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Therapy

Psychotherapy with Psychiatrist

What is Psychiatrist-Led Psychotherapy?

Psychiatrist-led psychotherapy represents the gold standard in mental health treatment, combining the medical expertise of psychiatry with evidence-based psychological interventions. As a board-certified psychiatrist, I bring a unique perspective that integrates biological, psychological, and social factors to provide comprehensive care tailored to your individual needs.

 

Psychiatrists have completed extensive medical training followed by specialist psychiatric training. This dual expertise allows for a holistic understanding of mental health conditions, considering both the psychological aspects and the underlying biological factors that may be contributing to your difficulties.

The Benefits of Seeing a Psychiatrist for Psychotherapy

Integrated Care Approach: I can assess whether psychological therapy alone is sufficient or if medication may be beneficial, providing you with a comprehensive treatment plan that addresses all aspects of your mental health.

Comprehensive Assessment

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My medical training enables me to identify and rule out physical health conditions that may be impacting your mental wellbeing, such as thyroid disorders, hormonal imbalances, or neurological conditions. This comprehensive approach ensures nothing is overlooked in your care.

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Medication Management When Needed

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When appropriate, I can prescribe and monitor psychiatric medications alongside psychotherapy. This integrated approach is particularly beneficial for conditions such as moderate to severe depression, bipolar disorder, schizophrenia, and anxiety disorders, where medication can significantly enhance the effectiveness of psychological therapy.

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Complex Case Expertise


My specialist training equips me to work with complex presentations, including treatment-resistant conditions, co-occurring disorders, and situations where multiple factors are impacting mental health. This expertise is invaluable when standard treatments haven't provided relief.

Evidence-Based Therapeutic Approaches

 

I utilise various evidence-based psychotherapy modalities tailored to your specific needs:

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Cognitive Behavioural Therapy (CBT)

Highly effective for anxiety, depression, PTSD, and OCD. CBT helps identify and change unhelpful thought patterns and behaviours.

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Psychodynamic Therapy

 

Explores unconscious patterns and past experiences to gain insight into current difficulties and relationship patterns.

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Attachment‑Based Family Therapy (ABFT)


A family therapy approach aimed at repairing and rebuilding a secure emotional bond between parent and child.

 

Trauma Informed Therapy


Trauma-informed therapy is not a specific type of therapy, but rather an approach.

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Trauma-Informed Therapy doesn’t follow a single method but is a guiding framework that acknowledges the prevalence and impact of trauma. 

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Couples Therapy

 

A therapeutic approach that helps partners improve communication, resolve conflicts, and strengthen their relationship.

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Mentalisation‑Based Therapy (MBT)

 

Helps children and teens struggling with understanding who they are.

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Conditions Treated

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I provide specialist psychiatric care and psychotherapy for a wide range of mental health conditions, including:

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  • Depression: From mild to severe, including treatment-resistant depression

  • Anxiety Disorders: Generalised anxiety, panic disorder, social anxiety, and specific phobias

  • Bipolar Disorder: Mood stabilisation and psychological support

  • Post-Traumatic Stress Disorder (PTSD): Trauma-focused therapy and comprehensive management

  • Obsessive-Compulsive Disorder (OCD): Specialised treatment approaches

  • Eating Disorders: Medical oversight combined with psychological intervention

  • Personality Difficulties: Long-term therapeutic support and management

  • Perinatal Mental Health: Support during pregnancy and the postpartum period

  • Grief and Adjustment Disorders: Support through life transitions and loss​​

Medicare Rebates

Psychotherapy with a psychiatrist is one of the most cost-effective treatments available. With a valid GP referral, you may be eligible for Medicare rebates that significantly reduce your out-of-pocket expenses.

​I work collaboratively with your GP to ensure continuity of care and keep them informed of your progress throughout treatment.​

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What to Expect in Your First Appointment

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Your initial few consultations involve:

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  • A comprehensive psychiatric assessment exploring your current concerns, symptoms, and their impact on your life

  • Review of your medical history, family history, and previous treatments

  • Discussion of your goals for therapy

  • Development of a collaborative treatment plan tailored to your needs

  • Discussion of treatment options, including psychotherapy approaches and whether medication may be beneficial

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Follow-up sessions are typically 45-50 minutes and focus on implementing the therapeutic approach best suited to your needs.

Telehealth availability

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Psychotherapy services are available Australia-wide via Telehealth.

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I also provide face-to-face sessions at my clinics in Sydney.

Take the First Step Towards Better Mental Health

 

If you're struggling with mental health difficulties, seeking help from a psychiatrist who provides psychotherapy can make a significant difference. I am committed to providing compassionate, evidence-based care in a safe and supportive environment.

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Request an Appointment below.

I see patients at my clinics based in Hills District and Sydney NSW as well as Telehealth.
Psychotherapy services are also available via Telehealth Australia-wide.

Leading Expert Paediatric Psychiatrist in Sydney |  Highly experienced Psychiatrist in Sydney | Expert Psychiatrist Psychothetapist in Sydney

Blue Fig Clinic

Level 5, 235 Macquarie Street

Sydney, NSW 2000
https://bluefig.clinic

Copyright © 2025 Dr Sangeetha Makielan

Dolphin Tribe

4/1 Railway Street

Baulkham Hills, NSW 2153

https://dolphintribe.com.au

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