Patient Education

Sarah Baxley would like to be your partner in health care. Feel free to ask your questions and share your concerns with us. We will work with you to develop a wellness program for the care and treatment you need.

We welcome you to our practice and look forward to caring for you.

Sarah Baxley provides a full range of medical services including the following:

Adult ADHD

Attention-deficit hyperactivity disorder, commonly known as ADHD, is chronic disorder that includes symptoms of inattentiveness, hyperactivity, and impulsive behavior. ADHD is commonly diagnosed in young children, however, many people continue to suffer from this condition as adults. Adult ADHD is typically more subtle and harder to diagnose, but affects many adults that were diagnosed as children. Most adults with ADHD had ADHD as children, even if it was never diagnosed. Some people with ADHD have fewer symptoms as they get older, while others continue to have significant symptoms as adults. ...

Bipolar Disorder

Bipolar disorder, previously known as manic-depressive illness, is a complex psychiatric disorder that involves sudden and dramatic mood swings between mania and depression. An episode may last for hours, days, weeks or months and symptoms may be severe, sometimes resulting in dangerously impulsive or self-destructive behavior and sometimes leading to depression so deep it results in suicide. ...

Depression

Depression is a medical condition that causes extreme feelings of sadness and emptiness. People who suffer from depression may lose interest in activities they once enjoyed, and experience a constant feeling of hopelessness on a daily basis. Depression, also known as clinical or major depression, may be triggered by certain events or occur along with other illnesses. Severe depression can interfere with a person's ability to work, sleep, eat, interact with others or enjoy life. With treatment, however, depression can become a manageable condition. ...

Generalized Anxiety Disorder

Generalized anxiety disorder, or GAD, is a psychiatric problem in which anxiety is not a temporary state but a chronic condition. While it is normal for all individuals to worry about an upcoming event such as an examination or job interview, patients with GAD are in a perpetual state of anxiety, unable to relax. The disorder may become so severe that it interferes with school, work or relationships. GAD is a very common disorder, affecting millions of individuals in the United States alone. More than twice as many women as men suffer from the disorder. ...

Insomnia

Insomnia is a sleep disorder that involves difficulty falling asleep or staying asleep, sometimes both. Although most people suffer an occasional sleepless night, patients with insomnia have difficulty sleeping on a regular basis. This condition affects approximately 1 in 10 people in the United States and can lead to other troubling symptoms, such as fatigue, low energy level, and a weakened immune system. While insomnia is not normally considered a serious medical disorder, it can make life difficult, or even unmanageable. ...

Psychiatric Mental Health Nurse Practitioners

Psychiatric mental health nurse practitioners (PMHNPs) are mental health care professionals who begin their professional careers by attending nursing school, and then going on to complete either master's or doctoral degrees. They are trained to work with individuals and families with psychiatric disorders, and to consult with groups, communities, legislators, educators and corporations. They provide a full range of psychiatric and mental health care, including the administration of psychotherapy and the prescription of medications. In at least 20 states, psychiatric nurses are licensed to treat patients in private-practice venues. ...

Sleep Disorders

Sleep disorders are disturbances in sleep patterns. They involve difficulty falling asleep or staying asleep, excessive daytime tiredness, irregular breathing during sleep, or abnormal sleep behaviors. Sleep disorders may develop as a result of changes in the neurotransmitters of the brain, taking certain medications (such as corticosteroids), illness, stress, anxiety, depression, excessive caffeine or alcohol, or drug use. A sleep disorder can interfere with daily activities, and affect overall health and quality of life. When accurately diagnosed, however, most sleep disorders can be effectively treated. ...

Psychotropic Medications

Psychotropic medications are drugs that alter chemical levels in the brain, affecting mood, perception and behavior. Such drugs have been in existence for hundreds of years, both from natural substances and chemical derivatives, and have been used by many cultures for medicinal and hallucinatory purposes. While many of these drugs are dangerous and illegal, during the last 50 years new medications have been researched and developed under strict scientific control to become effective, often lifesaving, prescription medications for psychiatric disorders. ...

