Our Mental Health Services:

Dr. Kenison Shrestha’s Mental Health Clinic

Welcome to Dr. Kenison Shrestha’s Mental Health Clinic, where we offer a range of mental health services to help you live your best life.

At our clinic, we offer a variety of services to meet your mental health needs. Our services include psychiatric evaluations, medication management, individual therapy, couples therapy, family therapy, and group therapy. We also offer specialized services for issues such as trauma, addiction, and eating disorders.

Psychiatric evaluations are an important part of our mental health services. During a psychiatric evaluation, our experienced psychiatrists will assess your symptoms, medical history, and other factors to make an accurate diagnosis and develop a treatment plan. This may include medication management, therapy, or a combination of both.

Medication management is another key aspect of our mental health services. Our psychiatrists are experts in the latest medications and can work with you to find the medication that is best suited for your needs. We will monitor your progress and adjust your medication as needed to ensure optimal results.

In addition to medication management, we offer a variety of therapy services to meet your needs. Individual therapy is a one-on-one therapy session with a licensed therapist, where you can work through your challenges and develop coping strategies. Couples therapy is designed to help couples improve communication, resolve conflicts, and strengthen their relationship. Family therapy can help families navigate challenges and improve relationships.

We also offer group therapy, which can be a helpful way to connect with others who are going through similar challenges. Group therapy provides a safe and supportive environment where you can learn from others and gain new perspectives.

At Dr. Kenison Shrestha’s Mental Health Clinic, we are committed to providing high-quality mental health services to help you achieve your goals. We believe that everyone deserves access to compassionate, effective care, and we are dedicated to helping you live your best life. Thank you for considering our clinic for your mental health needs.

Mental health services

Anxiety disorder treatment

Anxiety disorders are a group of mental health conditions characterized by excessive and persistent feelings of worry, fear, and unease. Treatment for anxiety disorders typically involves a combination of therapy and medication.

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Therapy: Cognitive Behavioral Therapy (CBT) is the most commonly used form of therapy for treating anxiety disorders. This type of therapy helps individuals identify and change negative thought patterns and behaviors that contribute to their anxiety. Exposure therapy is a type of CBT that involves gradually exposing individuals to the things they fear, in order to help them build resilience and reduce fear. Mindfulness-based therapies, such as mindfulness-based stress reduction (MBSR) and acceptance and commitment therapy (ACT) can help individuals learn to manage their anxiety symptoms by focusing on the present moment and accepting their thoughts and feelings. Medication: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed for anxiety disorders. Benzodiazepines are a class of medications that can help reduce symptoms of anxiety quickly, but they are usually prescribed for short-term use because of the risk of addiction and tolerance. Beta-blockers can help reduce physical symptoms of anxiety, such as a rapid heartbeat, by blocking the effects of the stress hormone adrenaline. It’s important to note that treatment for anxiety disorders can vary based on the individual, type of anxiety disorder and the severity of symptoms. A mental health professional will be able to help you determine the best treatment plan for you.

Depression treatment

Depression is a mental health disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest in life. Treatment for depression typically involves a combination of therapy and medication.

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Therapy: Cognitive behavioral therapy (CBT) is a form of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their depression. Interpersonal therapy (IPT) focuses on addressing and resolving interpersonal issues that may be contributing to depression Behavioral Activation (BA) is a type of therapy that focuses on increasing an individual’s engagement in activities they used to enjoy, in order to improve their mood. Mindfulness-based therapies, such as mindfulness-based stress reduction (MBSR) and acceptance and commitment therapy (ACT) can help individuals learn to manage their symptoms by focusing on the present moment and accepting their thoughts and feelings. Medication: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and tricyclic antidepressants (TCAs) are commonly prescribed for depression. Mood stabilizers, such as lithium and valproic acid, may be used to treat depression in individuals with bipolar disorder. Atypical antidepressants, such as bupropion, mirtazapine, and vortioxetine may be used for some patients. It’s important to note that treatment for depression can vary based on the individual and the type of depression. A mental health professional will be able to help you determine the best treatment plan for you. In addition, some people may benefit from Electroconvulsive therapy (ECT) in more severe and treatment-resistant cases.

bipolar disorder treatment

Bipolar disorder, also known as manic-depressive illness, is a mental health disorder characterized by extreme mood swings, including episodes of mania (abnormally elevated or irritable mood) and depression. The treatment for bipolar disorder typically involves a combination of medication and therapy.

