Can ADHD be diagnosed for the first time in adulthood?

Yes, and frequently is. The criteria require that symptoms were present before age 12, but a great many people are not identified until the demands of study, work or parenting outgrow the strategies that had been carrying them. A careful developmental history is how that earlier onset is established.

Do I have to take medication?

No. Medication is the best-evidenced treatment for the core symptoms, but whether to take it is your decision, made with full information about what it does and does not do. Some patients do well on non-stimulant options, and some choose to work without medication.

Can you continue a prescription I am already on?

In most cases, yes, after an evaluation. Bring the name and dose of your current medication, your previous prescriber's details, and any recent records to the first appointment.

Can this be done by telemedicine?

Evaluation and follow-up can be conducted by secure video for residents of the District of Columbia, Maryland and Florida. Prescribing of controlled medication by telemedicine is governed by federal and state rules, and how that applies to you is discussed at your first appointment.

Do you provide psychological or neuropsychological testing?

Dr. Patel conducts a psychiatric diagnostic evaluation using clinical interview and validated rating scales. Where formal neuropsychological or educational testing is needed — for instance to document a learning difference for accommodations — a referral is made to a clinician who specialises in it.

I was told this might be a learning disorder rather than attention.

The two overlap and are often both present. Learning differences are screened for during evaluation and, where formal educational testing is indicated, are referred on. What Dr. Patel treats is the psychiatric side — attention, mood, anxiety and sleep.

What types of eating disorders does Dr. Patel treat?

Dr. Smita Patel provides psychiatric evaluation and treatment for a broad range of eating disorders, including Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Avoidant/Restrictive Food Intake Disorder (ARFID), and Other Specified Feeding or Eating Disorders (OSFED). She treats adolescents and adults and addresses co-occurring psychiatric conditions such as anxiety, depression, OCD, and trauma.

How long does eating disorder treatment typically take?

The duration of treatment varies significantly depending on the specific disorder, its severity, the patient's age, and the presence of co-occurring conditions. Some patients experience meaningful improvement within several months of beginning psychiatric care, while others benefit from longer-term treatment spanning one to several years. Dr. Patel develops individualized treatment plans and regularly reviews progress to adjust care as needed.

When should a family seek help for a child or adolescent with an eating disorder?

Families should seek a psychiatric evaluation promptly if a child or adolescent demonstrates significant changes in eating habits, extreme concerns about weight or body image, food avoidance, rapid weight loss, secretive eating, excessive exercise, or frequent vomiting. Early intervention is critical — eating disorders are more successfully treated when identified and addressed at the earliest stages. A professional evaluation does not require that a diagnosis already be confirmed.

Does Dr. Patel offer telemedicine for eating disorder treatment?

Yes. Dr. Patel offers secure telemedicine appointments in addition to in-office sessions at her Washington, DC office at 1629 K St. NW Suite 300. Telemedicine provides flexibility for patients and families who may face geographic or scheduling barriers to in-office care. Patients can reach the office by phone at (202) 775-0620 to discuss which format is most appropriate for their situation.

Does Dr. Patel accept insurance for eating disorder treatment?

Dr. Patel's practice works with insurance to support patient access to psychiatric care. Patients are encouraged to contact the office directly to discuss insurance eligibility and coverage options. More information is also available on the Insurance & Access page.

How can I tell if my child has a learning disorder or just needs more practice?

A learning disorder is characterized by a persistent and significant gap between a child's intellectual ability and their academic performance in a specific area, such as reading, writing, or math, that does not resolve with typical instruction alone. If a child continues to struggle despite adequate effort, tutoring, and teacher support, a formal evaluation is warranted. Dr. Patel can conduct a comprehensive psychiatric assessment to determine whether a neurodevelopmental condition is contributing to academic difficulties and recommend appropriate next steps.

Can a person have both ADHD and a learning disability?

Yes. ADHD and learning disabilities frequently co-occur. Research indicates that approximately 30–50% of individuals with ADHD also have at least one learning disability. While ADHD affects attention, impulse control, and executive function, learning disabilities reflect specific deficits in processing language, numbers, or written expression. Both conditions require accurate diagnosis and individualized treatment. Dr. Patel's evaluations are designed to identify each condition separately and create a coordinated treatment plan that addresses all presenting needs.

What psychiatric treatment options are available for learning disorders?

Psychiatry does not directly treat the cognitive processing differences that define learning disabilities — that work is done by educational specialists, psychologists, and therapists. However, psychiatric care plays an important role in addressing co-occurring conditions such as ADHD, anxiety, and depression that often accompany learning disorders and significantly impair functioning. Medication management, psychoeducation, and coordination with educational providers are core components of Dr. Patel's approach. Families are also provided with guidance on evidence-based educational interventions and support resources.

How does Dr. Patel coordinate with schools on behalf of her patients?

With appropriate patient or guardian consent, Dr. Patel communicates directly with school psychologists, teachers, and special education coordinators. She provides clinical documentation to support IEP (Individualized Education Program) and 504 Plan development, including diagnostic letters outlining the psychiatric and neurodevelopmental findings relevant to school-based accommodations. She may also participate in school meetings or provide written recommendations to clarify the psychiatric basis for specific support needs.

Are telemedicine appointments available for learning disorder evaluations?

Yes. Dr. Patel offers both telemedicine and in-office appointments for psychiatric evaluations, including those related to learning disorders. Telemedicine provides a convenient option for families who cannot easily travel to the Washington, DC office. Insurance coverage for telemedicine services varies; patients are encouraged to verify their benefits by visiting the Insurance page or calling the office at (202) 775-0620.

How Dr. Patel Approaches It

A full diagnostic evaluation, not a questionnaire

Developmental, academic and work history; validated rating scales; collateral information from a family member or partner where you want that included; and a deliberate review of medical causes that imitate ADHD — thyroid disease, sleep apnoea, iron deficiency, substance use, and the side effects of other medications.

Medication management, discussed openly

Stimulant medications (the methylphenidate and amphetamine classes) are the best-evidenced treatment for core symptoms. Non-stimulant options — atomoxetine, viloxazine, guanfacine and bupropion among them — matter when stimulants are not tolerated, not appropriate, or not wanted. Cardiovascular history and blood pressure are reviewed before any stimulant is started, and prescribing of controlled medication follows District of Columbia and federal requirements.

What works alongside medication

Organisational and behavioural strategies, sleep and exercise, ADHD coaching, and documentation for academic or workplace accommodation where that is useful. Medication makes strategies possible; it does not replace them.

Coordination with the rest of your care

With your therapist, your primary care physician, and your school or university where you want that contact made.

Find out whether ADHD explains what you have been dealing with

Dr. Smita Patel is a board-certified psychiatrist with over 30 years in practice, seeing patients in-office at 1629 K St. NW, Suite 300, Washington, DC, and by secure telemedicine for residents of the District of Columbia, Maryland and Florida.

Request an Appointment Call (202) 775-0620

What Often Sits Alongside It

ADHD rarely arrives on its own, and treating it in isolation when something else is driving the difficulty tends not to work. A first evaluation looks deliberately wider than attention.

Anxiety disorders — Commonly co-occurring, and easily mistaken for inattention when worry is what is consuming the attention.
Depression and other mood disorders — Including the demoralisation that follows years of underperforming relative to effort.
Bipolar disorder — The overlap matters clinically, because stimulant medication can destabilise a bipolar illness that has not been identified.
Sleep disorders — Including delayed sleep phase and sleep apnoea, both of which produce daytime inattention that looks identical to ADHD.
Substance use — Sometimes self-medication, sometimes a separate problem.
Learning differences — Dyslexia, dysgraphia and dyscalculia frequently sit alongside attention difficulties, and are screened for during evaluation.
Autism spectrum conditions — The two co-occur more often than was once recognised.

Frequently Asked Questions

Common questions about ADHD evaluation, medication, telemedicine, and what to expect.

ADHD CARE IN WASHINGTON, DC

Attention Deficit Disorder Treatment for Adolescents and Adults

Careful diagnosis, an honest conversation about medication, and a plan that fits the life you actually lead. Dr. Smita Patel provides psychiatric evaluation and ongoing ADHD treatment in-office in Washington, DC, and by secure telemedicine for residents of the District of Columbia, Maryland and Florida.

Request an Appointment Call (202) 775-0620

The Three Presentations of ADHD

ADHD is one condition with three recognised presentations. Which one fits can change over a lifetime, which is part of why it is so often identified late.

Predominantly Inattentive

Difficulty sustaining attention, losing the thread of instructions or reading, appearing not to listen, disorganisation, avoiding tasks that need sustained mental effort, misplacing things, forgetfulness in daily routines. This is the presentation most often missed — particularly in girls, and in capable students who compensate successfully until the workload outgrows the strategy.

Predominantly Hyperactive-Impulsive

Restlessness, difficulty staying seated or settled, talking over others, answering before the question is finished, difficulty waiting, acting before thinking it through. In adolescents and adults this usually reads as internal restlessness and impatience rather than visible overactivity.

Combined

Enough symptoms of both to meet criteria for each. This is the presentation seen most often in clinical practice.

Diagnostic note: Diagnosis requires that several symptoms were present before age 12, that they appear in two or more settings — for example both school or work and home — and that they genuinely interfere with functioning. Difficulty concentrating on its own is not ADHD.

Specialized Psychiatric Care for Autism

Dr. Smita Patel brings over 30 years of psychiatric experience to the care of autistic adolescents and adults. Her approach combines rigorous clinical expertise with a compassionate, strengths-based philosophy — recognizing each patient's unique profile and supporting both the individual and their family.

Dr. Patel does not attempt to alter the fundamental neurodivergent nature of her patients. Instead, she focuses on reducing distress, treating co-occurring conditions, and improving quality of life so that autistic individuals can thrive in their home, school, and community environments.

A caring professional working with a child at a table, providing supportive guidance

Comprehensive Psychiatric Evaluation

Dr. Patel conducts thorough evaluations that review developmental history, behavioral patterns, family dynamics, school functioning, and prior diagnostic records. This holistic assessment identifies both ASD characteristics and any co-occurring psychiatric conditions, forming the foundation of a precise treatment plan.

Psychopharmacology When Appropriate

Medication is not universally indicated for ASD itself, but is often valuable for managing co-occurring anxiety, depression, ADHD, irritability, or sleep difficulties. Dr. Patel's psychopharmacological expertise — grounded in Johns Hopkins training — ensures that medication decisions are evidence-based, carefully titrated, and monitored for safety and effectiveness.

Mindfulness-Informed and Integrative Care

Dr. Patel integrates mindfulness-based techniques with psychiatric care, supporting self-regulation, emotional awareness, and stress reduction in ways that are adapted to the learning styles and sensory profiles of autistic patients. This holistic approach complements behavioral and educational interventions.

Collaboration with Multidisciplinary Teams

Effective autism care extends beyond psychiatry. Dr. Patel collaborates closely with pediatricians, therapists, speech-language pathologists, occupational therapists, and school professionals to ensure a coordinated approach that supports each patient's full developmental context.

