Psychiatrists in 07652

Family Psychiatry and Therapy
Psychiatric Nurse Practitioner, APN
Verified Verified
Paramus, NJ 07652  (Online Only)
FPT
FPT
(551) 230-6998 View (551) 230-6998
Photo of Eric Malz, Psychiatric Nurse Practitioner in 07652, NJ
Eric Malz
Psychiatric Nurse Practitioner, PMHNP, MPH
Verified Verified
Paramus, NJ 07652  (Online Only)
My ideal client is one that has an issue, or issues and is ready to work on feeling better.
My ideal client is one that has an issue, or issues and is ready to work on feeling better.
(201) 380-9895 View (201) 380-9895
Photo of Gail Bergin, Psychiatric Nurse Practitioner in 07652, NJ
Gail Bergin
Psychiatric Nurse Practitioner, FNP, PMHNP, CNS
Verified Verified
Paramus, NJ 07652  (Online Only)
Clients who are committed to becoming well and functioning at a level that expresses their ideal self are the clients that I most seek because my goal is to help clients achieve their best. The issues are always varied but their goals are aligned with a desire to achieve the best that they can be. I am not just about symptom relief as most medication prescribers are. I practice at Specialized Therapy Associates, LLC where clients can access a full range of services for mind-body health, such as, nutrition counseling to help overcome mood and sleep issues as an example or Yoga Therapy and mindfulness.
Clients who are committed to becoming well and functioning at a level that expresses their ideal self are the clients that I most seek because my goal is to help clients achieve their best. The issues are always varied but their goals are aligned with a desire to achieve the best that they can be. I am not just about symptom relief as most medication prescribers are. I practice at Specialized Therapy Associates, LLC where clients can access a full range of services for mind-body health, such as, nutrition counseling to help overcome mood and sleep issues as an example or Yoga Therapy and mindfulness.
(551) 209-2246 View (551) 209-2246
Photo of Win Health Services LLC, Psychiatric Nurse Practitioner in 07652, NJ
Win Health Services LLC
Psychiatric Nurse Practitioner, DNP, PMHNP, APN
Verified Verified
1 Endorsed
Paramus, NJ 07652  (Online Only)
Win Health Services prioritizes individualized patient care focusing on the holistic well-being of our patients. Our patient-centered approach to treatment incorporates evidence-based practice, medication management, psychotherapy, and psychoeducation. With combined experiences as a board certified Adult NP and PMHNP, Dr. Rita Itondo provides comprehensive psychiatric care to patients struggling with depression, anxiety disorders, OCD, ADHD, eating disorders, insomnia, bipolar disorder, mood disorders, PTSD, schizophrenia and related psychotic disorders and substance use disorders.
Win Health Services prioritizes individualized patient care focusing on the holistic well-being of our patients. Our patient-centered approach to treatment incorporates evidence-based practice, medication management, psychotherapy, and psychoeducation. With combined experiences as a board certified Adult NP and PMHNP, Dr. Rita Itondo provides comprehensive psychiatric care to patients struggling with depression, anxiety disorders, OCD, ADHD, eating disorders, insomnia, bipolar disorder, mood disorders, PTSD, schizophrenia and related psychotic disorders and substance use disorders.
(201) 442-8280 View (201) 442-8280
Photo of Hamilton Behavioral, Psychiatrist in 07652, NJ
Hamilton Behavioral
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
At Hamilton Behavioral MDPA you will receive in depth psychiatric evaluation and treatment. Hamilton Behavioral is dedicated to provide individualized mental health treatment. We work with all ages from children to late adulthood. Utilizing the biopsychosocial approach we believe in integrating the various tangible issues whether it be a chemical imbalance, or combination of socioeconomic stressors. Everyone has a separate set of issues and there is no one universal treatment that fits all. Our goal it to cover your needs, however complicated they may be. We offer various services and have late hours. Conveniently located, try us!
