March 14, 2018

ADHD: Hypnotherapy Treatment

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1 Treatment for ADHD

Treatment for ADHD

Treatment for ADHD aims to help patients focus and properly prioritize tasks. ADHD is a medical condition that affects kids and adults of any age. Treatment for ADHD can help your child in school, in social circumstances, and at home. The individualized treatment plan can help with all three major components of ADHD: distraction, temper, and hyperactivity control. The goal of treatment is to help the patient follow the rules, focus, and have good relationships with parents, teachers, and peers.

Treatment for ADHD

These treatment possibilities have been assessed for safety, but no two people are alike, and what works for one may not work as well for another.

You and your doctor will develop a plan that meets your specific needs. It may take some time to figure out what works best. The plan can include medication, behavior therapy, or both.

Medications: traditional allopathic Treatment for ADHD

The main drugs used to treat ADHD are stimulants and non-stimulants. Occasionally, antidepressants are used as well.

Stimulants are the most common treatment for children and adolescents. They are usually the first type of medication a doctor can try. Stimulants have long been used and are well-tested. They stimulate the brain’s ability to control compulsions, behavior, and attention.

Children with certain medical conditions should not take stimulants. Ensure the doctor knows your child’s medical history before prescribing medication in this class.

The list of stimulants used for ADHD includes:

Suppose the first medication the doctor prescribes does not seem to improve symptoms. In that case, he or she may increase the dose, suggest a different medication, or advise the child to take a different medication in addition to the stimulant.

Non-stimulants work differently from stimulants, but they can help with concentration and impulse control. For some children, they may be a better option than stimulants, but they are often used alongside stimulants.

The FDA approves these drugs for the treatment of ADHD in children,  teens, and adults:

Antidepressants aren’t specifically approved to treat ADHD, but they can help with inattention, impulsivity, and hyperactivity. They’re an option for children who haven’t done well on a stimulant alone. Taking any antidepressant together with a stimulant seems to work well for children who suffer from ADHD or a mood disorder, for instance, depression or anxiety.

What is ADHD?

There are so many alternative healing techniques for different diseases. Hypnosis is one of them. Hypnosis can be beneficial as an alternative to Attention Deficit Disorder (ADD/ADHD), helping those who suffer from inattention, impulsivity, hyperactivity, anxiety, sleeplessness, etc.

What are attention deficit disorder and attention deficit hyperactivity disorder?

Both ADD and ADHD are disorders that affect children. These syndromes are characterized by many symptoms, including an inability to concentrate, forgetfulness, restlessness, and mood swings. The primary cause is a chemical imbalance in the brain. Secondary symptoms of ADD and ADHD include insomnia, nervousness, and a lack of creativity in children.

ADHD is a genuine behavioral and medical disorder that affects millions of people nationwide. According to the National Institute of Mental Health (NIMH), ADHD is one of the most common mental disorders in children and adults. According to NIMH, the estimated number of children with ADHD is between 3% and 5% of the population. NIMH also estimates that 4.1 percent of adults have ADHD.

attention deficit hyperactivity disorder

The formal and accepted mental health and behavioral diagnosis of ADHD is relatively recent. In the early 1960s, ADHD was referred to as “minimal brain dysfunction.” In 1968, the disorder became known as the “Hyperkinetic Reaction of Childhood.” At this point, hyperactivity was emphasized more than symptoms of inattention. In 1980, the diagnosis was changed to “ADD–Attention Deficit Disorder, with or without Hyperactivity,” which placed equal emphasis on hyperactivity and inattention. By 1987, the disorder was renamed Attention Deficit Hyperactivity Disorder (ADHD) and was subdivided into four categories. Since then, ADHD has been considered a medical disorder that results in behavioral problems.

Currently, ADHD is defined by the DSM IV-TR (the accepted diagnostic manual) as one disorder that is subdivided into four categories:

  • Impaired attention and concentration are characteristics of Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type (previously known as ADD).
  • Hyperactivity without inattentiveness is a defining feature of Attention-Deficit/Hyperactivity Disorder, a predominantly hyperactive, impulsive type (formerly known as ADHD).
  • Attention-Deficit/Hyperactivity Disorder, Combined Type (the most common type), involves all the symptoms: inattention, hyperactivity, and impulsivity.
  • Attention-Deficit/Hyperactivity Disorder Not Otherwise Specified This category is for ADHD disorders that include prominent symptoms of inattention or hyperactivity-impulsivity but do not meet the DSM IV-TR criteria for a diagnosis.

