3-Locations - Legacy, Plano, and McKinney TX

Legacy, Plano, and McKinney TX

Psychiatry - Brain Health FAQs

Services Include:

At Smart Neuro Health & Wellness Centers, we focus on the following to ensure our patients receive the best care when it comes to mental and emotional issues:

Emphasis on evidence based psychiatric care:

We provide full psychiatric services at all locations and focus on common diseases like depression, anxiety, and overall brain health. We pride ourselves on providing the best possible evidence based care based on a patients individual needs.

Focus on measurement-based outcomes:

We take all necessary steps to provide a personalized care plan to get you the best overall outcome for each patient.

Comprehensive treatment options including:

Psychopharmacologic management, psychotherapy, Transcranial Magnetic Stimulation (TMS), and Neurofeedback are just some of the therapy options available to our providers.

Collaborative care coordination with PCP:

Communication is the key to your successful outcome and wellness. We go to great lengths to effectively communicate with your personal physician on your treatment plan.


Treatment of Depression

Millions of people around the world suffer from some form of depression. If you have been diagnosed with depression, you will find excellent treatment options exists to help you feel better. There are individual treatment options including medications and psychotherapy or the two can be combined to assist you with feeling better during day-to-day life.

Talking it Out

One of the best treatment options available today is talking to a therapist. With a therapist, you have the option to meet as many times as needed to discuss what you are dealing with on a regular basis. Work on key issues to be able to change your way of thinking, continuing therapy for many years if needed.

For behavioral changes, cognitive behavioral therapy may be the right choice for you. The therapist will be able to evaluate any behaviors that are detrimental to your health and how they play a role in your depression diagnosis. The unhealthy patterns can be broken to begin a more positive lifestyle.

When focusing on relationships and how you are affected by other people in regards to your depression, the therapy type should be interpersonal therapy. If you have specific problems, problem-solving therapy can be used to help you find solutions. Many times, individuals who suffer from depression will find they are subject to all treatment types over time as new things come up in life.

Meditation Treatments

Instead of going with medicinal treatments, therapists may recommend techniques such as meditation to help you clear your mind and focus on the positive. Meditation methods used each day can help you to begin a new outlook on life, letting go of any negativity. Other methods such as deep breathing or countdown techniques can be used when you feel anxious or stressed due to depression.

Medicines for Depression

Another treatment option is medicine. Antidepressants can be used to help make changes in the brain to result in a more positive attitude. Individuals react to antidepressants in different ways. One option might help one person feel less anxious or down while the medicine may have no effect on others. You may find that you have to try several alternatives before finding the right medication for your specific needs. Always consult your therapist if you feel that medication is not working so you can try something different for better results.

Alternative Methods for Treatment

Every therapist is different and will offer a variety of options to try and treat your condition. Alternative treatment options can include acupuncture or hypnosis. These have not been proven to be more effective than the traditional treatment options but are an alternative that can be tried. With acupuncture, pressure points are used to treat depression while hypnosis tries to change the mind to react differently to certain behaviors.

No matter which treatment option you use, it is essential to work with a licensed professional. We provide essential information on depression and how you can receive help from knowledgeable professionals. A professional therapist will be able to evaluate your specific needs and make changes to help you get on the path to healing.

Treatment of Mood Disorders

Mood disorder is a type of mental and psychological disorder that dramatically lowers and elevates a person’s mood. For a person with mania, change of emotions can be limitless. It can start from a depressive to an ecstatic state in a matter of minutes. Just in the U.S. alone, an estimated number of 20.9 million adults are suffering from this mental disorder.


Types of mood disorder

Mood disorder is categorized as a severe case of psychological illness in which it has two major types:

  1. Dysthymic disorder—this is a less severe form of anxiety and depression. Though it may not cause much trouble in the person’s daily activities, still the ability to think and decide can be a problem. Though considered less serious, people with dysthymia may also suffer from major and lengthy depression. Minor depression can last for only two weeks, but for major depression, it can go on for years until he gets treated.


Two forms of depression that can be life-threatening to both the patient as well as other people are psychotic depression and postpartum depression. Another form of depression is the seasonal affective depression in which the person gets easily affected by a change of weather.


  1. Bipolar disorder—this form of mood disorder is highly dangerous and devastating not just to the patient but to other people surrounding him. A person with bipolar disorder changes mood and energy level rapidly and unexpectedly. One moment he will be extremely happy and the next thing you know it; he will be under major depression.


