D&Y's combination therapy integrates psychiatric medication management with supportive therapeutic techniques — within the scope of outpatient psychiatric practice — for patients whose conditions benefit from both.
Many psychiatric conditions respond best to a combination of medication and therapeutic support — not one or the other in isolation. D&Y integrates CBT principles, Motivational Interviewing techniques, and psychoeducation into psychiatric appointments for patients whose treatment plans call for it — and coordinates actively with any outside therapist already involved in your care.
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Integrated Care Model
Telehealth · Statewide CaliforniaUnderstanding the scope of this service is the most important step. Honest framing is what makes combination therapy at D&Y genuinely useful — and genuinely trustworthy.
What Combination Therapy at D&Y Includes
What Combination Therapy at D&Y Does Not Include
Not every patient needs combination therapy — and Your provider will be direct about which approach makes the most clinical sense for your situation.
Some conditions — particularly anxiety, PTSD, depression, and OCD — respond significantly better to a combination of medication and structured therapeutic support than to medication alone. D&Y identifies these cases at evaluation and builds the treatment plan accordingly.
If you are working with a therapist and need psychiatric medication management that is coordinated with your therapeutic work rather than siloed from it, combination therapy at D&Y is built for exactly that situation. D&Y communicates with your therapist and aligns treatment goals across both relationships.
Life events — job loss, relationship changes, grief, career transitions — can destabilize otherwise well-managed conditions. Combination therapy provides both the medication stability and the practical behavioral support to move through the transition without losing ground.
D&Y explicitly values collaboration with therapists and other providers. Psychiatric medication management without therapeutic support is often insufficient for conditions like PTSD, complex anxiety, and mood disorders. We do not pretend otherwise.
If you are already seeing a therapist, Your provider will ask for their contact information and, with your consent, communicate directly to ensure your medication plan and your therapeutic goals are aligned. You should not have to be the conduit between your providers.
If you need a therapist but do not have one, D&Y actively cultivates referral relationships with trusted therapist partners. He refers with specific recommendations — not a generic "you should try therapy" suggestion — and follows up to make sure the referral actually connects.
How Coordination Works
Your provider evaluates whether your condition is best served by medication alone, combination therapy, or primarily therapeutic support with medication as secondary. That conversation starts at your very first appointment.
With your consent, D&Y communicates with your current therapist or refers to a trusted partner if you do not yet have one. The goal is a unified treatment direction — not two providers working in parallel with no contact.
Treatment goals are reviewed at every psychiatric visit. If your therapist recommends adjustments based on what they are seeing, We are receptive to that input. Your care team works together — and you are not left translating between them.
These are not add-ons or extras — they are woven into the clinical conversation when your treatment plan calls for them.
CBT Principles
One of the most well-researched therapeutic approaches for anxiety, depression, and OCD. D&Y incorporates CBT-informed thinking into medication appointments — helping patients recognize patterns in their thinking and behavior that affect their symptoms and their treatment response. In practice: you start to understand why certain situations trigger certain responses, and what to do about them.
MI Techniques
A collaborative, evidence-based communication approach that supports treatment engagement and behavior change. Particularly useful for patients who are ambivalent about medication, uncertain about diagnosis, or struggling to follow through on treatment plans. In practice: Denis meets you where you actually are, not where he expects you to be.
Psychoeducation
One of the most underutilized tools in psychiatric practice. D&Y ensures every patient understands their diagnosis, the mechanism of their medication, what to expect, and how to evaluate whether treatment is working. In practice: you leave each appointment knowing more than when you walked in — not less. Patients who understand their own care are more engaged, and get better outcomes.
The following conditions at D&Y are often best managed with a combination approach — D&Y evaluates each case individually and recommends the appropriate level of therapeutic integration.
Not every patient with these conditions needs combination therapy — Your provider makes that determination at evaluation based on clinical presentation and the patient's own goals.
Combination therapy is provided within standard psychiatric appointments — not separate sessions.
45–60 minutes for follow-up visits that include therapeutic work.
60–90 minutes — this is always first. See the evaluation process for what to expect.
Most combination therapy services are billed as psychiatric visits. Coverage confirmed before your first appointment. View pricing & insurance details.
Available with patient consent — We communicate directly with your therapist to align treatment goals.
Available if needed — D&Y maintains referral relationships with trusted partners and follows up to ensure connection.
That is exactly the right question to bring to an appointment. We will help you think through it honestly — and recommend the approach that actually fits your situation, even if that means pointing you somewhere else.
Now accepting new patients · Most insurance accepted · Telehealth statewide in California
D&Y Integrated Psychiatry provides outpatient psychiatric care — not crisis services. If you need immediate support, the organizations below provide free, confidential help 24 hours a day. You do not need to be a D&Y patient to use any of these resources.
D&Y Integrated Psychiatry does not endorse or have a formal affiliation with the external organizations listed above. These resources are provided for informational purposes only. Listing does not constitute a referral or clinical recommendation. Links are verified at time of publication and may change.