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Medication: Mood stabilizers, such as lithium and valproate, are the primary medication used to treat bipolar disorder. They help to reduce the frequency and severity of manic and depressive episodes. Antipsychotic medications, such as olanzapine and quetiapine, may be used in combination with mood stabilizers to treat manic or mixed episodes. Antidepressant medications, such as SSRIs and SNRIs, are not typically used alone to treat bipolar disorder because they can trigger manic episodes. Therapy: Cognitive behavioral therapy (CBT) is a form of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their bipolar disorder. Family-focused therapy (FFT) is a type of therapy that helps family members learn how to support their loved one with bipolar disorder. Psychoeducation, is an important part of therapy, as it helps individuals and their families understand the illness, its symptoms, triggers and how to manage it. Interpersonal and social rhythm therapy (IPSRT) focuses on helping individuals regulate their daily routines and social rhythms, which can be disrupted by bipolar disorder. It’s important to note that treatment for bipolar disorder can vary based on the individual and the type of bipolar disorder. A mental health professional will be able to help you determine the best treatment plan for you. Medications and therapy are usually long-term treatments, and it may take some time to find the right combination of medications and therapy that works best for each person.

OCD treatment

Obsessive-compulsive disorder (OCD) is a mental health disorder characterized by recurrent, unwanted thoughts, ideas, or sensations (obsessions) that drive an individual to perform repetitive behaviors or mental acts (compulsions) in response. The treatment for OCD typically involves a combination of therapy and medication.

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Therapy: Cognitive Behavioral Therapy (CBT) is the most common and effective form of therapy for OCD, specifically a type of CBT called exposure and response prevention ERP) therapy. ERP involves exposing individuals to their feared thoughts or situations and helping them learn to resist the urge to perform compulsive behaviors. Acceptance and Commitment therapy (ACT) is a mindfulness-based therapy that helps individuals learn to accept and observe their obsessions and compulsions without getting caught up in them. Medication: Antidepressant medications such as selective serotonin reuptake inhibitors (SSRIs) are commonly used to treat OCD. SSRIs help increase the levels of the neurotransmitter serotonin in the brain, which can help reduce symptoms of OCD. Antipsychotics may be used in combination with SSRIs to enhance the efficacy of treatment, in particular, Clomipramine is a tricyclic antidepressant that has been specifically approved by FDA for OCD treatment. It’s important to note that treatment for OCD can vary based on the individual and the severity of their symptoms. A mental health professional will be able to help you determine the best treatment plan for you. In addition, treatment often requires a combination of therapies and medication, and it may take some time to find the right combination that works best for each person. Compliance with medication, therapy and lifestyle changes is important to maintain the improvement and prevent relapse.

Schizophrenia/ psychosis treatment

Schizophrenia is a severe mental health disorder characterized by a wide range of symptoms, including hallucinations, delusions, disordered thinking, and emotional disturbances. The treatment for schizophrenia typically involves a combination of medication and therapy.

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Medication: Antipsychotic medications, such as haloperidol, risperidone, and olanzapine, are the primary medications used to treat schizophrenia. They work by blocking or reducing the effects of the neurotransmitter dopamine, which is thought to be overactive in people with schizophrenia. These medications can help reduce symptoms of psychosis such as hallucinations, delusions and disordered thinking. Therapy: Cognitive behavioral therapy (CBT) is a form of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their schizophrenia. Family therapy is a type of therapy that helps family members learn how to support their loved one with schizophrenia. Psychoeducation is an important part of therapy, as it helps individuals and their families understand the illness, its symptoms, triggers and how to manage it. Supported Employment, is a type of therapy that focuses on helping individuals with schizophrenia find and maintain employment. Social skills training, is a type of therapy that helps individuals learn how to interact with others, build relationships and improve communication skills. It’s important to note that treatment for schizophrenia can vary based on the individual and the type of schizophrenia. A mental health professional will be able to help you determine the best treatment plan for you. Medications and therapy are usually long-term treatments, and it may take some time to find the right combination of medications and therapy that works best for each person. Compliance with medications is important to prevent relapses and hospitalization.

addiction treatment

Addiction is a complex condition characterized by a compulsive use of a substance or engagement in a behavior despite negative consequences. Treatment for addiction typically involves a combination of therapy and medication.