ADHD is a genetically transmitted disorder. The National Institute of Medical Health’s (NIMH) and the U.S. Public Health Service’s (PHS) funded research has amply demonstrated that ADHD runs in families. According to recent research, over 25% of first-degree relatives of the families of ADHD children also have ADHD. Other research indicates that 80% of adults with ADHD have at least one child with ADHD, and 52% have two or more children with ADHD. The hereditary link to ADHD has important treatment implications because other children in a family may also have ADHD. Moreover, there is a distinct possibility that the parents may also have ADHD. Of course, matters get complicated when parents with undiagnosed ADHD have problems with their children. Therefore, it is crucial to evaluate a family occurrence of ADHD when assessing ADHD in youth.

What causes ADHD?

The causes of ADHD are not precisely known, and researchers continue to search the brain for what causes ADHD and why some children get ADHD and some do not. There seems to be a consensus of scientific opinion that any single factor does not cause ADHD but is indeed multi-factorial.

Causes of ADHD

Heredity:

This is one of the possible causes of ADHD. Based on the fact that ADHD tends to run in families, it is easy to postulate that children inherit the tendency for ADHD from their parents.

Chemical imbalances:

The brain has chemical substances called neurotransmitters that carry impulses between two nerve cells at junctions called synapses. Imbalances in these chemicals have been proposed as another cause of ADHD.

Brain changes:

SPECT scans of the brains of children with ADHD have shown that areas of the brain responsible for attention are less active in children with ADHD than in children without ADHD.

attention deficit hyperactivity disorder causes brain changes

Listed below are other causes of ADHD

  • Injury to the brain or a brain disorder.
  • Poor nutrition, infections, and substance abuse (cigarettes and alcohol) during pregnancy can adversely affect the developing baby’s brain and lead to ADHD.
  • Exposure to environmental toxins like lead can also lead to ADHD.

General Symptoms of ADHD

Symptoms of ADD/ADHD are:

  • Patients can easily be distracted
  • It is hard to keep the mind on one task, lesson, or conversation
  • Before completing the task, they get bored
  • They always skip details
  • They make careless mistakes
  • Disorganization and forgetfulness
  • Difficulty in following instructions

There is a lot of research done on attention deficit disorder and ADHD. It affects so many people—not just the person diagnosed with ADHD, but family, friends, and acquaintances as well. ADHD has a significant impact on school performance and relationships with others.  Finding natural and non-invasive techniques to treat ADHD is substantial.

The symptoms of ADHD (Attention Deficit Hyperactivity Disorder) can be divided into two types of behavioral problems: inattentiveness and hyperactivity or impulsiveness.

Most people with ADHD have problems that fall into these two categories, but not always. For example, some people with the disease may have problems with inattentiveness but not hyperactivity or impulsivity. This form of ADHD is also known as attention deficit disorder (ADD). ADD can sometimes go unnoticed because the symptoms are less noticeable.

Symptoms of attention deficit hyperactivity disorder

Symptoms related to ADHD include:

  • Disorganization
  • Short attention span
  • Poor planning
  • Impulsivity
  • Poor follow-through
  • Distractibility
  • Procrastination
  • Inattentiveness

The behavioral problems related to the symptoms of attention-deficit hyperactivity disorder are usually categorized into two sets of symptoms. Although the symptoms of attention-deficit hyperactivity disorder might fall into both categories, it isn’t often the case for most people. Some children living with symptoms of attention-deficit/hyperactivity disorder might suffer from impulsiveness or hyperactivity but not inattentiveness. This type of symptom of attention-deficit/hyperactivity disorder is termed “attention deficit disorder” (ADD). It often goes unnoticed, and that’s because its symptoms aren’t usually evident in children.