Family-Centered Partnership

Parents and caregivers are essential partners in treatment. Dr. Patel provides families with practical guidance, education about ASD and co-occurring conditions, support for navigating school accommodations and IEPs, and strategies for managing challenging behaviors and supporting daily functioning.

Psychiatric Comorbidities in ASD

Many adolescents and adults with autism experience co-occurring psychiatric conditions that require careful, specialized assessment and treatment planning alongside ASD care.

Anxiety Disorders

~40–50% of individuals with ASD

Anxiety is the most common co-occurring condition in autism, manifesting as generalized worry, social anxiety, separation anxiety, or specific phobias. Sensory sensitivities and difficulty predicting social situations significantly heighten anxious responses. Dr. Patel carefully distinguishes autism-related anxiety from primary anxiety disorders to guide the most effective treatment approach.

Depression

~20–30% of individuals with ASD

Depression affects a significant proportion of autistic individuals, particularly adolescents and young adults navigating social exclusion, communication difficulties, and the stress of masking neurodivergent traits. Depressive presentations in autism can differ from neurotypical presentations — increased withdrawal, loss of special interest engagement, or heightened irritability may be prominent features.

ADHD

~30–50% of individuals with ASD

ADHD and ASD frequently co-occur, with overlapping features including inattention, impulsivity, and difficulty with self-regulation. Distinguishing which symptoms belong to which diagnosis is clinically important, as this directly shapes medication decisions and behavioral support strategies. Dr. Patel has extensive experience identifying and treating this complex comorbid presentation.

Important note: The presence of multiple co-occurring conditions requires a comprehensive psychiatric evaluation that disentangles overlapping symptoms. Dr. Patel conducts thorough diagnostic assessments to develop a clear clinical picture before formulating individualized treatment plans.

Frequently Asked Questions

Common questions from families and individuals seeking psychiatric support for autism spectrum disorder.

How is autism spectrum disorder diagnosed in adolescents and adults?

Autism spectrum disorder is diagnosed through a comprehensive clinical evaluation that integrates developmental history, behavioral observation, standardized assessment tools (such as the ADOS-2 and ADI-R), school reports, and input from parents and caregivers. Psychiatric diagnosis focuses on identifying ASD characteristics alongside any co-occurring mental health conditions. There is no single medical test for ASD — diagnosis is based on clinical judgment informed by thorough assessment. Dr. Patel conducts detailed psychiatric evaluations as part of the diagnostic process for adolescents and adults.

What co-occurring psychiatric conditions most commonly affect autistic individuals?

The most prevalent co-occurring conditions in autism include anxiety disorders (affecting approximately 40–50% of autistic individuals), ADHD (30–50%), and depression (20–30%), particularly in adolescents and young adults. Sleep disorders, OCD, sensory processing difficulties, and mood dysregulation are also common. Identifying and treating these co-occurring conditions is a central focus of Dr. Patel's psychiatric care, as untreated comorbidities significantly impair daily functioning and quality of life.

Are psychiatric medications used to treat autism spectrum disorder itself?

There is no medication that treats the core features of ASD. However, several medications are effective — and in some cases FDA-approved — for managing specific symptoms and co-occurring conditions. These include medications for anxiety, depression, ADHD-related inattention and hyperactivity, irritability, and sleep difficulties. Dr. Patel takes a conservative, evidence-based approach to prescribing in autistic patients, carefully considering each individual's age, weight, sensory sensitivities, and co-occurring diagnoses before initiating any medication.

How does psychiatric treatment support developmental progress?

When co-occurring anxiety, depression, or ADHD symptoms are effectively treated, autistic adolescents and adults are better able to benefit from behavioral therapies, speech-language services, occupational therapy, and educational interventions. Psychiatric stability reduces behavioral dysregulation, improves attention and learning readiness, and enables fuller engagement in developmental and social opportunities. Dr. Patel coordinates closely with other providers to ensure that psychiatric care supports — rather than substitutes for — the broader interdisciplinary treatment team.

Does Dr. Patel offer telemedicine appointments for patients with ASD?

Yes. Dr. Patel offers secure telemedicine appointments to residents of District of Columbia, Maryland, and Florida. Telemedicine is particularly valuable for autistic patients who may experience anxiety related to travel, unfamiliar environments, or waiting rooms. Virtual appointments allow Dr. Patel to conduct evaluations and follow-up sessions in the comfort and familiarity of the patient's home environment, which can facilitate more authentic behavioral observation and reduce appointment-related distress.

Trusted External Resource

The National Institute of Mental Health (NIMH) provides authoritative, up-to-date information on autism spectrum disorders, including symptom guides, diagnostic criteria, treatment options, and resources for families, caregivers, and individuals with ASD.

NIMH: Autism Spectrum Disorders (ASD)

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Insurance & Availability

Treatment Goals & Outcomes

Dr. Patel's psychiatric care for adolescents and adults with autism is guided by meaningful, individualized goals that support long-term flourishing across all areas of life.

Accurate Diagnosis & Clarity

Establishing a clear, comprehensive diagnostic picture — including ASD characteristics, developmental profile, and co-occurring psychiatric conditions — provides patients and families with the understanding they need to access appropriate support and services.

Emotional Regulation & Wellbeing

Addressing anxiety, depression, and mood dysregulation that frequently accompany ASD dramatically improves daily functioning, reduces challenging behaviors, and enhances the overall quality of life for both the patient and their family.

Academic & Social Success

Psychiatric treatment — combined with advocacy for appropriate school accommodations, IEP support, and educational strategies — enables autistic adolescents and adults to participate more fully and confidently in academic and social environments.

Independence & Life Skills

For young adults with ASD, treatment goals shift toward supporting the transition to greater independence, higher education, vocational settings, and community participation — equipping them with the psychiatric stability and coping tools needed for adult life.

Ready to take the first step toward comprehensive autism psychiatric care?

Check Insurance & Availability Call (202) 775-0620

Understanding Autism Spectrum Disorder

ASD is characterized by differences in social communication, restricted or repetitive behaviors, and sensory sensitivities. Dr. Patel's approach honors the full complexity of each individual's profile.

A Spectrum of Presentations

Autism spectrum disorder (ASD) encompasses a broad range of neurodevelopmental differences affecting social communication, sensory processing, and behavior. No two individuals present identically — ASD manifests along a wide continuum of strengths and challenges.

Prevalence & Recognition

The CDC estimates that approximately 1 in 36 children in the United States is diagnosed with ASD, making it one of the most common neurodevelopmental conditions. Increased awareness and improved diagnostic criteria have led to earlier and more accurate identification across all backgrounds.

Neurodivergence Perspective

Dr. Patel approaches autism through a strengths-based, neurodiversity-affirming lens — recognizing that autistic individuals bring unique cognitive styles, deep areas of interest, and valuable perspectives. Psychiatric care focuses on supporting flourishing rather than eliminating neurodivergent traits.

Common Characteristics of ASD

Differences in social communication and interaction

Challenges interpreting nonverbal cues (eye contact, tone, gestures)

Preference for routines and resistance to change

Restricted, highly focused areas of interest

Repetitive behaviors or movements (stimming)

Sensory sensitivities (over- or under-responsiveness)

Uneven cognitive or academic skill profiles

Difficulties with executive function and flexible thinking

Ready to Take the Next Step Toward Stability?

Dr. Smita Patel brings over 30 years of psychiatric expertise to the care of adults living with bipolar disorder. Contact the office today to schedule a comprehensive psychiatric evaluation and begin a personalized treatment plan.

Verify Insurance & Schedule (202) 775-0620

Bipolar Disorder Hub·Explore All Specialized Care

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Bipolar Disorder Treatment for Adults

With over 30 years of experience in adult psychiatry, Dr. Smita Patel provides evidence-based, personalized care for adults living with bipolar disorder — helping patients achieve stability and reclaim their quality of life.

Verify Insurance & Schedule (202) 775-0620

Understanding Bipolar Disorder Presentations in Adults

Bipolar disorder is a complex mood condition characterized by recurring episodes of mania, depression, and — in some cases — mixed states. Recognizing the distinct phases is essential to receiving accurate diagnosis and effective, individualized treatment.

Manic Episodes

Adults experiencing manic episodes may feel an elevated or irritable mood, reduced need for sleep, racing thoughts, and impulsive decision-making. These periods can last days to weeks and significantly disrupt daily functioning, relationships, and professional responsibilities.

Unusually high or expansive mood
Decreased need for sleep without fatigue
Rapid, pressured speech and racing thoughts
Increased goal-directed activity or agitation
Impulsive or risk-taking behavior
Grandiosity or inflated self-esteem

Depressive Episodes

Bipolar depressive episodes in adults often involve persistent sadness, withdrawal, and profound fatigue. Unlike unipolar depression, these episodes alternate with mood elevation and require treatment strategies tailored specifically to bipolar disorder to avoid triggering a switch to mania.

Persistent sadness or emotional emptiness
Loss of interest in previously enjoyed activities
Significant fatigue and low energy
Difficulty concentrating or making decisions
Changes in sleep — insomnia or hypersomnia
Feelings of hopelessness or suicidal ideation

Mixed States & Cycling

Some adults experience mixed states — simultaneously exhibiting symptoms of both mania and depression — or rapid cycling, defined as four or more mood episodes within a year. These presentations often pose greater diagnostic and treatment challenges and underscore the importance of specialized psychiatric care.

Simultaneous depressive and manic symptoms
Extreme mood swings within a single day
Four or more distinct episodes per year (rapid cycling)
High agitation alongside low mood
Increased risk of suicidality during mixed states
Difficulty achieving sustained stability

Learn more from the National Institute of Mental Health: Bipolar Disorder Overview — NIMH ↗

Evidence-Based Treatment Options for Adults

Dr. Smita Patel's approach to adult bipolar disorder treatment combines rigorous psychiatric assessment with personalized, long-term strategies that address the full spectrum of mood episodes — enabling adults to achieve meaningful, lasting stability.

Mood Stabilizers & Medication Management

Lithium, valproate, lamotrigine, and atypical antipsychotics are cornerstone pharmacological options for bipolar disorder. Dr. Patel conducts a thorough psychiatric evaluation to identify the most appropriate medication regimen, carefully monitoring therapeutic levels and minimizing side-effect burden across both acute and maintenance phases.

Psychoeducation & Insight Building

Understanding the nature of bipolar disorder empowers patients to recognize early warning signs of mood shifts, adhere to treatment, and reduce the risk of relapse. Dr. Patel integrates structured psychoeducation into every patient's care plan, helping adults and their families build the knowledge needed for sustained recovery.

Mindfulness-Based & Integrative Approaches

Drawing on over 30 years of clinical experience, Dr. Patel blends evidence-based psychopharmacology with mindfulness techniques that support emotional regulation, reduce stress reactivity, and enhance overall wellbeing. This integrative philosophy distinguishes her practice and promotes holistic mental health.

Individualized Maintenance Planning

Bipolar disorder is a lifelong condition requiring proactive, long-term management. Dr. Patel develops personalized maintenance plans — calibrated to each adult's diagnostic subtype, lifestyle, and history — to prevent mood episode recurrence and support functional stability at work and home.

