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Practice 92 Limited

Private Service, Psychiatry, Sexual Harm, Mental Health

Today

8:00 AM to 6:00 PM.

Description

Practice 92 specialises in treatment for:
  • Anxiety
  • ACC Sensitive Claims
  • Attention Deficit/Hyperactivity Disorder (ADHD) At present our earliest appointment is April 2024
  • Business Coaching
  • Child & Family Therapy
  • Child & Adolescent Mental Health Service
  • Chronic Fatigue Syndrome
  • Chronic Pain
  • Cognitive Behavioural Therapy
  • Couple Counselling
  • Depression
  • Drug & Alcohol Abuse
  • Eating Disorders
  • Family & Couple Therapy
  • Forensic
  • Infant, Child and Adolescent Mental Health
  • Intellectual Disability Mental Health Services
  • Life Transitions
  • Maternal Mental Health
  • Medico Legal Report Writing
  • Mindfulness CBT Therapy
  • Mood Disorders
  • Pain
  • Panic
  • Personality Disorder
  • PTSD
  • Relationship Problems
  • Self Esteem
  • Sexual Orientation
  • Sex Therapy
  • Sexual Abuse
  • Sleep/Insomnia
  • Skype Therapy
  • Supervision and Training
  • Trauma Related Disorders
  • Work Place Issues

What is Mental Illness?
Mental illness is a clinically significant behaviour or psychological (to do with the mind) disorder that is associated with distress or disability. It is not just the way someone responds to a particular event nor is it limited to the way a person interacts with society.

A mental illness can continuously or intermittently (occasionally) affect our capacity for speech, language, mood, affect, thoughts, perceptions, insight, judgement, cognition (understanding) and volition (ability to make choices). It can limit our ability to function as society would normally expect of us and can put us and others at risk.
 
Mental illness is therefore, a broad term that covers problems ranging from minor to severe disorders.
 
Who is a Psychiatrist?
A ‘psychiatrist’ is a doctor who, after basic medical qualifications, receives further training and develops the expertise to become a ‘specialist’ in identifying symptoms of, and diagnosing and treating, mental illnesses. You may have been referred to a psychiatrist if your doctor feels you need specialist help.
 
See below under 'Consultants' for the psychiatrists who work at Practice 92.
 
Who is a Psychologist? 
A psychologist is a non-medical specialist in the diagnosis and treatment of mental illness, abnormal behaviour and psychiatric problems. They provide psychological evaluation, assessment, testing and treatment for people experiencing mental or emotional problems. The psychologist can also reduce the psychological distress suffered by people who are adjusting to a medical diagnosis, recovering from surgery or managing pain and chronic illness as well as improve treatment outcomes (for example recovery after a heart attack or surgery).
 
The psychologists who work at Practice 92 are:

 

What is a Psychotherapist?

A psychotherapist assists clients to increase their self-awareness and emotional growth.  They can enable clients to make sense of their personal history and family ties, significant past events and to notice repeating patterns.  Psychotherapy can assist in healing past hurts, overcoming the negative effects of trauma, deficit or loss.  It can improve intimate relationships, enable clients to navigate life transitions and negotiate developmental challenges.

Staff

Gillian Harrison - Practice Manager
Anita - Reception Co-ordinator
Sophie  - Medical Receptionist
Abbey - Medical Receptionist
Grace  - Medical Receptionist
Carolyn  - Medical Typist
Paruel  - Accounts Administrator

Consultants

How do I access this service?

Contact us

Referral Expectations

Our psychiatrists require a GP or practitioner referral letter for new patients.  We need a GP referral for ADHD assessments and at present our earliest appointment would be January 2025 due to the huge request for these.  Unfortunately at present we have no ADHD appointments for anyone under 18.

Fees and Charges Categorisation

Fees apply

Fees and Charges Description

Sleep and Insomnia Clinic

Dr Antonio Fernando
Consultant Psychiatrist and Sleep & Insomnia Specialist
Appointments are 1.1/2 hrs for the initial assessment and consultation: $620
Follow up appointments are 20 minutes: $215

 

Hours

8:00 AM to 6:00 PM.

