Conditions

Expert psychiatric treatment for depression, anxiety, ADHD, bipolar disorder, PTSD, and 30+ mental health conditions through evidence-based care, breakthrough SPRAVATO® therapy, and compassionate support available throughout East Texas and all of Texas.

Depression and Treatment-Resistant Depression

  • Regional leaders in depression treatment including breakthrough SPRAVATO® therapy for treatment-resistant depression
  • Comprehensive care for major depression, postpartum depression, seasonal affective disorder, and persistent depressive disorder
  • Evidence-based medication management combined with psychotherapy addressing root causes and symptoms

Anxiety Disorders Stealing Peace and Joy

  • Expert treatment for generalized anxiety, panic attacks, social anxiety, and phobias
  • Cognitive Behavioral Therapy combined with medication management reducing overwhelming worry and physical symptoms
  • Same-week consultations when anxiety symptoms feel unmanageable and disrupt daily life

Women's Mental Health and Reproductive Psychiatry

Mood Disorders Requiring Specialized Expertise

  • Comprehensive treatment for bipolar disorder, mood disorders, and severe depression
  • Mood stabilization through specialized medication management and ongoing monitoring
  • Integrated care combining psychiatric expertise with therapy supporting long-term stability

Trauma, PTSD, and Stress-Related Conditions

Featured Mental Health Conditions We Treat

Depression & Treatment-Resistant Depression

Our deepest clinical expertise. Comprehensive depression treatment including SPRAVATO® therapy for treatment-resistant depression providing relief within hours or days when traditional antidepressants haven’t worked.

Anxiety Disorders

Expert treatment for generalized anxiety disorder, panic disorder, social anxiety, and agoraphobia through evidence-based medication management and Cognitive Behavioral Therapy coordination.

ADHD (Attention Deficit Hyperactivity Disorder)

Comprehensive ADHD testing, diagnosis, and medication management for adults experiencing inattention, hyperactivity, or impulsivity impairing work, relationships, and daily functioning.

Bipolar Disorder

Specialized mood stabilization for bipolar I and II including medication management, mood monitoring, and relapse prevention supporting emotional stability and quality of life.

PTSD & Trauma-Related Disorders

Trauma-informed treatment addressing intrusive memories, avoidance, hyperarousal, and negative mood changes through medication management and EMDR therapy coordination supporting healing.

Postpartum Depression

Compassionate reproductive psychiatry for postpartum depression helping new mothers reclaim joy, bond with babies, and navigate motherhood through medication and therapy.

Obsessive Compulsive Disorder

Specialized OCD treatment combining medication management with Exposure and Response Prevention therapy addressing obsessions and compulsions interfering with daily life.

Substance Use Disorders

Compassionate addiction psychiatry including medication-assisted treatment with Naltrexone, dual-diagnosis care, and recovery support for alcohol and drug use disorders.

Perimenopausal Depression

Expert care for mood changes during perimenopause addressing hormonal influences on depression, anxiety, and emotional well-being during this life transition.

Social Anxiety Disorder

Treatment for overwhelming fear of social situations, judgment, and embarrassment through medication management and CBT helping you engage confidently in relationships.

Common Questions About Mental Health Conditions We Treat

What makes East Texas Psychiatry different in treating depression and anxiety?

We’re regional leaders in depression treatment offering breakthrough SPRAVATO® therapy for treatment-resistant depression when traditional antidepressants haven’t worked. Our integrated care model combines board-certified psychiatric providers with licensed therapists under one roof, providing comprehensive treatment addressing both symptoms and root causes. Same-week consultations ensure you receive help when struggling most.

SPRAVATO® (esketamine nasal spray) is FDA-approved for adults with treatment-resistant depression who haven’t responded to at least two different antidepressants. It works through a different brain mechanism than traditional medications, often providing relief within hours or days rather than weeks. Our specially trained staff administers SPRAVATO® in comfortable, monitored settings.

Yes, we specialize in treating co-occurring conditions like depression with anxiety, ADHD with depression, PTSD with substance use, or bipolar disorder with panic disorder. Integrated treatment plans address all presenting conditions simultaneously through comprehensive medication management and coordinated psychotherapy. Our team-based approach ensures all conditions receive appropriate attention.