Telemedicine & In-Office Follow-Up

Consistent follow-up is critical in bipolar disorder care. Dr. Patel offers both telemedicine and in-office appointments across Washington, DC, giving adult patients flexible access to regular check-ins, medication adjustments, and ongoing support without disrupting their schedules.

Collaborative & Coordinated Care

Dr. Patel works closely with therapists, primary care physicians, and other specialists to ensure a seamless, coordinated treatment experience. This multidisciplinary collaboration is especially beneficial for adults managing bipolar disorder alongside co-occurring conditions such as anxiety or substance use.

Two women talking in a modern office setting — a psychiatrist with a patient

Why Choose Dr. Smita Patel

Expert Adult Bipolar Disorder Care in Washington, DC

Accurate diagnosis and consistent, specialized treatment are critical for adults living with bipolar disorder. Dr. Smita Patel has dedicated her career to providing individualized psychiatric care that addresses the unique complexities of bipolar disorder in adulthood — blending advanced psychopharmacology with a holistic, patient-centered philosophy.

Board-certified psychiatrist with over 30 years of clinical experience
Johns Hopkins-trained in psychopharmacology and integrative psychiatry
Specializes in complex mood disorders including bipolar I, II, and cyclothymia
Combines medication management with mindfulness-based wellness strategies
Offers telemedicine and in-office appointments throughout Washington, DC
Coordinates care with therapists, primary care, and specialists

View All Specialized Care NIMH Bipolar Disorder Resource

Ready to Take the Next Step for Your Adolescent?

Dr. Smita Patel brings over 30 years of specialized experience in adolescent psychiatry to every evaluation. Contact the practice today to learn about insurance coverage, availability, and how to schedule a comprehensive psychiatric consultation for your teenager.

Check Insurance & Schedule (202) 775-0620

Telemedicine and in-office appointments available • Washington, DC • 1629 K St. NW Suite 300

Frequently Asked Questions

Common questions from families seeking help for adolescents with bipolar disorder.

At what age can bipolar disorder be diagnosed in adolescents?

Bipolar disorder can be diagnosed in adolescents as young as twelve years old, though it is more commonly identified during the mid-to-late teenage years. Early diagnosis is critical — studies show that the average delay between onset of symptoms and accurate diagnosis is several years, during which time young patients often receive multiple incorrect diagnoses. Dr. Patel's over 30 years of experience in adolescent psychiatry allows her to identify early presentations and distinguish bipolar disorder from other conditions with overlapping symptoms.

How is bipolar disorder in adolescents different from adult bipolar disorder?

Adolescents and teenagers with bipolar disorder often experience more rapid mood cycling, more prominent irritability (rather than classic euphoria), mixed symptom states, and greater comorbidity with ADHD and anxiety disorders. The episodic pattern of distinct manic and depressive episodes typical in adults is less common in younger patients, making accurate diagnosis particularly challenging and requiring specialized clinical expertise.

Is medication safe for adolescents and teenagers with bipolar disorder?

Several mood stabilizers and atypical antipsychotics are FDA-approved for use in adolescent bipolar disorder. Dr. Patel takes a careful, conservative approach — selecting the most appropriate medication for the patient's age, weight, and symptom profile, starting at low doses, and monitoring closely for both effectiveness and side effects including metabolic changes, sedation, and growth parameters.

What role does family play in treatment?

Family involvement is essential to the success of bipolar disorder treatment in adolescents. Dr. Patel works closely with parents and caregivers to provide education about the condition, guidance on recognizing early warning signs of mood episodes, strategies for maintaining stabilizing routines, and support for navigating school accommodations. A coordinated, team-based approach — including therapists, pediatricians, and educators — produces the best outcomes.

Does Dr. Patel offer telemedicine for adolescents and teenagers?

Yes. Dr. Patel offers secure, HIPAA-compliant telemedicine appointments for adolescents and their families throughout the Washington, DC area and beyond. Telemedicine provides convenient access to specialized adolescent psychiatric care without the barriers of travel or scheduling disruption to school routines.

Trusted External Resource

The National Institute of Mental Health (NIMH) provides authoritative, up-to-date information on bipolar disorder in adolescents and teens, including symptom guides, treatment options, and resources for families and caregivers.

NIMH: Bipolar Disorder in Children and Teens

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Specialized Care at Dr. Patel's Practice

Recognizing Bipolar Disorder in Young Patients

Bipolar disorder in adolescents often presents differently than in adults, making accurate diagnosis a significant clinical challenge. Early identification and appropriate treatment are critical to supporting healthy development, academic success, and family wellbeing.

Early Presentation in Childhood

In younger children, bipolar disorder frequently manifests as extreme behavioral and emotional dysregulation rather than the clearly defined mood episodes typical of adult presentations.

Mood Cycling

Rapid and intense mood shifts — from euphoria and hyperactivity to deep irritability or sadness — that are disproportionate to circumstances and differ markedly from typical childhood moodiness.

Irritability & Rage

Severe, prolonged temper outbursts that go beyond normal tantrums, often accompanied by destructive behavior, difficulty self-regulating, and explosive anger that can last hours.

Disrupted Sleep & Energy

Dramatic changes in sleep needs — periods of needing very little sleep while remaining highly energetic, alternating with fatigue, low motivation, and withdrawal from usual activities.

Grandiosity & Risk-Taking

An inflated sense of ability or importance, unusually bold or reckless behavior, poor judgment, and impulsivity that is clearly out of character for the adolescent's developmental stage.

Symptom Recognition in Adolescents

During the teenage years, bipolar disorder may more closely resemble adult presentations, though symptoms are often complicated by hormonal changes, social pressures, and comorbid conditions such as ADHD, anxiety, or substance use.

Depressive Episodes

Persistent sadness, hopelessness, withdrawal from friends, declining academic performance, loss of interest in previously enjoyed activities, and in severe cases, thoughts of self-harm.

Hypomanic / Manic Episodes

Elevated or expansive mood, reduced need for sleep, rapid speech, racing thoughts, increased goal-directed activity, and impulsive or risky decisions — particularly around social media, substances, or relationships.

Mixed Features

Simultaneously experiencing symptoms of both depression and mania — feeling deeply sad and hopeless while also agitated, restless, and unable to slow down — a presentation more common in adolescents than adults.

School & Social Impairment

Significant difficulty maintaining friendships, keeping up with academic demands, and meeting responsibilities — often misattributed to conduct problems, ADHD, or 'teenage behavior.'

Close-up photography of a young person reflecting on their emotions

"Accurate diagnosis is the foundation of effective treatment — especially in young patients whose development depends on it."

— Dr. Smita Patel

Age-Appropriate Treatment Approaches

With over 30 years of experience treating adolescents and young patients, Dr. Smita Patel tailors every treatment plan to the unique developmental needs, family context, and clinical presentation of each young patient — combining Johns Hopkins-trained psychopharmacology with a mindfulness- informed, holistic framework.

Comprehensive Psychiatric Evaluation

✓ Detailed developmental and family history review
✓ School and social functioning assessment
✓ Comorbidity screening (ADHD, anxiety, substance use)
✓ Structured diagnostic interviews appropriate for age

Every patient begins with a thorough evaluation encompassing developmental history, family psychiatric history, school functioning, and a full symptom assessment. Dr. Patel carefully rules out differential diagnoses — including ADHD, disruptive mood dysregulation disorder (DMDD), and trauma-related conditions — before arriving at an accurate bipolar diagnosis.

Age-Appropriate Psychopharmacology

✓ FDA-approved mood stabilizers for pediatric populations
✓ Careful titration with growth and metabolic monitoring
✓ Regular medication reviews and adjustments
✓ Coordination with pediatricians and school counselors

Dr. Patel's approach to medication management for adolescents and teenagers with bipolar disorder is both evidence-based and developmentally sensitive. Mood stabilizers and atypical antipsychotics approved for adolescent use are carefully titrated, with ongoing monitoring for efficacy and tolerability to support the adolescent's growth and wellbeing.

Family-Centered Care

✓ Psychoeducation for parents and caregivers
✓ Guidance on mood charting and early warning recognition
✓ Strategies for school accommodations and IEP support
✓ Coordination with therapists and multidisciplinary teams

Effective treatment of bipolar disorder in young patients requires a collaborative partnership with families. Dr. Patel provides psychoeducation to parents and caregivers, equipping them with practical tools to recognize early warning signs, establish stabilizing routines, and support their teenager's treatment adherence and emotional regulation.

Integrative & Mindfulness-Based Approaches

✓ Age-adapted mindfulness and self-regulation techniques
✓ Sleep hygiene and routine stabilization guidance
✓ Lifestyle and nutrition awareness for mood stability
✓ Ongoing psychoeducation for adolescent patients

Dr. Patel integrates mindfulness techniques and holistic wellness principles alongside medication management. Age-adapted mindfulness practices, sleep hygiene coaching, and lifestyle guidance help young patients develop self-awareness, emotional regulation skills, and resilience — essential complements to pharmacological treatment.

Teenager with a stuffed animal, representing comfort and emotional support in treatment

Young teenager sitting by a window, representing reflective and calming therapeutic approaches

Adolescent girl sitting outdoors, representing the teenage experience of bipolar disorder

Specialised Care for Every Stage of Life

Bipolar disorder requires a different clinical lens depending on the patient's age. Dr. Patel provides dedicated treatment pathways for adolescents and adults.

Adolescent receiving psychiatric care support

Adolescents

Bipolar disorder in adolescent patients often presents differently from adult forms — rapid cycling, mixed mood states, and co-occurring ADHD or anxiety are common. Dr. Patel's psychiatric expertise allows for careful differential diagnosis and age-appropriate treatment planning that addresses both mood stabilisation and developmental wellbeing.

Differential diagnosis from ADHD and depression
Developmental and school impact assessment
Family psychoeducation and support
Age-appropriate medication management

Learn More

Adult patient in a supportive psychiatric consultation

Adults

In adults, bipolar disorder may go unrecognised for years — particularly in those initially treated for depression alone. Dr. Patel conducts thorough lifetime mood histories to establish an accurate diagnosis and develop a personalised treatment plan that addresses mood stability, occupational functioning, and long-term quality of life.

Comprehensive lifetime mood history review
Medication optimisation and monitoring
Integrated psychopharmacology and mindfulness
Coordination with therapists and other providers

Learn More

Ready to Take the Next Step?

Dr. Smita Patel accepts most major insurance plans and offers both telemedicine and in-office consultations in Washington, DC. With over 30 years of experience, she is ready to provide a comprehensive psychiatric evaluation for bipolar disorder.

Call (202) 775-0620 Insurance & Access

NIMH: Bipolar Disorder Overview|All Specialized Care

Understanding Bipolar Disorder

Bipolar disorder is a chronic mental health condition characterised by dramatic shifts in mood, energy, and activity levels. These shifts — from periods of intense elation or irritability (mania or hypomania) to episodes of profound depression — can significantly affect a person's relationships, work, and overall quality of life.

