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
Impulse control disorders share a pattern more than a single symptom: a buildup of tension before the act, brief relief or gratification during it, and regret or shame afterward, often followed by genuine confusion about why it keeps happening despite real efforts to stop. It's a recognized neuropsychiatric pattern, not a character flaw, and it responds to treatment.
Intermittent Explosive Disorder involves recurrent outbursts of anger or aggression that are out of proportion to whatever triggered them, occurring impulsively rather than as a planned or calculated response. The distinguishing feature isn't that anger occurs, everyone gets angry, it's the disproportion, the impulsivity, and the pattern repeating despite real consequences to relationships, work, or the law.
Kleptomania involves a recurrent failure to resist the urge to steal items that aren't needed for personal use or their monetary value. It's not about financial motive or opportunism; the pattern is the buildup of tension before the act and relief during it, which is what separates it clinically from ordinary theft.
Pyromania involves deliberate, purposeful fire-setting on more than one occasion, driven by fascination with or attraction to fire and the buildup-relief pattern common to this category, rather than for financial gain, revenge, or concealment of another crime.
Medication options are selected based on which condition and symptom pattern is present, and may include SSRIs, mood stabilizers, or other agents shown to reduce urge intensity and impulsivity, often alongside therapy focused on recognizing and interrupting the buildup phase before it reaches the point of acting. For patients whose impulsive behavior has already led to legal, financial, or relationship consequences, that context is part of the evaluation, not something to avoid mentioning, since it directly informs how urgently and how the treatment plan is built.
⚠ 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.
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Treatment for depression, bipolar, PMDD, and
complex mood patterns.
Specialized care for chronic worry, panic, PTSD,
and obsessive thoughts.
Medication management and precision psychiatry from patients diagnosed with ADHD or autism.
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.
Pages for new patients and professionals looking to refer their clients.
Treatment for bipolar disorder with a medication plan tailored towards your personal path.
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Tell me what's going on. I'll tell you if I'm
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A full psychiatric evaluation. We review your complete medical and 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.
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Watch: Why I founded Gimel Health
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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 do not take insurance. Self-pay allows time for a thorough evaluation and coordinated follow-up.
Initial evaluation (up to 50 minutes): $350
Follow-up visit: $300
Discovery call: free, about 10 minutes
You pay at the visit and I provide a superbill for out-of-network reimbursement.
Things patients usually want to know before reaching out.
The main conditions are Intermittent Explosive Disorder (disproportionate, impulsive anger outbursts), kleptomania (urges to steal items not needed or wanted), and pyromania (deliberate fire-setting driven by fascination rather than motive). What unites them is the pattern: rising tension, an impulsive act, and relief followed by regret, rather than a planned or premeditated decision.
A bad temper is a personality trait; Intermittent Explosive Disorder is a diagnosable pattern of outbursts that are clearly disproportionate to the trigger, happen impulsively rather than as a calculated response, and recur despite genuine consequences and a real desire to stop. The disproportion and the loss of control in the moment are what an evaluation is looking for, not simply how often someone gets angry.
Something else. Kleptomania specifically excludes theft driven by financial need or personal use of the item, the diagnostic pattern is the tension-and-relief cycle around the act of taking itself, regardless of the item’s value. This is often confusing for patients and families alike, since the behavior looks identical to ordinary theft from the outside.
SSRIs and mood stabilizers are commonly used, selected based on which specific condition and symptom pattern is present, sometimes alongside medications shown to reduce urge intensity more directly. Response varies by individual, so treatment typically starts with one option and is adjusted based on how symptoms respond over the following weeks.
For some patients, therapy focused on recognizing the early buildup of tension and interrupting it before the impulsive act occurs can meaningfully reduce frequency on its own. For others, medication makes that therapeutic work more achievable by lowering baseline urge intensity. Which approach, or combination, fits best is part of what the initial evaluation sorts out.
That context is worth sharing directly in an evaluation rather than leaving out. It doesn’t change whether treatment is appropriate, if anything it often makes starting treatment more urgent, and understanding the real-world impact helps build a treatment plan that actually addresses what’s at stake rather than a generic one.
I personally read every inquiry and respond within one business day.
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Comprehensive services are designed for each individual. Treatment of Anxiety, Depression, ADHD, Eating Disorders,
Psychosis, schizophrenia, and other psychiatric conditions.
