Psychiatrists in 98116
Michelle Zipperman
Psychiatrist, MD, MS
Verified Verified
Seattle, WA 98116
Dr. Zipperman is a Board Certified Psychiatrist graduating from the University of Washington Psychiatry Residency and Loma Linda School of Medicine. Balanced Living Psychiatry is built on the understanding that happiness, peace of mind, and overall wellness is found at the intersection of healthy living, strong coping skills/ self-care, insight oriented therapy and psychiatric medications. Dr. Zipperman adopts the approach of integrative psychiatry, providing medication management and psychotherapy interventions but also building a team of providers for her patients including highly specialized psychotherapists, yoga/mindfulness/meditation teachers, Naturopathic Doctors, and the patient's own Primary Care Physicians.
Dr. Zipperman is a Board Certified Psychiatrist graduating from the University of Washington Psychiatry Residency and Loma Linda School of Medicine. Balanced Living Psychiatry is built on the understanding that happiness, peace of mind, and overall wellness is found at the intersection of healthy living, strong coping skills/ self-care, insight oriented therapy and psychiatric medications. Dr. Zipperman adopts the approach of integrative psychiatry, providing medication management and psychotherapy interventions but also building a team of providers for her patients including highly specialized psychotherapists, yoga/mindfulness/meditation teachers, Naturopathic Doctors, and the patient's own Primary Care Physicians.
Julie Nugent-Carney
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Verified Verified
Seattle, WA 98116
I am a doctorally prepared psychiatric mental health nurse practitioner and have been a registered nurse for over 20 years, helping families cope with change, from childbirth to end-of-life. I provide life coaching for managing life transitions and relationship challenges. I've treated patients with a wide variety of mental health conditions including anxiety, depression, bipolar disorder, ADHD, personality disorder, insomnia and other common psychiatric diagnoses. In addition to prescribing medications when necessary, my focus with psychotherapy is to assist people with achieving their goals.
I am a doctorally prepared psychiatric mental health nurse practitioner and have been a registered nurse for over 20 years, helping families cope with change, from childbirth to end-of-life. I provide life coaching for managing life transitions and relationship challenges. I've treated patients with a wide variety of mental health conditions including anxiety, depression, bipolar disorder, ADHD, personality disorder, insomnia and other common psychiatric diagnoses. In addition to prescribing medications when necessary, my focus with psychotherapy is to assist people with achieving their goals.
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Medication Management Psychiatrists
What are the most effective ways to manage medications?
One of the most effective ways a patient can manage their medications is to keep a list of each drug and dosage they take. Such a list can be helpful in keeping to their schedule and can also be something they bring to their psychiatrist or other physician so that the healthcare provider has a clear picture of what they’re taking and in what quantity. Using a pill organizer can be useful for memory and organization. Patients should discuss their medications and their effects at every appointment.
What are the risks if medications are not managed properly?
A suboptimal approach to medication management can lead to potentially harmful health outcomes. Most psychiatric drugs have side effects, and if a patient is not aware of them, they may seek additional medical help or over the counter or prescription drugs to treat the side effects, which may have its own side effects, a process called “prescription cascade.” Another risk to disorganization is that a psychiatrist without full knowledge of a patient’s regimen could prescribe a medication that should not be mixed with a patient’s existing drugs.
What’s the best way to encourage someone to get help managing their medications?
It’s helpful to express concern and love for the person while framing medication management as a tool for improving their life and avoiding dangerous side effects. Offering specific examples of an individual’s failure to properly manage their medication regimen should be done with compassion and with empathy. It may be useful to break management down into parts, and there are several apps that can be used to organize which drugs are ingested, when they need to be refilled, and how they should be stored.
Are there natural treatments that can replace medications?
While there are many medications that can be vital to mental health, there are some natural lifestyle changes that can help reduce the need for drugs. Regular exercise, good sleep habits, a healthy diet, and therapy can all go a long way in symptom relief. Psychiatric medications typically treat symptoms but do not necessarily treat the cause of the condition. Many clinicians consider medications an adjunct to treatment rather than a treatment in and of itself.