PMDD Treatment Guidelines: A Clinical Overview
Premenstrual dysphoric disorder affects an estimated 3 to 8% of menstruating women, and treatment approaches have become far more evidence-based over the past two decades, moving away from a…
Personalized, science-driven care for anger, anxiety, depression,
ADHD, and complex mood disorders — for patients across
New Jersey and New York.
Self-pay practice · Superbill provided for out-of-network reimbursement
Anxiety can take many forms and affect people differently at various stages of life. Some experience persistent worry or panic attacks, while others struggle with intense fear that disrupts social situations, work, or personal relationships. These challenges often interfere with daily life and emotional balance if left untreated.
My Mental Health Services support the treatment of anxiety disorders, including Generalized Anxiety Disorder, Panic Disorder, Social Anxiety Disorder, social phobia, obsessive-compulsive disorder, Separation Anxiety Disorder, specific phobias, and related disorders such as Traumatic Stress Disorder and post-traumatic stress disorder. Anxiety may also occur alongside mood disorders, Bipolar Disorder, Attention Deficit Hyperactivity Disorder, Hyperactivity Disorder, or Eating Disorders.
Treatment options may include psychiatric medication management and coordination with mental health professionals for anxiety therapy, Exposure Therapy, Dialectical Behavior Therapy, Commitment Therapy, individual therapy, group therapy, Family Therapy, or outpatient therapy when appropriate. Referrals may also include an Intensive Outpatient Program or outpatient care for young adults needing additional structure and a supportive environment.
Buspirone and low-dose beta-blockers such as propranolol can reduce the physiological arousal that precedes anger outbursts — including elevated heart rate, chest tightness, and hypervigilance — especially in patients with PTSD or anxiety-driven anger. Unlike benzodiazepines, these options carry minimal dependency risk and are appropriate for daily maintenance use in the right clinical context. They are frequently used in combination with SSRIs or mood stabilizers as part of a comprehensive treatment plan.
⚠ This content is for informational purposes only. No medication should be started, stopped, or changed without guidance from a qualified psychiatric provider. All treatment decisions at Gimel Health are made following a comprehensive in-person or telehealth evaluation with Michael Feldman, PA-C.
Six focus areas. Click any to see the full approach.
Treatment for depression, bipolar, PMDD, and
complex mood patterns.
Specialized care for chronic worry, panic, PTSD,
and obsessive thoughts.
Treatment for depression, bipolar, PMDD, and
complex mood patterns.
Medical and medication support for anorexia,
bulimia, and binge eating.
Treatment for insomnia, rage, and impulse
control challenges.
Treatment-resistant cases, psychosis,
schizoaffective, autism spectrum.
Three steps. No surprises.
Tell me what's going on. I'll tell you if I'm
the right fit — or refer you to someone
who is.
Full clinical assessment.
We review full medical & psychiatric history, prior treatments, symptoms and
goals together.
Medication plan, dosage refinement, and
regular check-ins.
Founder · Physician Assistant–Certified
Most psychiatric prescribing is trial-and-error. My background in
molecular biology — MSc from Hebrew University of Jerusalem, with
research at the Weizmann Institute and Mt Sinai — lets me think about
your case at the level of biological pathways, not just symptom
checklists. That means fewer wasted medication trials and a clearer
rationale for every decision.
Adults, adolescents, and children with anxiety, depression, ADHD,
bipolar disorder, OCD, eating disorders, and complex or treatment-
resistant cases. I work especially well with patients who've been let
down by rushed 15-minute medication checks elsewhere.
A 60-minute initial evaluation — in person at my Fort Lee office or via
telehealth anywhere in NJ or NY. We'll go through your full history,
current symptoms, prior treatments, and biological context. You leave
with a clear diagnosis and a specific medication plan, not a maybe.
FOUNDER VIDEO
Watch: Why I founded Gimel Health
I don’t bill insurance directly — and that’s intentional. Insurance-driven psychiatry means 15-minute appointments, rigid formularies, and a provider who barely knows your case. This practice is self-pay so I can give you 60-minute evaluations and make medication decisions based on what’s right for your biology, not what's on the insurer's approved list. Most patients with out-of-network benefits recover 50–80% of fees by submitting the detailed superbill I provide at every visit.
Things patients usually want to know before reaching out.
I personally read every inquiry and respond within one business day.