Cover Story
The practice's primary work
The patients the system keeps losing.
By Angela Vanderberg, PMHNP-C, FNP-BC, CARN-AP
Adults navigating addiction, trauma, and co-occurring conditions are often routed between specialty clinics, therapy groups, and general psychiatric offices that do not coordinate with each other. The patients in the middle get lost. They need psychiatric medication continuity from a prescriber who understands addiction without judgment, and in Northwest Indiana that combination is rare. Lake County communities have been hit hard by the ongoing opioid crisis. The practice was built around the gap.
That gap is the practice. Bridge care is the work the field calls "complicated" and quietly routes elsewhere. CARN-AP credentialing exists because someone has to do it well.
The practice also welcomes patients seeking psychiatric medication for depression, anxiety, ADHD, mood disorders, or PTSD on their own. Bridge care is the focus. It is not the limit.
"Addiction rarely arrives alone. Treating the substance use without the trauma underneath, or the depression alongside it, or the ADHD that has been screaming for years, rarely produces an outcome that holds."
The premise of this practice
i.
After the program ends
Detox, IOP, residential, court evaluation. Your psychiatric medication needs continuity, not a referral loop.
ii.
Co-occurring symptoms
Anxiety, trauma, depression, ADHD, sleep, mood. The full picture, treated together.
iii.
A careful, private read
For patients who have been judged, dismissed, or under-medicated. Trauma-informed by design.