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Therapy: Cognitive Behavioral Therapy (CBT) is a type of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their addiction. Motivational Interviewing (MI) is a type of therapy that helps individuals explore and resolve ambivalence about changing their addictive behavior. Contingency management (CM) is a type of therapy that uses rewards to encourage individuals to maintain abstinence from the addictive substance or behavior. 12-step programs, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are self-help groups that provide support, guidance, and a sense of community for individuals in recovery. Medication: Medications such as methadone, buprenorphine and naltrexone are used to help people addicted to opioids overcome their addiction by reducing withdrawal symptoms and cravings. Nalmefene and naltrexone, are used to help people addicted to alcohol overcome their addiction by reducing cravings and the pleasurable effects of alcohol. Disulfiram is a medication used to help people overcome their addiction to alcohol by causing an unpleasant reaction when the individual drinks alcohol. It’s important to note that treatment for addiction can vary based on the individual, the substance or behavior they are addicted to, and the severity of their addiction. A mental health professional will be able to help you determine the best treatment plan for you. In addition, addiction treatment often requires a combination of different therapies and medication, and it may take some time to find the right combination that works best for each person.

insomnia treatment

Insomnia is a condition characterized by difficulty falling asleep, staying asleep, or getting restful sleep. Treatment for insomnia typically involves a combination of lifestyle changes and therapy.

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Lifestyle changes: Establishing a regular sleep schedule by going to bed and waking up at the same time each day. Creating a bedtime routine to help signal to the body that it’s time to sleep. Creating a comfortable sleep environment, with a comfortable mattress and pillows, and keeping the room dark, quiet, and cool. Avoiding caffeine, nicotine, and alcohol close to bedtime. Avoiding large meals, heavy exercise, and stimulating activities close to bedtime. Relaxation techniques such as deep breathing, meditation, or yoga. Therapy: Cognitive Behavioral Therapy for Insomnia (CBT-I) is a form of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their insomnia. Stimulus Control Therapy (SCT) is a type of therapy that helps individuals develop a positive association between their bed and sleep by implementing strict sleep-wake schedule, avoiding naps and other activities in bed except for sleep and sex. Relaxation therapy, such as progressive muscle relaxation, may help individuals relax and fall asleep more easily. Sleep restriction therapy, which involves limiting the amount of time spent in bed to match the amount of time spent sleeping, can help increase the sense of sleep pressure and improve sleep. It’s important to note that treatment for insomnia can vary based on the individual and the cause of their insomnia. A mental health professional will be able to help you determine the best treatment plan for you. In some cases, a combination of therapies and medications may be recommended.

sexual dysfunction treatment

Sexual dysfunction refers to difficulty experiencing sexual desire or difficulty with sexual performance, such as difficulty getting or maintaining an erection (erectile dysfunction) or difficulty reaching orgasm (anorgasmia). Treatment for sexual dysfunction typically involves a combination of therapy and medication.

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Therapy: Cognitive Behavioral Therapy (CBT) is a type of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their sexual dysfunction. Sex therapy is a type of therapy that addresses sexual problems by helping individuals understand and communicate their sexual needs and desires. Couples therapy, is a type of therapy that addresses relationship issues that may contribute to sexual dysfunction. Mindfulness-based therapies, such as mindfulness-based stress reduction (MBSR) and acceptance and commitment therapy (ACT) can help individuals learn to manage their symptoms by focusing on the present moment and accepting their thoughts and feelings. Medication: Medications such as sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra) are used to treat erectile dysfunction. Medications such as testosterone replacement therapy (TRT) and selective estrogen receptor modulator (SERM) may be used to treat sexual dysfunction caused by hormonal imbalances. Medications such as bupropion (Wellbutrin) may be used to treat sexual dysfunction caused by certain antidepressants. It’s important to note that treatment for sexual dysfunction can vary based on the individual and the cause of their sexual dysfunction. A mental health professional will be able to help you determine the best treatment plan for you. In addition, treatment often requires a combination of therapies and medication, and it may take some time to find the right combination that works best for each person.

eating disorder treatment

Eating disorders are a group of mental health disorders characterized by abnormal eating behaviors, such as restrictive eating, binge eating, or purging. The treatment for eating disorders typically involves a combination of therapy, medication, and nutritional support.

