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…
Care at Gimel Health is provided by Michael Feldman, PA-C, a physician associate specializing in psychiatry, with the same prescribing authority as a psychiatrist for evaluations and medication management
Self-pay practice · Superbill provided for out-of-network reimbursement
Most psychiatric prescribing is educated guesswork. Michael’s MSc in molecular biology — Hebrew University of Jerusalem, research at Weizmann & Mt Sinai — means every medication 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. Follow-ups are 30 minutes with direct portal access between visits.
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.