Addiction

An addiction is an uncontrollable dependence on a certain substance or activity. People become addicted to different things for different reasons, but can be affected both physically and psychologically. With addiction, the activity or substance often becomes the major focus of a person's life, leading to the exclusion of other activities, impairing work, social, and family responsibilities, and affecting the individual's health, mood, and self-respect. Addicted individuals may suffer from anxiety, low self-esteem or depression and often feel as if they have no control over their lives or behavior. ...

Autism

Autism, or autism spectrum disorder (ASD), encompasses a range of pervasive developmental disorders. These disorders vary in degree from mild forms like Asperger's syndrome to severe impairment.

Autism is characterized by difficulties with communication and social interaction and by repetitive behavior patterns. The disorder has become very common, occurring in more than 1 percent of children. Autism is four times more likely to occur in males. Besides Asperger's syndrome, there are several other types of ASD, including pervasive developmental disorder not otherwise specified, childhood disintegrative disorder, and Rett's syndrome. ...

Adjustment Disorders

An adjustment disorder is a syndrome in which the patient experiences psychological and sometimes physical symptoms as a result of a stressful life event. While anyone might be expected to have reactions to a stressor, such as the death of a loved one or a divorce, when the reaction is extreme and interferes with normal functioning for an extended period of time, it is designated an adjustment disorder. ...

Agoraphobia

Agorabphobia is an anxiety disorder in which the patient fears being in public places, particularly crowded ones. Agoraphobia is closely linked to panic disorder. As a matter of fact, the problem is often referred to as panic disorder with agoraphobia.

Agoraphobic patients are afraid of being in public situations, experiencing feelings of distress, and being unable to get help. Such feelings of distress might include acute embarrassment or a sensation of being trapped. In extreme cases, agoraphobia may keep patients housebound. Some patients with agoraphobia are frightened by being on bridges or being outdoors alone. ...

Alcoholism

Alcoholism is a chronic addiction disorder in which a person becomes dependent on alcohol. Individuals with this condition are unable to control how much they drink and often experience serious consequences as a result of their alcohol consumption. Some people may not be characterized as alcoholics, but can suffer from alcohol abuse, meaning that they drink excessively but are not fully dependent on alcohol. Both conditions are considered serious and require long-term treatment in order to resume a normal, fully functioning lifestyle. ...

Athletic Stress

While physical exercise has proven to be a powerful tool in stress management, athletic endeavors can create stress of their own. A certain amount of stress is inherent in competitive sports, but managing athletic stress is necessary in maintaining physical and mental fitness. Stressors involved in athletic involvement include: ...

Autism FAQs

What is autism?

Autism, also called autism spectrum disorder (ASD), is the most common pervasive developmental disorder, affecting more than 1 percent of children. The condition interferes with communication skills and social interaction and involves ritualized and repetitive behavioral patterns. It is usually diagnosed during early childhood. Early interventional treatments have been demonstrated to help children with the disorder develop improved language and social skills and to cope more successfully with their environment. ...

Borderline Personality Disorder

Borderline personality disorder, or BPD, is a psychiatric disorder characterized by mood instability, impulsive behavior and difficulties with relationships. The symptoms usually appear in adolescence or young adulthood, but may begin to be evident in childhood.

Risk Factors for BPD

The precise causes of borderline personality disorder are unknown, but there seem to be genetic and environmental factors at play in the development of the condition. Studies of twins have demonstrated a hereditary link to the disorder. In patients with BPD there appear to be abnormalities on the genes regulating emotions and impulse control. Females are three times more likely to be diagnosed with BPD than males. ...

Conduct Disorder

A conduct disorder is a mental disorder that may occur during childhood or adolescence. Children and adolescents with conduct disorders experience ongoing emotional and behavioral problems that may include difficulty following rules, defiant or impulsive behavior, criminal activity or drug abuse. Boys are more prone to conduct disorders than girls and many individuals are also afflicted with other disorders such as anxiety, attention deficit disorder, or post traumatic stress disorder. ...

Cognitive Behavioral Therapy

Cognitive behavioral therapy is a type of psychotherapy used to treat psychological and psychiatric disorders. It is based on the idea that the patient's unhealthy behavior is the result of distorted thinking, rather than external situations or other people.

