 13, 2017

What is pharmacogenomics?  Pharmacogenomics uses information about your individual genetic makeup to help your doctor choose medications and medication doses (pharmacology) that are most likely to work best for you.  The use of pharmacogenomics testing helps reduce the traditional trial and error treatment done in traditional psychiatry. When you take a medication your liver releases

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Filed Under: Mind & Body, Psychiatry Tagged With: personalized medicine, pharmacogenomic testing, psychiatric, psychopharmacology

The cultural dissonance of becoming a man

May 15, 2017

“It is not the critical counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who enters,

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Filed Under: Men's Health, Mind & Body, Psychiatry Tagged With: man therapy, manly, men's health, performance coaching

Who should have their head examined?

May 11, 2017

Dr. Raymond Zakhari, NP In the city where everything delivers your psychiatric mental health care can be delivered as well.  The services of a House Call Psychiatrist is intended to meet the patient right at their level of need. Many people avoid psychiatric care because of perceived stigmas or judgment of what other people might

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Filed Under: Medical House Calls, Men's Health, Mind & Body, Psychiatry Tagged With: adolescent addiction, Adult ADHD, anxiety, Conflict Resolution, depression, Geriatric issues (dementia, medical house call, Mood Disturbances, Obsessive Compulsive Disorder, Relationship Issues, Sexuality and Identity Issues, Stress Management, Trauma and PTSD, Work and Career Issues

Are you a tight ass? What does your pelvic floor say about your mental health and well-being?

May 2, 2017

Muscles in all areas of our bodies, including the pelvic floor, have the potential to be affected by emotional forces. Pleasurable experiences and emotions tend to relax, energize, or expand us while non-pleasurable ones tend to make us tense up, contract, and perhaps depress us. Most of the time these reactions are transient, just as

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Filed Under: Men's Health, Mind & Body, Psychiatry Tagged With: pain, pelvic floor, prostate health, prostatitis

Screening questions to ask yourself prior to getting married:

April 27, 2017

Does she fly into rages without warning over relatively trivial matters like a web page loading too slowly? Are you always the scapegoat/bad guy whenever she’s frustrated, disappointed or just plain bored? Do her friends (that is, if she has any) describe her as a “drama queen?” Does she describe herself as a drama queen?

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Filed Under: Men's Health Tagged With: abused men, abusive women, bad relationships, borderline personality, mental health, narcissistic personality

Who is who in healthcare: What do all the letters mean?

March 6, 2017

Raymond Zakhari, DNP, EdM, ANP-BC, FNP-BC, PMHNP-BC, SAFE There are many differently credentialed individuals that work in health care. Often times it is not clear by the name badge or the uniform what the person actually does or is supposed to do. This post will hopefully shed some light on the subject. Let me first

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Filed Under: General, Medical House Calls Tagged With: DO, doctor, MD, medical house calls, NP, nurse, nurse practitioner, physician, physician assistant

Having your head examined?

January 12, 2017

By Dr. Raymond Zakhari, NP So, you have been told maybe you should speak to someone?  Your doctors cannot seem to find anything wrong with you? Your friends and family say you are not acting like your normal self. Seeing a psychiatrist or mental health care provider can be quite a distressing experience.  A psychiatrist

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Filed Under: Men's Health, Mind & Body, Psychiatry Tagged With: anxiety, depression, medicine, psychiatry, psychosomatic

Depression Is Not Just Feeling Sad

October 31, 2016

Depression is classified as a mood disorder, and it can be effectively treated.         Do you recently feel sad?         Has anyone commented that you seem more irritable lately?         Do you feel tiered?         Have you been avoiding social interactions?    

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Filed Under: Men's Health, Mind & Body, Psychiatry

Have you been misdiagnosed with Attention Deficit Disorder?

October 7, 2016

Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) is a syndrome thought to be a neurochemical imbalance of dopamine and norepinephrine. Dopamine and norepinephrine are neurotransmitters that affect attention, concentration, emotions, and executive functioning. This syndrome ADD/ ADHD is often treated with medications such as stimulants, antidepressants, and anxiolytics. In this practice I

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Filed Under: General, Mind & Body, Psychiatry Tagged With: ADD, ADHD, attention deficit disorder, attention deficit hyperactivity disorder, men's health, Metro Medical Direct, Mind & Body, psychiatric evaluation

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Dr. Raymond Zakhari, NP, of Metro Medical Direct offers Men’s Health House Calls, Psychiatric Mental Health House Calls, In-Home Addiction & Detox Care, and Eldercare House Calls in Manhattan.