Symptoms of ADHD in adults have been linked over time with many related mental conditions like depression, and adults living with attention-deficit hyperactivity disorder might also show some signs of other disorders alongside Symptoms of ADHD. They include:

  • Bipolar disorder is a mental condition that significantly affects the mood of whoever is living with it. It swiftly and drastically changes the mood of its sufferers from one extreme to the other.
  • Personality disorder means the individual significantly differs from the average person regarding feelings, thoughts, and how they perceive or relate to situations and people.
  • Obsessive-compulsive disorder (OCD) causes people living with it to think and act obsessively, and this, in turn, leads to compulsive behaviors. This disorder sometimes leads to other behavioral problems, like being dependent on drugs and having difficulties in relationships and social interactions.

Symptoms of ADHD in kids

The symptoms of ADHD in kids are well-defined, and they’re usually noticeable before the age of 6. They occur in multiple situations, such as at home and school.

Children suffering from the hyperactive/impulsive form of attention deficit disorder and attention deficit hyperactivity disorder manifest the following symptoms:

  • They are having trouble sitting and  are always in motion, jumping around
  • They are constantly running and climbing from one point to another, inappropriately
  • I can’t stay quiet and calm
  • They talk at high speed with no intention of stopping
  • Saying the answers before questions are completed
  • They have difficulty waiting for something
  • Interrupt or intrude on others

Now, the right question is: What is hypnotherapy for either ADD or ADHD all about?!

Hypnotherapy is a healing technique when a patient has been hypnotized. Hypnosis can be described as a state of relaxation and concentration. The patient is still aware of what is happening in the environment. If the hypnosis is being done with the guidance of a trained hypnotherapist, it is perfectly safe. Besides ADD and ADHD, hypnotherapy is used to treat various other conditions, including anxiety, asthma, phobias, insomnia, stress, and panic attacks.  Hypnosis works on developing concentration by teaching a patient to focus on one thing, task, or thought at a time.

ADHD in Children

Inattentiveness

The main symptoms of ADHD in children with inattentiveness are:

  • Appearing forgetful or losing things
  • Having a short attention span and being easily distracted
  • Being unable to stick to tasks that are tedious or time-consuming
  • Constantly changing activity or task

Hyperactivity and impulsiveness

The main symptoms of ADHD in kids with hyperactivity and impulsiveness are:

  • Being unable to sit still, especially in calm or quiet surroundings
  • Being unable to concentrate on tasks
  • Excessive talking
  • Acting without thinking

These symptoms of ADHD in children can cause significant problems in a child’s life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.

Different symptoms in boys and girls

Attention-deficit/hyperactivity disorder, or ADHD, is a brain disorder that shows a continuous pattern of hyperactivity or inattention and hence hinders the proper development and functioning of the brain. There is currently no physiological, psychological, neuroanatomical, or biochemical reason that explains the cause of attention-deficit hyperactivity disorder. Although researchers cannot prove this condition is the cause, genetics is believed to be responsible.

However, attention-deficit hyperactivity disorder is a complex disorder. It is complex not to diagnose accurately and to treat appropriately. The complexity of this disorder and the diversity of the children living with it are the things that make its treatment a bit difficult.

Symptoms of ADHD in adults

Symptoms of ADHD in adults are more difficult to define. This is mainly due to a lack of research on adults with ADHD. Because ADHD is a developmental disorder, it is believed that it cannot develop in adults without first occurring in childhood.

However, it is known that symptoms of ADHD in adults often persist from childhood through puberty and into adulthood. Any additional problems or conditions that occur in children with ADHD, such as depression or dyslexia, can continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as a child still have a variety of symptoms, and 65% still have some symptoms that affect their daily lives.

ADHD symptoms in adults

Symptoms of ADHD in kids and adolescents sometimes occur in adults with possible ADHD as well. Listed below are potential symptoms of ADHD in adults

  • Inability to focus or prioritize
  • Keep losing or embarrassing things
  • Carelessness and lack of attention to detail
  • Always start new tasks before completing old ones
  • Poor organizational skills
  • Restlessness and nervousness
  • Difficulty keeping your mouth shut and getting out of line
  • Confuse answers and often interrupt others
  • Mood swings, irritability, and quick mood
  • Inability to deal with stress
  • Extreme impatience

Alternative treatments for ADHD

Alternative treatments for ADHD that encompass different natural ways to treat ADHD: 

Are representing a safe and effective healing approach. Every year, hypnosis for ADHD becomes more and more demanded and popular since Adderall and Vyvanse cause more side effects than help. ADHD is a medically severe psychiatric condition, and it requires long-term and persistent treatment. That’s why many parents prefer to treat their youngsters with natural remedies, and hypnosis for ADHD is one of the most effective modalities in this category.

