I am a pediatrician in practice for 25 years and specialize in developmental-behavioral pediatrics and child/adolescent psychiatry. I have always had an interest in and aptitude for psychology and psychiatry. I had the honor of training under some of the best in their fields. Throughout my career, I have encountered many with mental illness either as a primary or secondary diagnosis. I have experience making diagnoses and developing unique treatment plans. I also work to build a rapport with my patients and their families to get their buy-in to the treatment plan. I try my best to meet people where they are. Many need to feel heard and have their concerns validated. Cookie-cutter treatment plans that don't take into consideration the developmental stage of the patient, the socio-economic and cultural context as well as the potential mental health diagnoses of the parent, are doomed to failure. I routinely assess both the patient and their families for strengths and weaknesses before initiating treatment. In an era when patients want the quick fix and doctors are in a rush to see as many patients as they can, I have been able to create a method of practice that does include medical management when necessary, but focuses much more attention on the need for therapy either in lieu of medication or in conjunction with it.
I am also keenly aware of the shortage of competent mental health professionals and have made many changes to the way I provide services to increase access to those in need in the Medicaid population. I have practiced as a sub-specialist within the general setting to facilitate access and decrease wait times for appointments.
The issue of mental health has touched me personally in several ways. My mother suffered from untreated depression, anxiety and panic disorder as I was growing up and it greatly affected my childhood. In her later years, she suffered a stroke and developed dementia. I have had to push her doctors to see and treat her comorbid depression. Years ago, when I was in college, my boyfriend of a year and a half committed suicide. It came as a complete shock to his family, but after his death, I was able to connect the dots and see the pattern that led him to make that ill-fated decision. I also have a brother who has struggled for years with depression, anxiety and alcoholism. He has been openly suicidal off and on for 20 years and has made 2 very real attempts to end his life. In the past, I brought him down to SC to have ECT after failing medical management and have also gotten him admitted to Sheppard Pratt in Baltimore which is the country's top private psychiatric institution in the country. I won't ever stop fighting for him. He is finally in a good place and getting back to living a life filled with purpose, hopes and dreams.
I have also experienced first-hand the power and efficacy of highly qualified mental health services. I have dealt with depression on and off and have just recently completed months of treatment at a facility in Florida for trauma. I entered the program broken, full of shame and hopeless for my future. I was fortunate to have one of the leading trauma therapists in the country and I witnessed the power of individual and group therapy when provided competently. I didn't have to rush back home for work or family and therefore was able to stay present month after month and dig into the work. I never asked when I was going to be done and just waited for the clinical team to make that decision. I was able to process events from my childhood as well as from years of narcissistic emotional abuse in my marriage in a safe, supportive environment.
I have found that most therapists who say that they specialize in trauma have little to no specific training. This leads not only to sub-par service provision, but their uninformed approach can paradoxically be a detriment to their patients. When I looked at what I do for a living, I concluded that when I am providing counseling and education I am "in the zone" and filling a crucial gap. I have first-hand experience with things that other providers may have just read about during their coursework or when studying for licensure. As I pursue a master's degree in clinical mental health counseling with a specialization in trauma and addiction, I am aware of the fact that my knowledge of psychotropic medications as well as psychiatric and psychological diagnoses and treatment gives me a crucial advantage.
Ultimately, I would like to pursue further trauma training to include Spirit- to-Spirit, EMDR and somatic experiencing therapy as well as formal addiction training. During my time in trauma therapy, I was surrounded by many with dual diagnoses of PTSD and substance use disorders and saw how the two go hand in hand. Before this experience, I have known several people who have gone to rehab for their addiction but never had their trauma or mental illness addressed. Unfortunately, many went on to relapse relatively quickly after completing treatment. I have studied widely and been exposed as a client to many different therapeutic modalities. I believe that a provider needs to have many tools in their toolbox and I look forward eagerly to expanding my knowledge and expertise.
I am also pursuing certification in equine-assisted psychotherapy through EAGALA. I am a competitive equestrian and horse owner. I have seen how powerful communing with these majestic animals can be for myself and others and I want to share that experience with patients. Being around horses was so helpful for my daughter who struggled with ADHD and my autistic son as well. My daughter did not tolerate stimulants despite trying many of them when she was younger. Being around horses taught her to quiet her energy and body language and provided a physical outlet for all of her energy. She also thrived in the competitive environment and was able to feel a sense of pride and victory when school was so hard and a source of exhaustion. Years ago, I was also certified through PATH Intl to teach therapeutic riding and taught my son to ride when he was young. It was amazing to watch his interactions with the horses and to see incredible improvements in his truncal tone, gross and fine motor control, spatial awareness, processing speed and emotional regulation.
My experience with my son also gives me a huge advantage. I stepped out of my practice for about 10 years after we adopted him and he was diagnosed with autism. I threw myself into learning all I could about ABA and other behavioral modification strategies. During this time when I was not practicing clinically, I worked with the director of developmental-behavioral pediatrics and the head of pediatric psychology to create a cutting-edge autism program that would address the backlog of patients on the waiting list. I was also part of outcome studies over the next several years. Ultimately, the program was such a success that we worked to export the program to other centers throughout the country. I also did a lot to affect policy and increase awareness and education in the community.
I am pursuing a career in mental health because I believe that people don't just need more access to mental health providers. They need and deserve access to highly qualified providers when they are in crisis. I take my role extremely seriously and have always demanded much of myself regarding competency. My dream is to buy a large tract of land on the edge of Appalachia in the mountains of NC and provide individual, group and equine-assisted therapy. I have even considered creating a residential facility to treat those with trauma, addiction and other process addictions. There is a paucity of programs in the Carolinas that address these issues.
I understand and have lectured about the grief cycle. The final step of acceptance for me means giving back and making a difference. I am constantly looking at where I can use my knowledge, experience and even finances to make a difference. I have done that as it concerns autism and child abuse/DV, and now I want to bring my recent experiences and knowledge to bear on the problem of mental health in my community.
Thank you for your consideration of my application. I am encouraged by those who have been affected by mental health and want to make a tangible difference in the community. This is such an important issue and it will take changes at all levels to address it. Most great changes take small steps over time and I am determined to do what I can to add to the solution.