At Hamilton Behavioral MDPA you will receive in depth psychiatric evaluation and treatment. Hamilton Behavioral is dedicated to provide individualized mental health treatment. We work with all ages from children to late adulthood. Utilizing the biopsychosocial approach we believe in integrating the various tangible issues whether it be a chemical imbalance, or combination of socioeconomic stressors. Everyone has a separate set of issues and there is no one universal treatment that fits all. Our goal it to cover your needs, however complicated they may be. We offer various services and have late hours. Conveniently located, try us!
(551) 234-0303 View (551) 234-0303
Photo of Raluca Radulescu, MD and Associates, Psychiatrist in 07652, NJ
Raluca Radulescu, MD and Associates
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
Dr. Raluca Radulescu, a Board Certified psychiatrist in the area of General Psychiatry and Child and Adolescent Psychiatry, heads our practice. She completed her training in Child Psychiatry at New York Presbyterian Hospital/Weill Cornell Medical Center-Westchester Division. She provides psychiatric services to children, adolescents and adults. We have several licensed clinicians with extensive clinical experience in a variety of settings including hospitals, schools, and private practice working with adults, adolescents, children and families. Our warm, highly qualified professionals are dedicated to providing quality, goal-oriented care tailored to your individual needs using a variety of patient-centered approaches.
Dr. Raluca Radulescu, a Board Certified psychiatrist in the area of General Psychiatry and Child and Adolescent Psychiatry, heads our practice. She completed her training in Child Psychiatry at New York Presbyterian Hospital/Weill Cornell Medical Center-Westchester Division. She provides psychiatric services to children, adolescents and adults. We have several licensed clinicians with extensive clinical experience in a variety of settings including hospitals, schools, and private practice working with adults, adolescents, children and families. Our warm, highly qualified professionals are dedicated to providing quality, goal-oriented care tailored to your individual needs using a variety of patient-centered approaches.
(201) 809-9603 View (201) 809-9603
Photo of Ramakrishna Gudapati MD LLC, Psychiatrist in 07652, NJ
Ramakrishna Gudapati MD LLC
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652  (Online Only)
Dr.Ramakrishna Gudapati MD is a board certified psychiatrist with over 19 years of experience including as a Medical Director. Accepting new patients. Weekend appointments available.
Dr.Ramakrishna Gudapati MD is a board certified psychiatrist with over 19 years of experience including as a Medical Director. Accepting new patients. Weekend appointments available.
(201) 862-7157 View (201) 862-7157
Photo of Victory Bay Recovery Center - Detox, Psychiatrist in 07652, NJ
Victory Bay Recovery Center - Detox
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
Victory Bay offers a variety of client-centered programs treating Substance Use Disorder and Mental Health. We help our clients successfully detox from drugs and alcohol in a comfortable inpatient or outpatient setting. Accommodations will be made for 24 hour staffing and clients will be cared for by licensed staff including Psychiatrists, APN, RN, etc. Detox is an individualized process, and we have found that a holistic approach is ideal when trying to successfully treat substance use disorder.
Victory Bay offers a variety of client-centered programs treating Substance Use Disorder and Mental Health. We help our clients successfully detox from drugs and alcohol in a comfortable inpatient or outpatient setting. Accommodations will be made for 24 hour staffing and clients will be cared for by licensed staff including Psychiatrists, APN, RN, etc. Detox is an individualized process, and we have found that a holistic approach is ideal when trying to successfully treat substance use disorder.
(201) 571-1759 View (201) 571-1759
Photo of Stephanie Morgana, Psychiatric Nurse Practitioner in 07652, NJ
Stephanie Morgana
Psychiatric Nurse Practitioner, MSN, PMHNPBC
Verified Verified
Paramus, NJ 07652
Stephanie Morgana, MSN, PMHNP-BC, extends a warm welcome to individuals seeking transformative mental health support at Baker Street Behavioral Health. Specializing in evidence-based medication management, Stephanie's clients are people looking for help with navigating issues such as ADHD, anxiety, bipolar disorder, depression, OCD, stress, PTSD, and/or LGBTQ+ issues, in a confidential space for self-exploration and growth.