Mon – Fri 8:00 AM – 6:00 PM

Procedures / Treatments

ACC Assessments and Treatment

ACC funds psychologists, psychiatrists and psychotherapists to undertake a variety of tasks in assessment and rehabilitation. At Practice 92 psychologists and psychiatrists are available to undertake general and neuro-psychological (child and adult) assessments for clients who have had mental stress associated with an accident. Psychologists and psychotherapists at Practice 92 are also registered with ACC to undertake assessment and therapy both for clients with general injuries and for those with a Sensitive Claim (Sexual Abuse). Clients and their referrers are asked to ensure that the receptionist is aware that a client may be seeking assessment or treatment through ACC when making an appointment.

ACC funds psychologists, psychiatrists and psychotherapists to undertake a variety of tasks in assessment and rehabilitation.  At Practice 92 psychologists and psychiatrists are available to undertake general and neuro-psychological (child and adult) assessments for clients who have had mental stress associated with an accident.  Psychologists and psychotherapists at Practice 92 are also registered with ACC to undertake assessment and therapy both for clients with general injuries and for those with a Sensitive Claim (Sexual Abuse).  Clients and their referrers are asked to ensure that the receptionist is aware that a client may be seeking assessment or treatment through ACC when making an appointment.
Anxiety Disorders

We all feel some anxiety at some time or other. Anxiety may serve as an alerting signal, warning us of external /internal threats and consequently acting as a prompt to take appropriate action. When anxiety is very severe and present even when there is no threat of any kind, then it interferes with our functioning and can become an illness. In this circumstance, anxiety becomes a disorder characterised by an unpleasant emotion with feelings of fear, threat and impending danger and can be associated with numerous bodily symptoms like breathlessness, trembling, tightness in throat, dry mouth, racing heart and nausea/vomiting. There are varieties of anxiety disorders like panic attacks, phobias (unhealthy fear of something), agoraphobia (fear of open spaces), social anxiety, post-traumatic disorder and obsessive compulsive disorder. Anxiety can often be associated with a depressive episode. Anxiety disorders are very common and if unrecognised and untreated, can cause severe disability. Treatment Self help: learning techniques like relaxation, distraction and education Cognitive Behavioural Therapy (CBT) Medication.

We all feel some anxiety at some time or other. Anxiety may serve as an alerting signal, warning us of external /internal threats and consequently acting as a prompt to take appropriate action.
 
When anxiety is very severe and present even when there is no threat of any kind, then it interferes with our functioning and can become an illness. In this circumstance, anxiety becomes a disorder characterised by an unpleasant emotion with feelings of fear, threat and impending danger and can be associated with numerous bodily symptoms like breathlessness, trembling, tightness in throat, dry mouth, racing heart and nausea/vomiting.
 
There are varieties of anxiety disorders like panic attacks, phobias (unhealthy fear of something), agoraphobia (fear of open spaces), social anxiety, post-traumatic disorder and obsessive compulsive disorder. Anxiety can often be associated with a depressive episode.
 
Anxiety disorders are very common and if unrecognised and untreated, can cause severe disability.
 
Treatment
  • Self help: learning techniques like relaxation, distraction and education
  • Cognitive Behavioural Therapy (CBT)
  • Medication.
Attention Deficit/Hyperactivity Disorder (ADHD)

ADHD is a common disorder with its onset in childhood, which can sometimes persist into adulthood. Symptoms are grouped into clusters related to inattention, hyperactivity and impulsivity. A range of problems such as poor time management, inattention, forgetfulness, and difficulty winding down or sitting still may indicate the presence of ADHD, however the diagnosis is only made where symptoms are causing distress or dysfunction. ADHD is diagnosed by clinical interview supplemented by psychometric tests in some cases. The mainstay of treatment is medication, however a range of time management skills and other interventions can be very useful. It is important that ADHD symptoms be considered holistically as other physical or mental disorders can mimic ADHD symptoms. A range of practitioners at Practice 92 have experience in assessing and treating ADHD in children and adults.

