Psychiatric Associates

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Each of our Providers offers specific expertise and works with different insurances and managed care contracts.  Please check individual Provider Profiles for details.

Anxiety Disorders

What is Anxiety? Anxiety is a normal reaction to stress. It helps people deal with a tense situation at work, study harder for an exam, or keep focused on an important speech. In general, it helps people cope. But when it becomes excessive, inappropriate, or irrational it can be disabling. Anxiety is characterized by feelings of tension, worried thoughts, and physical changes. People who are anxious usually have recurring intrusive thoughts or concerns, avoid certain situations out of worry, and have physical symptoms such as sweating, trembling, dizziness, a rapid heartbeat, or increased blood pressure. Anxiety Disorders include Panic Disorder, Agoraphobia, Specific Phobias, Social Phobia, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder, Acute Stress Disorder, and Generalized Anxiety Disorder.

Click HERE for an in-depth article on "Anxiety Disorders" by Dr. Hranilovich.
 
Click HERE for an in-depth article on "Panic Disorder" by Dr. Hranilovich.
 
Click HERE for an in-depth article on "Specific Phobias" by Dr. Hranilovich.
 
Click HERE for an in-depth article on "Social Phobia" by Dr. Hranilovich.
 
Click HERE for an in-depth article on "Obsessive-Compulsive Disorder" by Dr. Hranilovich.
 
Click HERE for an in-depth article on "Posttraumatic Stress Disorder" by Dr. Hranilovich.

Attention-Deficit/Hyperactivity Disorder

What is Attention-Deficit/Hyperactivity Disorder? Attention-Deficit/Hyperactivity Disorder, commonly referred to as AD/HD or ADD (Attention-Deficit Disorder), is one of the most common childhood disorders and can continue through adolescence and adulthood. Symptoms include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity (over-activity). There are four types of ADHD:

  • Predominantly Inattentive Type, in which the majority of symptoms are in the Inattention category, although some symptoms in the Hyperactivity-Impulsivity category may be present;
  • Predominantly Hyperactive/Impulsive Type, in which the majority of symptoms are in the Hyperactivity-Impulsivity category, although some symptoms in the Inattention category may be present;
  • Combined Type, in which symptoms of both Inattention and Hyperactivity-Impulsivity are present;
  • Not Otherwise Specified, in which symptoms from both categories are present but the criteria for the above types aren't met.
Click HERE for an in-depth article on "Attention-Deficit/Hyperactivity Disorder" by Dr. Hranilovich. 
 
Bipolar Disorder
 
What is Bipolar Disorder? Bipolar Disorder, also known as Manic-Depressive Disorder, is a brain disorder that causes unusual shifts in mood and energy and impairs the sufferer's ability to carry out day-to-day tasks. Symptoms of Bipolar Disorder can be severe. They are different from the normal ups and downs that everyone goes through from time to time. Bipolar Disorder can result in damaged relationships, poor job or school performance, and even suicide. But Bipolar Disorder can be treated, and people with this illness can lead full and productive lives. There are four types of Bipolar Disorder: Bipolar I Disorder, Bipolar II Disorder, Cyclothymic Disorder (also called Cyclothymia), and Bipolar Disorder Not Otherwise Specified (NOS).
  • Bipolar I Disorder is characterized by Manic or Mixed (manic and depressed) Episodes that last at least seven days, or by manic symptoms that are so severe that the person needs to be hospitalized immediately. Usually the person also experiences Depressive Episodes lasting at least two weeks. The symptoms of mania and/or depression have to be a major change from the person's normal behavior.
  • Bipolar II Disorder is characterized by a pattern of Depressive Episodes alternating with Hypomanic Episodes, but doesn't feature any Manic or Mixed Episodes.
  • Cyclothymic Disorder is a mild form of Bipolar Disorder characterized by Hypomanic Episodes that alternate with mild Depressive Episodes for at least two years and don't meet the diagnostic requirements for any other type of Bipolar Disorder.  
  • Bipolar Disorder NOS is characterized by symptoms of Bipolar Disorder that don't meet the diagnostic requirements for either Bipolar I Disorder or Bipolar II Disorder. For example, they may not last long enough or the person may not have enough of them. The symptoms must be a major change from the person's normal behavior, however.
 Click HERE for an in-depth article on "Bipolar Disorder" by Dr. Hranilovich.
 
Depressive Disorders

What is Depression? Everyone occasionally feels blue or sad, but these feelings are usually fleeting and pass within a couple of days. In contrast, a Depressive Disorder interferes with daily life and functioning and causes pain for both the depressed person and those around him. Depression is a common and serious illness and most who experience it need treatment to get better. Regrettably, many depressed people never seek treatment. However, the vast majority of depressed people, even those with the most serious depression, can get better with treatment. Depressive Disorders include Major Depressive Disorder (Clinical Depression), Dysthymic Disorder (Dysthymia), and variants such as Psychotic Depression, Postpartum Depression (Depression During and After Pregnancy), and Seasonal Affective Disorder (SAD).

Click HERE for an in-depth article on "Depression" by Dr. Hranilovich.

Click HERE for an in-depth article on "Psychotic Depression" by Dr. Hranilovich.

Click HERE for an in-depth article about "Depression During and After Pregnancy" by Dr. Hranilovich.

Click HERE for an in-depth article about "Seasonal Affective Disorder (SAD)" by Dr. Hranilovich.

Marital, Relationship, and Family Conflict

Stress Management

Medication Management

Alcohol/Substance Abuse

Personality Disorders

Hormonal Disorders, including Premenstrual Syndrome, Perimenopause, and Menopause

 

 

Psychiatric Associates / 4084 Okemos Rd. / Suite A / Okemos, MI 48864
Phone: (517) 347-4848 / Fax: (517) 347-4844