EpiphanyClinic BC
Our goal at EpiphanyClinics is to help you meet your full potential in life. We offer detailed assessments, disability documentation, counseling, executive skills coaching and medication management. Come in and see us.
We have re-branded. Our new name is EpiphanyClinic BC. The epiphany is the 'aha' moment when you put two and two together, generating a transformative insight. If you have questions, please don't hesitate to contact us at info@northshoreadhd.com. You can also reach us by fax at +1 778-508-3552. Talk soon.
To whom it may concern,
The impact that EpiphanyClinic BC has had on my life is inexpressible. When I came to see them it felt like there were so many moving pieces. I didn't have the tools to communicate my needs. Anyways, Dr. Ocana just cut right through all the static. It changed everything and set me on the path to --not just actualizing my potential-- but finding contentment within myself (I can't overstate the difference it makes to a confused kid, just having somebody on your side; someone to speak for you, when you aren’t able to speak for yourself)
It was a real turning point in my life. Dr. Ocana made a difference. Sorry if it's a little cheesy, I just don't think I've ever properly thanked him.
kp
Why Assess
and Treat ADHD?
ADHD is the most common neuro-developmental disorder. It is more heritable than eye color. It's more common than anxiety and bipolar disorder combined. At least 50% of kids with ADHD grow up to be adults with ADHD.
People who have ADHD are twice as likely to drop out of school, become parents in their teens, have their electricity cut off, get fired, go bankrupt. They are three times more likely to fail in relationships, get divorced or get injured in car accidents.
But the greatest injury of all, is the steady decline in self-esteem that accompanies repeated failure, despite their best effort. That's a catastrophe.
That's why we treat it.
Assessment
Assessments at EpiphanyClinic BC are detailed, comprehensive and solution-focused. We listen to your story, screen and assess you for 16 different mental health conditions, and document a full and nuanced summary of your socio-emotional health. The real you.
Here's an overview of what goes into every assessment:
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Summary of current concern
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Detailed overview of the symptoms and in which areas of your life where they are having the most impact.
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Summary of severity of each symptom and lifetime impact
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Genetics, Child and Family history
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Screen for other associated conditions and their severity
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Assess 24 different functions in social, emotional and executive domains to determine your Overall Current Function.
Estimado Dr. O,
Gracias, gracias Gracias.
Hiciste que fuera tan fácil abrirme sobre mis problemas. Aunque todavía lucho mucho, has cambiado mi vida, y por eso no puedo agradecerte lo suficiente. Siempre he sentido que luchar mentalmente está mal y me mostraste que estaba bien.
Atentamente, ST.
Treatment
At EpiphanyClinics you will benefit from our 30 years of experience helping people with complex mental health conditions. We specialize in medical treatment, but we are also trained to offer executive function coaching and different types of psychotherapy. There are many other kinds of treatments which can help, we are happy to connect you with those practitioners, to create a truly multi-disciplinary approach to your health journey.
Hola Dr. Ocaña
Usted me diagnosticó TDAH en 2009 y quería decirle la gran diferencia que ha hecho en mi vida. La vida todavía es abrumadora a veces, lucho con tendencias impulsivas relacionadas con la comida e Internet, que se ven atenuadas de alguna manera por la medicación. Todavía tengo muchas formas de mejorar, pero al menos tengo un punto de partida :)
Recuerdo que te conté sobre la solicitud de admisión a la escuela de medicina. Lo estoy haciendo, aunque me asusta más que cualquier cosa que haya emprendido.
He leído las entradas de tu blog con mucho interés y me interesaría mucho tu póster sobre el consumo de cocaína y el TDAH.
Perdón por la naturaleza inconexa de este correo electrónico. Espero que te encuentres bien.
SL
Estimado Dr. Ocaña
Te reuniste con (mi pareja) ayer y solo quiero GRACIAS, desde el fondo de mi corazón. La información que le proporcionó en 20 minutos hizo más por él que miles de horas de asesoramiento y terapia a lo largo de su vida. Espera informarse sobre el Síndrome de Deficiencia de Recompensa y obtener de usted la ayuda que tantos médicos, consejeros y psiquiatras no pudieron precisar.
Hoy se quebró, ha llorado casi todo el día, creo que en cierto modo está aliviado, pero a la vez asustado. Una cosa que sí sé es que está LISTO para disfrutar los próximos 30 años de su vida.
Él tiene una cita de seguimiento programada con usted. y espera comenzar el tratamiento.
Why Treat Addiction?
If you take 100 people off the street and give each of them an addictive substance, only 20% will get addicted. That's 20% of the entire population. They are our sisters, cousins, parents, brothers, neighbors and co-workers, and they need our help.
They say that where there is addiction, there is pain. That pain can be depression, anxiety, trauma, boredom or actually real physical pain. The substance (or addictive behavior) is a compensation for that pain. It's what that person has learned to do when their brain says, "do something".
Let us know your pain. We'll pack some resources and walk, with you, down the path of wellness. Let's start today.
Estimado Dr. Ocaña
Te reuniste con (mi pareja) ayer y solo quiero GRACIAS, desde el fondo de mi corazón. La información que le proporcionó en 20 minutos hizo más por él que miles de horas de asesoramiento y terapia a lo largo de su vida. Espera informarse sobre el Síndrome de Deficiencia de Recompensa y obtener de usted la ayuda que tantos médicos, consejeros y psiquiatras no pudieron precisar.
Hoy se quebró, ha llorado casi todo el día, creo que en cierto modo está aliviado, pero a la vez asustado. Una cosa que sí sé es que está LISTO para disfrutar los próximos 30 años de su vida.
Él tiene una cita de seguimiento programada con usted. y espera comenzar el tratamiento.
If a patient has Depression and ADHD, which should you treat first?
Most clinicians have been trained to treat the Major Depressive Disorder (MDD) first. Well actually, most clinicians miss the ADHD, because they have not been trained or refuse to recognize ADHD. So they treat only the Depression.
Other clinicians, even if they do diagnose the ADHD, will still treat the MDD first, because that's what they have been trained to do.
We've been collecting ADHD and MDD data for over 20 years. The data says the best outcomes are associated with treating the ADHD first. Why would that be? Again the data shows that treating the ADHD first improves cognition and executive function, which decreases distress and therefore improves mood indirectly. Whereas treating the MDD first, with an SSRI, usually, increases mood directly, but is associated with worsening of cognition, executive function and impulsivity.
Research has shown that SSRI's stimulate Serotonin circuits, but Serotonin competes with Dopamine.
So treating the ADHD first is a win-win, while treating the MDD first is a win-lose.
