Adult Psychiatric and Psychotherapy Care

Dr. Joe Gallego provides comprehensive, personalized treatment for adults facing challenges such as depression, anxiety, ADHD, and trauma-related conditions. Dr. Gallego helps navigate complex mental health needs with clarity and compassion.
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Getting Started

Evaluation

The comprehensive psychiatric evaluation is necessarily thorough. I explore with patients their presenting concerns and symptoms, as well as their prior psychiatric evaluations and treatments, medication trials, history of medical illnesses, mental illnesses that run in their family, and aspects of the patient’s daily life (e.g., relationships, job/career). At the end of evaluation, I discuss with patients my diagnostic impressions and treatment recommendations.
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Evaluation (60 min.)
Mental Health Evaluation of Teens & Adults, Dr. Joe Gallego, psychiatrist

Psychotherapy

Based on the evaluation, I may recommend that a patient see me for psychotherapy. My approach to psychotherapy depends on the individual needs of the patient, but I am largely informed by evidence-based psychodynamic principles (i.e., examining the patient’s relationships, including their relationship with me, to untangle defense mechanisms that are keeping the patient “stuck”). My casual interpersonal style and use of humor allow me to connect with my patients and facilitate a nonjudgmental exploration of their current challenges in life. If a specific modality of psychotherapy is indicated (e.g., DBT, CBT, EMDR) I will refer the patient to a therapist who provides that service.
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Psychotherapy begins with once weekly 45-minute sessions.
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Depending on patient progress, we can increase or decrease the frequency of sessions.
In-person visit available, Dr. Joe Gallego, psychiatrist

Medication Management

When indicated, I may recommend starting a patient on a medication. Some patients see me for medication only, while others see me for both psychotherapy and medication management. I am judicious about starting a patient on medication, and informed consent is always required. My medication management sessions include elements of psychotherapeutic principles, rather than being brief “med-check” sessions.
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Medication management follow-up sessions are up to 30 minutes; frequency of visits depends on clinical indication.
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For patients on a stable medication regimen (including patients on controlled substances such as stimulant medications), follow-up sessions can be spread out to once every 3 months.
Medication Management Dr. Joe Gallego, psychiatrist, available for care in Boston, Massachusetts

Letter Writing

Patients occasionally require letters from their psychiatrist to support various needs, such as school or work accommodations, leave of absence requests, and support letters for medical/surgical transition for some transgender and nonbinary patients. I provide this service to patients who see me for psychotherapy or medication management.
Letter Writing for insurance submission, Dr. Joe Gallego, psychiatrist