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Anastasiia Hladkykh

Psychiatry 15 years exp.

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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Psychiatrists for mental health symptoms and ongoing care

What psychiatrists treat, which symptoms usually lead to a consultation, and when psychiatric care is appropriate

What psychiatry focuses on

What psychiatry focuses on

Psychiatry is a medical specialisation dedicated to the assessment, diagnosis, and management of mental health conditions. Psychiatrists work with symptoms that affect mood, thinking, behaviour, emotional regulation, and daily functioning.

Unlike short-term emotional distress, psychiatric conditions often have a biological, psychological, or combined basis. Psychiatrists are trained to evaluate symptoms in a medical context, considering mental health history, physical health, current medications, and symptom patterns over time.

Psychiatry is appropriate when symptoms are persistent, recurrent, or significantly interfere with work, relationships, sleep, or decision-making. Many patients seek psychiatric care after noticing that symptoms no longer resolve on their own.

Another key aspect of psychiatry is continuity. Mental health symptoms often change gradually, and effective care requires observation over time rather than a single assessment.

Psychiatrists also help clarify whether symptoms are best managed within psychiatry or whether additional therapeutic or medical input may be needed.

Common mental health symptoms and concerns

Common mental health symptoms and concerns

People commonly consult a psychiatrist for symptoms related to anxiety. Persistent worry, panic attacks, physical tension, racing thoughts, or avoidance behaviours may indicate an anxiety disorder rather than situational stress.

Mood-related symptoms are another frequent reason for consultation. Low mood, loss of interest, emotional numbness, irritability, or mood swings that last for weeks may suggest depressive or mood disorders.

Sleep problems often overlap with psychiatric conditions. Difficulty falling asleep, frequent awakenings, early morning waking, or sleep disruption linked to anxiety or mood changes are commonly assessed in psychiatry.

Attention and concentration difficulties are also common. Problems with focus, impulsivity, restlessness, or mental fatigue may be related to conditions such as ADHD or mood disorders.

Psychiatrists also assess symptoms such as intrusive thoughts, compulsive behaviours, emotional dysregulation, trauma-related reactions, or changes in perception that require careful medical evaluation.

Chronic conditions and long-term psychiatric care

Chronic conditions and long-term psychiatric care

Many psychiatric conditions require ongoing management rather than short-term intervention. Disorders such as major depression, bipolar disorder, anxiety disorders, ADHD, or psychotic conditions often benefit from structured follow-up.

Long-term psychiatric care allows for monitoring symptom progression, treatment response, and potential side effects. Symptoms may fluctuate over time, making regular reassessment essential.

Medication management is a central component of psychiatry. Psychiatrists evaluate whether medication is appropriate, adjust dosages when needed, and monitor tolerance and effectiveness over time.

Some patients experience partial improvement or symptom recurrence. Ongoing care helps refine treatment strategies and reduce the risk of relapse.

For people living abroad, continuity in psychiatric care can be particularly important when previous treatment histories are fragmented or incomplete.

Psychiatric assessment and clinical evaluation

Psychiatric assessment and clinical evaluation

A psychiatric consultation involves more than discussing emotions. Psychiatrists conduct a structured clinical assessment that includes symptom history, duration, triggers, functional impact, and previous treatments.

They also consider physical health factors, substance use, sleep patterns, and current medications, as these can influence mental health symptoms.

Accurate assessment helps distinguish between different conditions with overlapping symptoms. For example, anxiety, depression, trauma-related disorders, and ADHD may present with similar complaints but require different approaches.

Psychiatric evaluation also helps determine severity. Mild symptoms may require monitoring, while more severe presentations need active medical management.

This diagnostic clarity is essential for safe, effective, and appropriate mental health care.

When psychiatry may not be enough

When psychiatry may not be enough

While psychiatry covers a wide range of mental health conditions, some situations require immediate or additional support. Acute risk of self-harm, severe psychotic symptoms, or sudden behavioural changes require urgent intervention.

Psychiatrists also recognise when psychotherapy, psychological support, or other medical specialties should be involved alongside psychiatric care.

Certain symptoms may be primarily related to neurological, hormonal, or other medical conditions and need further investigation outside psychiatry.

Understanding these boundaries is part of responsible psychiatric practice. The goal is to ensure patients receive the most appropriate level of care.

Knowing when to seek psychiatric input and when additional support is needed helps maintain safety and treatment effectiveness.

