Mental health rarely shows up as one clean diagnosis. More often, depression comes with anxiety. ADHD overlaps with mood instability. PTSD threads through everything else. And when you're managing more than one condition at a time, medication management gets complicated — different conditions may need different approaches, and what helps one can sometimes interfere with another. Sindhia Shyras, a board-certified Psychiatric Nurse Practitioner at Elite Health LLC, specializes in this kind of complexity. She serves New London residents via telehealth, and she's not rattled by a messy picture. She's built her practice around it.
Co-occurring psychiatric conditions — sometimes called comorbidities — are more the rule than the exception. Research suggests that people with one psychiatric diagnosis have a significantly higher likelihood of meeting criteria for another. That's not a reason to panic; it's a reason to work with a provider who understands the full picture. Sindhia takes a careful approach when managing multiple conditions: she prioritizes what's causing the most dysfunction, looks at medication options that address more than one condition where possible, and monitors the interaction between medications closely. Sometimes the right choice is a single medication that addresses two conditions. Sometimes it's a carefully calibrated combination. Neither is scary — they're both just standard psychiatric care done attentively.
Managing a patient with one condition and one medication is straightforward. Managing someone with depression, generalized anxiety, and a history of trauma — each of which interacts with the others and with any medication — requires more. More time in the initial evaluation, more frequent early follow-up, and a more careful approach to sequencing treatment. Sindhia knows this. She doesn't rush through an intake to get to a prescription. She takes the time to understand the whole picture before making any recommendations, because the order in which you address things genuinely matters. Start with the wrong one, or start everything at once, and you won't know what's working.
For New London residents, finding a psychiatric provider with specialized experience — and availability — has historically been difficult. Eastern Connecticut is underserved when it comes to mental health resources. Elite Health LLC's telehealth model means Sindhia can serve patients anywhere in the state, including southeastern Connecticut. You don't have to be on a six-month waitlist at a hospital system. You schedule an appointment, join a secure video call, and get the same quality of care as someone sitting in the New Britain office. Insurance accepted includes Aetna, Cigna, Medicaid, Husky Health, United Healthcare, Anthem, ConnectiCare, and self-pay.
Serving New London, CT and southeastern Connecticut via telehealth.
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