Frequently Asked Questions
Do we require a referral?
In most cases we ask for a referral or latest progress note from the Primary Care Doctor to help focus the appointment on mental health.
​
Do we treat ADHD in adults?​
This is done on a case by case basis but short acting stimulants are not used in any ages.
​
Do we treat opioid use disorder?
Yes, including with Suboxone, naltrexone and other modalities.
​
What ages do we treat?
We evaluate any age though it is dependent on the consultation if medication is recommended. So we see child and adolescents, adults and geriatric patients.
​
Do we offer therapy in our office?
No, we do not currently have a therapist in our office, just medication management.
​
Do we offer Ketamine or Spravato (Esketamine)?
Yes, we do offer Spravato nasal spray treatments, but not IV ketamine.
​
Do we offer Transcranial Magnetic Stimulation (TMS)?
Yes, we offer this for both depressive and obsessive compulsive disorders.
​
What are the follow up expectations?
This is dependent on each case and the medications prescribed. On average, we require followup visits every 3 months, but there are times when longer spacing is appropriate. When medication changes are made, we require a 1 month followup. Children tend to change a lot in short amounts of time so we always recommend children followup frequently to monitor growth and the need for any changes.
​
Is there any mental illness we don't treat?
There are no diagnoses we do not treat. Sometimes, if necessary, people need a higher level of care than private practice or the relationship is not therapeutic, making safe medicine tenuous or impossible.
​
Who are the practitioners?
Dr. Peter Seiler is a board certified psychiatrist who sees all illnesses and Dr. Emily Seiler is a DNP board certified in psychiatry who also sees all illnesses. Dr. Fletcher specializes in substance use medicine and works closely with us if additional care is needed.
​
What is availability like?
Wait times are relatively short; longer for initial appointments and less for follow ups. Once care is established, it is not difficult to get timely care.
​
How is communication done in between appointments?
Our office accepts phone calls, voicemails, and even text messages. Text messages can often be the fastest way to get a response and all communication in between appointments is done through staff, not through providers directly.
​
Do you have students?
Dr. Peter Seiler nearly always has multiple students and at times the other doctors may have students, as well.. It is important that we give back and train future generations as psychiatric availability is already sparse.
​
What types of behavior can result in discharge from the practice?
Typically this is some form of deception making it impossible to provide safe care. It can be from frequent no shows going beyond what our policy allows or discourteous behavior which is never tolerated. Unlike in some organizations, private practice makes its own ethical decisions on discharge. The ethical guideline is as such: VI. A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care.