Articles · Solutions Psychiatry
Articles from the practice
Writing by Karel Winner, DNP, PMHNP-BC, on how combined care, OCD treatment, and careful prescribing actually work. No listicles and no miracle claims: the reasoning behind the care, in plain language.
Solutions Psychiatry is the full practice: therapy and medication care from one clinician. If you want medication management only, that care has its own home at PsychMed Care.
Therapy and Medication Together: Why It Works
Why one clinician doing both halves of care changes the work itself: shared context, adjustments made with the whole story in the room, and your story told once instead of twice. Includes the honest case for when medication on its own is the better door.
ERP and Medication for OCD: How They Combine
Exposure therapy and medication do different jobs in OCD, and the sequencing is the treatment. What each one does, when medication joins, and how high-dose SSRI treatment is monitored over time.
New on the blog
The weekly evidence post starts with the question patients keep bringing to session: what GLP-1 weight-loss medicines do, and do not do, to mood.
More on the way
New articles are added as questions come up in treatment. If a question brought you here and no article answers it yet, the FAQ page holds the short answers in the meantime.
Two doors, two libraries
These articles come from the full practice, where therapy and medication are one course of care. The medication side of the practice keeps its own shelf: medication articles at PsychMed Care cover antidepressant troubleshooting, supplements, and tapering in prescribing depth. Questions about fees, insurance, and booking live with the practice operations on the hub, where you can also book a first visit when reading has done all it can.
One clinician for the whole conversation.
Start with a 60 minute Comprehensive Initial Appointment. Your insurance is verified before the visit, and you leave with a plan, not vague reassurance.