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Our Thoughts & Ideas

We present thoughts and ideas about various topics here to help raise awareness and to educate others.

Why Medication Sometimes Isn't the Answer by Tiffani Tobin, PA-C

3/23/2018

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As prescribers at Providers for Healthy Living, we strive to practice evidence-based medicine (EBM). What is evidence-based medicine? EMB is the conscientious, explicit, judicious, and reasonable use of modern, best evidence in making decisions about the care of individual patients (1). This means that each time we evaluate a patient, we integrate our patient's wishes, our own clinical experience and expertise, and the best modern evidence before making a treatment recommendation.

Sometimes, this recommendation may include pharmacologic therapy (medication), and sometimes it may not. For example, current evidence suggests that pediatric patients with anxiety benefit from a 12-week course of Cognitive Behavioral Therapy (CBT) for anxiety prior to trying any medication.

Research also shows us that insomnia is often best treated with CBT for Insomnia rather than with medication. And, sometimes behavioral changes to correct unhelpful or harmful behaviors are necessary and we know medications won't make a difference, so we might recommend individual and/or family therapy to address the concerning behaviors. Should therapy interventions fail to provide relief of symptoms, we then will turn to possible pharmacologic options as a last resort.

In all cases, our goal is to find the best-fit treatment while using as little medication as possible.

REFERENCE - (1) Masic I, Miokavic M, Muhamedagic B. Evidence Based Medicine - New Approaches and Challenges. December 2008. Acta Inform Med.
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locations:


​Lewis Center - 8351 N. High St, Suite 155, Columbus, OH 43235

​
Maitland - 341 N Maitland Ave, Suite 340, Maitland, FL 32751
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Phone:


614-664-3595 (phone and fax)
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Email:


​Please DO NOT use this email address for medication refill requests or for emergency situations.

Click here for refill requests instead of using email:
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If you have a medical emergency, email is never the appropriate way to communicate your needs, and you should instead call 911 or go to the nearest ER.  If you are having suicidal thoughts and need to speak to someone immediately, you can contact Suicide Prevention Hotline at the number (and link) below.
​PATIENT@PROVIDERSFORHEALTHYLIVING.COM

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Communications via email are not secure.  Although it is unlikely, there is a possibility that the information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed.
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  • Home
  • About Us
    • Our Teams
    • Our Locations & Addresses
  • Our Services
  • Virtual Visits
  • For Patients
    • Insurances Accepted
    • Become a New Patient
    • New Patient Information & Forms
    • Current Patient Information & Forms
    • Request a Refill
  • For Professionals
    • Attend or Present an Online Training
    • Refer a Patient
    • Find a Job or Internship
    • Insurance Information
  • Make a Payment
  • Athelas
  • Blog
  • Maitland Florida Office
  • Patient Feedback