Good psychiatric care is not just about the right treatment—it is about the right relationship between doctor and patient.
Hi, I’m Elana Miller, M.D., and I am a psychiatrist based in West Los Angeles, California. My practice focuses on holistic mental health, including combining prescription medications, talk therapy, and whole-body alternative and complementary approaches.
I believe in relationship-centric psychiatric care—that the best results and most meaningful transformations come out of a relationship between doctor and patient strengthened by respect, kindness, and genuine concern.
I help people struggling with:
- Mood problems, such as depression, dysthymia, irritability, mood instability, seasonal affective disorder, and bipolar disorder
- Anxiety, including generalized anxiety, panic attacks, post-traumatic stress disorder, obsessive-compulsive disorder, and trichotillomania
- Adult attention-deficit disorder, which may cause or worsen problems at work, school, and in relationships
- Adjustment difficulties with life transitions, trauma, bereavement, and grief
- Medical illness-related mood and anxiety problems, including psychiatric issues related to cancer, chronic fatigue, fibromyalgia, and chronic pain
- Women’s mental health issues, including psychiatric issues related to menstruation, pregnancy, infertility, or menopause, as well as management of psychiatric conditions through pregnancy and the postpartum period
My approach is informed by the Integrative Holistic Medicine model, which:
- Reaffirms the relationship between practitioner and patient
- Focuses on the whole person
- Is informed by scientific evidence
- Makes use of all appropriate therapeutic approaches, health care professionals and disciplines to achieve optimal health and healing
- Views physical and mental and spiritual aspects of life as closely interconnected and equally important approaches to treatment
Integrative Holistic Medicine is the art and science of healing that addresses care of the whole person: body, mind, and spirit. It can include evidence-based complementary treatments such as:
- Nutritional supplementation with vitamins, minerals and other micronutrients to support optimal health
- Lifestyle modification, including habits and practices to optimize sleep, energy, and diet and to regulate mood
- Herbal and plant-based medicine
- Mind-body practices such as meditation and mindfulness
I can provide both medications and talk therapy for my patients, including Cognitive Behavioral Therapy, Interpersonal Psychotherapy, and focused Psychodynamic Psychotherapy.
My work with patients is a supportive, collaborative process. My assessment is shaped by a holistic understanding of you and your life, including your physical and biological health, your mental and emotional framework, your relationships, your work, and your environment. The strategies I recommend will be geared toward optimizing all of these aspects of your health and wellbeing.
- Initial evaluation (75 minutes): $475
- Follow up appointment – medication and therapy – (45 minutes): $300
- Follow up appointment – medication – (25 minutes): $200
Frequently Asked Questions
Q: What happens during the initial evaluation?
A: When we first meet I will ask you to share with me the story of what brought you to my office, including the biggest problems and symptoms you are experiencing. We will review the details of your current symptoms, including how long the issue has been going on for, how it started, and what tends to make it better or worse. I will then ask more specific questions about your background and history, including past treatments, medication trials, general health, social life, work, and relationships. If you are transferring care from another psychiatrist, you may feel free to bring any records of your past treatment and I can review them during the session so I am up to date on your treatment. You are also welcome to bring a family member or friend to the session if you would like.
At the end of the appointment, I will summarize my general impressions and thoughts about diagnosis and will recommend a specific treatment plan, which can include medications, therapy, and lifestyle/holistic approaches.
Q: How often and how long would I need to be seen?
A: This various a lot by the details of your individual case as well as your preferences. After the initial evaluation, sessions are generally more frequent (once a week to once every few weeks), especially if we are starting a new medication or biological treatment. After a few months, appointments are generally spread out to once every 1-3 months. At a minimum I see my patients once every three months. Therapy appointments are generally once a week, although they can be spread out to once every few weeks or once a month if you prefer.
Q: Can I use my insurance?
A: I do not accept insurance or work directly with insurance companies, although if you have a PPO insurance plan you may be able to get part of my fees reimbursed from your insurance company. I do not submit claims or work with insurance companies directly. The reason I do this is because insurance companies incentivize psychiatrists to have short, medication-focused visits, and reimburse poorly for therapy-focused interventions. I believe a broader approach is more effective and essential for long-term health and wellbeing. Practicing this way also allows me to provide the kind of care I feel is most helpful, without having to spend substantial time on paperwork.
Q: How much will my insurance reimburse me for our visits?
A: This will varies depending on your individual insurance coverage. Below are the procedure codes I will use for your visit—if you would like to get a sense in advance of what your insurance will cover, contact you insurance company and ask what their reimbursement rates are for the following codes:
Initial appointment – 90792
Follow up appointment (45 minutes) – 99213 + 90836
Follow up appointment (25 minutes) – 99213 + 90833
Q: What are your hours and availability?
A: I am currently scheduling patients Monday through Thursday from 9am-5pm.
11620 Wilshire Blvd Suite 715
Los Angeles, CA 90025
If you are wondering if I am the right fit for you, feel free to get in touch – I will be happy to speak to you on the phone and help you decide if I’m the right psychiatrist for you.