Sleep Disorders

Sleep deprivation is a common complaint and presenting problem for many individuals seeking treatment.  The newly created DSM V (Diagnostic and Statistical Manual of Mental Disorders) Category of Sleep Wake Disorders includes 10 disorders or disorder groups such as insomnia, hypersomnia, narcolepsy and conditions related to medical causes or substance induced sleep disorders.  Resulting daytime distress and impairment are core features shared by all of the sleep-wake disorders.

Careful attention must be paid during the history that the sleep symptoms are not part of a larger syndrome such as Major Depression or Generalized Anxiety Disorder Sleep changes frequently accompany many psychiatric syndromes and must be teased apart from the multiple possible underlying causes of the sleep disturbance, e.g., environmental, medical, toxic/substance, poor “sleep hygiene”, temperamental, etc.
There are multiple available treatments for sleep disorders, obviously dependent on making an accurate diagnosis.  Some of these include behavioral interventions, changing one’s habits and correcting “sleep hygiene”, as well as psychotherapy to address underlying anxieties that may be contributing to disrupted sleep.
Moreover, there are a variety of medications known as hypnotics all which when used carefully and in limited ways may be helpful in inducing and maintaining sleep.  These medications have a variety of different characteristics and side effects and are selected to meet the specific needs of the individual and tailored to his or her particular type of sleep symptoms.


Sexual Dysfunctions Barry J. Richman

Did you know it’s common to be Anxious, dissatisfied or frustrated with your sex life?
We live in a world where we are bombarded with images of people who appear to be living sexually stimulating and fulfilling lives.  It seems everyone on television, in the movies, in magazines and in our fantasies has a rich and exciting sex life!  In reality, it is very common for individuals to suffer from all kinds of feelings of inadequacy and real dysfunction with their partners and dissatisfaction with their sex lives.

SEXUAL DYSFUNCTION AFFECTS SELF-ESTEEM
Sexual dysfunctions can have a profound impact on an individual’s perceived quality of life.  From issues of self- esteem to feelings of profound loss, these are significant and meaningful conditions to diagnose and treat.
Much of what we classify as sexual dysfunctions are based on the work of Masters and Johnson on the human sexual response cycle, later modified by Singer-Kaplan.  We divide sexual dysfunction into categories.

For instance, there are Disorders of Desire, Disorders of Arousal, Male Sexual Disorders (Erectile dysfunction, Delayed ejaculation, Premature ejaculation), Female Sexual Disorders (Female Orgasmic disorder, Genito-Pelvic Pain Disorder) and a few additional.  Individuals may have multiple dysfunctions and care should be taken to diagnose properly in such cases.

SEXUAL RESPONSE COULD BE PHYSIOLOGIC
Sexual response has a biological basis and a careful and comprehensive physical evaluation is required to rule out a physiologic basis for many of the dysfunctions before we can attribute a psychiatric diagnosis as the cause.  It is essential to have a thorough physical evaluation prior to or concurrent with the psychiatric consultation.
There are also a number of complex sociocultural and interpersonal problems (e.g. relationship or intimacy issues) which are often at the root of sexual dysfunctions.  A skilled psychiatrist with sensitivity to psychodynamic and other psychosocial factors is generally a reliable source to find the underlying root causes of the problem.


LGBTQ Barry J. Richman

Gay and lesbian people come to psychiatrists for help and treatment for many of the same clinical and life issues that heterosexual people do – Anxiety, help with relationships, awareness of patterns that are interfering with their moving forward in their lives, etc. Some of these issues have little to do with the individual’s sexual orientation while others may be intimately connected to their gay identity. Either way, as the treatment gets underway, issues of sexual orientation and identity are likely to play a role in how the treatment evolves and become key in understanding the individual and his or her interpersonal interactions in the world at large. Consequently, a therapist with some specialized knowledge and understanding of these issues will be most helpful to the patient.

GAY AFFIRMATIVE PSYCHOTHERAPY
There are many important and unique aspects to working with LGBTQ population. Gay –Affirmative Psychotherapy assumes that GLB identities are normal and changing a patient’s sexual identity should not be a goal of treatment.
Therapists need to be familiar with the coming out process and must understand the complexities of internalized homophobia and heterosexism. We must be sensitive to our patient’s struggles and not cheerleaders for coming out, pushing for premature resolution of what may be deeply felt conflict and ambivalence.

HIV, ALCOHOL AND SUBSTANCE USE IN THE GAY COMMUNITY
HIV is another area that’s of huge importance and concern to the LGBTQ community, as many patients may require special assessment and monitoring of medications that produce psychiatric side effects and drug interactions. The syndrome itself may also present with psychiatric symptoms ranging from Depression and Anxiety to loss of memory and other cognitive changes.
Alcohol and substance abuse too is a significant issue for this population, with higher  rates of prevalence than that of the general population, particularly among older gay people. And there seems to be evidence to support higher rates of mood disorders in this population. There is a lot of research attempting to explain the reasons for this, but again it underscores the need to have a therapist well versed, knowledgeable and experienced in working with and understanding the LGBTQ community.


