Michael J. Labellarte, Sr., M.D. is a child and adolescent psychiatrist. Dr. Labellarte's current practice centers around consultation and ongoing treatment of children and adolescents with complicated stories and complex psychiatric presentations. He utilizes psycho-pharmacotherapy, parent-management training, and other evidence-based treatment approaches.

Targeted issues for Dr. Labellarte's expertise include medication responsive psychiatric disorders (e.g. ADHD, anxiety disorders, autism spectrum disorders, bipolar disorder, depression, OCD, and Tourette's disorder), behavior disorders, academic and school-liaison difficulties, and consultation on forensic cases involving hardship due to immigration or hardship due to divorce. He is experienced in serving patients who often require complicated treatment combinations and collaboration with other treatment providers. He often treats the parents and siblings of his patients as well.

Dr. Labellarte trained as a Resident in general psychiatry at University of Michigan Medical Center from 1991 through 1994. His training continued as a Clinical Fellow in child and adolescent psychiatry from 1994 through 1996 at Johns Hopkins Hospital, where he served as full-time faculty until 2002. While a full-time faculty member at Hopkins, whose psychiatry program is consistently regarded as one of finest in the world, Dr. Labellarte worked in pediatric psychopharmacology research during a period of intensely productive investigation, collaborating with leading researchers from other institutions of excellence. He worked directly with his with mentors, Mark A. Riddle, M.D. and John T. Walkup, M.D., who have contributed to an unequaled proliferation of new research findings, including combined treatment approaches using cognitive behavioral therapy (CBT) and psychopharmacology.

Dr. Labellarte has designed, conducted, analyzed, and written manuscripts on clinical studies related to pediatric psychopharmacology, involving preschoolers, school-age children, and adolescents. These studies included youngsters with xx

attention-deficit hyperactivity disorder (ADHD), anxiety disorders, anxiety disorders plus ADHD, bipolar disorder, depression, obsessive-compulsive disorder (OCD), and Tourette's Disorder. Specific areas of investigation included studying beneficial effects of medication, medication adverse effects, and pharmacokinetics (e.g. medication-physiology interactions that help inform beneficial effects and adverse effects). Medications that he studied at Hopkins included selective serotonin reuptake inhibitors (SSRIs; e.g. Prozac, Zoloft, Paxil, and Luvox), other antidepressants (e.g. Effexor XR and Remeron), classical stimulants (e.g. Concerta, Adderall XR, Metadate CD, Focalin XR, and Methylin), non-stimulant ADHD meds (e.g. Strattera and Modafanil), anxiolytics (e.g. Buspar), and a mood-stabilizing neurolpetic (Risperdal).

What are the fees for Dr. Labellarte?

The CPT codes reflect the extent of service, but billing for appointments is always based on time. Appointments are set up as ½ hour (up to 25 minute face-to-face) or 1 hour (up to 50 minute face-to-face). The length of the appointment is established before the appointment, but if a session runs over time, the fee will be pro-rated. Half-hour appointments are $175 and one-hour appointments are $350. The initial assessment with Dr. Labellarte is a flat fee of $550 for a comprehensive single visit that is 1½ - 2 hours duration (rather than two separate 50 minute sessions preferred by many other psychiatrists). The receipt for the initial evaluation includes a CPT code 90792 (up to 75 minutes evaluation by a child psychiatrist) and a second CPT code as applicable, usually a 90785. Follow up medication management appointments typically have a code of 99214. (HOW TO CHECK YOUR HEALTH INSURANCE)

Dr. Labellarte adjusts the rates for additional family members seen as patients. He also has appointment time available to see patients on a sliding scale fee structure, usually at the request of a referral source or otherwise determined prior to the initial meeting. A flat fee of $50 is charged for any paperwork correspondence generated outside of an appointment or for any prescription(s) that must be managed outside an appointment.