ADHD is a common disorder with its onset in childhood, which can sometimes persist into adulthood. Symptoms are grouped into clusters related to inattention, hyperactivity and impulsivity. A range of problems such as poor time management, inattention, forgetfulness, and difficulty winding down or sitting still may indicate the presence of ADHD, however the diagnosis is only made where symptoms are causing distress or dysfunction.  ADHD is diagnosed by clinical interview supplemented by psychometric tests in some cases.

The mainstay of treatment is medication, however a range of time management skills and other interventions can be very useful. It is important that ADHD symptoms be considered holistically as other physical or mental disorders can mimic ADHD symptoms. A range of practitioners at Practice 92 have experience in assessing and treating ADHD in children and adults. 

Bipolar Disorder/Manic Depression

This is a mood disorder in which both depressive (persistent low mood) and manic (elevated or high mood) episodes are experienced. It is usually a recurring (i.e. keeps coming back) disorder that can cause a lot of havoc in all aspects of a person’s life. People with this disorder will experience periods of extreme mood changes but also periods of stable mood during which they may be able to return to everyday routines. These changes of mood can be very extreme and occur for no apparent reason. Different people will experience this disorder in different ways; some may have few episodes, others many, and symptoms may vary from mild to severe. When severely depressed or elevated, a person can become ‘psychotic’ i.e. lose touch with reality. Treatment Usually by medication (antidepressants if depressed and mood stabilisers if depressed and manic) A combination of counselling and psychotherapy (‘talking therapy’) may hasten recovery Hospitalisation may be required for those who are very unwell and are posing a risk to themselves or to others.

This is a mood disorder in which both depressive (persistent low mood) and manic (elevated or high mood) episodes are experienced. It is usually a recurring (i.e. keeps coming back) disorder that can cause a lot of havoc in all aspects of a person’s life. People with this disorder will experience periods of extreme mood changes but also periods of stable mood during which they may be able to return to everyday routines.
 
These changes of mood can be very extreme and occur for no apparent reason. Different people will experience this disorder in different ways; some may have few episodes, others many, and symptoms may vary from mild to severe. When severely depressed or elevated, a person can become ‘psychotic’ i.e. lose touch with reality.
 
Treatment
  • Usually by medication (antidepressants if depressed and mood stabilisers if depressed and manic)
  • A combination of counselling and psychotherapy (‘talking therapy’) may hasten recovery
  • Hospitalisation may be required for those who are very unwell and are posing a risk to themselves or to others.
Child & Family Therapy
Child Sexual Abuse

Child sexual abuse is defined as sexual contact ranging from fondling to penetration, by someone who is 5 or more years older than the survivor. Children exposed to sexual abuse are at risk of profound and ongoing effects on their childhood, adolescence and adult development. If not able to access help straight away, then there can be complex and long lasting effects. It is important to seek help from a professional psychologist or psychotherapist who is experienced and specially trained in working with the effects of child sexual abuse. The ACC Sensitive Claims Unit can often help fund the counselling.

Child sexual abuse is defined as sexual contact ranging from fondling to penetration, by someone who is 5 or more years older than the survivor.

Children exposed to sexual abuse are at risk of profound and ongoing effects on their childhood, adolescence and adult development. If not able to access help straight away, then there can be complex and long lasting effects.

It is important to seek help from a professional psychologist or psychotherapist who is experienced and specially trained in working with the effects of child sexual abuse.

The ACC Sensitive Claims Unit can often help fund the counselling.