The condition affects adolescents and adults, though its presentation can differ markedly across age groups. In younger patients, rapid mood cycling and mixed states are more common; in adults, episodes tend to be more discrete and prolonged. Accurate diagnosis is essential, as bipolar disorder can be mistaken for ADHD, unipolar depression, or anxiety disorders — particularly in adolescents.

Dr. Smita Patel has specialised in the evaluation and management of bipolar spectrum disorders for over 30 years. Drawing on her Johns Hopkins training and decades of clinical experience, Dr. Patel provides comprehensive psychiatric assessments that distinguish bipolar disorder from overlapping conditions and tailors treatment to each patient's unique history and goals.

For authoritative general information on bipolar disorder, the National Institute of Mental Health (NIMH) provides a comprehensive overview of the condition.

Recognising Bipolar Episode Types

Manic Episodes

Elevated or expansive mood
Decreased need for sleep
Racing thoughts and rapid speech
Inflated self-esteem or grandiosity
Increased goal-directed activity
Impulsive, risky behavior
Distractibility

Depressive Episodes

Persistent sadness or emptiness
Loss of interest in activities
Fatigue and low energy
Difficulty concentrating
Changes in sleep and appetite
Feelings of worthlessness or guilt
Thoughts of death or suicide

Hypomanic Episodes

Elevated mood — less severe than mania
Higher energy and productivity
Reduced sleep without fatigue
Increased sociability
Mild impulsivity
Noticeable change in functioning
No psychotic features

Dr. Patel's Treatment Approach

Effective treatment for bipolar disorder requires more than medication alone. Dr. Patel combines over 30 years of psychopharmacological expertise with a holistic, patient-centred framework designed to restore stability and improve long-term quality of life.

Medication Management

Mood stabilisers, atypical antipsychotics, and adjunctive medications are carefully selected and monitored to achieve optimal symptom control with minimal side effects. Dr. Patel reviews each patient's complete medication history and adjusts regimens as clinical needs evolve.

Comprehensive Psychiatric Evaluation

A thorough diagnostic assessment explores mood history, family psychiatric history, comorbid conditions, and functional impact. This informs a precise diagnosis — distinguishing Bipolar I, Bipolar II, and Cyclothymia — to guide the most appropriate treatment pathway.

Mindfulness-Informed Care

Dr. Patel integrates mindfulness-based techniques alongside medication management to support emotional regulation, stress resilience, and self-awareness — empowering patients to recognise early mood shifts and engage proactively in their own wellbeing.

Collaborative & Ongoing Support

Bipolar disorder is a lifelong condition requiring ongoing monitoring. Dr. Patel works in close coordination with therapists, primary care providers, and family members to ensure continuity of care and timely adjustment of treatment as circumstances change.

Key Facts About Bipolar Disorder

Affects approximately 2.8% of U.S. adults annually

Average delay to accurate diagnosis is 5–10 years

Highly treatable with proper psychiatric care

Adolescents require specialised evaluation

To explore Dr. Patel's full range of psychiatric specialisations, visit the Specialized Care page.

Telemedicine Consent Form

Dr. Patel offers secure telemedicine appointments to residents of District of Columbia, Maryland, and Florida. Prior to your first virtual visit, all patients are required to complete the telemedicine consent form below.

If you would like to learn more about virtual psychiatric care before completing this form, please visit the Telemedicine page for full details on how appointments work, what to expect, and how to prepare.

Complete the Consent Form

Send Us a Message

Prefer to write? Send a message and the office will respond during business hours.

In an emergency

If you are experiencing a medical emergency, call 911. If you are experiencing a psychiatric emergency, call 988 or go to your nearest emergency room.

How to Schedule an Appointment

Dr. Patel offers flexible scheduling for new and returning patients, including both in-office and secure telemedicine visits. Choose the option that works best.

Call to Schedule

Speak directly with Dr. Patel's office staff to find a convenient appointment time. New patient evaluations and follow-up visits can both be arranged by phone.

Call (202) 775-0620

Telemedicine Appointment

Dr. Patel offers secure telemedicine appointments to residents of District of Columbia, Maryland, and Florida. Telemedicine offers the same quality of psychiatric care as in-office sessions, from the comfort of home.

Learn About Telemedicine

In-Office Visit

Dr. Patel's Washington, DC office at 1629 K St. NW, Suite 300 is accessible by Metro and offers in-office psychiatric evaluations and medication management appointments.

Get Directions

New patients: please have your insurance card and a list of current medications ready when you call.

Send a Message

Prospective patients and referring providers are invited to use this form to inquire about appointments, services, insurance coverage, or telemedicine. Dr. Patel's office responds to all messages during regular business hours.

Response time: Within one business day.

Urgent matters: Please call (202) 775-0620 directly.

Crisis support: If experiencing a mental health emergency, call 988 (Suicide & Crisis Lifeline) or 911.

Insurance & Payment

Dr. Patel accepts most major insurance plans and is committed to making quality psychiatric care as accessible as possible. Contact the office to verify your specific plan's coverage.

Accepted Insurance Plans (Partial List)

Aetna
BlueCross BlueShield
Cigna
United Healthcare
Humana
Tricare
Medicare
Medicaid (DC)

This list is for general guidance only. In-network status and coverage vary by individual plan. Always verify benefits before your appointment.

Call to Verify Coverage

Common Insurance Questions

Does Dr. Patel accept my insurance?

Dr. Patel's practice works with a broad range of insurance plans for psychiatric evaluations, medication management, and follow-up visits. Coverage and in-network status vary by plan and policy year. Patients are encouraged to contact the office at (202) 775-0620 or verify benefits directly with their insurer.

What should I bring to my first appointment?

Please bring a valid photo ID, your current insurance card, a list of any medications you are taking (including dosages), and any prior psychiatric or medical records you wish to share. For telemedicine visits, these can be emailed to the office in advance.

Are telemedicine visits covered by insurance?

Many insurance plans cover telemedicine psychiatric services at the same rate as in-office visits, particularly following changes in federal telehealth policy. Patients should confirm telemedicine benefit coverage with their insurance provider prior to scheduling.

What if I do not have insurance?

Patients without insurance coverage are encouraged to contact the office directly to discuss payment options. Dr. Patel's team will work with patients to find a practical path to receiving care.

Office Information

Dr. Smita Patel's practice is conveniently located in downtown Washington, DC, with accessible Metro connections and nearby parking. Dr. Patel offers secure telemedicine appointments to residents of District of Columbia, Maryland, and Florida.

Office Address

1629 K St. NW, Suite 300

Washington, DC 20006

Get Directions

Phone & Fax

Phone: (202) 775-0620

Fax: (240) 366-5170

Call Now

Email

office@drsmitapatel.com

Send Email

Office Hours

Monday – Friday: 9:00 AM – 5:00 PM

Saturday – Sunday: Closed

Teenager looking thoughtful, representing adolescent depression

Understanding Depression in Young People

Depression is not simply a phase or the result of ordinary adolescent stress. It is a serious, clinically recognized condition that affects how an adolescent or teenager feels, thinks, and functions every day. Left untreated, depression in adolescents can interfere with academic achievement, social development, and long-term mental health outcomes.

An extremely sad or hopeless state is called a depressive episode. These episodes vary in severity and duration but share core features: persistent low mood, loss of interest or pleasure, and functional impairment in at least one major area of life.

With over 30 years of experience in child and adolescent psychiatry, Dr. Smita Patel understands how depression manifests differently depending on an adolescent's age, developmental stage, and individual circumstances.

How Depression Presents by Age Group

Early Adolescents (Ages 12–14)

Persistent sadness, tearfulness, or irritability
Frequent stomachaches or headaches without a medical cause
Refusing to go to school or withdrawing from friends and activities
Changes in appetite or sleep patterns
Difficulty concentrating or declining school performance
Expressions of hopelessness or low self-worth
Loss of interest in hobbies or activities they previously enjoyed

In early adolescents, depression often presents as irritability rather than overt sadness. Physical complaints are common and can mask the underlying mood disorder.

Older Adolescents & Teenagers (Ages 15–17+)

Persistent low mood or feelings of emptiness lasting two or more weeks
Social withdrawal from peers, family, and extracurricular activities
Significant changes in sleep (insomnia or hypersomnia)
Drop in academic performance or loss of motivation
Feelings of worthlessness, guilt, or shame
Increased irritability, agitation, or anger outbursts
Risky behaviors, substance experimentation, or self-harm
Thoughts of death or suicidal ideation — requires immediate evaluation

Teenagers may be reluctant to disclose symptoms. Depression in adolescents is often accompanied by anxiety, ADHD, or behavioral disorders, requiring careful differential diagnosis.

Important: Suicidal Ideation Requires Immediate Attention

If an adolescent or teenager expresses thoughts of suicide, self-harm, or a wish to die, contact Dr. Patel's office immediately at 202-775-0620, or call 988 (Suicide & Crisis Lifeline) for urgent support.

Help Is Available — Take the First Step Today

If an adolescent or teenager in your family is showing signs of depression, early evaluation is essential. Dr. Smita Patel offers comprehensive psychiatric assessments and individualized treatment plans for young patients. Telemedicine and in-office appointments are available.

Check Insurance & Request Appointment 202-775-0620

← Depression Treatment Hub|All Specialized Care Areas

1629 K St. NW Suite 300, Washington, DC 20006 · office@drsmitapatel.com

This article is general information and is not a substitute for individual psychiatric evaluation. Treatment decisions should be made with a qualified clinician who knows your history.

In an emergency

If you are experiencing a medical emergency, call 911. If you are experiencing a psychiatric emergency, call 988 or go to your nearest emergency room.

Trusted Resources for Families

The following authoritative resources provide additional information on childhood and adolescent depression to help families make informed decisions about care.

NIMH: Children and Mental Health

The National Institute of Mental Health (NIMH) provides comprehensive, evidence-based information on depression and mental health conditions in children and adolescents, including symptoms, diagnosis, and treatment options.

Visit NIMH Resource

American Academy of Child & Adolescent Psychiatry (AACAP)

AACAP offers fact sheets and clinical resources on depressive disorders in children, helping families understand the diagnostic criteria and what to expect from psychiatric care.

Visit AACAP

Frequently Asked Questions

At what age can an adolescent be diagnosed with depression?

Depression can be diagnosed in adolescents beginning around age 12, though clinically significant depressive presentations have been observed in earlier developmental stages as well. Dr. Patel evaluates patients across the full adolescent and teenage age spectrum, applying developmentally appropriate diagnostic criteria.

Is medication safe for adolescents with depression?

The FDA has approved certain antidepressants for use in adolescent patients — specifically fluoxetine for children ages 8 and older, and escitalopram for adolescents ages 12 and older. Dr. Patel carefully weighs the clinical evidence, the severity of symptoms, and the risks and benefits of medication for each individual patient before prescribing.

How long does treatment for adolescent depression typically last?

Treatment duration varies depending on the severity of the depressive episode, the presence of co-occurring conditions, and the patient's response. A first depressive episode typically warrants at least six to twelve months of treatment following symptom remission. Dr. Patel provides ongoing psychiatric follow-up to monitor progress and adjust the plan as needed.

Can depression in teenagers be mistaken for typical adolescent behavior?