Stephanie Morgana, MSN, PMHNP-BC, extends a warm welcome to individuals seeking transformative mental health support at Baker Street Behavioral Health. Specializing in evidence-based medication management, Stephanie's clients are people looking for help with navigating issues such as ADHD, anxiety, bipolar disorder, depression, OCD, stress, PTSD, and/or LGBTQ+ issues, in a confidential space for self-exploration and growth.
(973) 949-0753 View (973) 949-0753
Photo of Jane O'Rourke, Psychiatric Nurse Practitioner in 07652, NJ
Jane O'Rourke
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Paramus, NJ 07652
The foundation of my practice is compassion and a genuine sense of caring for my client's well being and quality of life. I treat my clients holistically while emphasizing a "partnership in care". My practice and expertise is across the lifespan and I care for children, adolescents, adults and elders.
The foundation of my practice is compassion and a genuine sense of caring for my client's well being and quality of life. I treat my clients holistically while emphasizing a "partnership in care". My practice and expertise is across the lifespan and I care for children, adolescents, adults and elders.
(551) 313-9518 View (551) 313-9518
Photo of Family Psychiatry and Therapy, Psychiatric Nurse Practitioner in 07652, NJ
Family Psychiatry and Therapy
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Paramus, NJ 07652  (Online Only)
Dr. Christopher Hannon is a Board Certified Psychiatric and Mental Health Nurse Practitioner. He obtained his Doctor of Nursing Practice degree from the University of Louisville. His training covers mental health treatment across the lifespan including psychopharmacological management of psychiatric conditions and a host of therapeutic modalities. Areas of particular interest include trauma/PTSD, depression/anxiety, substance use disorders, as well as stigma around mental illness and in general.
Dr. Christopher Hannon is a Board Certified Psychiatric and Mental Health Nurse Practitioner. He obtained his Doctor of Nursing Practice degree from the University of Louisville. His training covers mental health treatment across the lifespan including psychopharmacological management of psychiatric conditions and a host of therapeutic modalities. Areas of particular interest include trauma/PTSD, depression/anxiety, substance use disorders, as well as stigma around mental illness and in general.
(973) 221-8577 View (973) 221-8577
Photo of Family Psychiatry and Therapy, Psychiatrist in 07652, NJ
Family Psychiatry and Therapy
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
We pride ourselves in providing a nurturing, clean and confidential atmosphere for our patients. We treat all ages and stages of development. We have emergency and same-day appointments. Confidentiality and privacy are maintained to the strictest of standards. We have modern electronic medical records and electronic prescribing.
We pride ourselves in providing a nurturing, clean and confidential atmosphere for our patients. We treat all ages and stages of development. We have emergency and same-day appointments. Confidentiality and privacy are maintained to the strictest of standards. We have modern electronic medical records and electronic prescribing.
(201) 258-3240 View (201) 258-3240
Photo of Derek Berberian, Psychiatrist in 07652, NJ
Derek Berberian
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
Dr. Berberian is a Board Certified Psychiatrist and Neurologist who has extensive experience in the treatment of depression, anxiety, behavioral issues, PSTD, OCD, ADHD, mood disorders, weight loss, smoking cessation, neuropathies, headaches and addiction. In addition, he performs outpatient bariatric screening, biofeedback, neurofeedback and EEG evaluations. Care is goal-oriented, addressing each individual's needs using a variety of patient-centered approaches. His focus includes adolescent, adult and geriatric populations.
Dr. Berberian is a Board Certified Psychiatrist and Neurologist who has extensive experience in the treatment of depression, anxiety, behavioral issues, PSTD, OCD, ADHD, mood disorders, weight loss, smoking cessation, neuropathies, headaches and addiction. In addition, he performs outpatient bariatric screening, biofeedback, neurofeedback and EEG evaluations. Care is goal-oriented, addressing each individual's needs using a variety of patient-centered approaches. His focus includes adolescent, adult and geriatric populations.
(551) 292-7298 View (551) 292-7298
Sajid Baig
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
