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My practice specializes in general integrative psychiatry and promoting family health, offering personalized care with a focus on individual growth. If you have physical conditions such as GI problems, fertility issues, or functional difficulties, it is advisable to bring a medical summary of your past treatments along with a current medication list to the first evaluation. During your first visit, you will undergo a mental health assessment, similar to an annual physical examination in general medicine. This assessment aims to identify changes in mood, focus, thinking, and behaviors. We collect information on your personal and family medical/psychiatric history, as well as details about current and past medications. Our exploration also encompasses factors such as nutrition, stress, fatigue, trauma, physical health, pregnancy, or postpartum anxiety and depression. Your treatment plan is carefully crafted, combining evidence-based practices, clinical expertise, and your preferences and priorities as a patient. We take great pride in establishing a safe and caring environment that prioritizes dignity and confidentiality. At the end of the session, you will receive a referral for blood work (CBC, CMP), and in some cases, a referral for an EKG. For patients seeking medication, it is recommended to consider therapy sessions, either with me or another provider. Appropriate referrals to therapists based on your personal needs will be provided. Prior to the in-office visit for scheduled ADHD medication, here's what to expect: Office-based visits for ADHD/ADD are available only on Mondays. Face-to-face sessions will be required for the initial evaluation and random evaluations, as per NY state regulations for controlled substances. Every patient, or patient's parent needs to sing the form that they understand and agree to the following conditions regarding ADHD treatment with Larissa Yossefi Nurse Practitioner in Psychiatry PLLC: An initial evaluation will be conducted to review all symptoms, medications, medical and family history, and urine toxicology if needed. Psychological testing and ADHD screening scales may also be required. This evaluation does not guarantee an ADHD diagnosis, and medication will not be prescribed until all necessary studies are completed. If risk factors are identified, an electrocardiogram (EKG) or a cardiac consult may be recommended to establish a baseline for heart function. Some patients may need to complete these tests before starting medications. All scheduled follow-up appointments must be attended, and medication refills cannot be obtained without an appointment or provider approval. Replacement prescriptions will not be issued for lost or stolen scripts, and a follow-up appointment is required. If medications are stolen, a police report must be filed and returned to the office. The NY Prescription Monitoring Program will be accessed before the initial evaluation and at each visit to verify prescription history. Medications for ADHD can only be obtained from a single provider, and refills are limited to a 30-day supply. Lost or misplaced prescriptions will not be replaced. If currently prescribed benzodiazepines, medical cannabises some assistance may be provided (at the provider's discretion) to taper off these medications with the option of substituting with non-addictive/non-benzo type medications. This will be discussed further during the appointment. Prescribing controlled substances follows strict guidelines. If recently prescribed a controlled substance by another physician, medication recommendations will be considered after evaluation and contacting the previous prescriber. A consent form for the release of information is required prior to the initial appointment for this purpose. Patients prescribed a controlled substance may be subject to random urine drug screens. In cases of irregular behavior concerning controlled prescription use or poor treatment response, medication changes will be discussed during appointments. Thank you for your attention to these guidelines. What to expect for Trauma Therapy ? BRAINSPOTTING** Throughout life, everyone encounters unpleasant moments that leave deep wounds, unpleasant memories, and create fears and resentments, leading to protective reactions that prevent us from fully experiencing emotions and opening up to others. Even minor psychological traumas and stresses do not pass without leaving traces, interfering with our happiness and success. One of the methods of correction offered by psychotherapy today is quite original, presenting an unexpected solution to the problem. Our article is about brainspotting. **WHAT IS BRAINSPOTTING?** Brainspotting as a therapy method is closely associated with Dr. David Grand—a doctor who worked with psychological traumas formed in people after traumatic situations. Grand studied psychoanalysis in the 1980s and the specific EMDR method (Eye Movement Desensitization and Reprocessing) in the 1990s. By combining these forms of therapy and adding his own experience, he created an "improved" version of EMDR at the beginning of the 21st century, naming it "brainspotting." If we try to explain brainspotting very simply—this is a psychotherapy technique that aims to help people deal with psychological trauma or other issues through eye movements. Grand asserts that the essence of his method lies in the following axiom: "Where you look affects how you feel." Memory areas that hold remnants of past experiences cannot function normally and maintain a tense state—but this can be corrected. **HOW DOES THE METHOD WORK?