Contact Barry J. Richman

OPENING HOURS

Monday 8:00 am – 6:00 pm
Tuesday 8:00 am – 6:00 pm
Wednesday 8:00 am – 6:00 pm
Thursday 8:00 am – 6:00 pm
Friday Closed
Saturday Closed
Sunday Closed

GET IN TOUCH

212-889-5463

Barry J. Richman MD Psychiatry
16 Park Ave, Suite 1A
New York, NY 10016
info@barryjrichmanmd.com

CONTACT US

Send A Message To

Barry J. Richman, MD, psychiatrist in Midtown East

If you have any questions, concerns, or comments regarding Dr. Barry J. Richman, please fill out the short contact form below.

No insurance accepted. ALL Documentation will be provided for reimbursement

FOR out of network benefits.

No insurance accepted. ALL Documentation will be provided for reimbursement

FOR out of network benefits.


Bipolar Disorder TIMH Barry Richman MD

Bipolar Disorder is a condition with both physical and mental changes, which are characterized by extreme swings in mood. For this reason it is still referred by many people by its old name “ Manic Depressive Disorder”.
Most typically individuals experience a combination of low moods or depression lasting for days on end alternating with periods of elation or elevated moods also lasting for days or weeks. These euphoric moods are referred to as periods of “hypomania” or mania depending on the degree of elevation of mood, and are accompanied by changes in sleep, thought process, speech, thought content, and general behavior.

TYPES AND SUBTYPES OF BIPOLAR DISORDER
There are 3 major types of Bipolar Disorder according to the DSM V (Diagnostic and Statistical Manual of Mental Disorders), which are classified by the type and duration of the mood swings. Additionally we further refine the diagnosis by looking at associated features or symptoms that accompany the individual’s presentation.
The presentation of bipolar disorder can vary greatly from individual to individual and must be thoughtfully evaluated and considered. Careful attention must be paid to the differential diagnosis to rule out mixed states, drug intoxication, psychotic states and many other possible conditions with similar presentations.

CAUSES OF BIPOLAR DISORDER
Most commonly the causes for this disorder are genetic but sometimes environmental or medical factors can unleash the symptoms. For instance starting someone on an antidepressant may uncover a previously unknown tendency toward mania… an important reason as to why patients require careful medication monitoring when beginning a course of treatment. Moreover illicit substances, in particularly stimulants, may have similar mania inducing effects.

TREATMENT OF BIPOLAR DISORDER
Bipolar Disorder is a treatable mental syndrome and individuals can lead very functional lives when they are compliant with their medication and treatment.
There are different classes of medication used to stabilize and treat individuals with bipolar disorder, which can be used individually, or often in combination. These include mood stabilizers such as lithium salts, anticonvulsants, benzodiazepines, atypical antipsychotics and other agents.


Services Barry J. Richman

Anxiety

Anxiety is a natural emotion that can even be beneficial at times, but if you have an anxiety disorder, your life is taken over by intense and unrelenting fears and worries that affect your ability to lead a normal life. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating a variety of mental health problems at his clinic in Manhattan, New York, and has considerable experience in helping patients who are struggling to cope with anxiety disorders.

More info

LGBTQ Issues

If you identify as LGBTQ and need professional help with a mental health problem, you want a therapist who is well-versed, knowledgeable, and experienced in working with and understanding the LGBTQ community. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating a variety of mental health conditions at his clinic in Manhattan, New York, and has considerable experience supporting members of the LGBTQ community.

More info

Bipolar Disorder

Bipolar Disorder is a condition with both physical and mental changes, which are characterized by extreme swings in mood. For this reason it is still referred by many people by its old name “ Manic Depressive Disorder”.
Most typically individuals experience a combination of low moods or depression lasting for days on end alternating with periods of elation or elevated moods also lasting for days or weeks.

More info

ADD/ADHD

What is ADD?
Attention Deficit Disorder or ADD, may be present with or without hyperactivity. When hyperactivity is associated, the condition is known as Attention Deficit Hyperactivity Disorder, or ADHD. The diagnosis and treatment are similar and the terms may be interchanged.
ADD has been an increasingly common problem in adults as well as children. Frequently over diagnosed, this disorder has become nearly epidemic in our society and requires careful and thoughtful evaluation.

More info

Depression

Depression is a serious and sometimes life-threatening problem that causes extreme saddness and despair for people who are affected by this condition. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating a variety of mental health conditions at his clinic in Manhattan, New York, and has considerable experience in helping patients who are struggling to cope with depression and related disorders.

More info

Psychotherapy

Psychotherapy is a proven treatment that has helped millions of Americans cope with complex emotional issues and mental health disorders. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating a variety of mental health problems at his clinic in Manhattan, New York, using psychotherapeutic approaches as one of his key treatment methods.