Mood disorder: Its causes

Pinpointing the root cause of mood disorder can be untraceable. Medical practitioners are yet to discover the causes; however, these disorders are surely influenced by genetic, psychological, and environmental factors. Studies also show that the brains of people with mental disorders differ gravely to the brain of a healthy person. These illnesses can also be hereditary. In most cases, people suffering from a mood disorder have relatives who are also afflicted with the disease.


Signs and symptoms of a person with mood disorder

People with a mood disorder constantly changes behavior and mood. However, for the most part, these are utterly signs of depression. Warning signs include:t assistance in dealing with mood disorders.

  1.  Overindulgence in food
  2.  Loss of appetite
  3.  Inability to sleep
  4.  Excessive sleeping
  5.  Fatigue
  6.  High energy
  7.  Bodily pains and crampsealing with mood disorders.
  8.  Digestive problems
  9.  Problems with breathing
  10.  Inability to concentrate, decide, and remember details
  11.  Excessive imagination
  12.  Rapid speech
  13.  Sudden obsessive compulsiveness
  14.  Rapid change of ideas and get assistance in dealing with mood disorders.

Effects of mood disorder

Mood disorder can damage relationships and affect the ability of a person to function at work and at home. Because he is unable to focus even on a simple task, he could not work on his duties well and effectively. Aggression is a major sign of a person with mania, leading couples and families to separate. People with mood disorder also have a hard time figuring out a solution to a problem; making him consider committing suicide. This is why it’s imperative you find someone who is used to treating this condition and get assistance in dealing with mood disorders.

Treatment of Anxiety Disorders

Feeling your heart beating fast, your breathing accelerate, and your palms become sweaty are just a few of the symptoms of anxiety. When you suffer from anxiety, it can be difficult to socialize, go out and shop or just walk outside of the house. Treatment for anxiety can help you be able to live a quality life, being able to work as well as go about daily tasks such as shopping or socializing. The success of treatment will vary based on your level of anxiety as well as the treatment type used. There are several treatment options that can assist you in starting on the path to feeling calm and safe.

Therapy Methods

There are several therapy methods that can be used by a professional therapist to help you deal with anxiety. Cognitive behavioral therapy, or CBT, is a lasting treatment that is very effective. This treatment option focuses on identifying the issue behind your anxiety, understanding your thinking then making changes to think in a different way, along with behavioral patterns. Benefits of this therapy type can usually be seen within three to four months.

An additional option that can be used for treatment is exposure therapy. This is a form of CBT that will help to reduce the fear and anxiety response you feel due to certain activities or objects. You will be gradually exposed to the object or situation that causes this response and learn how to become less sensitive over a period of time. This type of therapy is proven to be effective on such issues as phobias or obsessive compulsive disorder.


A safe and effective way to treat anxiety that is commonly used is with medication. Medication is often used at the same time as therapy takes place to see results quickly. Medication can be used for a short time or for a longer term, depending on your individual treatment needs. The medical conditions you have as well as how severe your symptoms will be a dependent factor on what type of medication your therapist will try for your anxiety. It can take time to find the right medicine to affect your individual needs, so be patient if you have to try multiple options.

Alternative Therapy Solutions

If you are not comfortable with taking medication or you want to try a different method to solve your anxiety issues, consider alternative therapy. This can include stress techniques, relaxation methods, acupuncture, yoga or meditation. You can try all of these options to see which helps you relax best when you are having an anxiety attack or feel your anxiety levels rising. Most of these techniques can be completed at home and can help you learn how to control your breathing which will assist you when an anxiety attack occurs.

Working with a professional will ensure that you receive the right treatment for your individual needs. Talk with a therapist about what you are going through and have an evaluation completed. Learn how to recognize what type of anxiety you are having to find the appropriate treatment to feel better.

Treatment of Substance Abuse

Anyone can be a victim of substance abuse. Be it a child, an adult, the rich and famous, and the poverty-stricken. Once a person has been vulnerable to the calls of illegal drugs, it will be start of a miserable condition that affects not only the user, but also the people closest to him.


When and why a person starts to take illegal drugs?