Chronic Fatigue Syndrome

Chronic Fatigue Syndrome (PDF, 64.2 KB) Chronic Fatigue Syndrome and its treatments

Chronic Illness

Chronic Illness (PDF, 67.2 KB) Management of chronic illness

Chronic Pain Management

Chronic Pain Management (PDF, 66.3 KB)

Depression

Depression is a mood disorder. Emotional states like sadness, ‘feeling blue’ or tearfulness are part of normal human experience. Clinical depression is called Major Depression and is characterised by the presence for at least two weeks of symptoms such as depressed mood, diminished interest and pleasure in most activities, change in appetite and weight (these can be increased or decreased) sleep disturbance, fatigue, bodily symptoms (headache, backache etc) poor concentration, feelings of anxiousness, worthlessness, hopelessness, guilt, and suicidal ideation. Depression is a common disorder and about 10-20 % of the population in New Zealand will suffer from depression during their lifetime. Treatment Once depression has been diagnosed by your GP/Psychiatrist, it can be effectively treated by: Antidepressant medication Psychological interventions e.g. counselling (various types) and psychotherapy (talking therapy which is of various types).

Depression is a mood disorder. Emotional states like sadness, ‘feeling blue’ or tearfulness are part of normal human experience. Clinical depression is called Major Depression and is characterised by the presence for at least two weeks of symptoms such as depressed mood, diminished interest and pleasure in most activities, change in appetite and weight (these can be increased or decreased) sleep disturbance, fatigue, bodily symptoms (headache, backache etc) poor concentration, feelings of anxiousness, worthlessness, hopelessness, guilt, and suicidal ideation.
 
Depression is a common disorder and about 10-20 % of the population in New Zealand will suffer from depression during their lifetime. 
 
Treatment
Once depression has been diagnosed by your GP/Psychiatrist, it can be effectively treated by:
  • Antidepressant medication
  • Psychological interventions e.g. counselling (various types) and psychotherapy (talking therapy which is of various types).
 
Drug & Alcohol Abuse
Family Court Work

Psychologists and psychotherapists at Practice 92 undertake both counselling and assessment work for the Family Court. The Family Court provides funded counselling for adults, parents and children in certain circumstances. Practice 92 practitioners specialise in working with children and in working with conflicted family systems. Psychologists at Practice 92 also undertake assessments for the Family Court. Clients and their referrers are asked to ensure that the receptionist is aware that a client may be seeking assessment or counselling funded through the Family Court when making an appointment.

Psychologists and psychotherapists at Practice 92 undertake both counselling and assessment work for the Family Court.  The Family Court provides funded counselling for adults, parents and children in certain circumstances.  Practice 92 practitioners specialise in working with children and in working with conflicted family systems.  Psychologists at Practice 92 also undertake assessments for the Family Court.  Clients and their referrers are asked to ensure that the receptionist is aware that a client may be seeking assessment or counselling funded through the Family Court when making an appointment.
Fibromyalgia

Fibromyalgia (PDF, 60.7 KB)

Neuropsychology

Neuropsychology is a professional specialty concerned with learning and behaviour in relationship to an individual’s brain. Neuropsychologists and Clinical Psychologists are trained in the formal testing of abilities such as memory and language skills to assess brain functioning, and have expertise in how learning and behaviour are associated with the development of brain structures and systems. A child is usually referred for neuropsychological assessment when they: experience difficulties in learning, attention, behaviour, socialisation or emotional control have a disease or inborn developmental problem (i.e. epilepsy, Asperger’s syndrome) that affects the brain in some way, or have a brain injury from an accident, birth trauma etc.

Neuropsychology is a professional specialty concerned with learning and behaviour in relationship to an individual’s brain. Neuropsychologists and Clinical Psychologists are trained in the formal testing of abilities such as memory and language skills to assess brain functioning, and have expertise in how learning and behaviour are associated with the development of brain structures and systems.