I am a Board Certified Psychiatrist providing diagnostic evaluations, medication management and psychotherapy for the general adult population. After finishing medical school, I completed my Psychiatric residency in 2016 at Howard University in Washington, DC where I served as chief resident in my senior year. Since then, I have worked in a variety of different settings including inpatient, outpatient, community center and forensics.
I am a Board Certified Psychiatrist providing diagnostic evaluations, medication management and psychotherapy for the general adult population. After finishing medical school, I completed my Psychiatric residency in 2016 at Howard University in Washington, DC where I served as chief resident in my senior year. Since then, I have worked in a variety of different settings including inpatient, outpatient, community center and forensics.
(201) 817-6230 View (201) 817-6230
Photo of Wildflower Holistic Behavioral Health , Psychiatric Nurse Practitioner in 07652, NJ
Wildflower Holistic Behavioral Health
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Paramus, NJ 07652  (Online Only)
Have you been struggling with excessive worry, low mood, or irritability? Just don't feel as good as you used to? Need some help getting back to living your best life? Let Wildflower Holistic Behavioral Health help you get back to living your best life.
Have you been struggling with excessive worry, low mood, or irritability? Just don't feel as good as you used to? Need some help getting back to living your best life? Let Wildflower Holistic Behavioral Health help you get back to living your best life.
(929) 447-2267 View (929) 447-2267
Photo of Nirmal Sathaye, Psychiatrist in 07652, NJ
Nirmal Sathaye
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
I am a Board-certified Psychiatrist with additional certification in Geriatrics. I have 20 plus years of experience treating patients in an outpatient setting. I provide diagnostic evaluation and medication monitoring for adults. I treat patients with different symptoms including anxiety, panic attacks, obsessive compulsive disorder, depression, bipolarity and attentional issues. I believe in a collaborative and team approach to treatment. I like to understand the patient’s goals and needs and formulate a personalized treatment plan. I provide telepsychiatry to all my patients. “
I am a Board-certified Psychiatrist with additional certification in Geriatrics. I have 20 plus years of experience treating patients in an outpatient setting. I provide diagnostic evaluation and medication monitoring for adults. I treat patients with different symptoms including anxiety, panic attacks, obsessive compulsive disorder, depression, bipolarity and attentional issues. I believe in a collaborative and team approach to treatment. I like to understand the patient’s goals and needs and formulate a personalized treatment plan. I provide telepsychiatry to all my patients. “
(908) 883-3879 View (908) 883-3879
Photo of Linda Chuang, Psychiatrist in 07652, NJ
Linda Chuang
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
I am a Cornell and NYU educated board certified psychiatrist with extensive training in both psychotherapy and psychopharmacology. Because of my belief in the connection between mind and body, I trained in both psychiatry and internal medicine. I approach patients from a humanistic and holistic view, with an awareness of the interactions of stress and it's impact on the body. My practice is eclectic and I see patients with a variety of psychiatric disorders or patients who simply want to achieve greater happiness and satisfaction in their lives.
I am a Cornell and NYU educated board certified psychiatrist with extensive training in both psychotherapy and psychopharmacology. Because of my belief in the connection between mind and body, I trained in both psychiatry and internal medicine. I approach patients from a humanistic and holistic view, with an awareness of the interactions of stress and it's impact on the body. My practice is eclectic and I see patients with a variety of psychiatric disorders or patients who simply want to achieve greater happiness and satisfaction in their lives.
(201) 820-0658 View (201) 820-0658
Photo of Bhavin Gajera, Psychiatrist in 07652, NJ
Bhavin Gajera
Psychiatrist, MD, MPH
Verified Verified
Paramus, NJ 07652
