Raymond Zakhari, NP

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Men’s Health Men are far less likely to seek help than women and often delay getting help until there is a crisis, as men often view asking for help as a weakness. Men are also less likely to follow through with treatment recommendations by doctors and therapists, which can exacerbate their condition. The good news is that it doesn’t have to be that way. In Manhattan, New York, board-certified nurse practitioner Dr. Raymond Zakhari offers comprehensive men’s health care, treating physical and emotional disorders that often reduce your quality of life. Common Conditions Erectile dysfunction Diabetes Hypercholesterolemia Hypertension Hypothyroid Low testosterone Prostatitis Chronic Pelvic Floor Pain (complete this questionaire) Sexual dysfunction Weight gain ur integrative services include addressing your physical health, mental health, and spiritual needs. Annual physical and preventive care exams Treatment of acute illnesses and symptom management Management of mental health issues: Intensive psychotherapy: 2-4 sessions per week for 2-4 weeks; very specific and problem-focused Traditional talk therapy: 1 session per week; more time for reflection and real-world problem solving, examining relationships between issues; offers support during difficult periods of life Psychopharmacology and pharmacogenomics testing: Varies from 1 session per week to 1 visit every 3 months; more biologically focused on physical signs and symptoms caused by psychiatric conditions What mental health conditions do we treat? Mood Disorders Depression Bipolar Disorder Adjustment Disorders Psychotic Disorders (treat with long-acting injectable antipsychotics) Psychosis Schizophrenia Neurocognitive Disorders Mild Cognitive Impairment Dementia (Vascular, Alzheimer’s, Fronto-temporal, Lewy Body, Parkinson’s Disease) Behavioral Addictions Drug / Alcohol/ Marijuana Addiction (non-Suboxone, non-methadone) Dual Diagnosis Naltrexone treatment (Oral and Injection) Overeating Personality Disorders Relationship Problems: men who are trying to leave an abusive relationship, cope with the stress of an abusive relationship or heal from an abusive relationship. Career Stagnation About Us Metro Medical Direct was founded in 2009, offering primary medical care and psychiatric house calls combined with private health management in Manhattan, New York. Medical house calls are the way health care ought to be: convenient, compassionate, confidential, and comprehensive. We use familiar web-based technology to connect you to your trusted primary care provider when you need care the most. You and your loved ones can request an appointment online, via text message, or through our secure patient portal. You can access your personal health information and test results, share information, request refills, or even ask simple questions without having to be put on hold. Psychiatric medication management Psychiatry diagnostics and treatments Reduction of side effects from medication Second opinions and diagnostic clarification for medical/psychiatric conditions Medical diagnosis screening Laboratory testing, including hepatitis and HIV Healthy weight loss and weight gain treatment considerations Medical causes of depression, mood, anxiety, psychosis, and negative thoughts Head/brain imaging: CT, MRI, PET, EEG Consultation and liaison with primary and specialty care doctors