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Psychiatrists: frequently asked questions

Answers to common questions about psychiatric care, mental health symptoms, and when to see a psychiatrist

What conditions do psychiatrists treat?
Psychiatrists diagnose and treat a wide range of mental health conditions that affect mood, thinking, behavior, and emotional regulation. These include anxiety disorders, depression, bipolar disorder, psychotic disorders, ADHD, and trauma-related conditions. They also work with complex or overlapping symptoms that impact daily functioning. Psychiatric care is based on medical assessment and evidence-based treatment.
How is psychiatry different from psychology or psychotherapy?
Psychiatry is a medical specialty focused on diagnosing and treating mental health conditions from a clinical perspective. Psychologists and psychotherapists primarily provide psychological assessment and talk-based therapy. Psychiatrists integrate medical evaluation, diagnostic criteria, and treatment planning. Collaboration between psychiatry and psychotherapy is common.
Are psychiatrists medical doctors?
Yes. Psychiatrists are medical doctors who have completed medical training followed by specialized education in psychiatry. This allows them to assess both mental and physical factors that influence mental health. They are trained to evaluate complex clinical presentations. Their medical background supports comprehensive care.
When should someone see a psychiatrist?
A psychiatrist should be consulted when emotional or psychological symptoms persist, worsen, or interfere with daily life. This includes ongoing low mood, anxiety, mood changes, concentration difficulties, or changes in behavior. Symptoms do not need to be severe to justify evaluation. Early assessment can clarify appropriate care options.
Can a psychiatrist help if symptoms are mild or unclear?
Yes. Psychiatrists often assess symptoms that are mild, early, or difficult to define. Subtle changes in mood, sleep, energy, or focus can benefit from professional evaluation. Early assessment helps prevent symptom progression. It also provides clarity when symptoms do not fit a single diagnosis.
Is psychiatry only for severe mental illness?
No. Psychiatry addresses a broad spectrum of mental health concerns, from mild to severe. Many people seek psychiatric care for moderate anxiety, depression, burnout, or attention difficulties. Psychiatric evaluation is not limited to crisis situations. It can support mental well-being at different stages.
Do psychiatrists treat anxiety and panic disorders?
Yes. Anxiety disorders, including generalized anxiety and panic disorder, are commonly treated in psychiatry. Psychiatrists assess symptom patterns, triggers, and functional impact. Treatment may involve medication, therapeutic strategies, or combined approaches. Management is individualized.
Do psychiatrists treat depression and mood disorders?
Yes. Psychiatrists treat depressive disorders, bipolar disorder, and other mood-related conditions. They evaluate symptom duration, severity, and recurrence. Treatment plans are tailored to clinical presentation and patient needs. Ongoing monitoring is often part of care.
Can psychiatrists help with sleep problems and insomnia?
Yes. Sleep problems are frequently addressed in psychiatric care, especially when linked to mood or anxiety disorders. Psychiatrists assess sleep patterns, contributing factors, and underlying conditions. Treatment focuses on addressing root causes rather than symptoms alone. Sleep health is considered part of overall mental health.
Do psychiatrists treat ADHD in adults?
Yes. Psychiatrists assess and treat attention-deficit hyperactivity disorder in adults. Evaluation includes attention, impulsivity, executive functioning, and functional impact. ADHD symptoms may overlap with other conditions, requiring careful assessment. Treatment is individualized and may involve medication and behavioral strategies.
Do psychiatrists prescribe medication?
Yes. Psychiatrists are licensed to prescribe psychiatric medications when clinically appropriate. Medication decisions are based on diagnosis, symptom profile, and individual factors. Prescribing is typically combined with monitoring and reassessment. Medication is not always required.
Do psychiatrists also provide psychotherapy?
Some psychiatrists provide psychotherapy as part of treatment, while others focus primarily on medical management. The approach depends on training, clinical setting, and patient needs. Psychiatrists often collaborate with psychologists or therapists. Combined care is common in psychiatric treatment.
How long does psychiatric treatment usually last?
The duration of psychiatric treatment varies widely depending on the condition and individual response. Some people require short-term support, while others benefit from longer-term care. Treatment plans are regularly reviewed and adjusted. There is no fixed timeline.
What situations are not appropriate for psychiatric consultation?
Psychiatric consultation is not suitable for medical emergencies unrelated to mental health. Acute physical emergencies require immediate medical attention. Psychiatry does not replace emergency services. It is intended for planned assessment and treatment.
When is urgent or emergency mental health care needed?
Urgent care is required in cases of suicidal thoughts, risk of harm to self or others, severe agitation, or loss of contact with reality. Sudden and intense psychiatric symptoms require immediate attention. These situations should not wait for a routine appointment. Emergency services may be necessary.
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