** Our brain is a kind of "portal," with quadrillions of connections formed between its cells. Any process, whether physical or emotional, inevitably affects brain activity. The visual organs are closely interconnected with the brain—there are 125 million photoreceptors in one eyeball that transmit electrical signals to the brain. The new technique claims that the point of gaze directly influences how we feel: the position of the eyes determines the correlation with neural brain activity and accumulated internal experiences. Keeping the gaze in a specific position helps activate the brain's neural activity, which the body directs towards processing outdated processes, relieving nervous and emotional tension. The revolutionary aspect of the method lies in the understanding that the cause of many taboos and behavioral restrictions is rooted in neuron damage. It is this imbalance in brain function that serves as a brake, hindering the achievement of comprehensive results in all areas of life. The method allows for the elimination of "brain spots" (areas with damaged neurons) and profoundly changes the perception of the surrounding world. **TECHNIQUE** Initially, brainspotting identifies the relationship between a specific eye position acquired during unpleasant past experiences and autonomic reactions (such as skin flushing, excessive sweating, restlessness, sneezing, etc.). Then, in working with the patient, the therapist identifies the coordination position where such signals manifested most intensely and asks the patient to briefly focus their gaze on these points. This sends a signal to the brain to restore and "heal" the damaged neurons, which essentially are the "scars." When the eye movement becomes smooth, it signals that the trauma has been deeply processed on emotional, social, and neurophysiological levels, and the "brain spot" has been eliminated along with the consequences of hidden experiences. It is believed that the brainspotting technique affects the limbic system—a collection of brain structures that plays a crucial role in forming emotions and long-term memory. This system also participates in regulating cognitive processes and maintaining motivation. Additionally, it provides control over impulses and is responsible for many other psychological aspects that directly influence a person's well-being. Although brainspotting was originally developed for the treatment of post-traumatic stress disorder (PTSD), specialists who practice the method assert that it is effective in treating anxiety, depression, chronic fatigue syndrome, fibromyalgia, and ADHD. Many patients report positive results. It is also worth noting that the effectiveness of brainspotting is a widely debated topic, and long-term studies in fairly large focus groups are still ongoing. The medical community eagerly awaits the results of a comprehensive study of this new approach. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1633388810650-QKVDGQM1JTVA63TUL7CR/0.jpg Home https://www.eliteshieldhealing.com/en/specialty daily 0.75 2025-12-15 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/6b4f26e4-fadf-426a-8f71-0527a033d52c/Aro+Ha_0010+1.jpg https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/25a53dcc-a4e0-4742-848d-aabb36f7ec37/image-asset+%283%29.jpeg https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631847464565-APZEO4R6LP30Z2ZPL1IV/unsplash-image-tvc5imO5pXk.jpg Specialty Our office provides 504 assessments for students in schools. A 504 evaluation is conducted to determine if a student qualifies for accommodations under Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination against individuals with disabilities in programs receiving federal financial assistance. This evaluation assesses the student's specific needs and determines what accommodations and support services are necessary to ensure equal access to education. Benefits of a 504 evaluation conducted by a medical psychiatric provider include: Comprehensive assessment: The provider can conduct a thorough evaluation of the student's mental health and functional abilities, including psychological testing and interviews. Individualized recommendations: Based on the assessment results, the provider can make specific recommendations for accommodations and support services tailored to the student's needs. Collaboration with school personnel: The provider can collaborate with school staff to ensure that the recommended accommodations are implemented effectively and that the student's needs are met. Improved academic performance: By receiving appropriate accommodations and support services, students can overcome barriers related to their mental health condition and improve their academic performance. Emotional support: The evaluation process can also provide emotional support to students by validating their experiences and providing guidance on how to cope with their challenges effectively. Community plans may cover the evaluation (please inquire) Sliding scale available for out-of-pocket evaluations Your well-being is my top priority, and I am dedicated to delivering quality care. Don't hesitate to call today to schedule a comprehensive psychiatric evaluation. I am ready to assist individuals from school districts, medical offices, and those in need of CSE and IEP BOCES school referrals. Thank you for considering my services. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631628403776-D3NP1G3NUS6ZRA2PQUB5/derek-thomson-M1jCmRxO7cY-unsplash.jpg Specialty - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631628802161-RGIOWZCFIXOOPM36AINL/total-shape-Ianw4RdVuoo-unsplash+%281%29.jpg Specialty - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631629116783-R9LLSRJ1MJZJMFNP50AZ/anthony-tran-vXymirxr5ac-unsplash.jpg Specialty - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.eliteshieldhealing.com/en/patient-resources daily 0.75 2021-10-04 https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631630795963-N2HLQVOEJMZ4OA0NHW5G/priscilla-du-preez-DLuorYRjxJw-unsplash.jpg Patient Resources https://www.eliteshieldhealing.com/ru/home daily 0.75 2024-11-02 https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592230716373-ZT0K3F4FT1OIRFNZ1MNL/Thrapy+copy+2.png Дом https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592230746331-7KHTZVVBPJJ1MBAAH1K3/Pills+copy+2.png Дом https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592229007961-LTP1A4QHMVOKZ5NPVPKQ/Coaching+copy.png Дом https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631627547730-WPM4YVSPV1J4DOFDDMZ6/output-onlinepngtools.png Дом https://www.eliteshieldhealing.com/ru/specialty daily 0.75 2023-03-24 https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/b3896aaf-cece-4f9f-a847-2341f79fad8a/odno.jpg специальность - "Я началa свою карьеру в психиатрии более десяти лет в качестве психиатрической клинической медсестры в Израиле, а затем в качестве PMHNP-BC в США. Я верю что мои пациенты выздоравливают, предотвращая повторные рецидивы и способствуя повышению качества жизни. Моя цель в жизни - помочь тем, кто страдает от эмоциональных и физических состояний, полностью выздороветь." —Larissa Yossefi Практикующая медсестра психиатрической и психиатрической помощи, сертифицированный совет ANCC https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631628403776-D3NP1G3NUS6ZRA2PQUB5/derek-thomson-M1jCmRxO7cY-unsplash.jpg специальность - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631628802161-RGIOWZCFIXOOPM36AINL/total-shape-Ianw4RdVuoo-unsplash+%281%29.jpg специальность - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631629116783-R9LLSRJ1MJZJMFNP50AZ/anthony-tran-vXymirxr5ac-unsplash.jpg специальность - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.eliteshieldhealing.com/ru/patient-resources daily 0.75 2021-09-24 https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631630795963-N2HLQVOEJMZ4OA0NHW5G/priscilla-du-preez-DLuorYRjxJw-unsplash.jpg Ресурсы для пациентов https://www.eliteshieldhealing.com/ru/accounts daily 0.75 2021-10-05 https://www.eliteshieldhealing.com/en/home-1 daily 0.75 2024-11-02 https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592230716373-ZT0K3F4FT1OIRFNZ1MNL/Thrapy+copy+2.png דף הבית https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592230746331-7KHTZVVBPJJ1MBAAH1K3/Pills+copy+2.png דף הבית https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592229007961-LTP1A4QHMVOKZ5NPVPKQ/Coaching+copy.png דף הבית https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631627547730-WPM4YVSPV1J4DOFDDMZ6/output-onlinepngtools.png דף הבית https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631849804600-UDMVJN8QQ1XBVQ5BEKD3/unsplash-image-DqgMHzeio7g.jpg דף הבית https://www.eliteshieldhealing.com/en/specialty-1 daily 0.75 2021-10-05 https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1633388810650-QKVDGQM1JTVA63TUL7CR/0.jpg לריסה יוספי - במה שונה רופא פסיכיאטר מאחות פסיכיאטרית? במדינת ניו יורק, אנו מתפקדים בדיוק אותו הדבר. אנו מספקים טיפול ויכולים לרשום תרופות של חומרים מבוקרים ולא מבוקריםּ. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631628403776-D3NP1G3NUS6ZRA2PQUB5/derek-thomson-M1jCmRxO7cY-unsplash.jpg לריסה יוספי - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631628802161-RGIOWZCFIXOOPM36AINL/total-shape-Ianw4RdVuoo-unsplash+%281%29.jpg לריסה יוספי - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631629116783-R9LLSRJ1MJZJMFNP50AZ/anthony-tran-vXymirxr5ac-unsplash.jpg לריסה יוספי - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.eliteshieldhealing.com/en/patient-resources-1 daily 0.75 2021-10-05 https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/1631630795963-N2HLQVOEJMZ4OA0NHW5G/priscilla-du-preez-DLuorYRjxJw-unsplash.jpg מקורות עזרה נוספים https://www.eliteshieldhealing.com/en/accounts-1 daily 0.75 2021-10-05 https://www.eliteshieldhealing.com/new-page daily 0.75 2025-10-27 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847921926-YXCEN2JVL6T6OEYSBTQG/image-asset.jpeg https://www.eliteshieldhealing.com/store daily 0.75 2024-04-17 https://www.eliteshieldhealing.com/store/p/join-a-session-with-np-larissa-yossefi-specialist-in-brainspotting-emdr-and-an-experienced-educator-in-self-care-techniques-including-the-empowering-practice-of-yoni-massage-for-women-embrace-horm monthly 0.5 2024-12-07 https://images.squarespace-cdn.com/content/v1/613795078da2ec2497dd6bc4/2a9959b6-2975-4525-9461-9e92b27539f0/beuty.jpg Store - Join a Session with NP Larissa Yossefi Specialist in Brainspotting, EMDR, and an experienced educator in self-care techniques, including the empowering practice of yoni massage for women. 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