Jennifer is currently accepting new patients and
generally has the soonest appointment availability.
For most new patients, we recommend scheduling with
Jennifer as the first choice.
Dr. Gabriella Farkas, MD, PhD
Limited Availability
Psychiatrist · MD, PhD
Dr. Farkas continues to see new patients on a more
limited basis. Patients specifically seeking an
appointment with Dr. Farkas may view her availability
in the scheduling portal.
On the scheduling screen, Jennifer Reilly will appear
first. Select your preferred clinician to continue
with available appointment times.
“General adult psychiatry” sounds basic — but what makes it valuable is the depth of specialist expertise applied to the full range of adult mental health conditions. From major depression to complex medication management to coordinated care for treatment-resistant cases, general adult psychiatry is where most patients access psychiatric care.
The difference between competent general adult psychiatry and exceptional general adult psychiatry comes down to several factors: evaluation time, diagnostic accuracy, medication expertise, willingness to address complexity, and ongoing measurement-based care. This article walks through what that looks like.
General adult psychiatry done well covers the full spectrum of adult mental health.
What General Adult Psychiatry Covers
In Dr. Farkas’s practice, this includes evaluation and ongoing management of:
Mood disorders
Major depression — including treatment-resistant cases
Persistent depressive disorder (dysthymia)
Bipolar I and II
Cyclothymia
Premenstrual dysphoric disorder
Seasonal affective disorder
Anxiety disorders
Generalized anxiety disorder
Panic disorder
Social anxiety disorder
Specific phobias
Agoraphobia
Adult separation anxiety
OCD and related disorders
Obsessive-compulsive disorder
Body dysmorphic disorder
Hoarding disorder
Trauma-related conditions
Post-traumatic stress disorder
Complex PTSD
Adjustment disorders
Acute stress disorder
Neurodevelopmental
Adult ADHD
Sometimes autism spectrum (with appropriate referral for specialized evaluation when needed)
Other
Sleep disorders related to psychiatric conditions
Cognitive complaints
Personality disorders (with coordinated therapy)
Stable schizophrenia maintenance
What Quality General Psychiatry Looks Like
Thorough initial evaluation
30-60 minutes for new patients. Comprehensive psychiatric, medical, family, and social history. Mental status examination. Validated rating scales for baseline measurement.
Accurate diagnostic formulation
Differential diagnosis considered carefully — including bipolar, ADHD, trauma, and medical contributors that are frequently missed in rushed evaluations.
Individualized treatment planning
Medication choices matched to specific diagnosis, prior treatment history, side-effect priorities, and patient preferences. Therapy coordination when appropriate.
Measurement-based care
PHQ-9, GAD-7, and condition-specific scales used at each visit to track objective progress — not just clinical impression.
Active side-effect management
Side effects addressed rather than dismissed. Adjustments made when tolerability is suboptimal.
Willingness to deprescribe
Medications evaluated periodically — added when needed, tapered when no longer needed. The goal is the minimum effective regimen.
Coordinated care
Communication with primary care, therapy, and other providers when appropriate.
Quality Indicators
What distinguishes specialist general psychiatry
Several measurable factors distinguish quality general adult psychiatry from rushed insurance-pressured practice.
Source: American Psychiatric Association quality indicators and practice surveys.
When to See an Adult Psychiatrist
Psychiatric symptoms significantly affecting your life
Suspected need for medication management
Existing treatment that isn’t working well
Complex picture with multiple conditions
Treatment-resistant symptoms
Diagnostic uncertainty
Wanting to optimize current medication regimen
Need for specialist-level evaluation or second opinion
⚠️
The Problem
Insurance-pressured shortcuts
Many psychiatric practices have shortened evaluations, increased panel sizes, and reduced time per patient — producing suboptimal care for complex situations.
🔬
The Approach
Specialist-level general care
Dr. Farkas provides general adult psychiatry with the thoroughness, expertise, and time it deserves.
✓
The Outcome
Treatment that actually works
Patients receive accurate diagnoses, individualized treatment, and ongoing optimization — not just prescription management.
Specialist-level care without the geographic limits of traditional practice.
Looking for quality adult psychiatric care?
Dr. Farkas provides specialist-level general psychiatry via telehealth across SC, NY, and VA.
No referral required to schedule with Dr. Farkas. If you’d like your PCP informed, that can be arranged with your consent.
Can you provide ongoing care or just consultation?
Both. Many patients establish ongoing care; others come for evaluation or second opinion and return to their primary provider.
Do you do therapy?
Dr. Farkas focuses on psychiatric medication management and evaluation. When therapy is appropriate, coordination with licensed therapists is part of the care plan. See our related articles on medication management and psychiatric evaluation.
How often will I be seen?
Varies by clinical need. Initially weekly to biweekly during stabilization, then monthly to quarterly for maintenance, and less frequently for stable patients.
Specialist-level psychiatric care, accessible.
Telepsychiatry brings expertise to you — wherever you are in SC, NY, or VA.
