A physician of Medication Management
Medication management is the center of Dr. Gobar's practice. He chooses medications based on the diagnosis, the patient's medical history and what has or has not worked before, starts at sensible doses, and tracks response with standardized scales. Every follow-up includes a review of side effects, laboratory monitoring where the medication requires it, and a decision about whether to hold, adjust or change course. Patients leave each visit knowing why they are taking what they are taking.
Read more about medication management at Stedfast Psychiatry
Psychiatric Evaluation
A new-patient evaluation with Dr. Gobar covers the current problem, psychiatric and medical history, medications, family history, substance use, work and relationships, and the patient's own beliefs and sources of meaning. He often requests or reviews laboratory work to rule out medical contributors. The visit ends with a working diagnosis, a plan the patient has agreed to, and a clear schedule for follow-up.
Read more about psychiatric evaluation at Stedfast Psychiatry
Spravato (Esketamine) Nasal Spray
Spravato is an FDA-approved nasal spray for adults with treatment-resistant depression. The Boynton Beach office is a certified Spravato treatment site, where each dose is self-administered under supervision and the patient is monitored for about two hours. Dr. Gobar evaluates whether a patient is a candidate, explains the induction and maintenance schedule, and oversees the oral antidepressant and monitoring plan that go along with it.
Read more about spravato (esketamine) nasal spray at Stedfast Psychiatry
Telepsychiatry
Dr. Gobar offers video visits to patients anywhere in Florida. Telehealth works well for medication follow-ups, for patients who live far from Boynton Beach, and for people whose work schedules make office visits hard. New-patient evaluations and visits that require a physical examination, laboratory draws or Spravato administration are scheduled in person. The clinical standard is the same either way: the same questions, the same scales, the same documentation.
Psychotherapy
Dr. Gobar's visits include supportive therapy, education about the condition and problem-solving around the pressures that feed it. For structured psychotherapy such as cognitive behavioral therapy or exposure-based treatment, he coordinates with therapists at Stedfast Psychiatry and in the community, and he stays in contact so that medication and therapy are working toward the same goals rather than in parallel.