SILVA PSYCHIATRIC CARE
  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • REQUEST AN APPOINTMENT
    • ADULT ADD/ADHD?
    • Frequency of Visits
    • Frequently Asked Questions
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • Concierge Reviews
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & THEIR FAMILIES
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  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • CANCEL/NO-SHOW
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    • RECOMMENDED

TREATMENT
​PHILOSOPHY

ARCHIVES

*NEW*  MANAGING SIDE EFFECTS
A-Z SERIES

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PRIMUM NON NOCERE

"First, do no harm."
Ethical and professional responsibilities, providing options, and basing the doctor-patient alliance on education and informed consent.

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TO MEDICATE, OR NOT TO MEDICATE?

Indications for pharmacotherapy: a target-symptom-based approach.  avoiding polypharmacy.
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TREATING TARGET SYMPTOMS

A PRAGMATIC, FAIL-SAFE APPROACH TO THE TREATMENT OF PSYCHIATRIC CONDITIONS, WHICH ARE BY THEIR NATURE INVARIABLY SYNDROMAL
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*NEW* UNDERSTANDING
PSYCHOPATHOLOGY SERIES

IN-DEPTH, COMPREHENSIVE DESCRIPTIONS OF THE SYMPTOMS YOU MAY BE HAVING, EXPLAINED IN A WAY YOU MAY NOT HAVE HEARD BEFORE
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ADULT ATTENTION-DEFICIT DISORDER

Diagnosing and treating ADD in adult patients.
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TREATING INSOMNIA

How best to take prescription sleep aides.  Good sleep hygiene.  Avoiding tolerance and preserving efficacy.
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THE OVER-DIAGNOSIS OF BIPOLAR DISORDER

The ineffectiveness and hazards of misidentifying symptoms and treating a diagnostic label that is usually misapplied.
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THE ACTIONS OF SEROTONIN

Irritability, tearfulness, obsessions, compulsions and all forms of anxiety, including interpersonal and panic.
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selective serotonin reuptake inhibitors (SSRIS):
the prozac family

WHAT'S THE DIFFERENCE BETWEEN PROZAC, ZOLOFT, PAXIL, CELEXA, & LEXAPRO, AND WHY HAS NO ONE EVER HEARD OF LUVOX?  
Aug 2009 Blog post  
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FREQUENCY OF OFFICE VISITS

How often patients are expected to return to clinic.
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PRIVACY PRACTICES

Confidentiality of Protected Health Information.  U.S. Health Insurance Portability and Accountability Act (HIPPA).
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"DO NOT TAKE ON AN EMPTY MIND"

Information and advice on psychotropic medications from an expert psychopharmacologist (2009 Blog)
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(This section of the website is continually undergoing renovation; please check back periodically.)

RESOURCES FOR CLINICIANS-IN-TRAINING:

​pharmacodynamic underpinnings of psychotropic medications
recommended QUICK-REFERENCE TREATMENT GUIDEs and excellent study aides:
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APA'S DIAGNOSTIC MANUAL
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See Dr. Silva's profile on Healthgrades.

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SERVICES

  • Comprehensive Psychiatric Evaluations
  • Psychotropic Medication Management
  • Brief Counseling Sessions
  • Competency/Guardianship determinations
  • Pre-Surgical Clearances (elective bariatric and plastic surgery procedures)
  • Court-Mandated Evaluations
  • DOT Clearances
  • + other fitness-for-duty and focused psychiatric evaluations
  • Emotional Support Animal Documentation
  • + other medical endorsements

ABOUT SPC

  • Dr. Silva, M.D.
  • CV
  • Cost
  • Patient Reviews
  • Payment Policy
  • No-Show Policy
  • Refill Requests
  • Refill Policy
  • Privacy

Suicide Prevention Hotline

SUPPORT

  • Contact Me
  • Set Up/How To
  • Telemed App
  • ZOOM Download
  • GoodRx/$4.00 Meds
  • Medical Record Copies
  • Medication Prior Authorizations
  • Patient Portal
  • FORMS
  • FAQ

RESOURCES

  • Dr. Silva's Blog (2009)
  • S. Stahl, Prescriber's Handbook (7th Ed.)
  • American Psychiatric Association (APA)
  • Alcoholics Anonymous
  • Centers For Disease Control
  • La Hacienda Treatment Center
  • NAMI (National Alliance on Mental Illness)
  • Narcotics Anonymous
  • Physician's Desk Reference
  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • REQUEST AN APPOINTMENT
    • ADULT ADD/ADHD?
    • Frequency of Visits
    • Frequently Asked Questions
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • Concierge Reviews
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & THEIR FAMILIES
    • ARCHIVES
  • CONTACT
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • CANCEL/NO-SHOW
    • PRIVACY
    • FORMS
    • RECOMMENDED