Absolutely. We offer specialized reproductive psychiatry addressing postpartum depression, PMDD, perimenopausal mood changes, and pregnancy-related mental health concerns. Our providers understand hormonal influences on mood and mental wellness, providing compassionate care tailored to women’s unique biological and life stage considerations throughout the reproductive years.

Comprehensive evaluation establishes accurate diagnosis and personalized treatment plan combining medication management with Cognitive Behavioral Therapy coordination. Treatment addresses both physical symptoms (racing heart, shortness of breath) and psychological components (worry, avoidance behaviors). Most individuals notice improvement within two to four weeks, with continued progress over several months.

Our trauma-informed approach combines medication management addressing nightmares, hypervigilance, and emotional numbing with coordination of EMDR and trauma-focused CBT. We understand trauma’s complex impacts on mental health and provide compassionate care supporting healing. Our integrated model ensures psychiatric providers and therapists collaborate throughout your recovery journey.

Yes, we specialize in treatment-resistant presentations. Our expertise includes SPRAVATO® therapy for treatment-resistant depression, comprehensive medication optimization, and integrated approaches when previous treatments haven’t worked. We conduct thorough evaluations understanding what hasn’t worked and why, developing new strategies addressing barriers to recovery with innovative evidence-based treatments.

Call (903) 430-288-5800 or schedule online for comprehensive psychiatric evaluation with same-week availability throughout East Texas. Your 90-minute assessment establishes accurate diagnosis and collaborative treatment plan. No referral needed. In-person appointments in Tyler and Longview or telepsychiatry throughout Texas provide accessible evaluation and treatment.

Take the first step towards lasting wellness with East Texas Psychiatry.

Conditions Treated

Whatever you're facing,
you're not alone in it

Dr. Farkas has extensive training and real-world experience across the full spectrum of adult psychiatric conditions — with particular expertise in cases where standard care has not provided adequate relief.

Mood Disorders

Depression & mood conditions

Mood disorders are among the most common — and most undertreated — conditions in psychiatry. Dr. Farkas has deep expertise across the full spectrum, with particular focus on cases where previous treatment has fallen short.

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Major Depressive Disorder
Persistent depressed mood, loss of interest, changes in sleep and appetite, difficulty concentrating, fatigue, and sometimes thoughts of death. Dr. Farkas specializes in treatment-resistant cases where standard antidepressants have not provided adequate relief.
MDDTreatment-ResistantSeasonalPerimenopausal
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Bipolar Disorder
Episodic mood disorder with periods of depression alternating with elevated mood (mania or hypomania). Bipolar II is frequently misdiagnosed as unipolar depression — a mistake with serious treatment consequences. Diagnostic precision is one of Dr. Farkas's defining strengths.
Bipolar IBipolar IICyclothymiaRapid Cycling
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Postpartum Depression
Depression onset within weeks to months of childbirth, often triggered by hormonal changes, sleep deprivation, and the life transition of new parenthood. Not baby blues. Requires specialist care — especially regarding medication safety during breastfeeding.
PostpartumPerinatalBreastfeeding-Safe Tx
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Persistent Depressive Disorder
Chronic, lower-grade depression lasting two or more years. Often dismissed as "just how I am" — but it is a real, treatable condition that significantly impacts quality of life and relationships.
DysthymiaChronic Depression
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PMDD & Perimenopausal Depression
Severe cyclic mood changes tied to the menstrual cycle (PMDD) or depression emerging during the hormonal transition of perimenopause. Hormonal context changes the treatment approach significantly.
PMDDPerimenopauseHormonal
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Grief & Adjustment Disorders
Complicated grief, bereavement, and the psychiatric impact of major life changes — divorce, job loss, serious illness, relocation. When grief or stress tips into clinical disorder, treatment makes a real difference.
BereavementAdjustment DisorderLife Transitions
Anxiety & Related Disorders

