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
Depression can affect every part of daily life, from work performance and relationships to physical health and emotional regulation. Many people experience persistent sadness, lack of interest, feelings of worthlessness, difficulty sleeping, or changes in daily activities that interfere with functioning. These signs of depression may indicate clinical depression, major depressive disorder, Persistent Depressive Disorder, Seasonal Affective Disorder, or postpartum depression.
As a trusted psychiatric provider, I support individuals experiencing major depression, treatment-resistant depression, and depression associated with Anxiety Disorders or substance use disorders. My mental health services focus on identifying underlying causes and delivering comprehensive depression treatment through outpatient care, medication management, and coordinated referrals when additional support is needed.
Treatment options may include psychiatric medication management, coordination with mental health professionals for Depression Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Art Therapy, or supportive environment programs such as an Intensive Outpatient Program or depression treatment program when appropriate. My holistic approach emphasizes lifestyle changes, coping strategies, and long-term recovery, helping patients and their loved ones take the first step toward a more fulfilling life.
Selective serotonin reuptake inhibitors (SSRIs) — including sertraline, fluoxetine, and escitalopram — are among the most commonly prescribed medications for anger driven by mood disorders, depression, or generalized anxiety. By increasing serotonin availability in the brain, SSRIs reduce emotional reactivity, lessen chronic irritability, and improve impulse regulation. Response typically develops gradually over four to six weeks, with full therapeutic benefit realized at eight to twelve weeks of consistent dosing.
⚠ 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.