More info

Medication Management

Managing your medication is an important way of ensuring you experience the best possible results from your treatment and keep risks to a minimum. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating a variety of mental health problems at his clinic in Manhattan, New York, and has considerable experience in reviewing patient medication to ensure optimal results.

More info

Mood Disorders

Mood disorders come in many different forms, but all of them cause such severe disruption to your emotional well-being that they can make it tough to lead a gratifying and functional life. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating mood disorders at his clinic in Manhattan, New York, and has considerable experience in helping patients who are struggling to cope.

More info

Obsessive Compulsive Disorder

Obsessive-compulsive disorder (OCD) is a common problem that can become severely debilitating for many. Barry J. Richman, MD, is a board-certified psychiatrist practicing in Manhattan, New York, who has the skills and experience to create individualized treatment plans for each patient that take into account every influence on the development of their OCD. Dr. Richman designs therapeutic approaches that address any underlying causes and offer the best possible hope for relief.

More info

Psychopharmacology

Milder mental health disorders may respond to either talk therapy or a psychopharmacological approach, but for more serious cases, a combination of the two is the most effective treatment. Barry J. Richman, MD, is a board-certified psychiatrist who specializes in diagnosing and treating a variety of mental health problems at his clinic in Manhattan, New York. In addition to being a skilled and experienced psychotherapist Dr. Richman is also a psychopharmacologist who knows when to intervene with medication for the best outcome and for the benefit of his patients.

More info

Home Barry J. Richman

NOW OFFERING CHOICE OF VIDEO VISITS WITH HIPPA COMPLIANT TECHNOLOGY

OR IN OFFICE CONSULTATIONS.

No insurance accepted. All documentation will be provided for reimbursement

for out of network benefits.

Barry J. Richman, MD
Manhattan NYC Psychiatrist

Psychiatry located at 16 Park Ave, Suite 1A, New York, NY

Barry J. Richman, MD, is a psychiatrist certified by the American Board of Psychiatry and Neurology, specializing in the diagnosis and treatment of a variety of emotional and mental health conditions at his clinic in Manhattan, New York. Dr. Richman works with patients from a broad range of backgrounds and has many patients who work in creative and artistic fields. He also has a particular interest in LGBTQ issues.

Most commonly, patients consult Dr. Richman for help with mood problems such as depression or anxiety disorders. These are problems that require an integrated approach: a medical assessment, a detailed and careful history, and a review of the individual’s current situation and medical and genetic history.

Additionally, an accurate diagnosis requires thoughtful analysis of the person’s upbringing, family life, cultural and social background, and many other factors that can influence the expression of particular feelings and symptoms. A thorough understanding of the complexity of the individual, in particular, their underlying character, is what makes the diagnosis accurate, relevant, and ultimately treatable.

Dr. Richman received his medical degree from the Mount Sinai School of Medicine, New York, then completed an internship in internal medicine at Lenox Hill Hospital, also in New York. He followed this with a three-year psychiatry residency at Mount Sinai Hospital, where he served as chief resident of the outpatient clinic and won a teaching award. He continued his training with a fellowship in psychiatry and law at New York University before opening his private practice. He currently has a faculty appointment at Mt. Sinai Icahn School of Medicine.

Dr. Richman’s interests outside of work include a passion for travel, architecture, language, and collecting contemporary art and design. He has lived in Manhattan most of his life and has had the good fortune to have lived abroad and traveled extensively, which he believes has given him a wide-ranging perspective and enhanced cultural sensitivity.


LOCATION

Barry J. Richman MD Psychiatry
16 Park Ave, Suite 1A
New York, NY 10016
Phone: 212-889-5463

HOURS

Monday 8:00 am – 6:00 pm
Tuesday 8:00 am – 6:00 pm
Wednesday 8:00 am – 6:00 pm
Thursday 8:00 am – 6:00 pm
Friday Closed
Saturday Closed
Sunday Closed


Creative Event

Two days in London


Each year digital architects, pixel visionaries and curators of dreams alike, come together in iconic cities all over the world to share with us their best-kept secrets. Obsessive, passionate, scrupulous and meticulous; always creative; always brave.

Web Design

It's an uncommon gathering for those who understand and want to learn more about.

Event Schedule

If have enough people wanting to attend the same course then we can run one just for you. If you prefer to study in your own time and learning packages.

Thursday, 04


10:00am
PRACTICAL UX METHODS
Patrick McNeil

14:30am
SIMPLIFY YOUR SITE
Barry Clark

Friday, 05


10:00am
CSS OVERLOAD
Patrick McNeil

14:40am
RESPONSIVE TRICKS
Stephan Wink

The speakers


Tobias van Schneider
Independent Designer
USA

Mathias Høst Normark
Art Director & Designer
DENMARK

32

Workshops

Register yourself

City Hotel


If you chose to stay with us you will enjoy modern home comforts in a traditional setting. Whether you are looking for a short weekend break for you.

Book reservation

Thanks our Sponsors

An effective sponsor thank you letter is vital to build for the future.