Dr. Amato, AKA “Jake”, treated my family members between 2001-2009, for both minor, and more complex issues. In addition, she saw several of my friends and their kids. Individually, and collectively, we got to know Jake well and we all loved her dearly. (Still do!) Dr. Amato helped get each of us through some significant crises in those years, and too many bumps to count. Once, in the days of less easily accessible electronic records, Dr. Amato took it upon herself to go into her office on a Sunday morning to look up my number and call to check on how my child was doing. She quickly and accurately assessed his condition, and made a surprisingly minor adjustment to his medication, which completely resolved the negative symptoms he’d been having and kept him out of the hospital. This is one of Dr. Amato’s most valuable skills. She understands how medications interact, and is able to make minor adjustments ie up on one, down on another, working them like a puzzle until they’re exactly… right. Customized for that specific individual. Sometimes, it took awhile to get it “just right”, but then-! It was. And we were amazed. The only downside we experienced was that when Jake left, no other psychiatrist could replicate her med genius.
In regards to Dr Amato’s negative reviews, I’d like to offer a different perspective on these issues and some potential insight. They’re nearly identical complaints I’ve heard before, which, seem to originate from people’s biases and unrealistic expectations, rather than Jake’s clinical skills—or lack thereof.
First, Dr. Amato is from the east coast, and the reviewers are from the west coast, specifically Oregon. Vastly different pace. Jake thinks, speaks and acts quickly, and this can be misinterpreted as rude, abrupt, or done too quick to be valid. But if you question her, she has accurately assessed the situation, she has clear reasoning, she’s zeroed in on the appropriate method to arrive at the goal, and expressed it concisely. If in doubt, ask her questions because she has answers.
Second, THERE IS NO MAGIC PILL. It’s not one size fits all. It often takes a try or two, or more, to get the right med, or the right combo of meds that balances therapeutic benefits vs side effects. Also, reaching therapeutic levels usually takes time. Days, or even weeks. Many people give up too soon. We’ve found that, in most cases, staying the course through the rocky early days of a med changes and adjustments, almost always pays off in long-term stability. Dr Amato is a board certified child and adolescent psychiatrist and neurologist. She knows her stuff. Keep her informed, but trust her. If you hang in there with her, she’s going to get you to the other side.
Third, Dr Amato has a bit of a reputation for overdiagnosing people with bipolar. It may or may not be true, and I’ve occasionally disagreed with her. (Then again, unlike Jake, *I* am *not* a psychiatrist, who interned at Johns Hopkins, so what do I know?!) Dr Amato used to say: “I don’t care if you call it ‘Green Cheese in the Moon Disease’. You treat the symptoms, not the label.” Whatever label Jake puts on you, she’s going address the symptoms. And, as previously explained, she’s genius at that.
Fourth, overly medicating. Medication doesn’t have to be all or nothing. Dr Amato isn’t a mind reader, or an authoritarian dictator. If you’re experiencing negative symptoms or side-effects, communicate with her and work it out together. In other words, see “Second” above.
Dr. Amato isn’t only a doctor though, she’s a caring, compassionate human being. Our friends and families built mutual trust and respect with Jake, and she was there for us when we needed her.
So, if Dr, Amato is in your community, you lucky dogs, go see her! She’s fabulous!
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