What we treat

OCD

Medication Management: What to Expect

Welcome to our medication management service, an essential part of our commitment to ensuring the best possible care for our patients. Here’s a guide to what you can anticipate:

At Mind Align Psychiatry, we understand that Obsessive-Compulsive Disorder (OCD) is a complex condition characterized by unwanted, recurring thoughts (obsessions) and repetitive behaviors (compulsions) that individuals feel compelled to perform. 

These obsessions and compulsions are intense and frequent enough to interfere significantly with daily life. While some may primarily experience obsessions or compulsions, most individuals with OCD experience a combination of both.

OCD manifests uniquely in each individual, influenced by factors such as the specific type of OCD, age, family support, additional stressors, and other co-occurring psychiatric conditions. Contrary to popular portrayals, OCD isn't just about excessive cleanliness or orderliness. It encompasses a wide range of obsessions and compulsions, often disrupting a person's life at inconvenient times and feeling almost uncontrollable.

Diagnosing OCD involves a thorough evaluation by a psychiatric practitioner. Initial treatment typically includes therapy, specifically with a therapist skilled in exposure and response prevention, which is highly effective for OCD. If symptoms are severe, medication management may also be necessary. Additionally, laboratory studies might be conducted to exclude medical causes for obsessive thinking, especially if symptoms have appeared suddenly or in certain age groups.

We approach the treatment of OCD with a holistic mindset.

We consider all aspects of a patient's life and health, aiming to use minimal and effective doses of medication when necessary. Our team offers a blend of psychiatric care, therapy, life coaching, and dietetics to provide comprehensive care that addresses not just the symptoms of OCD but also its impact on overall well-being. We strive to empower our patients with the tools and support they need to manage OCD and improve their quality of life.

Your monthly subscription ensures continuous, seamless care. Our goal is to make medication management efficient, educative, and empowering, giving you the peace of mind you deserve.

Provider Spotlight

Dr. David Danish, MD

Dr. Danish is a psychiatrist known for his expertise in treating treatment-resistant depression. He integrates both on-label and off-label medications, supplements, and holistic approaches, offering a comprehensive and personalized treatment plan for each patient. His innovative and research backed strategies provide hope and relief to those struggling with complex depressive disorders.

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Dr. David Danish, MD
Owner, Psychiatrist

Dr. Danish graduated from Kenyon College in Gambier, Ohio, and then from Case Western Reserve University School of Medicine in Cleveland, Ohio in 2007, where he earned the Mastin Scholarship for outstanding academic achievement. He came to Philadelphia for his adult psychiatry residency at the Hospital of the University of Pennsylvania, followed by a two-year fellowship in child & adolescent psychiatry at the Children’s Hospital of Philadelphia. He is board certified in both adult psychiatry and child/adolescent psychiatry.During his 15 years of experience in psychiatry, he has treated patients of all ages (from preschool to geriatric) and various backgrounds. He is experienced in treating mood, anxiety, neurodevelopmental, executive function, and psychotic disorders.

After working for over a decade in both emergency room and inpatient settings, gaining experience with the more acute presentations of these disorders, he went on to develop and grow a multi-disciplinary center for psychiatric disorders-- Philadelphia Integrative Psychiatry, located in the suburbs west of Philadelphia, Pennsylvania.

At this practice he leads a team of practitioners, nurse practitioners and therapists, treating hundreds of patients with conditions across the psychiatric spectrum. Philadelphia Integrative Psychiatry employs cutting edge treatment, including the most up to date and research-backed psychopharmacology, neurofeedback, biofeedback, EMDR, and altered mind state for treatment resistant depression (TRD), and soon will provide Transcranial Magnetic Stimulation for TRD and altered mind state assisted therapy for depression & PTSD.

In addition to his role as a clinical lead, he is excited and honored to have been accepted as a member of the team at Behavidence. Behavidence offers a phone-based technology that employs digital phenotyping and a machine-learning algorithm to evaluate onset, progression, and relapse of mental health conditions. At Behavidence he will help direct research, product design, and patient and practitioner outreach and education. This new approach could offer a significant advance in how various conditions are screened for, diagnosed, and monitored in the field of psychiatry.

