https://www.integrativepsychiatry.health/contact-dr-kline daily 0.75 2024-05-24 https://www.integrativepsychiatry.health/home daily 1.0 2021-06-06 https://images.squarespace-cdn.com/content/v1/5f8cae4aec35e406fa5d4380/1606171505367-S4N39OSOIITLB6O3PFO2/MDK+Ancestor+Tree.jpeg Home - Mark D. Kline, M.D. Summary of Professional Training A.B., Religious Studies, Stanford University M.D., University of California, Davis Internship & Residency Training in Psychiatry, SUNY Upstate Medical Center, Syracuse Ginsburg Fellow, Group for the Advancement of Psychiatry Associate Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine, University of Arizona Training in Mindfulness Based Stress Reduction, in programs associated with The Center for Mindfulness, University of Massachusetts https://www.integrativepsychiatry.health/fee-information daily 0.75 2020-10-29 https://www.integrativepsychiatry.health/about-dr-kline daily 0.75 2020-11-12 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847904871-IJY33BXSJQA0OIFROI1H/image-asset.jpeg About Dr. Kline - Mark D. Kline, MD 50 years of Experience in Psychiatry & Mental Health In 1970, while serving as a conscientious objector during the Vietnam War, Dr. Kline trained and worked as a psychiatric technician at Agnews State Hospital (now closed) outside San Jose, California, before attending Stanford University, where he graduated with distinction in Religious Studies in 1975. Dr. Kline attended medical school at the University of California, Davis, where he graduated with the Central California Psychiatric Society Award in Psychiatry in 1979. He completed his internship in medicine, neurology, and psychiatry at SUNY Upstate Medical Center in Syracuse, where he completed psychiatric residency training in 1983. In 1981 he was one of 20 psychiatric residents chosen nationally to serve as a Ginsburg Fellow of the Group for the Advancement of Psychiatry. Following completion of his psychiatric training, Dr. Kline entered private practice and served as Clinical Assistant and Associate Professor of Psychiatry at SUNY Upstate and Adjunct Faculty in Bioengineeering at Syracuse University. With Dr. Gilbert Ross, then Chairman of Neurology at Upstate, Dr. Kline established and directed a laboratory for the computer analysis of scalp recorded brain electrical activity, conducting pilot studies in clinical groups, in musicians and non-musicians, and in meditators and non-meditators. He also became active in clinical trials in psychopharmacology. In 1994 Dr. Kline joined the faculty at Indiana University School of Medicine as Associate Professor of Psychiatry and Medical Director for Psychiatric Services at University Hospital in Indianapolis. At IU he was active as a teacher for medical students and residents and was a principal investigator in clinical trials and conducted psychophysiologic research. His clinical work and research at that time was focused on mood disorders. In 1998 Dr. Kline left Indiana for a position as Medical Director for Behavioral Health at Ivinson Memorial Hospital in Laramie, Wyoming, where he subsequently started a private practice (Medicine Bow Psychiatry). In Wyoming he served as President of the Wyoming Psychiatric Society, and as President of a local interdisciplinary group for mental health professionals in Laramie. He also served as Chairman of the Continuing Education Committee of the Wyoming Medical Society. By this time he had accumulated 15 years of experience working with young adults as psychiatric consultant to university student health services in Syracuse, Indianapolis, and Laramie. During these years, Dr. Kline was very active as an organizer and teacher of continuing education programs for physicians and mental health professionals. In 2003 Dr. Kline undertook a two year Associate Fellowship in Integrative Medicine at the Andrew Weil Center for Integrative Medicine at the University of Arizona in Tucson, which he completed in 2005. In 2004, Dr. Kline returned to California, where he established a part time private practice in Mendocino and subsequently joined the Mendocino Coast Clinic in Fort Bragg, California as staff psychiatrist and later was Clinical Director for Behavioral Health Programs. At the Coast Clinic, Dr. Kline established innovative behavioral health services embedded in rural primary care, including grant supported, coordinated medical and mental health care and housing advocacy for homeless people suffering from drug addiction and serious mental illness, therapeutic yoga, and a ‘breath coaching’ class which taught breathing exercises helpful for anxiety and stress. From 2013 to 2017, Dr. Kline took leave of medical practice for a period of ethical reflection and personal development. During this time he participated in meditation retreats at Buddhist monasteries and meditation centers, and received training as a teacher of Mindfulness Based Stress Reduction at programs affiliated with the Center for Mindfulness at the University of Massachussetts. In 2018, Dr. Kline returned to practice and served as staff psychiatrist at the Fairfax Behavioral Health acute inpatient unit for older adults in Monroe, Washington. In 2020, Dr. Kline has come out of retirement to private practice in hopes of being of service during this challenging historical moment. His clinical work incorporates his long experience applying perspectives from neuroscience, psychology, and religious traditions to the task of understanding and responding to mental health challenges. https://www.integrativepsychiatry.health/fees daily 0.75 2026-02-24 https://www.integrativepsychiatry.health/screening daily 0.75 2020-11-28 https://images.squarespace-cdn.com/content/v1/5f8cae4aec35e406fa5d4380/1604951462988-YAKQCW7U3QC1GP479MEJ/FoggyPath.jpeg