We provide an array of clinical services, including:

Psychiatric Services

  • Psychiatric Evaluations – psychiatric and diagnostic evaluation, poly-pharmacy/poly-psychotropic evaluations, psychiatric consultation, determine diagnostics and medical necessity, initial psychiatric treatment recommendations
  • Medication Management – symptom management through psychotropic medications including, anti-depressants, anxiolytics and benzodiazepines, antipsychotics, mood stabilizers, anticonvulsants, psychostimulants
  • Medication Review – monitoring response to medications
  • Psychiatric Consultation – evaluate a case for second opinion or assist other professionals (schools, jails, court system, other physicians)

Psychiatry services are highly effective and essential for many moderate to severe cases.  To understand psychiatric medications and other treatments used for various disorders and conditions, please review guidelines published by the American Psychiatric Association:



Psychological Treatments

  • Group Therapy – both process and didactic formats, substance use and psychological illness
  • Cognitive Behavioral Therapy (CBT), Cognitive Therapy (CT)
  • Behavioral Therapy and Behavioral Modification – focused on oppositional behavior, conduct problems, risky behavior
  • Cognitive Remediation and Enhancement Therapies – for persons TBI, attention and memory deficits
  • Dialectical Behavioral Therapy (DBT) – focused on Borderline Personality Disorder, multi-diagnostic condition with emotional dysregulation (See “DBT Program”)
  • Co-parenting or cooperative parenting
  • Brief and Solution-Focused Therapy
  • Psychodynamic Psychotherapy, Humanistic and Existential Psychotherapy
  • Family Therapy – Structural Family Therapy, Systematic Family therapy, Multi-System Therapy
  • Marital and Couples Counseling
  • Motivational Interviewing – used to enhance motivation for change in treatment of alcohol and drug addiction
  • Anger and Stress Management, Relaxation Skills Training – specific cognitive and behavioral strategies
  • Psycho-education – information on the biological, psychological, and social aspects of disorders, increasing insight and awareness of disorder, and treatment
  • Therapeutic Assessment

Psychotherapy services are highly effective.  To understand how psychotherapy works and psychotherapy effectiveness, please read these articles at the American Psychological Association (APA) website’s Help Center:

  1. Understanding psychotherapy and how it works
  2. Psychotherapy works
  3. Psychotherapy:  myth vs. reality
  4. Stress and Mind/Body Health

Telemedicine Services

We provide psychiatric and psychological services via an internet based audio-visual application. Telemedicine services include:

  • Psychiatric evaluation
  • Medication management and review
  • Psychiatric consultation
  • Psychotherapy
  • Substance abuse counseling and recovery mentor services

Some persons have insurance plans that pay for telemedicine services, if they qualify. These services shall be pre-approved by Sarina Grewe, LMSW. Please contact her at 586-263-1234.


Psychological Assessment

Clinical Psychological Assessment

Psychological Assessment: scientific methods employed by psychologists for the purpose of understanding and explaining an individual’s, couple’s or family’s psychological functioning. Helps to define and understand personality, behavior, emotions, intelligence, and how they come together. Such assessments help to answer diagnostic questions, to specify a person’s strengths, weaknesses and personality structure, and to explain and to predict behavior.

We provide Autism Assessments.

Assessment for treatment planning, suitability for medication referral

Children and Adolescents
  • Assessment of : behavior and mood problems, academic and learning problems, separation anxiety and other anxiety disorders, stress reaction to trauma and abuse, childhood ADHD, alcohol and drug problems, developmental and autism spectrum disorders
  • Diagnostic Interviews: semi-structured and structured diagnostic interviews
  • Psychological Testing: cognitive and achievement testing, assessment of adaptive skills, assessment of behavior, emotional and thinking problems
  • ADOS Assessments: The Autism Diagnostic Observation Schedule (ADOS) is a semi-structured assessment of communication, social interaction, and play (or imaginative use of materials) for individuals suspected of having autism or other pervasive developmental disorders.
  • Assessment of: depression and mood problems, anxiety and phobic, chronic interpersonal discord and conflict, major neurocognitive problems, severe personality disorder, psychotic and other severe psychological problems, substance use problems, trauma and stress
  • Diagnostic Interviews: semi-structured and structured interviews designed to determine diagnostics
  • Psychological Testing: personality assessment, evaluation of adult ADHD and learning disabilities, mood and anxiety disorders, thought disorder, objective and projective testing.

Benefits of Psychological Assessment:

  • Assessment which includes psychological testing allows the evaluator to corroborate interview data and clinical impressions and to go beyond the interview and collect broader, in-depth, and more complex kinds of information.
  • Standardized psychological assessment has a normative, statistical scientific basis. It compares the individual against data collected in samples of normal and clinically disordered individuals. It allows the evaluator to determine how similar or dissimilar this person is to persons in these samples.
  • Individuals may attempt to “look good” or “look bad” in interview depending on the case. Therefore, most test instruments contain (multiple) validity scales on which to assess the extent to which the individual is providing honest, candid, defensive, socially desirable, or exaggerated depictions of their psychological health or symptoms.