What to Expect at Your First Psychiatric Evaluation
The night before a first psychiatric evaluation is when most of the anxiety happens, not during the appointment itself. Patients often arrive expecting either a rapid-fire questionnaire or an…
Precision psychiatric care for persistent, hard-to-control worry, with personalized diagnosis and medication management for patients across New Jersey and New York.
Self-pay practice · Superbill provided for out-of-network reimbursement
Generalized Anxiety Disorder is more than everyday worry. It is a near-constant stream of "what ifs" that makes ordinary situations feel heavier than they should. Conversations get replayed and second-guessed, decisions feel harder to trust, and a sense of being on edge persists even when nothing is visibly wrong. Many people with GAD describe feeling unable to fully relax, even during good days. Over time, this steady undercurrent of worry affects sleep, focus, relationships, and overall quality of life.
GAD symptoms extend beyond the mental experience of worry into the body. Common signs include restlessness, muscle tension, fatigue, irritability, difficulty concentrating, and sleep disturbances such as trouble falling or staying asleep. Because these symptoms overlap with depression, ADHD, and other anxiety subtypes such as panic disorder or OCD, an accurate read on which condition is actually driving them matters before treatment begins.
Diagnosing GAD means distinguishing persistent, disproportionate worry from situational stress that resolves once circumstances change. I review symptom duration, functional impact on work and relationships, medical history, and any co-occurring conditions before reaching a diagnosis. Getting this right the first time avoids the trial-and-error cycle that leaves many patients cycling through medications that were never well matched to what they actually have.
GAD treatment is most effective when medication, when appropriate, is paired with practical strategies rather than prescribed in isolation. Medications such as SSRIs and SNRIs are commonly used to reduce the physical and cognitive symptoms of chronic worry, with dosing adjusted gradually to balance effectiveness against side effects. I also coordinate with therapists for cognitive behavioral approaches where useful. For related medication background, see medication for anxiety and depression.
It is worth reaching out if worry has become difficult to control, is interfering with sleep, focus, or relationships, or has lasted for months rather than passing with a stressful event. Early evaluation shortens the path to a plan that actually works, rather than letting the pattern become more entrenched.
⚠ 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.
Most psychiatric prescribing is educated guesswork. Michael's MSc in molecular biology, Hebrew University of Jerusalem, research at Weizmann & Mt Sinai, means every decision connects to a specific biological pathway, not pattern-matching. Fewer wasted trials. Clearer rationale.
Children, adolescents, and adults- no age-group silos. Parents are full partners in pediatric treatment planning. Whether it's a first anxiety diagnosis in a teenager or a complex adult case that's resisted prior treatment, I treat the full range.
Insurance-driven practices give you 15 minutes and a prescription. Initial evaluations here are a full 60 minutes, time for a real history, proper diagnosis, and a specific plan.
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.
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
Verified Google reviews
5.0 ★ · View all reviews on Google
One of the most nicest, kindest and considerate doctors I met. He went over with me thoroughly on the documents and was generous enough to explain me everything that I asked. I think he is a real doctor of people and not just someone that's write prescriptions.
Michael is an amazing professional! He truly invests in his patients and provides care and feedback even during off hours. Although we have only been using his services for a short time, he already stands out as caring, knowledgeable, and confident in his approach. We plan to continue using his services and would absolutely recommend him to anyone!
Dr Michael Feldman is an amazing doctor. He prescribed the proper medication in the right dosage for me. He did this because he listens and asks very good questions. I highly recommend him
Michael Feldman is a wonderful and caring P.A. He always gives 100%. He listens attentively and provides many insights I would never thought of by myself. I find having him in my corner invaluable and I could not recommend him more highly. He's the best!
Michael Feldman is an excellent doctor! Very knowledgeable, attentive to patient's needs, caring, great bedside manners! Highly recommend!
I met Michael Feldman after years of search and trial and error. If you look for a professional who is invested in his patient's progress, research-oriented, with a deep understanding of the body-mind connection and a wholistic approach to treatment, look no further.
I had an exceptional experience with Dr. Feldman and truly feel fortunate to have found such a compassionate and knowledgeable psychiatrist for my teenager son. From the very first appointment, they took the time to listen without judgment and made me feel genuinely understood. Their explanations were clear, thoughtful, and grounded in evidence, which helped me feel confident in my treatment plan. The office staff is also friendly and efficient, making scheduling and follow‑ups easy. I highly recommend Dr. Feldman to anyone seeking a psychiatrist, especially for children.
My dad was recommended to see Dr. Feldman through his psychologist. He got him on track with medication and I finally feel like he’s himself again. Speaks Hebrew fluently as well which was a plus. Would recommend to anyone looking for an attentive and kind professional. Thank you!!
I was looking for support in working through my trauma. From the very first moment, I felt a comfortable atmosphere, even though the meetings were held via Zoom. It was clear that Mikhail was truly listening and delving into the problem. After each session, I felt empowered and calm. I definitely recommend Mikhail Feldman as an excellent specialist.
Great medication management! I was worried about the correct path to take to improve my mental health, and Michael really helped to properly explain my options and recommending the right medication. Highly recommend!
Dr. Feldman is very professional, intelligent, and highly knowledgeable. Appointments always run on time. After we switched to him, he immediately recognized that the previous diagnosis was incorrect. We’re very confident in his care and look forward to continuing with him.
I don't bill insurance directly, and that's intentional. Insurance-driven psychiatry means short appointments, rigid formularies, and a provider who barely knows your case. This practice is self-pay so I can give you full 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.
GAD is a mental health condition marked by persistent, excessive worry about everyday situations that is difficult to control and lasts for months or longer. Unlike situational stress, it doesn’t resolve once the immediate stressor passes.
Everyday worry is proportionate to a specific situation and tends to ease once that situation resolves. GAD involves worry that is frequent, hard to control, and often disproportionate to the actual circumstances, and it commonly comes with physical symptoms like muscle tension and fatigue.
Common symptoms include persistent worry, restlessness, muscle tension, fatigue, irritability, difficulty concentrating, and sleep disturbances. Symptoms are usually present more days than not over an extended period.
Diagnosis involves a structured evaluation of symptom duration, severity, and impact on daily functioning, along with a review of medical history to rule out other explanations and screen for co-occurring conditions such as depression or other anxiety disorders.
SSRIs and SNRIs are the most commonly used medications for GAD, with dosing adjusted gradually to balance symptom relief against side effects. Medication choice depends on individual history, other conditions present, and response to prior treatment.
Yes. GAD frequently co-occurs with depression, other anxiety disorders, and ADHD. A comprehensive evaluation considers how these conditions may interact so treatment addresses the full picture, not just one diagnosis in isolation.
I personally read every inquiry and respond within one business day.
(201) 815-4351
440 West Str, Ste 307 Fort Lee, Bergen County, NJ 07024
Mon–Thu · 9am–7pm Fri · 9am–3pm
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Comprehensive services are designed for each individual. Treatment of Anxiety, Depression, ADHD, Eating Disorders,
Psychosis, schizophrenia, and other psychiatric conditions.
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