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
Schizoaffective disorder is frequently misdiagnosed on the first pass — often as bipolar disorder with psychotic features, sometimes as schizophrenia — because it genuinely sits between the two. Getting the distinction right matters, because it changes which medications actually work.
The defining feature isn't just having both psychotic symptoms and a mood episode — it's the timing. In schizoaffective disorder, psychotic symptoms like hallucinations or delusions occur for at least two weeks without any mood symptoms present. That period of psychosis on its own, separate from the depressive or manic episode, is what distinguishes it from bipolar disorder with psychotic features, where psychosis only ever shows up alongside a mood episode. It's also what distinguishes it from schizophrenia, which doesn't require the mood episodes that define this condition.
Presentations vary, but the symptoms that most often lead someone to seek an evaluation include hallucinations, such as hearing, seeing, or sensing things that aren't there; delusions, which are fixed false beliefs that don't respond to contrary evidence; and disorganized thinking or speech that can be difficult for others to follow. Some people may experience a depressive episode marked by low mood, loss of interest, fatigue, or hopelessness, while others may experience a manic episode involving elevated mood, racing thoughts, reduced need for sleep, or impulsivity. The mix and sequencing of these symptoms is exactly what a diagnostic evaluation needs to untangle, since treating the wrong piece, such as medicating mood without addressing psychosis or the reverse, can leave the other half of the condition unmanaged.
Treatment typically combines an antipsychotic medication to address hallucinations, delusions, and disorganized thinking, with a mood stabilizer or antidepressant depending on whether the bipolar-type or depressive-type presentation is present. Because antipsychotics carry metabolic risks, ongoing monitoring is part of responsible management, not an afterthought. Medication choices and doses are adjusted over time based on how symptoms respond and what side effects show up, which is why this isn't a set-it-and-forget-it prescription.
This practice provides outpatient evaluation and medication management for schizoaffective disorder in patients who are medically stable enough for that level of care — including active symptom management, medication adjustment, and long-term follow-up. It is not equipped to manage an active psychiatric crisis. If you or someone you're concerned about is in immediate danger, experiencing a mental health emergency, or having thoughts of suicide, call or text 988 (the Suicide & Crisis Lifeline) or go to the nearest emergency room rather than waiting for an outpatient appointment. Once a patient is medically stabilized, ongoing outpatient care — including here — is often exactly the right next step.
⚠ 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.
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.
FOUNDER VIDEO
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.
Schizophrenia involves psychotic symptoms without the sustained mood episodes that define schizoaffective disorder. Bipolar disorder with psychotic features involves psychosis, but only during a mood episode — it doesn’t occur independently. Schizoaffective disorder is distinguished by having psychotic symptoms present for at least two weeks with no mood symptoms at all during that stretch, alongside separate mood episodes. That two-week window is the specific criterion a diagnostic evaluation is looking for.
For patients who are medically stable, outpatient medication management is often appropriate and effective long-term. Hospitalization becomes necessary during an acute crisis — active danger to self or others, severe disorganization that prevents basic self-care, or a first psychotic episode that needs closer monitoring than an outpatient visit can provide. Many patients move between levels of care over time: stabilization in a higher level of care, followed by ongoing outpatient management once safe to do so.
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 — reaching out for a scheduled appointment isn’t the right path in a crisis, and getting immediate help matters more than waiting for a callback.
It depends on the individual course of the condition, but schizoaffective disorder is generally a long-term condition that benefits from sustained medication management rather than short-term treatment. Some patients are able to reduce dosage over time with close monitoring; stopping medication abruptly or without supervision carries a real risk of relapse. This is something to plan for collaboratively over time, not decide unilaterally.
Diagnosis relies on a detailed history: when psychotic symptoms started, whether they’ve ever occurred without a mood episode present, how long that period lasted, and the pattern of depressive or manic episodes over time. Because this history-taking is where misdiagnosis usually happens, a thorough evaluation — sometimes revisiting the timeline more than once as more history becomes clear — matters more here than in most other conditions.
Yes, with the patient’s consent. Family involvement is often genuinely useful for this condition specifically, since family members frequently notice early warning signs of a developing episode before the patient does. How much involvement makes sense varies by patient and situation, and that’s discussed directly as part of building the treatment plan.
The first evaluation is in person. Once a patient is stabilized and a treatment plan is established, follow-up visits can often be conducted by telehealth across NJ and NY, depending on clinical presentation and state regulations. For a condition where symptoms can shift, having the option to check in more easily by telehealth, rather than only in person, tends to support more consistent follow-up.
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.
