Additional Services for Existing Patients

About Second Opinion Evaluations

  • A 60–75-minute comprehensive evaluation by a psychiatrist

  • Differential diagnosis assessment

  • Referral for additional testing, as needed (e.g. lab work, neuropsychological testing)

  • Pharmacogenetic testing

  • Communication with the patient’s existing psychiatrist

  • Recommendations for treatment

 

Dr. St. John provides second opinion assessments to those who suffer from severe mental illness and who have not responded to previous treatments.  Once considered treatment-resistant or treatment refractory, patients often feel lost, hopeless, or lose confidence in the field of psychiatry.  The goal of a second opinion evaluation is usually to clarify or confirm a patient’s diagnosis, to obtain a better understanding of the patient’s current symptoms and/or behaviors, and/or to provide new or additional recommendations for treatment. 

 

Dr. St John also offers several alternative treatment options in her practice for patients who qualify, including TMS Therapy and Ketamine Infusion therapy.  When those treatments are recommended as part of the second opinion evaluation, they can be prescribed by Dr. St John and then performed in our same office subsequent to the consultation.

About Psychotropic Genetic Testing

Often referred to as personalized medicine, genetic testing assays look at genes that affect your body’s ability to respond to medication.  Genetic testing can ideally be utilized to reduce the time needed to find the right medication for you as compared to the traditional trial and error method.

 

The test panel evaluates two general types of genes, genes that indicate what effect a medication or class of medications may have on your body, and genes that indicate what effect your body will have on medication (e.g. they determine how fast your body will metabolize a medication).  The faster or slower your body processes a medication determines the dose that will be needed to be effective and safe. 

 

A saliva sample is collected by swabbing the inside of your check with a cotton swab in our office.  The sample is mailed to the lab and results are typically available within 2–3 weeks. 

 

About Aroma Freedom Technique (AFT)

AFT combines work with essential oils and principals drawn from CBT and EMDR to help patients achieve goals which may have previously been blocked by negative thoughts and memories.

 

The Aroma Freedom Technique (AFT) uses the power of inhaling specific scents to gently shift negative thoughts, feelings, and memories towards a positive outlook and attitude.  This technique results in greater confidence and inner freedom from negativity.  In addition, this process focuses on finding solutions to help achieve long-awaited goals that may have been blocked by negative thoughts and memories. 

 

AFT was created by clinical psychologist, Dr. Benjamin Perkus.  He integrated 20 years of clinical experience with 15 years of work with essential oils into a technique that is easy to use by almost anyone.  He created this technique combining several psychological principals such as Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR).  

 

Liz Grizzaffi, PA-C is a certified Aroma Freedom Technique practitioner.  She offers one-hour sessions using essential oils combined with the AFT process to yield mind, body and emotional wellness. 

 

*Appointments can be scheduled via the office receptionist. Please note that this is service is not covered by insurance companies.