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
A psychotic episode can make it genuinely hard to tell what's real, and that experience is frightening whether it's happening to you or someone you love. It's also, in nearly every case, a treatable medical condition rather than a permanent state, which is easy to lose sight of in the middle of it.
“Psychotic disorder” isn't one diagnosis. It's a category of conditions that share a common feature: a break from shared reality. That can show up as hallucinations, such as hearing, seeing, or sensing things that aren't there; delusions, which are fixed beliefs that don't respond to evidence against them; disorganized thinking or speech that others find hard to follow; or negative symptoms, including reduced motivation, flattened emotional expression, and social withdrawal. Which of these symptoms are present, how long they last, and what else accompanies them is what separates one diagnosis from another, which is why an accurate evaluation matters more here than almost anywhere else in psychiatry.
A first psychotic episode is handled differently than an established diagnosis. The priority early on is ruling out causes that aren't a primary psychiatric disorder at all. Substance use, certain medical conditions, medication side effects, or severe sleep deprivation can all produce psychotic symptoms that resolve once the underlying cause is addressed. The evidence is also clear that early, consistent treatment after a first episode meaningfully improves long-term outcomes, which is part of why getting an evaluation promptly matters more here than "waiting to see." For patients with an established diagnosis, care shifts toward long-term medication management, watching for early warning signs of a developing episode, and adjusting treatment as circumstances change, a different rhythm than the more intensive first-episode workup.
This practice provides outpatient evaluation and ongoing medication management for patients who are medically stable enough for that level of care. It is not equipped to manage an active psychiatric crisis or a first episode severe enough to require immediate stabilization. If you or someone you're concerned about is in immediate danger or experiencing a mental health emergency, call or text 988 (the Suicide & Crisis Lifeline) or go to the nearest emergency room. Once stabilized, outpatient follow-up care is often exactly the right next step, and that's where this practice fits in.
⚠ 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.
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.
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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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 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.
Schizophrenia is defined primarily by psychotic symptoms without the sustained mood episodes seen in the other two conditions. Schizoaffective disorder combines psychotic symptoms with distinct depressive or manic episodes, plus periods of psychosis that occur on their own. Delusional disorder involves one or more fixed false beliefs without the broader symptom pattern or functional decline typically seen in schizophrenia. An accurate evaluation is what determines which of these actually fits, since the treatment approach differs across all three.
No. A first episode can be schizophrenia, but it can also be substance-induced, related to a medical condition, part of a mood episode, or a one-time occurrence that doesn’t develop into an ongoing disorder at all. This is exactly why a first episode calls for a careful workup rather than an assumed diagnosis — jumping to schizophrenia too early can lead to the wrong treatment path.
Yes, and ruling this out is one of the first steps in any evaluation. Substance use (including withdrawal), certain medications, thyroid and autoimmune conditions, severe sleep deprivation, and some neurological conditions can all produce psychotic symptoms. When one of these is the cause, treating the underlying issue often resolves the psychosis without needing a long-term psychiatric diagnosis at all.
More urgent than it might feel in the moment. Research consistently shows that a shorter duration of untreated psychosis is associated with better long-term outcomes, which is part of why early evaluation matters even when symptoms seem to be improving on their own. Waiting to see how things develop is rarely the lower-risk option it seems like.
A detailed history of the symptoms themselves, how long they’ve been present, whether mood episodes are also occurring, substance use history, family psychiatric history, and a review of medical causes that can mimic a primary psychotic disorder. This isn’t a single checklist question but a full clinical picture, and it sometimes takes more than one visit to get a reliable read, particularly for a first episode.
Call or text 988 (the Suicide & Crisis Lifeline) or go to the nearest emergency room. This practice provides outpatient care and isn’t equipped to manage an active psychiatric emergency — getting immediate help matters more than waiting for a scheduled appointment.
Yes, with the patient’s consent. Family involvement is often especially valuable for psychotic disorders, since family members are frequently the first to notice early warning signs of a developing or returning episode. How much involvement makes sense is discussed directly as part of building the treatment plan.
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.
