Since the earliest days of medicine, the doctor-patient relationship has been defined by a unique covenant. By revealing deeply personal information about their health, patients place a solemn trust in their physicians. In exchange, physicians agree to honor that trust, and to serve as an advocate and adviser in all matters related to their patients' health.
With the advent of modern managed care, insurance companies have become an unwelcome third party in this traditional relationship. Over the last several decades, the insurance industry has evolved from a service-oriented business to one that is intensely focused on the bottom line. The troubling result is that patients have less access to their doctors, and doctors have less time for each patient.
Psychiatry is no exception. Under the current managed health care system, patients must often wait weeks to secure an appointment with a psychiatrist, who may have a caseload of as many as 2000 or more patients. An initial evaluation may last around 20 minutes, while follow-up visits take place once every few months, and last a far shorter time. While many physicians can provide excellent care at a high volume, most would agree that assembly line medicine is especially problematic in the field of mental health.
Someone struggling with depression or other mental health conditions simply doesn't have the luxury of waiting six or eight weeks to see a doctor for a few minutes. A retainer-based practice solves this problem simply and directly, by allowing patients to schedule same or next-day appointments that last as long as necessary, at a frequency tailored to their individual needs.
Although retainer-based mental health care may seem revolutionary, accessibility and meaningful communication have always been the cornerstones of sound, ethical medicine. By consciously structuring our practice around these values, we provide our clients an exceptional level of care. For most people, this intensive, personal attention naturally leads to more effective care, allowing them to achieve a better quality of life, including fewer hospitalizations, fewer missed workdays, and improved daily functioning.