Clinical Psychiatric Services
Complex Psychiatric Issues
Complex Psychiatric Issues
Dr. Putcha specializes in helping people who have more complex problems who have not yet
responded to treatment. Patients with compound psychiatric illnesses can be harder to treat
into remission. Problems include, but are not limited to, medical, neuroligoic or pharmacologic problems.
With 20+ years of experience in treating adults of all ages, Dr. Putcha enjoys helping those who have battled their illness and are still seeking to maintain it with the goal to optimize their mental health. She treats and diagnosis individuals suffering from:
Anxiety and Substance Abuse Disorders
Attention Deficit Hyperactive Disorders (ADHD)
Psychiatric Symptoms caused or complicated by medical and neurological illnesses.
Psychiatric problems are among the illnesses older adults can suffer from. Dr. Putcha has
done a fellowship in Geriatric Psychiatry
Dr. Putcha sees patients ages 15 and older.She has extensive experience sifting through the
complexities of the adolescent years. Dr. Putcha will assess the adolescent to establish a
potential diagnosis. She will then continue to work with the parents and the teenager to
generate a plan to create a better future. Common disorder and issue diagnosis are:
Attentional Disorder (ADD or ADHD)
Turbulence of Puberty
The most common Mood Disorders are:
Dysthymic Disorders (Chronic Depression)
Mood Disorders caused by a medical condition
Dr. Putcha has experience in the diagnosis and treatment all of these conditions for thousands of patients.
She shares her knowledge on these disorders and treatments through lectures and educates doctors throughout the country about these conditions.
Anxiety disorders encompass a wide variety of conditions characterized by stress, worry,
nervousness, and uncomfortable bodily sensations. Some of the more common anxiety disorders are:
Social Anxiety Disorder
Generalized Anxiety Disorder
Obsessive Compulsive Disorder (OCD)
Post Traumatic Stress Disorder (PTSD)
These conditions are generally best treated with a combination of psychotherapy and
medications. Dr. Putcha has found that typical improvement is gradual and most people have
very significant improvement or remission within 4 to 6 months.
Changes in memory and thinking most likely occur with natural aging, however, some
conditions can be identified and medically reversed when properly diagnosed. Techniques include controlling a medical illness or eliminating inhibitors that may corrupt memory and sensibility. Sometimes these signs can be symptoms of Alzheimer’s disease or other dementias.
Dr. Putcha applies her expertise in order to accurately evaluate cognitive symptoms and the
behavior problems associated with them so she can successfully improve the situation. With her guidance, she has proven to positively stabilize progressive dementia through treatment
plans that may or may not include medication.
Substance abuse and psychiatric disorders commonly co-exist. Often people self-medicate
with alcohol or drugs in an unsuccessful effort to feel better. Dr. Putcha has proven success in guiding these patients to abstinence and treating the psychiatric illness in order to promote great health. Her extensive experience in detoxification and long term recovery programs have promoted her patients to graduate from their unhealthy lifestyle. She is sensitive in
prescribing addictive drugs to patients with a history of substance abuse disorders.
Behavioral disorders can surface in people of all ages and can encompass a wide variety of
problems and causes. In younger patients prominent issues arise from ADHD, Bipolar
Disorder and substance abuse. For older people, behavioral problems are likely to derive from cognitive disorders or new onset mood disorders. Dr. Putcha will focus on the underlying cause of the issue and map out a treatment plan for the patient and/or family tailored for that
An estimated 6% of the population has ADHD, and it is twice as prominent in males. Roughly 30% of individuals “outgrow” ADHD in their late teens. If untreated, ADHD frequently leads to
substance abuse, behavioral problems, failure in active schooling and work, and relationship
issues. Other diverse problems can result from ADHD such as traffic accidents, fights and becoming overwhelmed. Medications used to manage this disorder are the most successful
and effective medicines in psychopharmacology.
Psycho is defined as a persons thinking, feeling and behavior as in
the term “Psychology.”
Research has shown that combining psychotherapy with medications produces the best outcome for most conditions. Dr. Putcha enjoys working with patients using short term or long term therapy. She has extensive training and experience with
psychodynamic, strategic and cognitive behavioral therapies.