Adult Psychiatry

Ages 25 and Up

Most psychiatric practices give you a diagnosis. We give you a real explanation.

There is a difference between knowing what a person’s diagnosis is and understanding why they are suffering in this particular way at this particular moment, and what it will actually take to help. At the Krasner Institute, adult psychiatric care begins with a structured two-visit assessment, which results in a treatment plan built on real understanding, not a protocol applied to a symptom list.

We work with adults navigating the full range of psychiatric difficulties.

  • Depression that has become a familiar presence rather than an acute crisis
  • Anxiety that has quietly organized your life around avoidance
  • OCD that has grown more demanding over time
  • Trauma that has never been fully addressed, or that is making itself felt in ways you did not expect
  • ADHD that has been compensated for so long that the compensation is starting to cost too much
  • Relationships straining under psychiatric load
  • Work performance affected by something that has no clean professional name
  • Prior treatment that helped up to a point, but something still hasn’t been fully resolved
  • Complex or treatment-resistant presentations where conventional approaches have plateaued

If you are not sure whether what you are dealing with is serious enough to merit this level of care, the answer is almost always: yes.

An assessment that takes the time to get it right

Adult psychiatric assessment at the Krasner Institute is a structured two-visit consultation, not a single intake appointment

Before you arrive

You complete Chapter, our digital intake platform. This is not paperwork. It is a clinical tool that gathers your history, your symptom picture, and your own account of what is happening and why, so the first visit can be a genuine clinical conversation rather than a history-taking exercise.

Visit One

Visit One is a 60-minute psychiatric consultation. We use it to test and deepen the picture the intake began to form: clarifying your narrative, exploring what has and has not worked in prior treatment, and identifying where the real levers for change might be.

Between visits

We review your records, integrate all available clinical information, and develop the formulation. This is where serious psychiatric thinking happens — in the space between encounters, not only in the room.

Visit Two

Visit Two is the feedback session: what is actually happening, why, and precisely what we recommend. You leave with a clear clinical picture and a treatment plan built around it.

For most adults, this process produces a more accurate and more useful starting point than anything a single session can offer.

Treatment matched to your unique needs

Not every adult needs a high-intensity, multi-provider treatment model. We begin at the level of intensity the clinical picture requires, and we adjust as we learn more.

Treatment may include:

Medication management

Precise psychopharmacology guided by your full clinical picture — not a protocol.

Psychotherapy

A range of evidence-based approaches in-house: psychodynamic therapy, Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy, and trauma-focused work, including EMDR. We match the modality to the person.

Integrated care for complex presentations

For adults with treatment resistance, multiple prior providers, substance use, or the need for multiple modalities at once, the model expands into a coordinated structure: providers working from a shared formulation, communicating regularly, and holding the whole picture together. This is not the default. It is what the situation calls for when the situation requires it.

Interventional psychiatry

For adults who have not found adequate relief through conventional approaches, we offer TMS therapy and ketamine-assisted psychotherapy.

If you have accumulated medications over the years that you are not sure you still need, that is a clinical conversation worth having.

Many adults arrive at the Krasner Institute carrying complex medication regimens that were built incrementally over time, with each medication added in a moment of need and none of them ever reviewed as a whole.

One of the things we do differently is take medication seriously in both directions. We prescribe when medication is the right tool and the clinical picture is clear. We also review existing regimens with genuine care: identifying what is still necessary, what may be redundant, what may be contributing to side effects or cognitive dulling, and what can be thoughtfully reduced.

De-prescribing is not a philosophy against medication. It is a commitment to treating you with precision and to not allowing pharmacological complexity to accumulate beyond what your clinical picture actually requires.

INTERVENTIONAL PSYCHIATRY

Care that is calibrated, not indefinite

At the Krasner Institute, adult treatment is not open-ended by default. We track progress formally, with standardized measures reviewed at regular intervals.

Three named phases

We distinguish between the acute phase, the stabilization phase, and the maintenance phase — and we are explicit about what each looks like and when the transition between them is appropriate.

Regular review

Periodically, we step back and ask the larger question: is the current level of treatment still right, or should it be simplified? Is this patient becoming more capable of managing their life with less intervention, or is external support doing work that needs to be internalized?

Alumni status

For many adults, treatment eventually transitions to maintenance care — less frequent contact, preserved access, and the knowledge that the clinical relationship exists if something changes. Not discharge, but graduation.

We are not trying to build dependency. We are trying to build capacity.

When standard treatment has reached its limits, we have more to offer.

TMS therapy and ketamine-assisted psychotherapy are available at the Krasner Institute’s Wilton office. Both are evidence-based treatments for treatment-resistant depression and other conditions where conventional approaches have not produced adequate results. These are not last resorts. They are additional tools that can open windows for recovery that medication and therapy alone sometimes cannot reach. Dr. Krasner evaluates candidacy directly and integrates interventional care into the overall treatment plan when it is indicated.

Transcranial Magnetic Stimulation Ketamine-Assisted Psychotherapy

Frequently Asked Questions

Both follow the same structured two-visit assessment model and the same clinical approach. The primary difference is seniority of psychiatric judgment and price point. For straightforward presentations and ongoing medication management, Jackie Dunne APRN is an excellent, high-quality option. For more complex presentations — diagnostic ambiguity, treatment resistance, complex histories, or presentations that may require interventional psychiatry — Dr. Krasner typically leads. We discuss this with you at the outset and can adjust as the clinical picture evolves.

Not necessarily — but many adults who have been in long-term therapy find that a comprehensive psychiatric evaluation adds something their therapy has not been able to provide: a systematic review of medication, a reassessment of diagnosis, and a formulation that connects the biological, psychological, and contextual elements of the picture. Whether a new evaluation is useful depends on what questions are still open. That is something we can discuss in a brief initial call.

Yes — this is one of the things we do explicitly. Many adults carry medication regimens that were assembled incrementally over time and were never reviewed as a coherent whole. We conduct a thorough review of your current medications, their rationale, and their current necessity, and we approach de-prescribing thoughtfully when simplification is clinically indicated. This is not about reducing medication for its own sake. It is about precision.

That depends entirely on the nature and complexity of what you are dealing with. Some adults need a defined course of treatment — a few months of active work followed by a clear transition to maintenance. Others benefit from a longer ongoing relationship, particularly when managing chronic conditions. We are explicit about what phase of treatment you are in and what the criteria for transition look like. We review the plan formally every few months and adjust it based on real progress data, not habit.

The adult model is primarily individual psychiatric care. We do not offer couples therapy as a standalone service. However, family or partner sessions can be incorporated into a treatment plan when they are clinically indicated — for example, when a partner’s involvement is relevant to medication decisions or when family dynamics are significantly affecting treatment. This is always discussed with the patient and conducted with appropriate consent.

Treatment resistance is often better understood as treatment insufficiency — meaning the treatments tried were adequate for a less complex presentation, but not sufficient for yours. At the Krasner Institute, we assess the full picture: what has been tried, for how long, at what doses, with what concurrent supports. Often there are meaningful untried options, including interventional psychiatry. We do not accept “treatment-resistant” as a permanent label. We treat it as a clinical challenge that requires a more thorough approach.

Ready for a different kind of psychiatric care?

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