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Brain, Mind & Culture
Understanding ourselves requires recognition of how genetic predispositions
encounter family and social influences
across the lifespan, affecting the neuroanatomy and neurochemistry of the developing brain. Sometimes genetic factors are the main causes of mental illness. Sometimes learned behavior predominates. Both usually are involved.
The experiences that result from nature and nurture interacting are saved as both conscious memories and unconscious habits, some of which may cause defensiveness and other problematic behaviors for which people seek help.
Correcting problems that result from biology, difficult life experiences, or both may require psychiatric medication, individual psychotherapy, couples therapy, family therapy, social changes, or a combination of some or all of these.
We take care of your health
To deliver the highest quality psychiatric care in the State of Arizona
To try to iunderstand both the problematic symptoms and their underlying causes
To integrate neuroscientific and psychoanalytic knowledge whenever possible
My name is Dr. Richard Gottlieb. I am a psychiatrist and psychoanalyst in private practice in Scottsdale, Arizona, where I have practiced since 1986. I graduated Arizona State University Magna Cum Laude with a BS in Psychology in 1978, the University of Arizona College of Medicine with an M.D. in 1982, Harbor-UCLA Medical Center Psychiatric Residency in 1986, and the Southern California Psychoanalytic Institute with a Doctor of Psychology in Psychoanalysis in 2005. I am a past president of the Southwest Psychoanalytic Society and a current board member.
I look forward to helping you meet all your treatment needs. I accept most insurance plans to perform psychiatric evaluations and to manage psychiatric medications (if they are indicated). Should you wish to use your insurance to do psychotherapy or counseling, I am happy to help you find a competent psychologist or counselor that accepts your insurance. I am also available to do psychoanalytic psychotherapy (a more intensive form of psychotherapy than is usually covered by health insurance) and psychoanalysis on a cash basis.
In the pages that follow, you will find answers to many of your questions about the most common treatment options that are available to people who struggle with depression, anxiety, mood swings, difficulty sustaining attention, compulsive behavior, relationship problems, substance abuse, and many other emotional and mental health problems. While I hope this information proves useful to you, a comprehensive psychiatric evaluation is necessary to individualize treatment because we are all different. Our unique genetics, physiology, and life experiences make our problems best treated with a personalized treatment plan.
Many patients suffering from psychiatric disorders seek help from their primary care and/or other physicians. Often these doctors can stabilize symptoms with common psychiatric medications. Sometimes, however, a more sophisticated evaluation and treatment plan developed by a psychiatrist is necessary. Complex medication combinations may be necessary to manage or resolve emotional symptoms. Sometimes medication alone is insufficient, and should be used in combination with psychotherapy. Sometimes medication is not even indicated, or worse, delays effective psychotherapeutic treatment. A good evaluation by a psychiatrist can prevent costly and painful delays in getting relief from these symptoms and, when possible, to cure underlying psychological problems that are generating them. That is when seeing someone like me can be especially helpful.
Please call my office at 480-477-7793 during usual office hours if you wish to schedule an initial evaluation. You will be greeted by a receptionist who will forward your call to my extension. The receptionist answers calls for the entire office complex, and so you will not be able to leave messages with her. You will, however, be able to leave a voicemail on my extension. Either I, or my staff, will return your call as soon as possible.
Please leave in your voicemail dates and times when it will be easiest to reach you. On evenings and weekends, my phone is forwarded to my answering service, who will either call me or the doctor on call for me - for emergency calls only. If you are having a life-threatening emergency, you should hang up and dial 911, rather than have me paged, as failing to do so could risk a dangerous delay in you getting help from paramedics. After hours, you will not be able to leave routine messages with my answering service. Please call back during usual office hours to leave scheduling and billing questions, or to report non-urgent medication side effects.
Richard Gottlieb, M.D., Psy.D. Psychiatry & Psychoanalysis