Meet our team

All Specialties
Psychiatrists
Psychiatric Nurse Practitioners
Dietitians
Licensed Therapists
Behavior Technicians
Coaches
Admin Supports
Dr. David Danish, MD
Owner, Psychiatrist
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Dr. David Danish, MD
Owner, Psychiatrist
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
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Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
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Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
John Guardiani, MA, LPC
Vice President & Licensed Therapist
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John Guardiani, MA, LPC
Vice President & Licensed Therapist
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
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Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Marni Mackey, RDN, LDN
Registered Dietitian
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Marni Mackey, RDN, LDN
Registered Dietitian
Mark Agnew, MS
Licensed Therapist
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Mark Agnew, MS
Licensed Therapist
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
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Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Alexa Gavrilov, LCSW
Licensed Therapist
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Alexa Gavrilov, LCSW
Licensed Therapist
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
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Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
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Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
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David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Bwint, MA, BCB
Licensed Therapist
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Justin Bwint, MA, BCB
Licensed Therapist
Alex Brogan, LCSW
Licensed Therapist
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Alex Brogan, LCSW
Licensed Therapist
Kianna Morgan, MSW, LSW
Licensed Therapist
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Kianna Morgan, MSW, LSW
Licensed Therapist
Justin Vespasiani
Behavior Technician , Coach , Admin Support
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Justin Vespasiani
Behavior Technician , Coach , Admin Support
Rebecca Lichtenstein
Behavior Technician
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Rebecca Lichtenstein
Behavior Technician
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
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Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Juan Montoya
Behavior Technician , Admin Support
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Juan Montoya
Behavior Technician , Admin Support
Sophia Gant, LCSW
Licensed Therapist
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Sophia Gant, LCSW
Licensed Therapist
Alane Degli Esposti, MSS, LSW
Licensed Therapist
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Alane Degli Esposti, MSS, LSW
Licensed Therapist
Stephanie Dunn
Behavior Technician
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Stephanie Dunn
Behavior Technician
Jahlia Smallwood
Behavior Technician
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Jahlia Smallwood
Behavior Technician
Dr. David Danish, MD
Owner, Psychiatrist
Learn more
Arrow
Cross
Dr. David Danish, MD
Owner, Psychiatrist
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Marni Mackey, RDN, LDN
Registered Dietitian
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Arrow
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Marni Mackey, RDN, LDN
Registered Dietitian
John Guardiani, MA, LPC
Vice President & Licensed Therapist
Learn more
Arrow
Cross
John Guardiani, MA, LPC
Vice President & Licensed Therapist
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Learn more
Arrow
Cross
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Mark Agnew, MS
Licensed Therapist
Learn more
Arrow
Cross
Mark Agnew, MS
Licensed Therapist
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Learn more
Arrow
Cross
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Alexa Gavrilov, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Alexa Gavrilov, LCSW
Licensed Therapist
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Learn more
Arrow
Cross
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
Learn more
Arrow
Cross
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Learn more
Arrow
Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Bwint, MA, BCB
Licensed Therapist
Learn more
Arrow
Cross
Justin Bwint, MA, BCB
Licensed Therapist
Alex Brogan, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Alex Brogan, LCSW
Licensed Therapist
Kianna Morgan, MSW, LSW
Licensed Therapist
Learn more
Arrow
Cross
Kianna Morgan, MSW, LSW
Licensed Therapist
Sophia Gant, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Sophia Gant, LCSW
Licensed Therapist
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Learn more
Arrow
Cross
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Rebecca Lichtenstein
Behavior Technician
Learn more
Arrow
Cross
Rebecca Lichtenstein
Behavior Technician
Juan Montoya
Behavior Technician , Admin Support
Learn more
Arrow
Cross
Juan Montoya
Behavior Technician , Admin Support
Stephanie Dunn
Behavior Technician
Learn more
Arrow
Cross
Stephanie Dunn
Behavior Technician
Jahlia Smallwood
Behavior Technician
Learn more
Arrow
Cross
Jahlia Smallwood
Behavior Technician
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Learn more
Arrow
Cross
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Learn more
Arrow
Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Juan Montoya
Behavior Technician , Admin Support
Learn more
Arrow
Cross
Juan Montoya
Behavior Technician , Admin Support
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