The Screening Visit - The Screening Visit A 30 minute screening visit, to discuss what’s going on and what might be helpful, can be a useful place to start. A screening visit can give you a sense of what it is like to confer with me by telemedicine, and what direction a diagnostic evaluation would take. If you and I decide to schedule an evaluation appointment, the screening visit can be a good time to start gathering data. For example, there may be symptom checklists or lab tests that would be helpful to complete before an evaluation visit. Or it may be useful to initiate requests for past medical records for review. It may allow me to recognize that your condition or situation is not appropriate for management by telemedicine. In this happens, I will try and assist you in finding more appropriate treatment resources. At the end of the screening visit, you and I will decide whether to schedule a full evaluation and confer on an ongoing basis. The $50 fee for the screening appointment will be deducted from the cost of your next visit. Important things to understand about the screening visit: Before we schedule a screening appointment, you will need to review my practice policies and complete intake and consent forms on my online practice portal. When we schedule for the screening, I will ask that you pay the $50 fee with a credit card. Debit, HSA, or FSA cards can also be used. At the time of the visit, you will need to be in a location with adequate internet access and privacy. The screening appointment can not take the place of a diagnostic evaluation. No prescriptions are provided during a screening visit. All prescriptions require a diagnostic evaluation. A medical record of your visit will be created, which will be subject to the strict confidentiality guidelines outlined in my practice policies. If a followup visit for evaluation is not scheduled within four weeks of the screening visit, your case in my practice will be closed. For additional information, or to schedule an appointment please contact me. https://www.integrativepsychiatry.health/deprescribing daily 0.75 2020-11-28 https://images.squarespace-cdn.com/content/v1/5f8cae4aec35e406fa5d4380/1604431359017-7WUA3J0M464LDR9YDT9N/EOG.jpeg Deprescribing - Psychopharmacology and Deprescribing Deprescribing refers to the cautious and skillful reduction or discontinuation of medication which is no longer needed, not helping, or which is causing unacceptable risks or adverse effects. People who take psychiatric medication often wonder when or if or how they can safely discontinue them, especially when side effects are troublesome. Consideration of deprescribing always requires careful consideration of possible risks and benefits. Plans need to be made and put in place for optimizing supports for stability and monitoring for change in condition. These considerations need to be individualized. In some situations, it can be very important to have family and friends involved. My approach to deprescribing is to educate patients about risks and benefits, and to give recommendations that honor my patient’s values and priorities. For some psychiatric conditions, discontinuation of medication involves risk of serious symptom recurrence and a worsened long term course of illness. Discontinuation of medication is not a goal of treatment. The goal of treatment is the best long term quality of life. Sometimes recommendations from deprescribing evaluation entail measures to reduce side effects aside from dose reduction or discontinuation. In geriatric medicine, deprescribing refers to eliminating medications for which the risk/benefit ratio worsens with advancing age, or which are no longer needed. My role as a psychiatrist in deprescribing for older adults is limited to consulting on psychotropic medications, usually in close collaboration with primary care providers or other medical specialists. https://www.integrativepsychiatry.health/general-1 daily 0.75 2020-11-09 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847902870-ZOUR0EX0L2QSQNRC1SP2/image-asset.jpeg General 1 - Make it stand out. It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847903067-57HDPDJ6TWU40QPAQLS4/image-asset.jpeg General 1 - Make it stand out. It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://www.integrativepsychiatry.health/professional-services daily 0.75 2022-10-14 https://images.squarespace-cdn.com/content/v1/5f8cae4aec35e406fa5d4380/1604945503586-WC4BIJ27DMCANG73F9ME/PathDownUp.jpeg Services - Professional Services I provide diagnostic evaluation, psychotherapy, psychopharmacologic (medication) consulting and prescribing, and mental health navigation services to adults 18 years or older. I welcome the opportunity to consult about medications and medical issues with patients who already have a psychotherapist. Many of my patients consult with other healthcare providers, or healers of other kinds. I believe strongly in the value of collaboration with other professionals who provide care to my patients. An integrative approach to evaluation includes consideration of medical, psychological, social, and existential factors. Best outcomes result from carefully individualized treatment based on thorough evaluation. With my patients I find that ultimately, it is life that we are talking about. I recommend specific meditation or mindfulness techniques to my patients when these might be helpful. I take particular interest in the clinical process of deprescribing. People who are taking psychiatric medications sometimes wonder if or when or how they can reduce or discontinue them, especially when side effects are troublesome. Deprescribing always requires careful consideration. https://www.integrativepsychiatry.health/new-page daily 0.75 2020-11-12