HOW I WORK
Good psychiatric care requires more than a diagnosis and a prescription. It requires understanding the full complexity of a person’s life — and responding to it thoughtfully.
Core Principles
These aren’t marketing statements — they’re the actual values that shape every clinical decision.
01
Integrated Treatment
Medication management and psychotherapy are considered together — not as separate tracks but as complementary tools in a unified treatment plan. The best outcomes come from addressing both the biological and psychological dimensions of a person’s experience.
02
Careful Diagnosis First
Thorough evaluation before any recommendation. Dr. Carp takes time to understand prior history, current context, and long-term patterns before suggesting any course of action. A correct diagnosis is the foundation of effective treatment.
03
Conservative Prescribing
Medication is used thoughtfully, not reflexively. The goal is always the minimum effective approach. When appropriate, treatment may include simplifying or reducing existing medication regimens — not just adding more.
04
Psychodynamic Foundation
Dr. Carp completed a fellowship in psychoanalysis and brings a deep understanding of unconscious patterns, relational dynamics, and the psychological roots of symptoms. Insight-oriented work is offered alongside structured, evidence-based approaches.
05
Patient Autonomy
Treatment options are presented with full information about risks and benefits. Patients choose what works best for them. Dr. Carp’s role is to inform, guide, and support — not to override a patient’s judgment or preferences.
06
Longitudinal Thinking
The goal is not just symptom relief — it’s lasting change. Dr. Carp thinks in terms of years, not weeks. Treatment is designed to build capacity, resilience, and self-understanding over time, not just to stabilize acute episodes.
“Psychiatric care is most effective when symptoms, medications, relationships, personality, and life context are considered together — not in isolation.”
— Dr. Ruxandra Carp
Why Telehealth
This is a telehealth-based practice — not by necessity, but by design.
Privacy
No waiting rooms. No chance encounters. Care delivered discreetly, from wherever you are most comfortable.
Continuity
No disruptions due to travel, weather, or schedule. The therapeutic relationship stays consistent regardless of where life takes you.
Efficiency
No commute, no waiting. Sessions start on time. For patients with demanding schedules, this makes consistent care genuinely achievable.
Clinical Depth
Remote care does not mean superficial care. The clinical relationship, the quality of attention, and the depth of work remain fully intact via video.
Request a Consultation
A brief initial conversation helps determine whether the practice is the right fit — on both sides.