Therapeutic Services

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Assessment & Diagnosis

Getting ready for your first appointment is easy:

  • Once you have scheduled your first appointment, you will be asked if we can request your medication history from the national pharmacy database that will be requested from and imported directly to our electronic medical record (EMR), Practice Fusion. (Granting that permission usually avoids problems such as not recalling names or doses of current or some past medications.) 
  • You will also receive an invitation by email to create your user-friendly Patient Fusion portal account. Here you will be able to see your appointment time. You may want to explore the convenient features and use this as a reference tool for your care. All communications through your portal are HIPAA-secure.
  • Prior to your first appointment (and all future appointments), you will receive an email reminder with the date and time of your appointment. Prior to the first appointment, you will also receive a link to IntakeQ. This will prompt to complete registration forms and a pre-intake history form. Completing this in advance is very helpful to collect background information. It helps us to know a bit about you even before we have the pleasure of meeting you.

Dr. Wiet enjoys meeting each new patient and spends the time that is necessary to thoroughly formulate a diagnostic picture and treatment plan. In addition to psychiatric symptoms, Dr. Wiet will also be assessing and integrating aspects of health, wellness and and core therapeutic issues. Dr. Wiet’s initial assessments are well-detailed and typically 1½–2 times as long as most other initial psychiatric assessments. 


Initial Assessment

The initial assessment is comprehensive and each patient is treated as an individual rather than as a checklist of symptoms. Integrating symptoms, life history, and perceptions allows for a  comprehensive understanding about an individual person. This can often sort through issues that may require other interventions or coordination of care instead of or in conjunction with medication prescription(s). 


Spending the time up front typically increases efficiency toward stabilization and minimizes the overall number of visits across time. Once stabilized, most patients will have quarterly to semiannual follow-up visits for medication management. Dr. Wiet can accommodate targeted weekly therapy in most cases, upon request. 

  

Part of your assessment will likely involve laboratory tests, based on your history discussed during the first visit. Blending both traditional labs and targeted functional medicine labs (when necessary), a solid understanding of contributing metabolic issues can often be identified and corrected. Genomic testing that targets an individual's profile of processing psychiatric medications may also be recommended. It is best to first contact your insurance company to have labs completed at a contracted facility. 


Treatment Plans 

Following your initial assessment, you and Dr. Wiet will start to formulate a treatment plan that makes sense for you individually. This plan may include laboratory testing, medication, nutraceuticals, behavior interventions, self-help (readings, journaling, etc.) collaboration with or referral to a therapist, referrals to other services (e.g. physicians, psychometric testing), and/or supportive communities services. 


Medication management may be recommended, however, Dr. Wiet is conservative with prescriptive practices. When medication is determined as necessary, the objective is efficacy with minimal to no side effects. Dr. Wiet  typically prescribes medications without addictive potential. She will often integrate targeted and prescription-grade supplements to enhance cellular metabolism, which often results in lower doses of medication, while supporting overall well-being. Dr. Wiet may recommend specific nutraceutical products that are well established, prescription-grade quality, and are evidence-based. Whenever possible, transition to nutritional sources may be recommended to replace supplements but maintain health. 


Recommendations for resiliency skill-building often include principles of mindfulness, emotional regulation,  communication, exercise. nutrition, and sleep hygiene.


Collaboration with multidisciplinary clinicians, therapists, and other referring providers is important to establish and maintain continuity of care. Dr. Wiet  is happy to collaborate with your other care providers, as you request and provide consent via signed HIPAA-compliant releases. These can be signed in Dr. Wiet's office or faxed from another provider's office to Dr. Wiet.

Targeted Psychotherapy

Guided by a blend of psychodynamic and developmental theory principles, Dr. Wiet’s targeted psychotherapy services include talk therapy and targeted eye movement desensitization and reprocessing (EMDR) therapy, when appropriate. For complex trauma cases, Dr. Wiet takes a team approach with other EMDR-trained therapists to provide additional support. 

Ongoing Care

Once a client has stabilized and is functioning well, Dr. Wiet will set follow-up appointments on a quarterly interval for most patients, unless clinically indicated otherwise. 


Dr. Wiet typically integrates targeted therapeutic principles during most follow-up visits. She will refer clients to therapists when more time-intensive therapy is clinically indicated. She will also coordinated care with referring and established-care therapists on an ongoing and as-needed basis.


Periodically, seminars are offered on topics that address holistic approaches to  health, nutrition, resiliency, reflective journaling/poetry, and other topics. Although these are typically not  publicized to the general community, all are welcome to register and attend, unless otherwise indicated.



CRISIS

Dr. Wiet provides outpatient level of care. 

This means she does not provide walk-in or acute crisis services through her private practice.


For psychiatric emergencies or life threatening situations: 

CALL 911 or 

GO TO the nearest emergency room.


For distress requiring support:

CALL: UNI Crisis Line at 801-587-3000.


For help with suicidal thoughts:

CALL the Suicide Hot Line at 1-800-273-8255 or

GO TO  www.suicidepreventionlifeline.org


For mental health support from a peer specialist:
CALL the UNI Warm Line at 801-587-1055.


For school-based mental health crisis or distress

CALL UNI Crisis Line at 801-587-3000 or 

DOWNLOAD  SafeUT app (Apple and android version).