For an emergency, call 911. In the United States, call or text 988 for suicide or mental-health crisis support.
Casa Privée is not an emergency service.
Casa Privée scope: private psychiatry, mental-health care and addiction medicine. Regenerative orthopedics is provided through a separate clinical entity.
Mental-health care
Psychiatric care with time for clinical reasoning
Symptoms often cross diagnostic categories. The first task is to understand their pattern, severity, medical context, treatment history and effect on daily life.
Clinical information
Clear scope.
Individual evaluation.
Clinical scope
Adult psychiatric assessment and treatment planning
Casa Privée focuses on mental health and addiction. The practice does not use this website to promote unrelated regenerative, orthopedic, aesthetic or general-wellness services.
D
Evaluation
Depressive symptoms
Assessment of mood, function, sleep, cognition, safety, medical contributors and prior treatment response.
A
Evaluation
Anxiety symptoms
Clarification of generalized, panic, trauma-related, obsessive or substance-associated symptoms.
T
Evaluation
Trauma-related symptoms
Careful assessment of trauma exposure, arousal, avoidance, sleep, dissociation and co-occurring conditions.
C
Evaluation
Complex presentations
Second-opinion and formulation work where diagnosis, polypharmacy, substance use or medical illness complicates the picture.
A psychiatric formulation is more than a diagnosis.
It connects symptoms to time course, risks, biology, psychology, relationships, environment and prior treatment.
Medication history and response
Medical and neurological contributors
Substance and supplement exposure
Sleep and circadian factors
Trauma and psychosocial context
Functional goals and patient preferences
“A label may name the syndrome. A formulation explains why this person is suffering now and what should be done next.”
Treatment planning
A hierarchy of interventions
Established treatments are considered first. Any off-label or emerging approach should be identified as such and discussed with proportionate evidence, risks, alternatives and uncertainty.
1
Confirm the working diagnosis
Review symptom chronology and competing explanations before changing treatment.
2
Define measurable goals
Choose functional and symptom targets that matter to the patient.
3
Select the least burdensome effective plan
Consider psychotherapy, medication, behavioral change, neuromodulation or referral according to indication.
4
Monitor and revise
Assess benefit, adverse effects, adherence, safety and whether the working diagnosis remains sound.
TMS
Neuromodulation requires indication-specific care.
TMS may be considered for eligible adults after assessment. It is not described as medication-free by definition, a universal brain treatment or a guaranteed alternative to other care.
Psychiatric evaluation before prescription
Contraindication and risk screening
Baseline symptom measurement
Course-specific monitoring
Continuation planning after the acute course
Request a private psychiatric consultation.
For non-emergency care, use secure scheduling or call the clinic. A website cannot determine diagnosis or suitability.
Questions
Frequently asked questions
Does the website provide a diagnosis?
No. Website information is general. Diagnosis requires an appropriate clinical evaluation.
Can Casa Privée replace emergency psychiatric care?
No. Call 911 for a medical emergency or call or text 988 for crisis support in the United States.
Is TMS appropriate for everyone with depression?
No. TMS is a prescription treatment with specific indications, contraindications and clinical considerations. Suitability is determined individually.
Will treatment always involve medication?
Not necessarily. Treatment planning depends on diagnosis, severity, prior response, risks, preferences and the evidence for available options.
Private, physician-led psychiatry and addiction medicine in Brickell, Miami. Careful assessment, clear explanations and individualized follow-up.
1395 Brickell Avenue, Suite 200, Miami, Florida 33131
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Distinct organizations: Professor Bankole Johnson · IRMN education