I am a board certified Psychiatrist specializing in the treatment of children, adolescents, and adults. After completing my medical school education, I achieved a Master of Public Health (MPH) degree from Arcadia University. I completed my adult psychiatry residency training at Albert Einstein Medical Center in Philadelphia. During my training at AEMC, I was awarded the prestigious national Distinguished Laughlin Fellow Merit Award for professional achievement and scholarship. I completed my Child and Adolescent Psychiatry Fellowship at the Mount Sinai Health system - St Luke's Roosevelt Hospital Center in Manhattan where I also served as a Chief Fellow.
I am a board certified Psychiatrist specializing in the treatment of children, adolescents, and adults. After completing my medical school education, I achieved a Master of Public Health (MPH) degree from Arcadia University. I completed my adult psychiatry residency training at Albert Einstein Medical Center in Philadelphia. During my training at AEMC, I was awarded the prestigious national Distinguished Laughlin Fellow Merit Award for professional achievement and scholarship. I completed my Child and Adolescent Psychiatry Fellowship at the Mount Sinai Health system - St Luke's Roosevelt Hospital Center in Manhattan where I also served as a Chief Fellow.
(201) 820-0888 View (201) 820-0888
Dr. Esha Khoshnu
Psychiatrist, MD
Verified Verified
Paramus, NJ 07652
Where special concerns deserve special care, Specialized Therapy Associates has been in operation since 1994 with a staff of psychologists, psychiatrists, and therapists in Hackensack, Ramsey, Short Hills, & Fort Lee. STA provides the full range of psychological services: individual, couples, family & group therapy. We also provide a full range of psychological testing services for all age ranges.STA offers specialized programs which includes but not limited to eating disorders, substance abuse, trauma, academic success, child and parenting. We are staffed with Board certified adult & child psychiatrists & psychiatric nurse practitioners, clinical social workers, licensed clinical alcohol & drug counselors & licensed professional counselors.
Where special concerns deserve special care, Specialized Therapy Associates has been in operation since 1994 with a staff of psychologists, psychiatrists, and therapists in Hackensack, Ramsey, Short Hills, & Fort Lee. STA provides the full range of psychological services: individual, couples, family & group therapy. We also provide a full range of psychological testing services for all age ranges.STA offers specialized programs which includes but not limited to eating disorders, substance abuse, trauma, academic success, child and parenting. We are staffed with Board certified adult & child psychiatrists & psychiatric nurse practitioners, clinical social workers, licensed clinical alcohol & drug counselors & licensed professional counselors.
(201) 488-6678 View (201) 488-6678
Bergen Psychiatric Care, LLC
Psychiatrist, MD, FAPA, FASAM
Verified Verified
Paramus, NJ 07652
I am an American Board of Psychiatry and Neurology and an American Board of Addiction Medicine certified Chief Psychiatrist who works in a distinguished Psychiatric Facility in NJ. I have extensive experience in managing a myriad of Psychiatric Disorders which include : Anxiety, Depression, ADHD, Schizophrenia, Addiction Disorders and Bipolar Disorder etc. My treatment ideology is patient driven , empathetic and compassionate Psychiatric care. I am knowledgeable and thoroughly familiar with all the novel Psychopharmacological interventions that are FDA approved . I offer my patients personalized comprehensive Psychiatric Treatment in a comfortable and confidential setting. My staff is approachable and willing to accommodate patients and their special needs.
I am an American Board of Psychiatry and Neurology and an American Board of Addiction Medicine certified Chief Psychiatrist who works in a distinguished Psychiatric Facility in NJ. I have extensive experience in managing a myriad of Psychiatric Disorders which include : Anxiety, Depression, ADHD, Schizophrenia, Addiction Disorders and Bipolar Disorder etc. My treatment ideology is patient driven , empathetic and compassionate Psychiatric care. I am knowledgeable and thoroughly familiar with all the novel Psychopharmacological interventions that are FDA approved . I offer my patients personalized comprehensive Psychiatric Treatment in a comfortable and confidential setting. My staff is approachable and willing to accommodate patients and their special needs.
(201) 949-7625 View (201) 949-7625