There are different ways in which attention-deficit hyperactivity disorder can be treated, but most of them have adverse side effects. While these stimulant medications are relatively safe, a lot of parents remain skeptical of giving their children mind-altering’ psychoactive medicines. Like many other chronic diseases related to childhood, parents now look towards the alternative treatment of ADHD.

Aside from that, it has been observed that the symptoms of attention-deficit hyperactivity disorder decrease as the children living with it grow older. This is another reason to try out alternative treatments for ADHD. They usually don’t come with the adverse side effects of the other treatment routes and, in this case, will be long-lasting. Of the alternatives, hypnosis for ADHD, which is a natural method used in treating sleep deprivation and anxiety, is believed to be able to manage attention-deficit hyperactivity disorder.

Main Techniques and Suggestions for ADD and ADHD

  • We are establishing a switch to enter the ‘calm state’ when desired automatically.
  • Effective ways to enhance listening and communication skills
  • Binaural beats establish harmony between the right and left sides of the brain
  • How to switch off an overactive imagination and thought process
  • Transferring extra mental energy into more proactive uses

Natural treatment of ADHD

News of dangerous side effects brought about by prescription drugs natural treatment for ADHDused in the treatment of ADHD (attention deficit hyperactivity disorder) has caused so much alarm in people. Thus, more and more people are asking if there are alternative treatments that do not have any side effects. Luckily, the answer to their question is a big “yes.”.

Many people have tested natural treatments for ADHD over the years, and some have reported that these treatments do benefit patients. Natural treatments for children with ADHD and natural treatments for adults with ADHD include diet therapy, homeopathic remedies, and the use of natural herbs. Listed below are natural remedies for ADHD

Diet therapy is an essential part of natural treatment for ADHD

Based on the idea that overeating some foods may contribute to ADHD, diet therapy is a natural remedy for children with ADHD and a natural treatment for adults with ADHD. Typically, diet therapy for ADHD will include a list of what to eat and what not to eat. Following a rigid diet program is believed to have alleviated the symptoms in some patients.

Diet for attention deficit hyperactivity disorder

Some considerations included in typical diet therapy for ADHD patients are:

Refrain from eating foods with too much sugar.

  • This is based on reports that children with ADHD may not have the ability to digest sugar properly. Also, sugar intake has been linked to aggressive behavior and restlessness.

Avoid drinking caffeinated beverages, including soft drinks.

  • Caffeinated beverages have stimulating effects on patients with ADHD. Moreover, soft drinks may contain high levels of phosphates, which can displace magnesium and calcium levels and cause exaggerated muscle activity.

Avoid foods with additives and food coloring.

  • Some ADHD patients have been found to have allergic reactions to foods containing additives and food coloring. Additives and food coloring have been linked to the occurrence of ADHD, but so far, scientists have not yet proven this theory.

Refrain from eating dairy products.

  • Dairy products, such as cow’s milk, have also been linked to the onset of ADHD. Studies have yet to prove this claim, but not eating dairy products for a couple of days has been reported to improve cases of ADHD symptoms.

Homeopathy for ADHD: The #1 Natural Treatment for ADHD in Kids

Homeopathy for ADHD is a natural treatment for ADHD and a natural treatment for adults with ADHD that is less expensive and does not bring about any dangerous side effects. Natural remedies for ADHD, such as homeopathy for ADHD, are safe for ADHD patients of all ages.

Homeopathic remedies for ADHD

Homeopathy for ADHD has properties that can help balance the chemistry of the brain without causing any dangerous side effects. This is why more and more people are using these natural remedies for ADHD. Listed below are homeopathic remedies for ADHD

Synaptol

  • Synaptol is a homeopathic remedy for ADHD, specially formulated for the treatment of ADHD in children and adults aged two and older. It mixes green oat grass, sweet violet, skullcap, and other herbs. Synaptol contains no alcohol or sugar and advertises itself as gluten-free, which is a potential plus for anyone with ADHD whose symptoms are sensitive to certain foods or other similar triggers.