Cognitive behavioral therapy trains patients to become aware of their own damaging thoughts and to consciously alter them in productive ways. This treatment is based on the concept that as patients think more clearly, they will react more rationally, with enlightened self-interest. Cognitive behavioral therapy requires honesty and commitment, but can provide great benefits in terms of mental health. ...

Dissociative Disorders

Dissociative disorders are characterized by a sense of disconnection from oneself or from certain memories or experiences. Such disorders are believed to be the result of traumatic experience. The sense of being walled off from the trauma is considered to be a coping mechanism to keep extremely painful memories at bay. ...

Kleptomania

Kleptomania is an impulse control disorder that involves an uncontrollable urge to steal. People with kleptomania usually steal items that they do not need and are of little value. They know that what they are doing is wrong, but cannot resist the urge to do it. Kleptomaniacs often experience uncomfortable feelings of anxiety and tension that can only be relieved by stealing. They then feel pleasure and relief while stealing, and then guilt and shame afterwards. They often also feel remorse and fear of arrest, but the urge to steal is so strong, it often returns and the kleptomania cycle begins again. ...

Other Mental Health Care Professionals

In addition to psychiatrists, social workers, professional counselors and psychiatric nurse practitioners, there are several other types of mental health care workers providing valuable services in various aspects of mental health care. Although specific training is required for each specialty, there are common elements involving patient care, confidentiality and compassion. ...

Obsessive Compulsive Disorder

Obsessive compulsive disorder (OCD) is a common anxiety disorder involving disturbing repetitive thoughts and rituals designed to try to alleviate such thoughts. The thoughts are obsessions; the rituals are compulsions. OCD affects millions of people and may be associated with other types of psychiatric disorders. ...

Panic Disorder

Panic disorder is an anxiety disorder in which patients suffer from sudden and unexplained attacks of extreme fear and loss of physical and psychological control. They may feel in terrible danger of overwhelming embarrassment or death. Panic attacks are sometimes precipitated by an anxiety-producing event, but often seem to occur without any provocation and are all the more terrifying for that reason. ...

Personality Disorders

A personality disorder is a psychiatric illness in which the patient's thoughts, emotions and behaviors are distorted in unhealthy ways. Patients with personality disorders tend to be inflexible and may appear irrational, at least at times, to those around them. Over a long time period, their behavior leads to serious difficulties in school, in the workplace and in relationships. For those with personality disorders, life is troubling and often stormy. For them, everyday stresses often represent overwhelming, or even, insurmountable problems. Believed to begin in childhood, personality disorders may have genetic, as well as environmental underpinnings and are often difficult to treat. ...

Phobias

A phobia is a psychiatric disorder in which the patient suffers a lasting, irrational fear precipitated by a harmless object or situation. A patient with a phobia experiences intense anxiety upon exposure to the trigger and may experience anticipatory anxiety as well. Patients with phobias may be aware that their fear is irrational, but may nonetheless find it overwhelming or even disabling. Phobias which develop in childhood, such as a fear of bees or of thunder, are frequently outgrown, while phobias that develop in adulthood may be longer lasting. Nonetheless, about one-fifth of all phobias resolve without treatment. ...

Post-Traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a psychiatric condition triggered by a traumatic event during which great physical harm occurs or is threatened. While almost everyone experiences trauma at one time or another, for most people the feelings of terror and helplessness subside over time. For patients with PTSD, symptoms may appear later, last longer and be much more severe than for the average person. There are many reasons an individual may develop PTSD, none of them under the individual's control. ...

Psychotherapy

Psychotherapy, also known as talk therapy or counseling, includes several types of treatment for psychological distress or psychiatric disorder. Psychotherapy involves discussions with a trained professional in order to clarify patient thinking and behavior. Just about any type of emotional disturbance can be effectively addressed with psychotherapy, although in many cases other methods of treatment, such as medication, will be necessary as well. ...

Schizophrenia

Schizophrenia is a serious psychiatric disorder involving delusions, hallucinations, paranoia and terrifying thoughts. Research has shown that approximately one percent of the population suffer with this condition.