There are many factors that can be considered why people, though prohibited and harmful, still contaminate their body with opium, heroin, marijuana, and other forms of controlled substances. Below are just a few:

  1. Not getting any happiness from what you are doing. Everyone is motivated to do things for just one reason—the hope of getting happiness from the results of his actions.You eat, make money, have sex, develop relationships, and wake up in the morning in the pursuit of happiness. But if these things are not met, you will feel hopelessness, helplessness, and powerlessness. You will feel utter loneliness, really. There is no other way to remove these unwanted feelings than to take addictive drugs. Because at some point, you will believe that happiness can be felt all over again if you’re high on dope.
  2. Environment. The old saying that goes, “Tell me who your friends are and I will tell you who you are,” applies to this next factor. If you are surrounded with people who take illegal drugs, sooner or later, you will also have to experience it as well.
  3. Media and advertising. You won’t know something unless you hear and see it. You won’t be craving for something that doesn’t ignite your desire. You can’t be addicted to something that you have not felt before. You won’t be missing something that you don’t know of yet. Media and advertising play a crucial role in the wellbeing, behavior, and the ability of a person to decide. Media and advertising are also the ones that introduces us to these controlled substances, be it in commercials or movies.


How to get out of substance abuse

When you find yourself imprisoned in the shackles of illegal drugs, be brave and decide to get out of it. This is the very first step. Your conscious decision that you want to be free from the slavery of drugs is what you need to effectively turn your back on these addictive substances.

After making the decision to end substance abuse, the next thing you have to do is to recognize that you need help. Without external forces to stop you from taking drugs, you will find it hard to escape from the demands. These external helps can be your family, a spiritual teacher, or a professional counselor.

Once you get help, immediately take on the necessary steps on how to get out of substance abuse. The journey to getting clean can be long and tough, but the success all depends on your commitment to change. Be willing and committed. The world is equipped with everything you need to change. You just need to get your feet on it.

Treatment of ADHD

Most people often shrug off other people’s stubbornness and hyperactivity. While most of them may be correct in their assumption, there are some instances that they are not. A person who is easily distracted, does not follow instructions, is extremely noisy and oftentimes, does not stay put in one place, you may want to talk to him because he might have attention deficit hyperactivity disorder or ADHD.

Behavioral disorder can affect anyone of all age levels. Studies also show that males are three times more prone to acquiring the disorder than females, but experts have yet to discover the reason behind this.

Signs of ADHD include inattention, hyperactivity, and impulsivity. People with this kind of behavioral condition have difficulty paying attention and have a high tendency to daydream. Staying interested in work and in business is also a challenge for them because they have concentration issues, which make it a little difficult to handle duties. Getting themselves to work on time is also a struggle.

People with ADHD act without thinking. This impulsiveness often results in outbursts of answers even when they are not asked. Because of this, they also have a high tendency to interrupt others. ADHD patients are also prone to talk excessively.

Causes of ADHD

According to the U.S. Centers for Disease Control and Prevention (CDC), studies show that ADHD is a condition that is greatly related to an individual’s genes. But aside from this, risk factors and possible causes of ADHD include the following:

  • brain injury
  • exposures to harmful chemicals
  • premature delivery
  • low weight at birth
  • the mother’s use of alcohol and tobacco during pregnancy

Symptoms in adults also include anxiety, low self-esteem, unorganized, and impulsive. They also tend to experience mood swings, which often lead to problems at work and in their relationships.

In some cases, ADHD is diagnosed after the patient has already reached adulthood when in fact the disorder had already manifested in his younger years. This is why it is important that there is someone who will remain vigilant and closely observant of the behavior of the person with ADHD.


There is no single test that can determine when a patient has ADHD. Doctors diagnose a patient with this behavioral disorder after conducting several tests that would single out each and every symptom of ADHD. One of these tests is an overall medical exam that would test the person’s vision and hearing to rule out any disease that would affect his attention span. Then the doctors would investigate the person’s behavior in work or business and at home by interviewing his family and friends.


ADHD is a disorder that cannot be fixed by medications. In fact, according to the CDC, ADHD is best treated with a combination of drugs and behavior therapy. ADHD patients should undergo behavioral therapy during his first treatment. However, the CDC warned that there is no single treatment for a person with ADHD, which is why it is important to monitor the patient closely.

Treatment of Sleep Disturbance

Sleep is something that can make you feel better. While it does miracles in improving a person’s mood, sleep is also essential to achieve total health. It rejuvenates the body and mind, and has quite a lot of benefits, including:

  • The improvement of person’s memory. Sleep works better than any brain supplement in making you a better learner. In fact, according to Dr. David Rapoport of the New York University Sleep Disorder Program, people are able to learn new things faster and better after getting enough sleep.
  • The treatment of inflammation in the body. According to a study conducted in 2010, sleep is found to be associated with a person’s blood pressure levels important factor in cardiovascular diseases like stroke and hypertension that is linked to inflammation. The study shows that more C-reactive protein, a substance linked to a person’s risk at having a heart attack, is produced when a person slept for only six hours or less.
  • The improvement in an athletes’ performance. A study from the Stanford University discovered that football players who slept as much as 10 hours for seven to eight straight weeks performed better, with more stamina and less daytime fatigue.

