Payment Form To pay your bill online, fill in the information below. Patient's First Name Patient's Email Patient's Last Name Birthday Patient's Phone Number Enter the amount you wish to pay: $ Click Here to Pay Your Bill Thank You for Your Payment! To pay by check, please mail it to: ​ Lakes Center Mental Health Network 2300 Haggerty Road, Suite 2160 West Bloomfield, MI 48323 Question about your bill or want to pay over the phone? Contact us at: ​ Billing: (248) 313-9550

We provide an Array of Clinical Services, Including: ​ PSYCHIATRIC SERVICES ​ Diagnostic Evaluations Intake interview and diagnostic assessment with initial treatment recommendations that may include medication and/or psychotherapy ​ Medication Therapy and Ongoing Reviews Symptom management through the use of psychotropic medications which also includes psycho-education and supportive psychotherapy SPRAVATO ® Esketamine Treatm ents for Treatment Resista nt Depression We have treated the largest number of SPRAVATO patients in the country! Contact us at (248) 956-7164 or email SPRAVATO@lakescenter.com ​ Transcranial Magnetic Stimulation (TMS) TMS for depression is provided through Greenbrook TMS. Call us at (248) 859-2457 for more details. PSYCHOLOGICAL SERVICES AND TREATMENTS ​ Initial Diagnostic Evaluations In depth intake interview, diagnostic assessment and initial treatment recommendations, which may include psychotherapy and/or an evaluation for medication therapy ​ Individual Therapy Using various approaches which include insight-oriented, cognitive behavioral, supportive, behavioral, interpersonal, solution-focused and mindfulness based therapies ​ Coordinated Management of Comorbid Psychiatric and Medical Conditions Including chronic pain ​ Dialectical Behavioral Therapy (DBT) We offer a Comprehensive DBT Program with individual and group - focusing on Borderline Personality Disorder. Call (248) 956-7829 for more information ​ Group Therapy A list if our current Group Sessions can be found here . ​ Exposure and Response Prevention (ERP) ERP is type of Cognitive Behavioral The rapy (CBT) especially effective in treating OCD and Anxiety Disorders. ​ Counseling for Children and Adolescents ​ Family Therapy and Psycho-education ​ Marital and Couples Counseling ​ Divorce Counseling and Parenting Time Support ​ Substance Abuse Counseling ​ Anger and Stress Management ​ Court-Ordered Treatments

EXPOSURE AND RESPONSE PREVENTION (ERP) ​ ​ LAKES CENTER IS NOW OFFERING EXPOSURE AND RESPONSE PREVENTION (ERP) THERAPY FOR OCD AND A VARIETY OF ANXIETY DISORDERS. ​ Exposure and Response Prevention (ERP) is the gold standard treatment of OCD as well as for many Anxiety Disorders . ERP is an evidence-based treatment which can improve OCD symptoms up to a 47% under the guidance of an ERP trained therapist. The program we follow here at Lakes Center Mental Health Network can provide a significant improvement in a short period of time. ​ ERP is a special kind of Cognitive Behavioral Therapy (CBT), working with thoughts, emotions, behaviors, and how they interact with each other. Treatment can free our patients from the ongoing toxic thought and behavior cycle, which is reinforced over time. ​ As the name suggests, there are two main parts to ERP: ​ Exposure : We help our patients step outside of their comfort zone, as well as recognize and confront their triggers. ​ Response Prevention: We give our patients the tools to resist compulsions and disrupt the rituals, safety behaviors, and protections they use to calm their thoughts. They learn to accept uncertainty, resist the urge to perform the compulsions, and can even break the patterns of their OCD or Anxiety Disorders. ​ Some of the most common disorders we treat with ERP are: Obsessive Compulsive Disorder Generalized Anxiety Social Anxiet y Post-Traumatic Stress Disorder Hoarding Disorder Tics / Tourette’s ​ WHAT IS OCD, A ND WHY IS ERP SO SUCCESSFUL IN TREATING IT? ​ Obsessive Compulsive Disorder is characterized by obsessive, recurring, unwanted, and intrusive thoughts, urges, or images. These can result in a person experiencing mild to severe anxiety, distress, uncertainty, and sometimes emotions such as panic, guilt, and shame. To try to reduce the anxiety, they often feel driven to perform repetitive behaviors and mental acts that can take on a ritualistic quality - these behaviors are called compulsions. Many who suffer from OCD are aware of these thoughts, urges, and behaviors, yet are unable to control them. ​ Common OCD compulsions: Repeated Hand-washing – sometimes to the point of chapped and bleeding hands Checking and re-checking to seek reassurance Excessive cleaning and organizing Counting actions or things around you, and having to go back to start over if you lose track Avoiding things/actions, or urge to do things otherwise something bad will happen Non-stop ruminating about past events and conversations Mental compulsions such as questioning, canceling / undoing Hoarding - buying too much or difficulty throwing things away, letting things go Avoidance of people, places, and things Constant thoughts about harming someone ​ With ERP therapy, our patients gain the insight to recognize these OCD triggers, thoughts, and compulsions. They learn to accept uncertainty, learn techniques to resist the urge to perform the compulsions, and can even break the patterns and cycle of their OCD. ​ Here at Lakes Center, we have an ERP trained therapist ready to help break your cycle of intrusive thoughts and compulsive behaviors. ​ If you struggle with any of the compulsions listed above but do not already have a diagnosis, we can schedule times for diagnostic testing to see if ERP would be right for you. ​ Call (248) 859-2457 to set up an appointment, or fill out the Contact Form and we will contact you! ​ ​ If you need immediate in-person help, go to your nearest emergency room or call 911. For free support via text: Text the word HOME to 741741 to reach a trained Crisis Counselor through Crisis Text, or 988 to the 988 Lifeline. Terrie Browning , LPC, CFC, DCC Licensed Professional Counselor appointments: (248) 859-24 57 direct line: (248) 342-9254 e-mail: TBrowning@lakescenter.co m (pref.)

