Dr. Torang Shatzmiller Sepah M.D.
Psychiatrist | Psychiatry595 E. Colorado Blvd Suite 311 Pasadena CA, 91101
Torie Sepah, MD is a physician who specializes in the area of psychiatry and is a diplomate of the American Board of Psychiatry and Neurology. There is no American Board of Behavioral Health because that is a made-up term by insurers to justify decades of a two-tier system of care. I approach psychiatry as a physician first, just as an internist does primary care.
After all, psychiatry is an actual medical specialty, recognized by the American Board of Medical Specialties as such. "Behavioral health" and "mental illness"--these are inaccurate terms, loaded with stigma and have allowed people to feel that their symptoms are under volitional control thus treatment is optional, an 'add-on' like a luxurious spa treatment might be.
When in fact, one's brain is a vital organ connected to all of the other organs. Psychiatry is a medical specialty. There is no shame in seeking treatment for depression or anxiety, just as there should be no shame in treating hypertension. Both are acutally medical diagnoses. As psychiatric diagnosis are treated by physicians--psychiatrists are not mental health professionals who can prescribe.
Our practice focuses on neuropsychiatry, specifically neurmodulation, a treatment modality that is FDA-approved, extremely safe, covered by by most insurances plans and allows a patient who been suffered with severe depression to finally find relief with fewer and fewer medications. Deep Transmagnetic Stimulation (dTMS) via the Brainsway system is an evidence-based treatment modality for refractory depression that we offer. Patients can experience relief with fewer side effects and in a shorter period of time. Sessions last about 19 minutes after the first mapping session which is longer. There are usually treatments about 4 X a week (only for 19 minutes) over the course of 8-12 weeks.
We are also only one of two Spravato centers in Pasadena, allowing us to offer another FDA approved treatment for refractory depression (treatment resistant depression), we are an approved Spravato Center (esketamine) and can administer the intranasal formulation and conduct the required follow-up monitoring according to the REMS guidelines.
Education and Training
Tulane School of Medicine Doctor of Medicine (MD) 2006
UCLA BA 1995
American Board of Psychiatry and Neurology
Dr. Torang Shatzmiller Sepah M.D.'s Expert Contributions
Great question and glad you asked! This shows that you are invested in your healthcare. In medical school, there was an important lesson taught year after year which is the basis of a physician's thought process: there is no wrong question, so ask away until you understand something. Your question is one that many ask and I can see why it would be easy to not clearly know who is who and what is what given the plethora of healthcare staff. Becoming educated about what the credentials and scope of each person involved in your is a step in becoming a true partner in your care. The more you know, the more empowered you are as a patient. Here is the difference between the two: 1. Psychiatrists such as myself are physicians, meaning they are "Medical Doctors" as defined as either having an MD (Doctor of Medicine) or a DO (Doctor of Osteopathic Medicine--same as MD, just additional curriculum). We are licensed by the Medical Board of California and complete a four year medical residency, then take a two part exam to become diplomates or "specialty board certified" by the American Board of Psychiatry & Neurology. We practice medicine and are licensed as such. Our first year typically is in general medicine, pediatrics and neurology. We also learn the six main therapeutic modalities--i.e. CBT. But this is only part of our education. Our foundtion is in medicine and we use that knowledge along with our psychotherapeutic training to diagnose and treat patients across all psychiatric disorder spectrums. Psychologists while referred to as "Doctor", are not physicians. They had either a PsyD or PhD in psychology, which is based on studying behavior and the therapeutic modalities also learned by psychiatrists. Psychologists spend more time learning talk therapy. They do a one year "internship" which is seeing patients while supervised by a licensed psychologists. There is no speciality board for psychology as it is not a medical specialty. They are licensed by the Psychology board. From my experience, and what evidence shows is that treatment in talk therapy is more effective if the patient is also being treated with pharmacological interventions as there is no way to separate the neuroscience of the brain from the rest of medicine. Your brain is attached to the rest of you which is governed by multiple complex processes, genetic variabilities, etc. The right medication can help patients reach a point where they are more open, forward-thinking and thus able to make better use of their time in therapy. I hope that helps. READ MORE
I'm sorry to hear that. The best advice is to talk to your primary care physician or psychiatrist if you have one currently, about what their impression is. Treatment resistant depression is complex and requires a very careful examination of previous treatments, as well as looking at the whole medical picture. There are specific treatment options pharmacologically for rx-resistant depression and also types of talk therapy that can be helpful, such as cognitive behavioral therapy. I would recommend contacting your local department of mental health to inquire about such options in conjunction with engaging your current physicians in helping you with this. READ MORE
I'm sorry to hear that. There are not necessarily "guidelines," however, physicians prescribe medications based on certain symptoms and criteria, just as we treat other ailments like high blood pressure and type two diabetes. My first advice is to consult with your primary care physician, as most PCP's are the first line physicians in initiating treatment. You should contact your local department of mental health if you do not have a PCP and they can help refer you to a psychiatrist. You should go to the emergency room/seek emergency care should you experience severe depressive symptoms, such as having any thoughts of plans of self harm or harming others or find you are not able to care for yourself, or are experiencing auditory hallucinations (hearing voices that others do not hear). In Los Angeles County, the 24hr crisis line for the department of mental health is 888-854-7771. READ MORE
She should be seen by a physician right away to rule out an acute cause, such as a urinary tract infection, which can alter the mental status of geriatric patients, or whether there is a chronic condition that can be causing this. Either way, seeing a physician now is the first step. READ MORE
It should not as prozac (or fluoxetine) is the only weight neutral (not likely to cause weight gain or weigh loss) SSRI, and one of three weight neutral antidepressants, with the two others being Venlafaxine and Buproprion. At times, people who feel better regain their appetite and gain a few pounds post initiation of treatment. This may be the reason. Either way, I recommend discussing with your physician. READ MORE
Faculty Titles & Positions
- Chief Psychiatrist California Department of Corrections, Corona 2017 - 2018
- Adjunct Clinical Professor, Dept of Psychiatry University of Southern California-Keck School of Medicine 2013 - 2018
- Staff Psychiatrist CDCR, Corona 2016 - 2017
- Physician Psychiatrist ICE-Mesa Verde Detention Facility 2015 - 2016
- Psychiatrist Twin Towers Correctional Facility 2013 - 2015
- Resident Physician USC + LA County 2009 - 2013
- Resident Physician Kaiser Los Angeles Medical Center 2007 - 2008
- Arnold P. Gold Humanism in Medicine Honor Society 2005 Tulane School of Medicine
- Resident Research Award 2012 USC Department of Psychiatry
- Resident Mentor Award 2012 USC Dept. of Psychiatry
- Excellence in Research Award 2012 PER Foundation
- American Medical Association
- American Psychiatric Association
Charities and Philanthropic Endeavors
- Tulane School of Medicine Alumni Foundation, Pasadena Jewish Temple and Center
Areas of researchPhysician Burnout
Dr. Torang Shatzmiller Sepah M.D.'s Practice location
Los Angeles, CA 90017Get Direction
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