Yes, this is one of the most significant challenges in adolescent psychiatry. Irritability, social withdrawal, and moodiness can seem like normal teenage behavior. The key distinction lies in persistence, functional impairment, and intensity. A thorough psychiatric evaluation by Dr. Patel differentiates clinical depression from developmentally normal variation.

Does Dr. Patel offer telemedicine appointments for adolescents and teenagers?

Yes. Dr. Patel offers secure telemedicine appointments to residents of District of Columbia, Maryland, and Florida. Telemedicine can be particularly beneficial for adolescents and families who prefer the privacy and convenience of remote consultations.

Explore More Specialized Care

Dr. Patel also treats anxiety, bipolar disorder, autism spectrum disorder, ADHD, eating disorders, and more across all age groups.

View All Specialized Care Areas →

Treatment Approaches for Young Patients

Dr. Patel develops individualized treatment plans based on each patient's age, developmental stage, symptom severity, and family context. Evidence-based psychiatry combined with mindfulness principles guides every intervention.

Comprehensive Psychiatric Evaluation

Every treatment plan begins with a thorough psychiatric assessment. Dr. Patel evaluates the adolescent's developmental history, symptom onset, academic and social functioning, family dynamics, and any co-occurring conditions such as anxiety, ADHD, or learning disabilities.

Structured diagnostic interview with parent and adolescent
Review of school performance and behavioral reports
Assessment for comorbid psychiatric conditions
Screening for trauma, adverse childhood experiences (ACEs)
Medical history review to rule out physiological contributors
Coordination with pediatricians and school counselors when appropriate

Medication Management (Psychopharmacology)

When clinically indicated, Dr. Patel prescribes FDA-approved medications carefully selected and dosed for adolescent patients. Medication is typically considered for moderate-to-severe depression, treatment-resistant cases, or when the adolescent's functioning is significantly impaired.

Fluoxetine (Prozac) — FDA-approved for depression in children ages 8 and up
Escitalopram (Lexapro) — FDA-approved for adolescents ages 12 and up
Careful consideration of dosing, titration, and tolerability in young patients
Regular monitoring for response, side effects, and safety
Education for parents and caregivers on medication expectations
Ongoing follow-up to adjust treatment as the adolescent grows and changes

Mindfulness-Based & Integrative Approaches

Dr. Patel integrates mindfulness-based strategies alongside medication management, supporting emotional regulation and resilience in young patients. These approaches are adapted for developmental appropriateness.

Age-appropriate mindfulness and relaxation techniques
Psychoeducation for adolescents and parents about depression
Breathing exercises and grounding strategies for acute distress
Guidance on sleep hygiene, physical activity, and structured routine
Integration with Cognitive Behavioral Therapy (CBT) delivered by therapists
Family-focused strategies to improve home environment and support

Why Early Treatment Matters

50%

of all lifetime mental health conditions begin by age 14, underscoring the importance of early psychiatric intervention (NIMH)

Over 30 Years

of Dr. Patel's clinical experience in child and adolescent psychiatry informs every evaluation and treatment decision

~60%

of young people with depression respond to treatment combining medication and psychotherapy, with outcomes improving when started early

Dr. Patel's Diagnostic & Treatment Process

An accurate diagnosis is the cornerstone of effective depression treatment. Drawing on over 30 years of psychiatric practice, Dr. Patel follows a structured, patient-centred process that leaves no contributing factor unexplored.

Step 01

Comprehensive Psychiatric Evaluation

Dr. Patel conducts an in-depth evaluation covering mental health history, medical background, current medications, family history, and psychosocial factors. This foundational step ensures an accurate diagnosis.

Step 02

Differential Diagnosis

Depression can overlap with bipolar disorder, anxiety, thyroid conditions, or medication side effects. Dr. Patel's diagnostic expertise distinguishes true major depression from closely related presentations, ensuring the right treatment path.

Step 03

Individualised Treatment Planning

Based on her evaluation, Dr. Patel develops a personalised treatment plan that may include medication management, mindfulness-informed strategies, lifestyle recommendations, and referrals for therapy where indicated.

Step 04

Ongoing Follow-Up & Adjustment

Depression treatment is not static. Through regular follow-up appointments — available via telemedicine or in-office at the Washington, DC office — Dr. Patel monitors progress and refines the plan to optimise outcomes.

A therapist actively listening during an adult psychiatric evaluation session

Telemedicine & In-Office Appointments Available

Whether you prefer the convenience of a virtual visit or a face-to-face appointment at the Washington, DC office at 1629 K St. NW Suite 300, Dr. Patel offers flexible scheduling to fit your life.

Recognising Depression in Adults

Depression presents differently across age groups. In adults, symptoms are frequently attributed to stress or "burnout," making accurate psychiatric diagnosis essential. Dr. Patel conducts thorough evaluations to distinguish clinical depression from situational distress and co-occurring conditions.

Persistent Low Mood

A pervasive feeling of sadness, emptiness, or hopelessness lasting most of the day, nearly every day, for two weeks or longer.

Sleep Disturbances

Difficulty falling or staying asleep (insomnia), or sleeping too much (hypersomnia), both of which disrupt daily functioning.

Cognitive Difficulties

Trouble concentrating, making decisions, or remembering details — often described as 'brain fog' by adult patients.

Physical Symptoms

Unexplained fatigue, changes in appetite or weight, and somatic complaints such as headaches or chronic pain with no clear medical cause.

Loss of Interest

Markedly diminished interest or pleasure in activities once enjoyed, including hobbies, social connection, or work.

Social Withdrawal

Pulling away from relationships, avoiding social engagements, and a sense of isolation even when surrounded by others.

An adult sitting with head in hands, representing the weight of depression

How Depression Presents in Adults

Depression often co-occurs with anxiety disorders, substance use, or chronic medical conditions in adult populations.
Work-related stress, caregiving responsibilities, and major life transitions can trigger or worsen depressive episodes.
Adults may mask symptoms through overworking, substance use, or somatization, delaying diagnosis.
Postpartum depression, perimenopause-related mood changes, and late-onset depression require age-sensitive evaluation.

Source: National Institute of Mental Health — Depression Overview

Depression Care for Adolescents and Adults

Depression presents differently across age groups. Dr. Patel tailors her approach to the specific needs of adolescents and adults — select the appropriate group below to learn more.

Adults

Depression Treatment for Adults

Specialized evaluation and individualized treatment for adults experiencing major depressive disorder, persistent depressive disorder, postpartum depression, and related conditions. Dr. Patel combines medication management with mindfulness-based strategies to support lasting recovery.

Learn more

Adolescents & Teenagers

Depression Treatment for Adolescents and Teenagers

Developmentally sensitive psychiatric care for adolescent and teenage patients experiencing depression. Dr. Patel's approach recognizes the unique psychological, social, and biological factors that shape mood disorders during the formative teenage years.

Learn more

Explore Dr. Patel's Full Spectrum of Specialized Care

Depression often co-occurs with anxiety, bipolar disorder, and other conditions. Discover all areas of expertise.

View Specialized Care

Learn More from the NIMH

The National Institute of Mental Health provides comprehensive, research-based information about depression, its causes, and treatment options.

NIMH: Depression Overview

Take the First Step Toward Relief

Dr. Smita Patel offers comprehensive psychiatric evaluations for adults experiencing depression. With over 30 years of clinical experience and in-office and telemedicine options, expert care is closer than you think.

Check Insurance & Get Started Call (202) 775-0620

Back to Hub

Depression Treatment Overview

Explore all age groups and condition-specific resources.

Services

Specialized Psychiatric Care

Learn about Dr. Patel's full range of conditions treated.

Learn More from the NIMH

The National Institute of Mental Health provides comprehensive, research-based information about depression, its causes, and treatment options.

NIMH: Depression Overview

Take the First Step Toward Relief

Dr. Smita Patel offers comprehensive psychiatric evaluations for adults experiencing depression. With over 30 years of clinical experience and convenient telemedicine options, expert care is closer than you think.

Check Insurance & Get Started Call (202) 775-0620

Back to Hub

Depression Treatment Overview

Explore all age groups and condition-specific resources.

Explore Services

Specialized Psychiatric Care

Learn about Dr. Patel's full range of conditions treated.

This article is general information and is not a substitute for individual psychiatric evaluation. Treatment decisions should be made with a qualified clinician who knows your history.

In an emergency

If you are experiencing a medical emergency, call 911. If you are experiencing a psychiatric emergency, call 988 or go to your nearest emergency room.

Evidence-Based Treatment Options

With over 30 years of psychiatric practice, Dr. Smita Patel offers a comprehensive, integrative approach to treating adult depression — combining advanced medication management with mindfulness-based strategies and coordinated care.

Medication Management

Dr. Patel's Johns Hopkins-trained expertise in psychopharmacology enables precise, evidence-based antidepressant selection — including SSRIs, SNRIs, atypical agents, and augmentation strategies — tailored to each patient's history, biology, and lifestyle.

Comprehensive medication evaluation
Monitoring for efficacy and tolerability
Adjustments for co-occurring conditions
Treatment-resistant depression strategies

Mindfulness-Based Approaches

Integrating evidence-based mindfulness techniques alongside pharmacological care, Dr. Patel helps patients develop resilience, improve emotional regulation, and reduce the risk of relapse over the long term.

Mindfulness-Based Cognitive Therapy (MBCT) principles
Stress reduction and emotional regulation
Building sustainable coping strategies
Holistic wellness integration

Collaborative Care Coordination

Dr. Patel works closely with therapists, primary care physicians, and other specialists to ensure a unified, whole-person treatment plan. Coordination of care reduces gaps and accelerates recovery.

Collaboration with existing treatment teams
Coordination with therapists and counselors
Communication with primary care providers
Integrated documentation and follow-up

Ongoing Monitoring & Follow-Up

Recovery from depression is a journey, not a single appointment. Dr. Patel provides structured follow-up care — including both telemedicine and in-office sessions — to track progress and adapt treatment as needed.

Regular psychiatric evaluations
Telemedicine flexibility for continuity
Symptom tracking and outcome measurement
Relapse prevention planning

A therapist and adult patient in a counseling session discussing depression treatment

A Personalised Path to Recovery

No two patients experience depression in the same way. Dr. Patel takes time to understand each individual's full history — medical, psychological, and social — before recommending any treatment pathway. This thorough, person-centred evaluation ensures that every care plan is built for the individual, not a protocol.

Whether an adult patient is experiencing their first depressive episode or navigating treatment-resistant depression, Dr. Patel's over 30 years of experience equips her to provide compassionate, expert guidance at every stage.

Understanding Depression

Depression is one of the most common and serious mental health conditions, affecting millions of people of all ages. It is a medical illness — not a personal failing — that causes persistent changes in mood, thinking, and daily functioning. With proper evaluation and treatment, the vast majority of individuals experience meaningful improvement and recovery.

Dr. Smita Patel, brings over 30 years of experience in diagnosing and treating depression across all age groups — from adolescents to adults — using an integrative approach that combines psychopharmacology with mindfulness-informed care.

