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Specialty Clinic

Medical Complexity Clinic

We are one of the region’s largest treatment centers for mental health. Our providers work with you to provide the best possible treatment plan and care for the complexity of your situation.

A patient talking with a clinician during a consultation

Overview

Mental health concerns, especially in older adults, often coexist with other common medical conditions, such as high blood pressure, diabetes, and heart disease. Patients of any age may have complex medical conditions.

Saint Sophie’s has put together a group of clinicians who are knowledgeable about these medical complexities and comfortable treating psychiatric conditions for patients in this demographic. This involves thorough review of all diagnoses and medications in order to choose the most appropriate psychiatric treatment, while ensuring that there is minimal to no interference with other medications or therapies.

This is not a replacement for primary or other specialty care, but may involve lab work, minor diagnostic studies, and communication with the patient’s other providers when needed.

Treatments

Some medical conditions create extra challenges affecting medication selection and dosing strategies for stabilizing the co-occurring psychiatric disorders. Treatments may include common medication classes such as SSRI/SNRI, stimulants, benzodiazepines, and antipsychotics, with consideration to potential need for lower or higher-than-average dosing due to absorption or metabolism differences.

Some patients may need an atypical route of administration, such as injection, topical patch, or dissolvable tablet. Special expertise is applied in consideration of the patient’s other medical conditions and treatments.

Conditions treated

Psychiatric disorders such as depression, anxiety, and bipolar disorder along with chronic medical conditions, which may include:

  • Gastrointestinal conditions such as gastric bypass, short bowel syndrome, or gastroparesis
  • Autoimmune disorders such as lupus, rheumatoid arthritis, and Sjögren’s syndrome
  • Neurological conditions such as traumatic brain injury, stroke, and seizure disorders
  • Cardiovascular conditions such as high blood pressure, cardiac rhythm abnormalities, and POTS
  • Endocrine disease such as diabetes and thyroid hormone imbalances

Now is the time.

Accepting new patients in North Dakota and Minnesota!

How can I help?

If this is a life-threatening emergency, call 911 or go to your nearest emergency room — do not use this form.

Prefer to talk? Call (701) 365-4488.