Anxiety, OCD & trauma conditions

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Generalized Anxiety Disorder
Persistent, excessive worry about multiple life areas — work, health, relationships, money — occurring more days than not, with physical symptoms including tension, fatigue, and sleep disruption.
GADChronic AnxietyPhysical Symptoms
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Panic Disorder & Agoraphobia
Recurrent, unexpected panic attacks with intense physical symptoms — chest pain, shortness of breath, dizziness, fear of dying — often leading to avoidance behaviors that shrink a person's world.
Panic DisorderAgoraphobiaSocial Avoidance
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Social Anxiety Disorder
Intense fear of social situations where embarrassment or negative evaluation might occur, often leading to avoidance that profoundly limits professional and personal life.
Social AnxietyPerformance Anxiety
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Obsessive-Compulsive Disorder
Intrusive, unwanted thoughts (obsessions) driving anxiety, followed by repetitive behaviors or mental acts (compulsions) to reduce distress. Including "Pure-O" OCD and postpartum OCD, which are frequently unrecognized.
OCDPure-OPostpartum OCDBDD
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PTSD & Complex Trauma
Post-traumatic stress from accidents, assault, medical events, combat, or childhood adversity. Complex PTSD from prolonged or repeated trauma. Trauma-informed care that prioritizes safety and pacing throughout.
PTSDC-PTSDChildhood TraumaMedical Trauma
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Postpartum Anxiety & OCD
Postpartum anxiety and intrusive thoughts (postpartum OCD) are among the most underdiagnosed perinatal conditions. These are NOT signs of being a bad parent — they are medical conditions that respond well to appropriate treatment.
Postpartum AnxietyPostpartum OCDIntrusive Thoughts
Areas of Deep Expertise

Where Dr. Farkas's training
goes furthest

These are the conditions where Dr. Farkas's rare MD/PhD credentials and NIH research background make the most meaningful difference for patients.

🌊
Treatment-Resistant Depression
For patients who've tried 2+ antidepressants without adequate relief. Dr. Farkas identifies why previous medications failed and selects the next approach based on mechanism — not trial and error. Includes advanced options like TMS and ketamine.
Learn about treatments →
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Postpartum & Perinatal Psychiatry
Specialized expertise in postpartum depression, anxiety, OCD, and bipolar disorder — with deep knowledge of medication safety during breastfeeding. Care that enables effective treatment without forcing you to choose between mental health and nursing.
View postpartum services →
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Complex Diagnostic Cases
When other clinicians have been uncertain, or prior treatment hasn't worked as expected, Dr. Farkas offers a fresh, comprehensive evaluation with rigorous diagnostic methodology. She frequently identifies what was missed — including bipolar disorder misdiagnosed as depression.
Request a second opinion →
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Complex Polypharmacy & Side Effects
For patients on multiple psychiatric medications with unclear rationale, or experiencing cumulative side effects that affect quality of life. Dr. Farkas's pharmaceutical research background makes her uniquely qualified to simplify and optimize complex regimens.
View medication optimization →
When to Seek Care

Signs it's time to see
a psychiatrist

Psychiatry is not just for crisis. These are common signals that a comprehensive psychiatric evaluation could help — even if you're already in therapy or seeing a primary care doctor.

Medications not working. You've tried antidepressants or other psychiatric medications without adequate relief.
Unclear diagnosis. You've received conflicting diagnoses or your current diagnosis doesn't fully explain your symptoms.
Intolerable side effects. Your medication helps but causes weight gain, sexual dysfunction, or cognitive fog you can't accept.
Postpartum symptoms. Depression, anxiety, or intrusive thoughts after having a baby — especially with breastfeeding concerns.
Functional impairment. Symptoms are affecting your work, relationships, or ability to do things you value — even if they feel "manageable."
Second opinion needed. You want an independent expert review before committing to a major treatment change.

Don't see your condition listed?

This is not a complete list. Dr. Farkas treats the full range of adult psychiatric presentations. If you're unsure whether she can help, a brief conversation is always welcome.

Comprehensive evaluation for any psychiatric concern
New patients seen within 2–4 weeks
In-person (Hilton Head) or telehealth (SC, NY, VA)
In-network: Aetna & Cigna
Schedule an Evaluation 📞 917-267-9678

Ready for a diagnosis
that actually makes sense?

60–90 minute evaluations. Expert diagnostic precision. Collaborative treatment planning. New patients welcome in Hilton Head and via telehealth in SC, NY, and VA.

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