Common Symptoms of Depression

Persistent sadness, emptiness, or hopelessness
Loss of interest or pleasure in activities once enjoyed
Significant changes in appetite or weight
Sleep disturbances — insomnia or sleeping too much
Fatigue and loss of energy nearly every day
Difficulty concentrating, remembering, or making decisions
Feelings of worthlessness or excessive guilt
Recurrent thoughts of death or suicidal ideation

Symptoms must be present for at least two weeks and represent a change from previous functioning to meet diagnostic criteria for major depressive disorder.

Learn More About Depression

Authoritative Resource

National Institute of Mental Health — Depression Overview

Trusted information from the National Institute of Mental Health (NIMH).

Dr. Patel's Treatment Approaches

Comprehensive Psychiatric Evaluation

Dr. Patel conducts thorough assessments to understand each patient's unique history, biology, and life circumstances — the foundation of an individualized treatment plan.

Psychopharmacology & Medication Management

When appropriate, carefully selected and monitored medications — such as antidepressants — are integrated into the treatment plan to address underlying neurochemical imbalances.

Mindfulness-Based Approaches

Mindfulness and holistic wellness strategies complement medication management, helping patients develop resilience, emotional regulation, and long-term coping skills.

Collaborative & Coordinated Care

Dr. Patel works closely with therapists, primary care physicians, and other specialists to ensure seamless, whole-person care throughout every stage of treatment.

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If you are experiencing a medical emergency, call 911. If you are experiencing a psychiatric emergency, call 988 or go to your nearest emergency room.

If the form does not load, please call the office at 202-775-0620 and the team will send it to you directly.

Doxy.me Consent

Consent to be contacted through Doxy.me for your telehealth appointments with Dr. Smita Patel.

Take the First Step Toward Recovery

Dr. Smita Patel is accepting new patients for comprehensive psychiatric evaluation and personalized eating disorder treatment. Both telemedicine and in-office appointments are available. Reach out today to learn how Dr. Patel can support you or your family member on the path to recovery.

Schedule a Consultation (202) 775-0620

Questions about insurance? View insurance & coverage information

Therapist speaking with a teenage patient in a supportive session

Why Timely Treatment Matters

The earlier treatment begins, the greater the likelihood of reversing developmental impacts. Dr. Patel works collaboratively with pediatricians, nutritionists, and therapists to provide coordinated, medically-informed psychiatric care for young patients in Washington, DC.

Verify Your Insurance Call 202-775-0620

Impact on Growth & Development

Eating disorders during adolescence disrupt multiple critical developmental processes. Understanding these impacts underscores the urgency of early and comprehensive treatment.

Physical Growth & Bone Density

Eating disorders during critical developmental windows can permanently impair bone density and height potential. Nutritional deficiencies during adolescence — when peak bone mass is established — increase lifelong fracture risk and may result in osteoporosis in early adulthood.

Hormonal & Pubertal Development

Severe caloric restriction and malnutrition can delay or suppress puberty, disrupt the hypothalamic-pituitary axis, and cause secondary amenorrhea in female patients. These hormonal disruptions can have lasting effects on reproductive health and metabolic function.

Cardiovascular & Organ Health

Malnutrition and electrolyte imbalances associated with restrictive eating and purging behaviors place significant strain on the heart, kidneys, and gastrointestinal system. Bradycardia, hypotension, and cardiac arrhythmias are serious medical risks requiring close monitoring.

Cognitive Function & Academic Performance

Adequate nutrition is essential for optimal brain development and cognitive function. Adolescents and teenagers with eating disorders frequently experience impaired concentration, memory difficulties, and reduced executive functioning — directly affecting academic achievement and learning.

Social & Emotional Development

Eating disorders isolate young people from normal social experiences, including shared meals and peer activities centered on food. This interference with critical social development phases can impair identity formation, peer relationships, and emotional regulation in the long term.

Frequently Asked Questions

Common questions from families seeking help for adolescents and teenagers with eating disorders.

How is an eating disorder diagnosed in an adolescent or teenager?

Diagnosis involves a comprehensive psychiatric evaluation that reviews the patient's eating behaviors, weight history, body image perceptions, and psychological symptoms. Dr. Patel conducts a thorough assessment that considers developmental context, co-occurring conditions such as anxiety and depression, and the medical implications of the disorder. Collaboration with the patient's pediatrician or primary care provider is a routine part of the diagnostic process.

What role does family play in eating disorder treatment for young patients?

Family involvement is foundational to successful outcomes in pediatric eating disorder treatment. Dr. Patel incorporates family-centered approaches where parents and caregivers participate in psychoeducation, meal support strategies, and monitoring for relapse warning signs. Coordinating care with therapists who use Family-Based Treatment (FBT) enhances the effectiveness of psychiatric medication management.

What are the earliest signs that an adolescent may have an eating disorder?

Early signs often include increased pickiness or avoidance around meals, unexplained weight changes, new interest in calorie counting or dieting, withdrawal from family mealtimes, and physical complaints such as stomach pain or fatigue. In younger adolescents, ARFID may present as extreme sensory sensitivity to food textures, smells, or temperatures. Parents noticing these patterns should seek evaluation promptly.

Can eating disorders affect an adolescent's long-term development?

Yes, eating disorders can significantly impact physical and neurological development when they occur during adolescence. Bone density, pubertal timing, hormonal health, and cognitive function can all be adversely affected. Early and effective treatment substantially reduces the risk of permanent developmental consequences and improves long-term recovery outcomes.

Does Dr. Patel offer telemedicine appointments for adolescent eating disorder patients?

Yes. Dr. Patel offers secure telemedicine appointments to residents of District of Columbia, Maryland, and Florida. Telehealth offers a convenient option that reduces barriers to care, allowing families to access specialized adolescent psychiatric services from home while minimizing disruption to school and family routines.

Trusted External Resources

National Institute of Mental Health (NIMH) — Eating Disorders

Authoritative information on eating disorder types, symptoms, diagnosis, and treatment options from the nation's leading mental health research agency.

NIMH: Eating Disorders

National Alliance for Eating Disorders

Support, education, and resources for individuals and families affected by eating disorders, including a provider finder and crisis helpline.

Alliance for Eating Disorders

Hub Page

Eating Disorders Overview

Services

Specialized Care at Dr. Patel's Practice

Ready to Take the Next Step?

Dr. Patel accepts many insurance plans and offers telemedicine appointments for families in Washington, DC. Contact the office to schedule a comprehensive psychiatric evaluation.

Check Insurance Coverage 202-775-0620

A Family-Centered Treatment Approach

Effective eating disorder treatment for adolescents and teenagers requires more than individual therapy. Dr. Patel's approach integrates the family as a central component of the recovery process, supported by evidence-based psychiatry.

Comprehensive Psychiatric Evaluation

Treatment begins with a thorough assessment of the patient's psychological, developmental, and medical history. Dr. Patel evaluates co-occurring conditions such as anxiety, depression, OCD, or autism that frequently accompany eating disorders in young patients.

Family Psychoeducation & Involvement

Parents and caregivers are active partners in treatment. Dr. Patel provides education about the nature of eating disorders, practical meal support strategies, and guidance on creating a recovery-supportive home environment — empowering families to play a meaningful role in healing.

Integrated Medication Management

When appropriate, Dr. Patel uses evidence-based psychopharmacology to address co-occurring anxiety, depression, or obsessive thoughts about food and weight. Medication decisions are made conservatively, accounting for the patient's age, developmental stage, and medical status.

Collaborative Multi-Disciplinary Care

Dr. Patel coordinates closely with the patient's primary care provider, therapist, registered dietitian, and school counselors to ensure continuity across all aspects of care. This team-based approach addresses the medical, nutritional, psychological, and social dimensions of recovery simultaneously.

Dr. Patel's Expertise

Over Three Decades of Pediatric Psychiatric Experience

Dr. Patel has provided child and adolescent psychiatric care since 1992, with Johns Hopkins training and board certification in psychiatry (Distinguished Life Fellow, American Psychiatric Association). Her clinical experience encompasses the full spectrum of pediatric eating disorders, from early childhood presentations of ARFID to severe adolescent anorexia nervosa requiring coordinated higher-level care.

Serving patients in Washington, DC through both in-office appointments and secure telemedicine, Dr. Patel provides accessible, high-quality psychiatric expertise to adolescents and families who need it most.

Verify Insurance Coverage Specialized Care

A psychiatrist speaking with a young patient and family in a welcoming office

Eating Disorder Presentations in Adolescents and Teenagers

Eating disorders in adolescent patients manifest differently than in adults. Dr. Patel's extensive experience in child and adolescent psychiatry enables accurate identification of these distinct presentations.

Anorexia Nervosa

Adolescents and teenagers with anorexia exhibit severe restriction of food intake, intense fear of weight gain, and a distorted body image. In younger patients, presentation may include growth faltering, delayed puberty, and reluctance to eat rather than overt dieting behavior.

Bulimia Nervosa

Bulimia in teens involves cycles of binge eating followed by compensatory behaviors such as purging, excessive exercise, or fasting. Shame and secrecy often delay identification; dental erosion, swollen salivary glands, or electrolyte imbalances may be the first detected signs.

Avoidant/Restrictive Food Intake Disorder (ARFID)

ARFID is particularly common in children and involves extreme food selectivity, sensory aversions, or fear of choking or vomiting — without body image disturbance. It frequently co-occurs with autism spectrum disorder and anxiety, requiring specialized assessment.

Binge Eating Disorder

Binge eating disorder affects adolescents of all body sizes and involves recurrent episodes of consuming large amounts of food rapidly, accompanied by feelings of loss of control and significant distress. It is often underdiagnosed in younger populations due to weight stigma and misattribution of behaviors.

Therapist talking with a young adolescent in a supportive session

Recognizing Warning Signs in Adolescents and Teenagers

Early identification is critical to successful treatment outcomes. Families and educators in Washington, DC and beyond should be aware of these key indicators that an adolescent or teenager may be struggling with an eating disorder.

Behavioral Warning Signs

Skipping meals or making excuses to avoid eating
Unusual rituals around food, such as cutting food into tiny pieces or rearranging food on a plate
Disappearing after meals, particularly to the bathroom
Wearing baggy or layered clothing to conceal body changes
Excessive or compulsive exercise despite illness or injury
Hoarding food or hiding food wrappers

Physical Warning Signs

Noticeable weight loss, gain, or frequent fluctuations
Fainting, dizziness, or chronic fatigue
Dental erosion, calluses on knuckles, or swollen cheeks
Loss of menstrual periods or delayed puberty
Frequent complaints of stomach pain or constipation
Cold intolerance and persistent feelings of being cold

Emotional & Social Signs

Intense preoccupation with food, weight, calories, or dieting
Extreme distress or anxiety at mealtimes
Withdrawal from friends, activities, or family meals
Severe body image distortion or fear of weight gain
Mood changes, irritability, and low self-esteem centered on appearance
Denial of hunger or dismissing concerns from others

School-Related Signs

Declining academic performance or concentration difficulties
Avoiding the school cafeteria or social eating events
Excessive exercise before or after school
Increased absences due to medical appointments or illness
Changes in peer relationships or social withdrawal
Comments from teachers about changes in behavior or mood

If you recognize these signs in your adolescent or teenager, early intervention makes a meaningful difference.