Unfortunately, every once in awhile people tend to experience difficulties in sleeping which are known as sleep disturbances. Sleep disturbances per se are not considered illnesses or disorders. Instead, they are signs that a person is dealing with a physical, spiritual, or mental problem.

The website Sleep Disorder Guide revealed that sleep disturbances which often manifest in the form of insomnia or sleeplessness indicate physical ailments, spiritual one-sidedness and mental imbalance. The site explained that in order to keep yourself healthy, you should maintain a balance. This means having too little or too much of something is not good, even if it is sleeping.


Samples of Sleep Disturbances

Sleep disturbances can come from both inside and outside of your body. Among most common examples of things that influence your sleep from the outside include environmental details such as light, noise, room temperature, the texture of your mattress, and the like.

Having to sleep in a place where there is a sudden change in altitude such as planes also disturb one’s sleep. When a person sleeps in a different bed or in a house other than his own it also affects his ability to sleep deeply. The timing of sleep can also be considered a great factor especially in children who were not given a specific bedtime.

Inner disturbances, on the other hand, affect a person’s sleep from inside his or her body. The best example of these is medications. Sleeping pills in particular hinder the body from achieving its natural sleep cycle because it forces the mind to rest. Substances with amphetamines such as psycho-stimulants and appetite suppressors also fall under this category.



One important term you should know about when studying about sleep disturbances is parasomnia. This term is used for irregular sleeping conditions such as sleepwalking, night terrors, nightly teeth grinding, nightly bedwetting, and periodic myoclonic episodes or cramp-like jerks during sleep.

Treatment of Adjustment Disorders

Generally, people can be able to adjust to life changes in a short span of time. Though some people find it hard to cope with such changes.  An adjustment disorder is any type of stress-related mental disability. A person may feel depressed, anxious or worse contemplate committing suicide.

A person with adjustment disorder may find his daily patterns of activities overwhelming and has a tendency to make careless decisions. The bottom line is, the person is having a hard time adjusting to changes in his life and it poses a severe consequence.

Small problems like transferring to a different school, a disease, work-related problems, or any stressful event in a person’s life seem to be an enormous problem to hurdle through and weights you down is a general symptom of the problem. Symptoms though may be different from person to person and can be in any form from the list below:


Emotional Symptoms

Emotional signs and symptoms of adjustment disorder may influence how you feel and think about yourself. These can be accompanied by some of the following symptoms:

  • Melancholy
  • Discouragement
  • Lack of enjoyment and satisfaction
  • Anxiety
  • Nervousness
  • Crying spells
  • Difficulty sleeping
  • Concentration problems
  • Worriness
  • Jitteriness
  • Desperation
  • Feeling overwhelmed
  • Thoughts of suicide

A person who is suffering from adjustment disorder may experience some if not all of the symptoms listed. If you have most of the signs listed above, it is best to seek advice.


Behavioral Symptoms

Emotion and behavior are directly correlated to each other. As your emotions are disturbed, your actions correspond to how you feel as a way of dealing with your emotions. Some common signs and behavioral symptoms of adjustment disorder may be:

  • Avoiding and warding off family and friends
  • Neglecting bills
  • A tendency to be defensive
  • Fighting
  • Poor performance at work or school
  • Skipping school
  • Reckless driving
  • A reckless attitude

Duration of symptoms

The length of these symptoms can also vary from person to person.


Acute Adjustment Disorder – Symptoms that last for 6 months or less. In most cases, symptoms would calm down once stressors are cut out. A brief professional treatment would help to ease and remove symptoms.


Chronic Adjustment Disorder – This is when symptoms last more than 6 months. In such cases, symptoms continuously become bothersome and prevent you from living a normal life.  A professional treatment would aid to improve and prohibit the condition from getting worse.


Getting professional help

Most of the times, we are able to pull through with the stressful changes in our lives and the symptoms of adjustment disorder gets better because the stress is lessened. Sometimes they persistently remain, or new life changing stressors come up. When this happens it is best to seek professional advice to be able to get back to life again.