A child is usually referred for neuropsychological assessment when they:

  • experience difficulties in learning, attention, behaviour, socialisation or emotional control
  • have a disease or inborn developmental problem (i.e. epilepsy, Asperger’s syndrome) that affects the brain in some way, or
  • have a brain injury from an accident, birth trauma etc.
Pain
Personality Disorder

Personality disorders are mental disorders characterised by an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual's culture. The pattern is manifest in the individual's cognitive distortions, problems with emotions and emotional regulation, poor interpersonal functioning and difficulties with impulse control. Treatment is usually long term and may require access to both specific psychotherapy and medication. The practitioners at Practice 92 are all trained and experienced in the treatment of Personality Disorders.

Personality disorders are mental disorders characterised by an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual's culture.  The pattern is manifest in the individual's cognitive distortions, problems with emotions and emotional regulation, poor interpersonal functioning and difficulties with impulse control.  Treatment is usually long term and may require access to both specific psychotherapy and medication.  The practitioners at Practice 92 are all trained and experienced in the treatment of Personality Disorders.
Schizophrenia

Schizophrenia is a serious mental disorder that affects about 1% of the general population. It is a complex illness characterised by ‘psychosis’, a word used to describe disorder of thoughts (e.g. delusions - false beliefs held in spite of evidence that they are not real), perceptions (e.g. hallucinations - seeing, hearing or feeling things which are not there), disorganised speech and grossly disorganised behaviour, which are not experienced by others and which are not seen as abnormal by the sufferer. These four symptoms are often referred to as the ‘Positive Symptoms’ of schizophrenia because they are the result of the disease process. The fifth group of symptoms: withdrawal, decreased ability to feel pleasure, lack of energy, and flat affect, are referred to as ‘Negative Symptoms’ because they represent a loss of normal functions. Schizophrenia affects different people in different ways. Some people may experience only a few short episodes and then fully recover. For others it lasts throughout their lives and needs to be treated like any other physical illness such as asthma or diabetes. It is important that schizophrenia is treated as soon as it is diagnosed by a psychiatrist to prevent long-term disability and loss of function. Treatment Schizophrenia may be treated using a number of different approaches: Use of antipsychotic medication Psychosocial education programs e.g. education, support, counselling and assistance to return to job/studies/performing daily tasks Ongoing support e.g. housing, monitoring of treatment, support groups.

Schizophrenia is a serious mental disorder that affects about 1% of the general population. It is a complex illness characterised by ‘psychosis’, a word used to describe disorder of thoughts (e.g. delusions - false beliefs held in spite of evidence that they are not real), perceptions (e.g. hallucinations - seeing, hearing or feeling things which are not there), disorganised speech and grossly disorganised behaviour, which are not experienced by others and which are not seen as abnormal by the sufferer. These four symptoms are often referred to as the ‘Positive Symptoms’ of schizophrenia because they are the result of the disease process.
 
The fifth group of symptoms: withdrawal, decreased ability to feel pleasure, lack of energy, and flat affect, are referred to as ‘Negative Symptoms’ because they represent a loss of normal functions.
 
Schizophrenia affects different people in different ways. Some people may experience only a few short episodes and then fully recover.  For others it lasts throughout their lives and needs to be treated like any other physical illness such as asthma or diabetes.
 
It is important that schizophrenia is treated as soon as it is diagnosed by a psychiatrist to prevent long-term disability and loss of function.
 
Treatment
Schizophrenia may be treated using a number of different approaches:
  • Use of antipsychotic medication
  • Psychosocial education programs e.g. education, support, counselling and assistance to return to job/studies/performing daily tasks
  • Ongoing support e.g. housing, monitoring of treatment, support groups.
Sex Therapy

Please click on the link for information about sex therapy. Sex Therapy Information (PDF, 57.4 KB)

Please click on the link for information about sex therapy.

