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    INPATIENT REHABILITATION

    OUTPATIENT CARE

    SPECIAL PROGRAMS

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    Psychiatric Care for the Whole Person

    Specialized psychiatric care for people navigating neurological injury, serious illness, disability, and recovery.
    Psychiatric Care Integrated with Rehabilitation

    Recovery from neurological injury is never purely neurological.

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    A stroke, brain injury, spinal cord injury, or serious medical illness can change more than the body. It can affect mood, memory, sleep, behavior, relationships, identity, and a person's sense of the future.

    Psychiatry is part of Gaylord's Center for Neurobehavioral Health, addressing these challenges as part of the rehabilitation process - working alongside physicians, therapists, nurses, psychologists, neuropsychologists, spiritual care, and other members of the care team to understand each patient's needs within the context of their health, recovery, independence, and goals.

    For some patients, these challenges may become more apparent after returning home. When appropriate, Gaylord's outpatient psychiatry services can provide continuity of care following inpatient rehabilitation, helping patients navigate the emotional and psychological changes that may continue throughout recovery.

     

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    The Care We Provide

    We specialize in psychiatric concerns associated with neurological injury, medical illness, and rehabilitation, including:

      • Mood, behavioral, or personality changes following brain injury or neurological illness
      • Depression and anxiety during illness or recovery
      • Emotional adjustment to disability, loss, and changes in independence
      • Sleep disturbance
      • Cognitive and behavioral symptoms requiring psychiatric evaluation
      • Medication-related psychiatric concerns in medically complex patients
      • Bipolar disorder, psychosis, and other psychiatric conditions occurring alongside medical or neurological illness or injury

    Additional diagnoses and treatment areas may be available based on individual patient needs.

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    Continuity Beyond Rehabilitation

     

    The challenges of recovery do not necessarily end when a patient leaves the hospital.

     

    For some patients, psychiatric symptoms may emerge or become more apparent after returning home, as they adjust to changes in their health, independence, relationships, and daily life.

     

    When appropriate, Gaylord's outpatient psychiatry services can provide continuity of care for eligible patients following inpatient rehabilitation.

     

     

     

     

     

     

     

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    Care Shaped Around

    the Person

     

    Gaylord's Psychiatry team provides care based on each patient's medical history, psychiatric needs, and rehabilitation goals. Services may include: 

        • Comprehensive psychiatric evaluation
        • Medication evaluation and management
        • Individual counseling and supportive therapy
        • Ongoing psychiatric follow-up
        • Coordination with rehabilitation physicians and therapists
        • Care planning with family members and caregivers when appropriate

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    Patient Eligibility

     

     

    Gaylord's outpatient psychiatric services are available for:

      • Current Gaylord patients
      • Individuals who have received Gaylord services within the past year and continue to require psychiatric follow-up

    Outpatient psychiatry is not currently available for members of the general public who have not received care at Gaylord. 

     

    Please check back for updates, or for more information, you can call us at (203) 284-2888.

     

     

     

     

     

    Compassionate Psychiatric Care for Complex Recovery Journeys

    Led by Dr. Gretchen Hermes, Gaylord’s psychiatry services address the unique mental health needs of patients with complex neurological and medical conditions.

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    Gretchen Hermes, MD, PhD, MTS

    Gretchen Hermes, MD, PhD, MTS is a psychiatrist, psychoanalyst, and researcher whose work integrates neuroscience, psychoanalysis, and theology to illuminate the clinical realities of trauma, addiction, and social disconnection.

    Dr. Hermes holds an MD and PhD in neuroscience and human development from the University of Chicago, completed psychiatry residency at Yale School of Medicine, psychoanalytic training at the Western New England Institute for Psychoanalysis, and a Master of Theological Studies from Harvard Divinity School.

    As Medical Director of Psychiatry at Gaylord Hospital, she provides psychiatric consultation for patients navigating complex neurological and medical conditions, supervises psychiatry APRNs, and leads development of a psychosocial recovery research program.

    In addition to Dr. Hermes, Gina Smith, APRN, and Courtney Raynor, APRN, serve as psychiatric nurse practitioners for the department.

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    Courtney Raynor, APRN

    Psychiatric Nurse Practitioner

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    Gina Smith, APRN

    Psychiatric Nurse Practitioner

    FAQs

    Frequently Asked Questions

    Can psychiatry help with emotional or behavioral changes after a stroke or brain injury?
    What does a psychiatrist do as part of rehabilitation?
    What psychiatric conditions does Gaylord treat?
    How does Gaylord Psychiatry work with the rest of my care team?
    Can I schedule an appointment with Gaylord Psychiatry if I am not a Gaylord patient?
    Do I need a referral?