The symptoms of schizophrenia most often become evident in early adulthood, beginning a bit earlier in men than in women. In addition to seeing and hearing things that are not present, schizophrenic patients may believe that other people have invaded their minds or are controlling their thoughts. They may perceive themselves to be in grave danger. With such disturbing thoughts, it is no wonder that patients with this disorder behave in bizarre ways, express garbled ideas, and have difficulty living their lives in the real world. ...

Seasonal Affective Disorder

Seasonal affective disorder, also known as SAD, is a depressive disorder that occurs in accordance with the seasons. Most people with seasonal affective disorder experience symptoms in the fall and winter seasons. More rarely, patients experience this condition during the spring and summer. It is important to seek medical attention for this condition not only to maintain mood stability, but to prevent symptoms from worsening. ...

Self-Injury

Self- injury, also known as self-harm, occurs when an individual deliberately harms his or her own body. People who harm their own body, often do so by cutting or burning themselves. Self-injury is often related to trauma, and those who harm or hurt themselves are likely to have been abused in childhood. Self-injury is often a coping mechanism used by people to deal with severe emotional pain, anger, or frustration. The act of hurting themselves helps some people forget their feelings and emotional troubles and focus instead on their self-inflicted physical pain. While these people may not be suicidal, they are consciously injuring themselves and may cause permanent damage or accidental suicide. ...

Social Anxiety Disorder

Social anxiety disorder, also known as social phobia, is a common anxiety disorder that affects many people. People with social anxiety have excessive and unreasonable fears before and during different social situations. With a social anxiety disorder, normal, everyday interactions may cause feelings of anxiety, nervousness, self-consciousness and embarrassment. Individuals who suffer from social phobia may avoid certain social situations because of the overwhelming fear and anxiety that these situations may cause. The anxiety and emotional discomfort caused by a social anxiety disorder may interfere with daily routines, relationships, school or employment. ...

Substance Abuse

Substance abuse is the excessive use of a drug or substance, despite the harmful consequences that may occur. Individuals that abuse certain drugs or substances become addicted to these substances and cannot control their ability to resist the intense urges to take them. This abuse can affect a person's physical health and personal or social functioning. Substance abuse can include regular, excessive, or compulsive drinking of alcohol, and/or the habitual use of illegal or prescription drugs or other harmful substances. Severe substance abuse can destroy relationships, end careers, and lead to stroke, heart disease, brain damage, cancer, and even death. ...

Suicide

Suicide, or intentionally causing one's own death, is a serious and all too common problem in the United States. More than a tenth of all deaths nationwide are attributable to suicide and the rate of death by suicide has increased significantly during the last decade. Suicide has recently become the leading cause of death by injury, surpassing even deaths by car accidents. ...

Family Therapy

Family therapy is a form of psychotherapy that treats two or more members of the same family. Family therapists study and help to improve the dynamics in a family in which one or more members is experiencing mental distress.

Family therapy is based on the premise that, because interaction among family members is so close and intense, the beliefs, personality and experiences of each member affect the well-being of the family as a whole. The designated "patient" in a given family not only has an impact on the other members, but may be the subconsciously designated representative of the entire family's inner turmoil. ...

Tourette Syndrome

Tourette syndrome is a neurological disorder characterized by repeated involuntary movements and vocalizations called "tics." Although not medically dangerous, it causes serious social and psychological difficulties for those who have it because of its unusual, often disabling, symptoms. Typical onset for Tourette's is between the ages of 3 and 9, with males 3 to 4 times more likely to be affected than females. ...

Trichotillomania

Trichotillomania, also known as hair-pulling disorder, is a mental illness in which people have uncontrollable urges to pull out the hair on their scalp, eyebrows or other areas of the body. This action often results in patchy bald spots on the head and causes feelings of guilt, shame and severe emotional pain, especially when those afflicted are trying to hide their condition. People with trichotillomania most often pull hair from their scalp and may do so using their fingers, tweezers or brushes. They may enjoy playing with pulled out hair or rubbing it across the face. The hair pulling may result in patchy bald areas or missing eyelashes and eyebrows. Women are more likely than men to have trichotillomania and it usually develops during adolescence. ...