A psychiatrist is a specialist medical doctor who has completed a four-year psychiatry training program (residency) in addition to earning a medical degree (MD or DO). 

A DO is a Doctor of Osteopathic Medicine. DOs account for approximately 11% of all physicians in the United States. DOs complete four years of osteopathic medical school. DO school emphasizes a whole-person approach to diagnosis and treating illness. A Doctor of Medicine, also known as an MD, graduates from a traditional medical school. Upon graduating from medical school, both DOs and MDs complete internships, residencies and fellowships in their area of specialty. Like all physicians in the U.S., DOs are licensed to practice medicine by licensing boards in each state, and DOs can earn board certification for their speciality

The first step is a free phone consultation which will last about 10 minutes. During this call, I will hear from you details of why you are reaching out and some background information which will help me to determine if I am the right fit for you. If I believe your health needs would be best served by a different provider, I can provide suggestions. 

Before our first meeting, I will send you an intake questionnaire form for you to complete in advance.  I encourage you to sign up for the Osmind app which will allow you to communicate with me through a secure portal. Visit here for more information about the Osmind mobile app: https://www.osmind.org/clinic/our-clinic

Our first appointment will last approximately 75 minutes. We will review your current emotional symptoms, areas of life where you have impaired functioning, your past history and treatment, relevant family information and details of your environment and social life. We will discuss your diagnosis, prognosis, and treatment options with pros and cons and work to create a comprehensive treatment plan. 

In some cases, we realize after the first session that my expertise may not be the best fit for your particular needs. I will be happy to provide a referral to a clinician who may be a better match. 

No. I do see patients on regular intervals for therapy alone. I have a great respect for how medications can ease suffering and improve quality of life for many individuals, and do not hesitate to use them when I believe they will benefit a patient. However, there’s no magic pill and it’s also important to consider the downsides of medications. Sometimes less is more. Together we will decide if medication is right for you

Because my goal is to provide the highest quality of care without dictation of treatment by an insurance company, I do not participate with insurance panels directly  If you would like to request out-of-network reimbursement from your insurance company, I am happy to provide a “superbill”. The amount reimbursed depends on your particular policy and includes factors like deductibles and co-pays. To check how much you could expect to be reimbursed, you may contact your insurance provider and quote the following CPT service codes: 99204 + 90833 for the initial consultation, and both 99214 (+ 90833 for therapy) for follow-up appointments. 

I accept payment via credit card, debit card, cash and check.

You will communicate directly with me for scheduling and questions between visits. I have a secure portal for communication.  I do not charge for a phone call less than ten minutes. Generally if a phone call more than 10 minutes is necessary, it is best to schedule an appointment to discuss any questions or concerns. 

If you have paperwork/forms that require completion, I request that you schedule an appointment in advance of any due date so that we can discuss and complete them in the office together. Since paperwork is completed during an appointment, I do not charge a separate paperwork fee. 

Dr. Peklansky is unable to provide emergency or after-hours clinical care. For any non-emergent issues, you may use the secure portal or leave a voicemail. Please allow up to 48 hours for any message to be answered. By agreeing to treatment with Dr. Peklansky, you  understand that any after-hours emergencies or urgent clinical concerns will require you to call 911, go to the nearest emergency room or urgent care. If you are feeling overwhelmed but not in an emergent crisis, you may call 9-8-8.