How does your Psychiatrist compare?

Number of Psychiatrists in 07652

20+

Average cost per session

$200

Psychiatrists in 07652 who prioritize treating:

96% Anxiety
93% Depression
93% ADHD
89% Obsessive-Compulsive (OCD)
89% Trauma and PTSD
86% Bipolar Disorder
82% Medication Management

Average years in practice

10 Years

Top 3 insurances accepted

71% Cigna and Evernorth
67% Aetna
50% UnitedHealthcare UHC | UBH

How Psychiatrists in 07652 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

72% Female
28% Male

FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 07652?

The Psychology Today Directory enables you to search specifically for psychiatrists, using the drop down provider menu in the navigation bar, by city or zip code, or by the name of the psychiatrist. Search results provide detailed profiles of professionals, including their treatment approach and areas of expertise. In addition, listings provide important information about each psychiatrist’s credentials, fees, payment options, and insurance affiliations. Directory users can select psychiatrists who meet an array of personally-desired criteria, such as familiarity with a specific community or condition.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists who focus on understanding, diagnosing, and treating diseases of the brain and disorders of the mind and behavior. As physicians, psychiatrists are trained to recognize the often-subtle biological causes of mental disorders and to monitor the effects of mental disturbances on physical conditions, such as heart disease. Psychologists are especially attuned to the influence of early experience on development and behavior, emotional and cognitive processes, the nature of personality, and social functioning. They are also trained to deploy an array of psychological tests—IQ tests, personality tests, behavioral assessments—to gauge a person’s functioning.

What is a psychiatric nurse practitioner?

A psychiatric nurse practitioner, also known as a mental health nurse practitioner, is a registered nurse who completes advanced training in psychiatric care, earning either a master’s or doctoral degree in psychiatric nursing, and in the U.S., passes a national certification exam. Like psychiatrists, psychiatric nurse practitioners are trained to assess, diagnose, and treat mental health conditions. In some locales, psychiatric nurse practitioners can offer the full range of psychiatric care, including prescribing and managing medication. In other places, they must work in collaboration with a physician.

Is everyone in the Psychology Today Therapy Directory a licensed psychiatrist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychiatrists, psychologists, social workers, and counselors. All psychiatrists listed in the directory have a valid license issued by the state(s) in which they practice and are certified by the American Board of Psychiatry and Neurology. Providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some individuals or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

Can a psychiatrist prescribe medication?

Psychiatrists are licensed medical doctors who are trained to recognize the many ways body processes affect the functioning of the brain and mind. As physicians, they can prescribe medication. Patients who are prescribed medications will typically need to continue to see a psychiatrist so that the effects of the medication can be monitored. For many psychiatric conditions, including common disorders such as anxiety and depression, the preferred treatment is combination therapy—medication accompanied by psychotherapy.

Do psychiatrists offer therapy?

Psychiatrists are generally trained in a number of treatment modalities, including psychotherapy, pharmacotherapy, and, increasingly, somatic therapies. Typically, psychiatrists make a diagnosis and determine a course of treatment based on chemical or biological factors, using lab tests, brain scans and physical and psychological evaluations. While psychotherapy may be used in the first session to aid in diagnosis, it is not typically utilized in subsequent visits. In fact, after the introductory session, most sessions with a psychiatrist may only be 15-20 minutes in length and are largely focused on medication management. Many psychiatrists who do not offer psychotherapy work collaboratively with psychologists and other mental health clinicians and can refer clients seeking talk therapy to those providers.

How do I know if I need a psychiatrist or a therapist?

It is not always easy to know which type of mental health practitioner to choose. Many people are unaware of the root of their mental or behavioral problem. One way many people learn which type of care is best for them is by seeing their primary care provider first. Depending on the nature and severity of the symptoms, the physician may review their medical history or perform medical tests to determine whether biological factors are involved before making a referral. It is not necessary for a person to know precisely what type of care they need in order to seek help. Many psychiatrists and psychologists refer clients to each other depending on client needs.

Do I need a referral to see a psychiatrist?

A referral to a psychiatrist is often not required. However, seeing your primary care physician first can be helpful and actually prove to be a shortcut to getting what you need. Your PCP may have a clear idea whether psychiatric help is needed and/or which kind of mental health care would be most beneficial and refer you to the right type of practitioner. For that reason alone, some psychiatrists require a referral. Further, many insurance plans require a referral from a PCP if they cover all of part of the cost of seeing a specialist; if, however, you are paying out of pocket, you may not need a referral. In any case, a referral may speed the process of securing an appointment with a psychiatrist, especially in areas where there is a shortage of mental health specialists and new patients face long waits for appointments.