Sleep and Insomnia Clinic

Dr Tony Fernando is our Sleep and Insomnia Specialist at Practice 92 in Mt Eden. At present we do have a long waiting list but we also offer cancellations if you are flexible and can come at short notice. Dr Antonio Fernando Consultant Psychiatrist and Sleep & Insomnia Specialist Appointments are 1.1/2 hrs for the initial assessment and consultation: $620 Follow up appointments are 20 minutes: $215 To make a referral please contact: Practice 92 on 09 638 9804 or fax a referral to: 09 638 9814. Referrals may also be emailed to: Once a referral is received a sleep diary, sleep questionnaire, a cover letter and a map of how to find Practice 92 will be sent to the patient. Sleep/Insomnia Insomnia is one of the most common medical problems. It is defined as poor quality sleep, often with a long wait for sleep to happen, middle of the night awakening or waking up too early. At least 10% of adults in the developed world have chronic, longstanding insomnia. Treating insomnia is not as simple as avoiding coffee and having a warm milk or bath at night. A detailed assessment is necessary to find out what exactly is causing insomnia. Different causes of insomnia include long standing poor sleep habits anxiety, stress and depression biological clock problems chronic pain certain personality types medical or neurological problems substances. Only after a cause is identified should a proper treatment plan ensue.Treatment of insomnia can include: 1) non medication, psychological approaches 2) bright light and hormone treatments 3) medications. Sleep Questionaire (PDF, 332.8 KB) Sleep Diary (PDF, 246.6 KB)

Dr Tony Fernando is our Sleep and Insomnia Specialist at Practice 92 in Mt Eden.  At present we do have a long waiting list but we also offer cancellations if you are flexible and can come at short notice. 

Dr Antonio Fernando
Consultant Psychiatrist and Sleep & Insomnia Specialist
Appointments are 1.1/2 hrs for the initial assessment and consultation: $620
Follow up appointments are 20 minutes: $215

To make a referral please contact: Practice 92 on 09 638 9804 or fax a referral to: 09 638 9814. Referrals may also be emailed to:

Once a referral is received a sleep diary, sleep questionnaire, a cover letter and a map of how to find Practice 92 will be sent to the patient.

Sleep/Insomnia

Insomnia is one of the most common medical problems. It is defined as poor quality sleep, often with a long wait for sleep to happen, middle of the night awakening or waking up too early. At least 10% of adults in the developed world have chronic, longstanding insomnia. Treating insomnia is not as simple as avoiding coffee and having a warm milk or bath at night. A detailed assessment is necessary to find out what exactly is causing insomnia.

Different causes of insomnia include

  •  long standing poor sleep habits
  •  anxiety, stress and depression
  •  biological clock problems
  •  chronic pain
  •  certain personality types
  •  medical or neurological problems
  •  substances.

Only after a cause is identified should a proper treatment plan ensue.Treatment of insomnia can include:

1)   non medication, psychological approaches

2)   bright light and hormone treatments

3)   medications.

Skype Therapy

Skype Therapy (PDF, 61.3 KB)

Mindfulness CBT Therapy

Dr Emme Chacko specialises in Mindfulness Based Cognitive Therapy (MBCT). This is a structured programme developed for depressive disorders and has been shown in research studies to be as effective as an antidepressant. MBCT is delivered in 8 individual sessions. It is also indicated for anxiety disorders, pain and workplace/caregiver burnout states.

Dr Emme Chacko specialises in Mindfulness Based Cognitive Therapy (MBCT). This is a structured programme developed for depressive disorders and has been shown in research studies to be as effective as an antidepressant.  MBCT is delivered in 8 individual sessions.  It is also indicated for anxiety disorders, pain and workplace/caregiver burnout states.

Services Provided

Sexual harm victims/survivors - Do you need ACC counselling?

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Public Transport

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Parking

We have on-site parking and ample street parking

Region

Central Auckland, East Auckland, North Auckland, South Auckland, West Auckland

Contact Details

8:00 AM to 6:00 PM.

1 Saint Albans Avenue
Mount Eden
Auckland 1024

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Street Address

1 Saint Albans Avenue
Mount Eden
Auckland 1024

Postal Address

PO Box 8050
Newmarket
Auckland 1149

This page was last updated at 3:08PM on April 29, 2024. This information is reviewed and edited by Practice 92 Limited.