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Therapy: Cognitive Behavioral Therapy (CBT) is a type of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their eating disorder. Family-Based Therapy (FBT) is a type of therapy that involves the family in the treatment process, helping them understand the eating disorder and how to support the patient through recovery. Interpersonal psychotherapy (IPT) focuses on addressing and resolving interpersonal issues that may be contributing to the eating disorder. Mindfulness-based therapies, such as mindfulness-based stress reduction (MBSR) and acceptance and commitment therapy (ACT) can help individuals learn to manage their symptoms by focusing on the present moment and accepting their thoughts and feelings. Medication: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to help reduce symptoms of depression and anxiety that often accompany eating disorders. Medications such as Olanzapine, Topiramate and Naltrexone may be used in specific cases of eating disorders, such as binge-eating disorder, to reduce symptoms and cravings. Nutritional support: A registered dietitian or a nutritionist can provide guidance and support on healthy eating habits and appropriate caloric intake. Meal support, where a therapist or dietitian observes and provides feedback during meals, may be used to help individuals with eating disorders learn how to eat a balanced diet. It’s important to note that treatment for eating disorders can vary based on the individual, the type of eating disorder and the severity of symptoms. A mental health professional will be able to help you determine the best treatment plan for you. In addition, treatment often requires a combination of therapies, medication and nutritional support, and it may take some time to find the right combination that works best for each person.

headache treatment

Headaches are a common condition characterized by pain in the head or face. Treatment for headaches typically involves a combination of medication and lifestyle changes.

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Medication: Over-the-counter pain relievers such as ibuprofen, aspirin, and acetaminophen can be used to relieve mild to moderate headache pain. Triptans, a class of medications specifically designed to treat migraines, can be used to relieve moderate to severe migraine pain. Anti-inflammatory medications, such as naproxen, may also be used to relieve pain caused by tension headaches. Some people may also benefit from preventative medications, such as beta-blockers, calcium channel blockers, or anticonvulsants, which are taken daily to reduce the frequency and severity of headaches. Lifestyle changes: Maintaining good sleep hygiene, including sticking to a regular sleep schedule, creating a comfortable sleep environment, and avoiding caffeine and nicotine close to bedtime. Managing stress through relaxation techniques such as deep breathing, meditation, or yoga. Drinking enough water, regular exercise and maintaining a healthy diet Identifying and avoiding triggers, such as certain foods or environmental factors, that may be contributing to headaches.

relaxation exercise

Relaxation exercises are techniques that can help reduce stress and tension in the body, improve overall well-being, and promote relaxation.

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Deep Breathing: Deep breathing exercises involve taking slow, deep breaths and focusing on the sensation of the breath as it enters and exits the body. This can help slow down the heart rate, lower blood pressure, and reduce feelings of stress and tension. Progressive Muscle Relaxation (PMR): PMR involves tensing and then relaxing different muscle groups in the body, one at a time. This can help individuals become more aware of muscle tension and learn how to release it. Yoga and stretching: Yoga and stretching exercises can help relax the body and release tension by promoting flexibility and balance. Guided Imagery: Guided imagery is a relaxation technique that involves using the imagination to create calming, peaceful images in the mind. This can help reduce stress, anxiety, and pain. Meditation: Meditation is a relaxation technique that involves sitting or lying down in a comfortable position and focusing the mind on a single point of reference, such as a word, phrase, or image. This can help reduce stress and tension by promoting relaxation and mental clarity. It’s important to note that different relaxation exercises may work better for different people. Some people may also find that combining multiple relaxation exercises can be even more effective. It’s important to experiment and find the relaxation exercise that works best for you.