Dr. Patel offers comprehensive psychiatric evaluations to assess the severity and nature of eating disorder symptoms in young patients.

Why Early Intervention Matters

Eating disorders have the highest mortality rate of any psychiatric condition. Timely, expert psychiatric evaluation and treatment are the most important steps a patient or family can take. Dr. Patel's early-intervention approach is designed to reduce suffering, prevent complications, and support full recovery.

Improved Treatment Outcomes

Research consistently demonstrates that individuals who receive psychiatric care early in the course of an eating disorder experience significantly better long-term outcomes and faster recovery.

Prevention of Medical Complications

Eating disorders carry serious physical health risks. Early intervention reduces the risk of dangerous medical complications affecting the cardiovascular system, bones, and endocrine function.

Addressing Co-Occurring Conditions

Eating disorders frequently co-occur with anxiety, depression, OCD, and trauma. Early psychiatric evaluation identifies and treats these conditions simultaneously, supporting whole-person recovery.

Family & Social Preservation

Early treatment protects critical relationships and social functioning, helping patients maintain their roles in school, work, and family life throughout the recovery process.

Specialized Care by Age Group

Dr. Patel offers dedicated eating disorder treatment tailored to the unique needs of each patient population.

Adults

Comprehensive psychiatric care for adults managing anorexia, bulimia, binge eating disorder, and ARFID.

Adult Eating Disorders

Adolescents

Developmentally sensitive psychiatric evaluation and treatment for young patients and their families.

Adolescents with Eating Disorders

Ready to take the first step? Contact Dr. Patel's office to schedule a comprehensive psychiatric evaluation.

Request an Appointment Insurance & Coverage

Frequently Asked Questions

Answers to common questions about eating disorder types, treatment, and when to seek professional help.

Have additional questions about eating disorder treatment? Call (202) 775-0620 or contact the office directly.

Contact Dr. Patel's Office

Understanding Eating Disorders

Eating disorders are serious, complex mental health conditions characterized by persistent disturbances in eating behaviors, thoughts, and emotions. Far more than concerns about food or weight, they reflect deep psychological struggles that affect physical health, emotional well-being, and quality of life. Early, accurate diagnosis and comprehensive psychiatric care are essential for recovery.

9%

of Americans are affected by an eating disorder during their lifetime.

All Ages

Eating disorders affect adolescents, adults, and older adults across every demographic.

Treatable

With expert psychiatric care and early intervention, full recovery is an achievable goal.

Common Types of Eating Disorders

Anorexia Nervosa

Characterized by a significantly low body weight, intense fear of gaining weight, and a distorted body image that drives severe restriction of food intake.

Bulimia Nervosa

Involves repeated cycles of binge eating followed by compensatory behaviors such as purging, excessive exercise, or fasting to counteract calorie intake.

Binge Eating Disorder

The most common eating disorder in the United States, defined by recurrent episodes of eating large quantities of food rapidly, often accompanied by feelings of shame and loss of control.

Avoidant/Restrictive Food Intake Disorder (ARFID)

Involves highly selective eating habits or avoidance of food that is not driven by body image concerns, often resulting in nutritional deficiencies and significant social impairment.

Other Specified Feeding or Eating Disorders (OSFED)

Encompasses clinically significant eating disturbances that do not meet full diagnostic criteria for another disorder but still require professional evaluation and care.

NIMH: Eating Disorders Overview National Alliance for Eating Disorders

Therapist listens to young woman during a counseling session

Dr. Patel's Integrative Approach to Eating Disorder Treatment

Dr. Smita Patel brings over three decades of psychiatric experience to the treatment of eating disorders in adolescents and adults. Her integrative model combines rigorous clinical assessment with personalized medication management and mindfulness-based strategies, supporting patients toward lasting recovery.

Comprehensive Psychiatric Evaluation: Dr. Patel conducts thorough evaluations to identify the specific eating disorder, co-occurring conditions such as anxiety or depression, and any underlying medical concerns that inform a personalized treatment plan.
Psychopharmacology & Medication Management: When clinically appropriate, Dr. Patel's Johns Hopkins-trained expertise in psychopharmacology guides evidence-based medication management to address mood dysregulation, obsessive thoughts, and related psychiatric symptoms.
Mindfulness-Informed Care: Integrating mindfulness techniques into psychiatric treatment supports patients in developing a healthier relationship with food, body image, and emotions — addressing the psychological roots of disordered eating.
Coordinated Multidisciplinary Treatment: Dr. Patel collaborates closely with nutritionists, therapists, and medical providers to ensure patients receive comprehensive, coordinated care throughout every stage of recovery.
Telemedicine & In-Office Appointments: To maximize access to care, Dr. Patel offers both secure telemedicine and in-office sessions at her Washington, DC office, serving patients across a broad geographic area.
Lifespan Approach — Adolescents Through Adults: With decades of clinical experience treating patients across age groups, Dr. Patel tailors her approach to the developmental needs of adolescents and adults alike.

Explore Specialized Care Insurance & Access

Dr. Patel's Diagnostic and Treatment Approach

With decades of clinical experience and Johns Hopkins training, Dr. Smita Patel offers a structured, evidence-informed approach to evaluating and supporting individuals with learning disorders across all age groups.

Step 1

Comprehensive Psychiatric Evaluation

Dr. Patel conducts a thorough psychiatric evaluation that includes a detailed developmental history, review of prior educational and psychological testing, clinical interview, and standardized assessments. This process distinguishes learning disabilities from ADHD, mood disorders, anxiety, and other conditions that may present with similar academic difficulties.

Step 2

Individualized Treatment Planning

Based on evaluation findings, Dr. Patel develops a personalized treatment plan that may include psychiatric medication management where indicated (particularly for co-occurring ADHD, anxiety, or depression), psychoeducation for the patient and family, and referrals to appropriate therapists and educational specialists.

Step 3

School Coordination and Educational Support

Dr. Patel collaborates with teachers, school psychologists, and special education coordinators to support the development of Individualized Education Programs (IEPs) and 504 Plans. She provides documentation, diagnostic letters, and consultation to ensure students receive accommodations aligned with their clinical needs.

Support Strategies and Educational Coordination

Effective support for learning disorders extends beyond the clinical setting. Dr. Patel assists families in advocating for school-based accommodations, including extended test time, preferential seating, assistive technology, and reduced workload. She also provides guidance on evidence-based tutoring approaches, study skills development, and home strategies that complement classroom intervention.

Dr. Patel maintains open communication with educational providers and, with patient consent, participates in school meetings to ensure continuity between psychiatric care and academic support. This multidisciplinary approach is consistent with her broader philosophy of integrative, whole-patient psychiatric care as described on the Specialized Care page.

Check Insurance Coverage View Specialized Care

Teacher working with a child on learning activities

Schedule a Comprehensive Evaluation

If you or your child may be experiencing a learning disorder, Dr. Smita Patel is available for a comprehensive psychiatric evaluation. Both telemedicine and in-office appointments are available. Contact the office today to explore insurance options and schedule a consultation.

Check Insurance Coverage Call (202) 775-0620

Therapist talking with a young patient about learning challenges

Psychiatric Impact and Comorbidities

Learning disorders rarely exist in isolation. Research consistently demonstrates that individuals with learning disabilities are at elevated risk for a range of psychiatric conditions. Understanding these relationships is central to Dr. Patel's diagnostic and treatment philosophy.

Anxiety and Depression

Children and adults with undiagnosed or under-supported learning disabilities frequently develop anxiety and depression. Academic struggles, social difficulty, and repeated experiences of failure can erode self-esteem and lead to significant emotional distress. Psychiatric intervention addresses these secondary conditions alongside the learning disorder.

ADHD and Executive Dysfunction

ADHD and learning disabilities are among the most common co-occurring conditions. Executive function deficits — including difficulties with planning, organization, and time management — compound the academic impact of a learning disability. A combined evaluation ensures both conditions are accurately identified and treated.

Social and Behavioral Challenges

Frustration, low self-worth, and difficulty keeping pace with peers can manifest as behavioral issues or social withdrawal. These challenges are often reactive rather than primary and respond well to a treatment plan that addresses both the learning disorder and its psychiatric impact.

Frequently Asked Questions

Common questions about learning disorder identification, psychiatric comorbidity, treatment, and school coordination.

External Resources

The following organizations provide evidence-based information and support for individuals with learning disabilities and their families.

National Center for Learning Disabilities (NCLD)
Advocacy, policy, and research resources for learning and attention issues.
Understood.org
Practical guidance, tools, and community support for individuals with learning and thinking differences.

Have additional questions? Dr. Patel's office is available to assist.

Verify Insurance & Schedule (202) 775-0620

Specialized Psychiatric Services

Learning Disorder

Help for Learning Disorders and Learning Disabilities

Dr. Smita Patel provides comprehensive psychiatric evaluation and support for individuals with learning disorders, helping patients and families understand, navigate, and thrive despite learning disabilities.

Verify Insurance Coverage Call (202) 775-0620

Types of Learning Disorders

Learning disorders encompass a range of neurodevelopmental conditions that affect how individuals acquire, process, and express information. Dr. Patel provides evaluation and support for each of the following presentations.

Dyslexia

Dyslexia is the most prevalent learning disability, affecting reading fluency, decoding, and spelling. Individuals with dyslexia process written language differently, often struggling to connect letters to sounds despite average or above-average intelligence. Early identification and targeted intervention are essential for academic success.

Dyscalculia

Dyscalculia affects mathematical reasoning and numerical processing. Individuals may have difficulty understanding number concepts, performing arithmetic, and applying mathematical principles. This learning disability is often overlooked yet significantly impacts academic performance and daily functioning.

Dysgraphia

Dysgraphia impacts written expression, including handwriting, spelling, and the organization of written thoughts. It may involve difficulty with fine motor coordination, letter formation, or translating ideas into written language. Individuals often show a discrepancy between verbal ability and written output.

Processing Disorders

Auditory and visual processing disorders affect how the brain interprets sensory information. These conditions can interfere with following directions, reading comprehension, and classroom participation, even when hearing and vision are within normal limits.

Learning Disabilities vs. ADHD and Psychiatric Conditions

Learning disabilities are distinct from ADHD and other psychiatric conditions, though they frequently co-occur. A child with ADHD may struggle in school due to inattention or impulsivity, but that alone does not constitute a learning disability. Conversely, a student with dyslexia who also experiences anxiety may be misidentified as having purely a behavioral problem. Accurate differential diagnosis — examining cognitive processing, academic achievement, emotional regulation, and psychiatric history — is essential to ensure that each component receives appropriate intervention. Dr. Patel's evaluations are designed to disentangle these overlapping presentations and provide clarity for families and educators alike.

Appointments and Cancellations

By Appointment Only

Dr. Patel sees patients by appointment only, in-office at 1629 K St. NW, Suite 300, Washington, DC 20006, and by secure telemedicine for residents of the District of Columbia, Maryland and Florida. The office is a short walk from Farragut North Metro.