Veratrum Album

  • Verta Alb is a natural treatment for children with ADHD and a natural treatment for adults with ADHD. It is used to “soothe the nerves” and is often used for comorbid anxiety as well. It has also been claimed to reduce the potential for tantrums in children who struggle to control their emotions. Verta alb is present in several homeopathic remedies for ADHD, including BrightSpark.

Stramonium

  • Stramonium is a natural remedy for a child with ADHD derived from the herb Datura stramonium, also known as Devil’s Snare. Stramonium is intended to reduce aggressive or violent behavior, a common occurrence in children with ADHD or comorbid oppositional defiant disorder.

Yoga for ADHD: a traditional Indian natural treatment for ADHD

Yoga is slowing down, breathing deeply, holding poses, stretching the body, and focusing. Yoga for ADHD is a natural remedy for ADHD that has shown positive results in children and adults with ADHD by improving their ability to focus and concentrate well.

Yoga for attention deficit hyperactivity disorder

Practicing a vigorous and fun series of yoga poses for ADHD several times a week will also help a child burn off excess anxious energy that may add to their inability to focus on one task at a time. Regular practice of yoga for ADHD also helps to balance the nervous system and even the endocrine system, which may help a child reduce the amount of medication he or she is currently taking.

The centering and grounding practices of yoga for ADHD will also help a child learn to focus and concentrate on one task at a time. Practicing Eagle Pose without falling over will be fun and challenging for a child with or without ADHD. As the child learns to trust himself or herself to complete a series of yoga postures successfully, he or she will also learn to trust that he or she can complete thirty minutes of math or social studies homework.

Herbs for ADHD: The most popular home-based natural treatment for ADHD

Herbs for ADHD are one of the most effective natural treatments for ADHD in children and adults; they have also been proven to have no side effects.

Herbs for ADHD

Listed below are herbs for ADHD

Ginkgo Biloba

  • This herb serves as a natural treatment for children with ADHD by improving blood flow to the brain and increasing oxygenation of brain tissue. Ginkgo’s effects improve concentration while also making you feel relaxed and at ease.

Gotu Kola

  • Gotu kola is a natural treatment for ADHD in children that helps reduce blood levels and adrenal responses during times of stress. Aids cognitive abilities as well as other nervous system disorders.

Valerian Root

  • This herb serves as a natural remedy for children with ADHD by increasing concentration and reasoning skills and balancing out energy levels. Valerian Root has a relaxing effect that is great for insomnia.

Siberian Ginseng

  • This is a natural remedy for ADHD that works well to maintain your memory, reduce stress, and also benefit growth.

Brahmi

  • Brahmi is a herb for ADHD that improves cognitive functions for learning and memory. Preserves the brain’s mental functions or “keeps you sharp.”

Acupuncture for ADHD: a traditional Chinese natural treatment for ADHD

Acupuncture for ADHD is a natural treatment that uses your body’s pressure points to clear blockages and restore energy flow (known as qi) throughout the body. Practitioners have used acupuncture for thousands of years to resolve numerous patient complaints.

Acupuncture for attention deficit hyperactivity disorder

Your acupuncturist stimulates these pressure points with hair-thin needles. The needle placement is within millimeters of nerves, helping explain the treatment’s effectiveness. Studies have also proven that acupuncture for ADHD has no side effects and is one of the most effective natural treatments for adults with ADHD.

Does ADHD hypnosis, one of the natural treatments for ADHD, really help?

Hypnosis has been very successful in the treatment of attention deficit disorder and attention deficit hyperactivity disorder.

Great help from the physician! The treating physician is responsible for establishing a diagnosis of ADHD and carefully discussing the standard treatment options. The physician should be aware that parents may use alternative therapies for ADHD children, should ask about these at follow-up visits, and should be prepared to share information with families. The physician should provide balanced advice on various treatment options, identify risks or potentially harmful effects, and inform patients about placebo effects and the need for controlled studies. It is essential to establish and maintain a trusting relationship with families.

There is no scientific proof yet to show that hypnosis for ADHD  is effective because it hasn’t been tested. Still, many patients who are living with the disorder have found immense relief from anxiety, stress, an inability to concentrate, and other symptoms. That’s why more and more people nowadays consider alternative treatments for ADHD as a route through which anxiety and sleep deprivation can be relieved.