Suicidal thoughts

When symptoms have worsened and you or someone you know has contemplated on committing such an act, it is best to get help right away. The only way is to have the guidance of a doctor, a nurse or a mental health professional so you would know the steps to take.

Treatment of Medication Management

Medication therapy management is a close monitoring of medications in patients to confirm if he is adhering to the medication regimen, while also protecting the patient from potentially lethal drug interactions and other complications. This is notably significant for people who are taking large numbers of medications to address multiple illnesses and chronic diseases. Taking large numbers of medications is known as polypharmacy and is especially common among older people, because they are more likely to take in many medications to manage vast numbers of chronic conditions.


Aspects of medication management

There are different aspects to medication management, all of which are concentrated on making sure that the medications are utilized properly.

Keeping track of all the medications the patient is using is a significant part of medication management. Tasks in this area includes, organizing a printed list of medication descriptions, their dosage, how and the procedures they are going to be used. These lists can be kept in the patient chart and handed over to the patient to aid them in tracking the drugs they are using and to help them understand why those different medications are prescribed.

Medication monitoring is also an important aspect of medication management. These medications should commonly be taken in definite doses and at set intervals. Complications can be a result of missing a dose or the incorrect timing of such medications. Several strategies need to be employed in order for the patient to meet the specific time and doses of each drug. This includes setting reminders for patients at a specific time they need to take their drugs up to filling up pill cases and marking lids of each compartment to point out when the contents need to be taken.

Checking for adverse drug interaction is also another important aspect of medication management. It also includes explaining directions to patients on how to take their medications. This aspect includes making sure that patients on certain medications with known adverse reaction to drugs are not provided with incompatible prescriptions. This also consists of reminding patients in cases where a drug needs to be taken with food or not, and warning them of possible side effects which can interfere with their activities.


The importance of medication management

Early medication management is important because of several reasons. In most case studies done by different organizations, it has been found to significantly reduce the risk of readmission to the hospital facility, reduces the length of hospital stay and significantly reduces the risk of death. Medication management not only reduces such factors but also lowers the costs inhibited by the patient. It has a great impact on the quality of life as clinicians make an effort to keep the patients happy and healthy. It also is correlated to the patient’s well-being as they are closely monitored and managed.

There are a number of techniques and systems employed to have a good medication management. Among them are computers at the pharmacy to keep track of the patient’s prescription history to keeping a detailed patient’s record to raise compliance with drug regimen and avoid conflicting drug medications.

What is your Finacial Policy?

- We deal directly with commercial health insurance companies

- We provide appropriate documentation which allows our patients who choose to file for additional reimbursement the documentation they need to do so. 

- Co-Payments due at time of service

- We accept: Cash, Checks, Visa, Mastercard and Discover

- Missed appointments or appointments canceled less then 24 hours before the scheduled appointment will be charged the full fee of the appointment before another appointment can be scheduled.

What is a Psychiatrist?

A psychiatrist is a medical doctor just like your pediatrician, your internist, or your surgeon.  The difference is that after completing medical school a psychiatrist spends four years specializing in mental health.

Wahts the Difference Between a Psychiatrist and a Psychologist?

A psychologist is a mental health professional with a Ph.D. in Psychology.  In this case the title "Doctor" refers to the individual's academic degree.

Psychiatrist and psychologists rely on each other to provide the most complete care for their patients.

What is a Physician Extender - (NP-PA)

A Physician Extender has received the appropriate degree and experience within a specific specialty area and is individually licensed by the state. They are mainstream providers who provide high quality healthcare services, acting as an extension of our doctors. They may treat, diagnose, and prescribe for a patient whose condition is within their specialty area of practice.

PE’s teach patients how to get health and stay healthy by:

  • Diagnosing and treating illness
  • Prescribing medications
  • Ordering and interpreting laboratory tests
  • Educating patients
  • Coordinating healthcare services.

What is Brain Health?

At Smart Neuro Health, we don’t think of mental health as mental health. We think of it as brain health. Why? Because of the stigma associated with mental health treatment. One strategy to decrease this stigma is to educate the public that mental disorders, rather than being character flaws or personal weakness, have a biological and neurological basis.

What if mental health problems were evaluated and treated like other medical issues, and physicians were using functional imaging tools, genetics, and other markers to guide treatment?

Currently, doctors prescribe psychotherapy or powerful combinations of medications without ever looking at how an individual patient’s brain works. When it comes to behavior, learning or emotional problems, doctors prescribe treatments in the dark. But, not at Smart Neuro Health & Wellness Centers. We look at your whole-body health and its history.