24 Hours Notice for Cancellations

If you need to cancel or reschedule, please give the office at least 24 hours notice.

Before Your First Appointment

To ensure a productive first visit, please keep the following in mind.

Arrive 15 minutes early

Give yourself time to complete check-in without feeling rushed.

Bring your insurance card

Along with any referral information your insurer or physician has provided.

Bring a list of your current medications

Names and doses, including anything prescribed by another physician.

Bring your medical history

Relevant records, previous evaluations, or discharge summaries if you have them.

Insurance and Payment

Insurance

The practice accepts Blue Cross Blue Shield, Cigna, United HealthCare/Optum and Aetna. Please verify your coverage before your appointment — some insurance may cover some types of illness, such as depression, bipolar and mood disorders, but not other types of issues.

See insurance details

Payment

Co-payment is required at the time of each visit. Payment can be made by credit card (VISA, MasterCard, and Discover).

Questions before you register?

Call the office at 202-775-0620 or email office@drsmitapatel.com.

Fax: 240-366-5170

Call (202) 775-0620 Contact the Office

This form is not monitored continuously

If you are experiencing a medical emergency, call 911. If you are experiencing a psychiatric emergency, call 988 or go to your nearest emergency room.

If the form does not load, please call the office at 202-775-0620 and the team will send it to you directly.

PHQ-9 and GAD-7

A short questionnaire about mood and anxiety over the last two weeks. Dr. Patel may ask you to complete this before an appointment.

Policies & Fees

The following policies govern the administration of care at the practice of Dr. Smita Patel. Patients and families are encouraged to review these policies in full before their first appointment.

Last updated: September 29, 2026

1. Information Collected Through This Website

The website for Dr. Smita Patel collects personal information only when visitors voluntarily submit it through contact forms and appointment request forms. The information collected through these forms may include:

Full name
Email address
Phone number
Message or inquiry content submitted through the form

This website does not automatically collect sensitive personal information beyond standard website analytics data described in the Cookies section below. No financial or payment information is collected through this website, as the practice does not conduct online payment processing or operate an online store.

2. How Information Is Used

Information submitted through this website's forms is used solely for the following purposes:

To respond to inquiries: Office staff may use the contact information provided to reply to questions or requests submitted through the website.
To schedule appointments: Appointment request information is used to contact prospective patients and coordinate scheduling with the practice.

Information is not used for automated marketing campaigns, sold to data brokers, or shared with unaffiliated third parties for their own marketing purposes.

3. Information Is Never Sold or Rented

The practice does not sell, rent, trade, or otherwise transfer personal information submitted through this website to third parties. Information may be shared with service providers (such as website hosting or form processing vendors) solely to the extent necessary to operate the website and process submissions, and such providers are bound to use the information only for those limited purposes.

4. Data Security

Reasonable technical and administrative measures are employed to protect personal information submitted through this website from unauthorized access, disclosure, or misuse. This website uses HTTPS encryption to protect data in transit. However, no method of electronic transmission or storage is completely secure, and absolute security cannot be guaranteed. Visitors submit information at their own discretion.

5. Cookies and Analytics

This website may use cookies and similar tracking technologies to understand how visitors interact with the site. Analytics tools (such as Google Analytics) may collect non-personally identifiable information such as:

Pages visited and time spent on the site
Browser type and operating system
General geographic location (city/region, not precise address)
Referring URLs

This information is used in aggregate to improve the website's content and usability. Visitors may configure their browsers to decline cookies, though some website features may not function as intended as a result.

6. Your Rights: Access and Deletion Requests

Visitors who have submitted personal information through this website may request:

Access: A summary of the personal information the practice holds that was submitted through this website.
Deletion: Deletion of personal information submitted through this website, to the extent that retention is not required by applicable law or legitimate operational needs.

To submit such a request, please contact the office directly using the information in the Contact section below. Please note that this right applies to website-submitted data only. For requests regarding the privacy of medical records, please refer to the practice's HIPAA Notice of Privacy Practices, available upon request from the office.

7. Changes to This Policy

This Privacy Policy may be updated from time to time to reflect changes in practice, technology, or applicable law. When the policy is revised, the updated date at the top of this page will be changed accordingly. Continued use of this website after a revision constitutes acceptance of the updated policy. Visitors are encouraged to review this page periodically.

8. Contact Information

Questions or requests regarding this Privacy Policy may be directed to the practice office using any of the following:

Phone: +1 (202) 775-0620
Email: office@drsmitapatel.com
Address: 1629 K St. NW Suite 300, Washington, DC 20006

For additional information, please visit the Contact page.

Privacy Policy

Dr. Smita Patel — Washington, DC

Important Notice: This policy describes how information submitted through this website is handled. It is not a HIPAA Notice of Privacy Practices — please contact the office directly for information about the privacy of your medical records.

This form is not monitored continuously

If you are experiencing a medical emergency, call 911. If you are experiencing a psychiatric emergency, call 988 or go to your nearest emergency room.

If the form does not load, please call the office at 202-775-0620 and the team will send it to you directly.

Condition	Description	Treatment Approach
Generalized Anxiety Disorder (GAD)	Excessive, persistent worry about everyday life	Medication management + CBT techniques + mindfulness
Social Anxiety Disorder	Intense fear of social situations and judgment	Medication management + CBT techniques + mindfulness
Obsessive-Compulsive Disorder (OCD)	Unwanted thoughts and repetitive behaviors	Medication management + CBT techniques + mindfulness
Panic Disorder	Sudden, intense episodes of fear	Medication management + CBT techniques + mindfulness
Specific Phobias	Intense fear of specific objects or situations	Medication management + CBT techniques + mindfulness

Improvement Area	Typical Timeframe	What You'll Notice
Symptom Relief	2-4 weeks	Initial reduction in symptoms with appropriate treatment
Functional Improvement	4-8 weeks	Enhanced daily functioning and quality of life
Skill Development	6-12 weeks	Acquisition of coping and management strategies
Lasting Wellness	3-6 months	Sustained improvement with ongoing support

Last updated: September 29, 2026

1. Acceptance of Terms

By accessing and using this website (drsmitapatel.com), visitors agree to be bound by these Terms and Conditions and all applicable laws and regulations. If a visitor does not agree with any of these terms, they are not permitted to use this website. The practice reserves the right to modify these terms at any time. Continued use of the website following any such modification constitutes acceptance of the updated terms.

2. Use License

Permission is granted to temporarily access and view the materials on this website for personal, non-commercial informational purposes only. This is the grant of a license, not a transfer of title, and under this license visitors may not:

Modify or copy the materials
Use the materials for any commercial purpose or for any public display, commercial or non-commercial
Attempt to decompile or reverse engineer any software contained on this website
Remove any copyright or other proprietary notations from the materials
Transfer the materials to another person or "mirror" the materials on any other server

This license shall automatically terminate if any of these restrictions are violated and may be terminated by the practice at any time.

3. Medical Disclaimer

Important Notice Regarding Medical Information

The content on this website is provided for general informational purposes only. It does not constitute medical advice, diagnosis, or treatment, and does not create a doctor-patient relationship between any visitor and Dr. Smita Patel or her practice.

Visitors should not rely on information found on this website as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something read on this website.

Emergency Notice

If a visitor or another person is experiencing a medical emergency, they should call 911. For a psychiatric emergency, call 988 or go to the nearest emergency room. This website is not a resource for emergency care.

4. Limitations of Liability

To the fullest extent permitted by applicable law, Dr. Smita Patel and her practice shall not be liable for any damages arising out of or in connection with the use or inability to use this website or its content, including but not limited to direct, indirect, incidental, punitive, or consequential damages.

The practice does not warrant that the website will be continuously available, error-free, or free of viruses or other harmful components. All information on the website is provided "as is" without warranty of any kind, express or implied.

5. Revisions

The materials appearing on this website may contain typographical errors or inaccuracies and may not be complete or current. The practice reserves the right to make changes to the website content and these Terms and Conditions at any time without notice. The practice does not make any commitment to update the materials. Visitors are encouraged to review these Terms and Conditions periodically for any updates.

6. Contact Information

Questions regarding these Terms and Conditions may be directed to the practice via the Contact page.

Terms and Conditions

Dr. Smita Patel — drsmitapatel.com

A Career Built on Rigorous Training and Ongoing Professional Leadership

Training

Memberships & Affiliations

The Importance of a Compassionate Approach to Mental Health Care

Credentials & Expertise

Personal & Clinical Approach

Integrative Philosophy

Ready to Take the First Step?

Expert Psychiatric Care for Every Stage of Life

Real Stories. Real Results. Real Care.

Academic Rigor. Heartfelt Compassion. Whole-Person Care.

🎓 Unmatched Credentials & Experience:

🧘 An Integrative Approach to Mental Health:

🌐 Accessible, Flexible, Insurance-Friendly Care:

Take the First Step Toward Relief

Adult Anxiety Presentations & Diagnostic Criteria

Generalized Anxiety Disorder (GAD)

Panic Disorder

Social Anxiety Disorder

Obsessive-Compulsive Disorder (OCD)

Adult Anxiety Disorder

How Anxiety Affects Adults

Impact on Adult Life

Professional & Work Life

Relationships & Social Functioning

Physical Health

Daily Functioning

Treatment Approaches for Adult Anxiety

Medication Management (Psychopharmacology)

Mindfulness-Based Approaches

Combined Treatment & Collaborative Care

Evidence-Based Outcomes

Begin Your Recovery Journey Today

Frequently Asked Questions

Trusted External Resources

Adult Eating Disorders

Impact on Physical & Mental Health

Physical Health Consequences

Cardiovascular Complications

Metabolic & Hormonal Disruption

Gastrointestinal Damage

Mental Health Consequences

Co-occurring Depression

Anxiety & OCD Patterns

Identity & Quality of Life

Recovery Outcomes & Expectations

Eating Disorder Types in Adults

Anorexia Nervosa

Bulimia Nervosa

Binge Eating Disorder (BED)

Avoidant/Restrictive Food Intake Disorder (ARFID)

Treatment Methodology for Adults

Comprehensive Psychiatric Evaluation

Integrative Psychopharmacology

Mindfulness-Based Therapeutic Support

Collaborative, Coordinated Care

Long-Term Recovery Planning

Why Choose Dr. Patel?

Schedule a Comprehensive Psychiatric Evaluation

Anxiety Disorder

Understanding Anxiety Disorders

Types of Anxiety Disorders Treated

Generalized Anxiety Disorder (GAD)

Panic Disorder

Social Anxiety Disorder

Obsessive-Compulsive Disorder (OCD)

Anxiety Disorder Treatment for Adolescents and Teenagers

How Anxiety Presents in Adolescents & Teenagers

Generalized Anxiety Disorder (GAD)

Separation Anxiety

Social Anxiety Disorder

Panic Disorder & OCD

Developmental Considerations

The Importance of Early Intervention

Impact on Academic Life

Family Involvement in Treatment

Age-Appropriate Treatment Modalities

Cognitive Behavioral Therapy (CBT)

Exposure Therapy

Medication Considerations for Youth