ADHD hypnosis

Hypnosis for ADHD can work for anyone sober, mentally stable, and willing to overcome negative symptoms. That’s why it is said that if anyone can be relaxed enough to receive a massage or can sleep or do yoga, then that person can be treated with ADHD hypnosis.

People living with attention-deficit hyperactivity disorder are usually willing to do anything to cope with anxiety and tension, and many of them have been treated with ADHD hypnosis. Hypnotists even claim that the more hyper a person is, the easier and faster they can be treated with hypnosis. People living with ADD and ADHD can use hypnosis for ADHD to live calmer lives, set realistic goals and attain them, gain focus, and maximize their lives.

The truth is, nothing works for everyone. Not even medications. The excellent thing is that ADHD hypnosis doesn’t hurt (when done by a certified and qualified hypnotist), and self-hypnosis can be learned. However, ADHD hypnosis remains an excellent adjunct for people who don’t get measurable relief from other treatments. Alongside medications, healthy lifestyle choices, and other self-monitoring techniques that can be used to monitor attention-deficit hyperactivity disorder, everyone can get relief.

ADD and ADHD

Many ask if hypnosis alone is enough for treating attention-deficit hyperactivity disorder or if it should be done with traditional therapy. It’s been agreed over time among hypnotists that the ideal treatment plan includes a combination of different holistic approaches, especially acupuncture and homeopathy. People living with ADHD can learn self-hypnosis to help manage their symptoms.

How can hypnotherapy help with ADD and ADHD?

Hypnotherapy can help ADD and ADHD patients transform their behaviors, gain a sense of control and self-control, increase their self-esteem and competence, and reduce stress levels. Hypnotherapists can use either hypnosis or neuro-linguistic programming to concentrate the patient’s mind on finding the reason for negative behavior and resolving it. Hypnosis can give a person with ADD or ADHD the feeling of being in charge of their behavior. It is beneficial when integrated into the treatment on time while the patient is in his age-developing period. It may not always help in-depth, but it can slow the increasing process and stabilize the momentary state.

SOME OF THE BENEFITS OF HYPNOSIS FOR ADD AND ADHD:

  • Improved concentration and attention to detail
  • Improved organizational skills
  • Improve self-control
  • Increased self-confidence
  • Increase self-talk
  • Improved behavior
  • Reduced stress and anxiety
  • Reduce nervousness
  • Reduce frustration
  • Positive attitude
  • Getting comfortable with changes that life brings
  • Enjoying life

Q & A about different forms of natural treatment for ADHD and  hypnosis for ADD and ADHD

Does hypnosis work for people with ADD and ADHD?

Yes, it can work for any human being who is mentally stable, sober, and wants to overcome negative symptoms.

What is the most important thing for someone with ADD or ADHD who is seeking hypnosis to know about it?

For maximum benefit, choose a certified hypnotherapist, if not a psychologist or psychiatrist trained in hypnosis. Choose one who has experience with ADHD, or ask your psychologist or psychiatrist to suggest one.

How long does the hypnotic treatment for ADD and ADHD usually last?

The average session lasts only 1.5 hours, usually 45–60 minutes. Dr. Tsan recommends 6–10 hypnotherapy sessions per course of treatment and usually combines them with homeopathic remedies and other alternative techniques.

Does health insurance cover hypnotherapy treatment for ADD or ADHD?

No, it does not.

How expensive is hypnosis for ADD and ADHD?

Please see our price list page.

Which medical office should I choose for the natural treatment of ADHD?

The most important thing to do is choose a physician trained in hypnosis or a certified hypnotherapist. It’s always better to choose one that has experience treating ADHD patients.

Remember that attention-deficit hyperactivity disorder is a disease and that a doctor, not a so-called hypnotist, should treat it. The medical provider who will perform hypnosis for ADHD must understand the mechanism of the illness and the internal connections and disconnections between different parts of the brain.

Treatment for ADHD in Philadelphia

At the Philadelphia Hypnotherapy Clinic, we perform alternative treatments for ADHD, combining natural remedies and alternative medicine techniques like homeopathy, Reiki, and acupuncture. Because our clinic houses different holistic specialists, our patients receive all necessary services in one place for a fraction of the price.

Hypnosis Treatment in Philadelphia

To make an appointment for an evaluation with Dr. Tsan, the clinic’s medical director, call our office at (267) 403-3085 or use our online scheduling system.