LIFE HISTORY QUESTIONNAIRE FOR ADULTS ​ OPTION 1 Fill out, sign, and submit online (Valid email required.) Once this form is completed, please be sure to check your email, open the verification email, and click the link in order to submit the form to us. OPTION 2 Fill out, sign, and submit online (Valid email required.) Once this form is completed, please be sure to check your email, open the verification email, and click the link in order to submit the form to us. Click here if you prefer to download the form. You can then fill it out and sign digtally, or you can print it out Return to the office by email, fax, mail, or drop off in person. note, DO NOT fill this form out in your web browser, as the digital signature will not be valid. TEST for Upload First name Last name Email Write a message Upload File Upload supported file (Max 15MB) Submit Thanks for submitting! Name Email Subject Message Submit Thanks for submitting! First Name Last Name Email Phone Name & Type of Insurance I am Interested In Therapy Medication Management SPRAVATO DBT Other Message Please email a copy of your insurance card and ID to forms@lakescenter.com ​ We will contact you within two business days to confirm if we take your insurance and to guide you through next steps to becoming a patient. Submit Thanks for submitting!

T he Strength that Helped you Survive, is the Strength that will Help you Thrive ​ DIALECTICAL BEHAVIOR THERAPY ​ Welcome to Lakes DBT Center, a part of Lakes Psychiatric Center. ​ ​ We provide comprehensive DBT services to provide effective treatment of Borderline Personality Disorder (BPD) and other disorders involving emotion dysregulation, including co-occurring substance use disorders, major depressive disorder, and individuals with history of trauma. At Lakes DBT Center, we believe that with effective evidence-based treatment and a caring and coordinated treatment team, clients can achieve a life worth living. ​ Treatment of Borderline Personality Disorder ​ Harmful behaviors such as intentional self-harm, suicidal behavior, and substance misuse is often a response to unbearable emotional suffering. DBT is intended to replace ineffective behaviors with skillful behaviors that are within conscious control and with continued practice and support, become automatic and incorporated into daily practice. ​ Dialectical Behavioral Therapy at Lakes DBT Center ​ Lakes DBT Center offers comprehensive Dialectical Behavioral Therapy services, including: ​ Individual Therapy Group Skills Training Between Session Coaching Therapist Consultation ​ ​ ​ DBT Skills Modules ​ Acceptance Skills Focuses On: Mindfulness: The awareness of the present moment, participating without judgment, and allowing experiences rather than suppressing, avoiding, or trying to change them. Distress Tolerance: The management a crisis without making the situation worse and acceptance of reality as it is, without judgment. ​ ​ Change Skills Focuses On: Emotion Regulation: Increasing emotional awareness, reducing vulnerability to emotions, identifying patterns of unskillful behavior, increasing tolerance of emotional experience. Interpersonal Effectiveness: Getting individual needs met, cultivating healthy relationships, and increasing self-respect in relationships. ​ In addition to individual therapy, clients at Lakes DBT Center are expected to participate in a weekly two-hour group skills training. Most DBT skills training groups consist of 6-8 group participants. Evening and weekend appointments are offered for those with limited availability during typical business hours. ​ ​ Lakes DBT Center is currently accepting new referrals and participates with most major insurance companies. To schedule an intake appointment, please contact us at 248-956-7829 . Lakes DBT Center has multiple DBT trained clinical social workers and counselors to facilitate your recovery and growth. Lakes DBT Center Lakes Psychiatric Center 2300 Haggerty Road, Suite 1170 West Bloomfield, MI 48323 ​ NEW REFERRALS CALL (248) 956-7829 ​ MAIN LAKES CENTER OFFICE Phone: (248) 859-2457 Fax: (248) 859-2473 Billing: (248) 313-9550 ​ DBT@lakescenter.com DBT Therapists Ashli Brennan, LPC Licensed Professional Counselor appointments: (248) 859-2457 direct line: ( 312) 967-6619 e-mail: ABrennan@lakescenter.com Jessica Martin , LMSW Clinical Social Worker appointments: (248) 859-2457 direct line: (248) 778-6822 e-mail: JMartin@lakescenter.com Marina Pesserl, PhD , LPC Licensed Professional Counselor appointments: (248) 859-2457 direct line: (248) 910-1591 e-mail: MPesserl@lakescenter.com Heidi Stamper , LPC Licensed Professional Counselor appointments: (248) 859-2457 e-mail: HStamper@lakescenter.com DOWNLOAD THE FILES YOU NEED: Download your initial appointment paperwork here. ​ DBT New Patient Forms for Adults (pdf)

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