A physician of Major Depressive Disorder
Dr. Gobar begins with a careful history: how long the low mood has lasted, what has changed in sleep, appetite, energy and concentration, and what else could explain it, including thyroid disease, sleep apnea and substance use. He uses standardized symptom scales at each visit so that progress is measured rather than guessed, chooses an antidepressant that fits the patient's symptom pattern and medical history, and reviews the decision again if the first medication does not deliver.
Full guide to major depressive disorder at Stedfast Psychiatry
Treatment-Resistant Depression
When two or more adequate antidepressant trials have not worked, Dr. Gobar steps back and rechecks the diagnosis before adding anything new. He then works through the options in a deliberate order: optimizing dose and duration, switching class, augmenting with a second agent, and, when appropriate, Spravato (esketamine) nasal spray, which is administered at the Boynton Beach office under supervision. TMS and other interventional options are coordinated through Stedfast Psychiatry.
Full guide to treatment-resistant depression at Stedfast Psychiatry
Generalized Anxiety Disorder
Dr. Gobar distinguishes persistent, free-floating worry from the anxiety that accompanies depression, panic attacks or a stressful life situation, because the treatment differs. He favors first-line medications with long-term safety records, explains why he avoids leaning on sedatives, and pairs medication with practical changes in sleep, caffeine and work habits. Patients learn what to expect in the first weeks and when to report back.
Full guide to generalized anxiety disorder at Stedfast Psychiatry
Burnout and Work Stress
Many of Dr. Gobar's patients arrive describing exhaustion, irritability and dread tied to their work. He takes the time to separate burnout, which may improve with changes in workload and recovery, from a depressive or anxiety disorder that has taken root and will not lift on its own. The assessment drives the plan: sometimes structure and support, sometimes medication, often both, with clear markers for whether it is working.
Full guide to burnout and work stress at Stedfast Psychiatry
Schizophrenia
Dr. Gobar treats schizophrenia as a condition that responds to steady, well-monitored care. He selects antipsychotic medication with attention to both symptom control and long-term physical health, tracks weight, blood sugar and lipids on a schedule, and discusses long-acting injectable options when they fit a patient's life. Families are welcomed into the conversation from the first visit, with the patient's consent, because they are part of what keeps recovery on track.
Schizoaffective Disorder
When psychotic symptoms and mood episodes overlap, the diagnosis can shift over time and so can the treatment. Dr. Gobar documents the course carefully, treats both the psychotic and the mood components, and avoids piling on medications without a clear reason for each. He revisits the plan as the picture clarifies, and he keeps metabolic monitoring on the same schedule he uses for any patient taking an antipsychotic.
Full guide to schizoaffective disorder at Stedfast Psychiatry
Bipolar Disorder
Dr. Gobar screens every patient with depression for a history of elevated mood, because an antidepressant alone can make bipolar disorder worse. When bipolar disorder is present, he builds the plan around a mood stabilizer or an antipsychotic with evidence in bipolar depression, explains the laboratory monitoring that comes with medications such as lithium, and works with the patient to recognize early warning signs of a new episode.
Panic Disorder
Panic attacks are frightening, and patients often arrive after emergency room visits that found nothing wrong with the heart. Dr. Gobar explains what a panic attack is and is not, starts medication that reduces the frequency of attacks over weeks rather than masking them for hours, and sets expectations for the early period when side effects can briefly feel like anxiety. He coordinates with therapists for exposure-based work when avoidance has set in.
Insomnia
Dr. Gobar treats sleep as both a symptom and a cause. He asks about sleep in detail at every visit, looks for depression, anxiety, medication effects and untreated sleep apnea behind it, and is cautious about long-term sedative-hypnotic use. The plan usually begins with sleep scheduling and behavioral changes, with medication chosen for the specific sleep problem when it is needed and reviewed regularly rather than continued by habit.
Adjustment Disorder
A job loss, a diagnosis, a divorce or a move can produce real symptoms without a long-standing psychiatric illness behind them. Dr. Gobar does not rush these patients onto medication. He clarifies what is driving the distress, offers short-term support and referrals for therapy, and watches for the point where an adjustment reaction has become a depressive or anxiety disorder that warrants a different plan.
Educational content; a diagnosis requires an evaluation. If you are in crisis, call or text 988.