Individual Treatment.
Evaluation.
The first appointment will include a comprehensive review of the patients’ medical and psychosocial history. This appointment will include detailed education on the brain-gut connection as it relates to the current difficulties and a comprehensive, individualized treatment plan. Upon agreement to the treatment plan, follow-up appointments will then be scheduled. For pediatric patients, typically both the child and parent are involved in the evaluation process, with parents having a much greater involvement for younger children.
Cognitive-Behavioral Therapy
Cognitive-Behavioral Therapy (CBT) is based on the understanding that your Feelings (both emotional and physical) are bidirectionally impacted by your Thoughts and Behaviors. By impacting one of these factors, we can alter the others. CBT then focuses on teaching skills and strategies to improve the way we think about our stressors and behaviorally respond to these stressors in order to improve how the stressors impact our physical and emotional functioning. CBT has been thoroughly researched and found to be one of the most effective treatments for many GI conditions.
Gut-Directed Hypnosis
Gut-directed hypnotherapy utilizes relaxation strategies, mental imagery, and therapeutic suggestion to address the miscommunication between the brain and gut. By achieving a special state of relaxation and focused awareness, a person can learn to calm the digestive track and prevent unnecessary discomfort in the body. Dr. Lamparyk may utilize this specific technique in combination with CBT and other relaxation strategies. She believes that “all hypnosis is self-hypnosis” - that the intervention simply teaches patients to tap into powers that their body already poses.
Behavioral Treatment of Functional Constipation and Toileting Aversion.
Treatment of childhood constipation and toileting aversion is a team endeavor and needs to address both the medical and behavioral factors that impact a child’s difficulties. Dr. Lamparyk works collaboratively with the child’s gastroenterologist or pediatrician to ensure that a child can stool comfortably and easily, and then works closely with parents or caregivers to help support them in teaching the child how to effectively poop in the toilet. Behavioral treatment focuses on overcoming the underlying anxiety related to a painful pooping history and making pooping a positive and even fun experience!
Rumination Disorder Treatment.
Rumination Disorder best understood as a reflexive, involuntary habit that your esophagus has developed in response to eating. It is important to emphasize that this condition is not purposeful and may or may not be related to other GI or psychological conditions. Behavioral treatment emphasizes education and “re-teaching” the esophagus how to correctly process food by utilizing specific postures and breathing techniques, as well as restructuring meals, with the ultimate goal tolerating foods and returning to a typical eating pattern. Dr. Lamparyk has developed a successful treatment protocol of this condition that published in the Journal of Pediatric Gastroenterology and Nutrition.
Coordination with Medical Providers.
The inherent nature of Gastrointestinal Disorders involves a complex interaction between the gut and brain, and therefore quality treatment must include attention to both physical and psychological factors. Dr. Lamparyk is highly invested in coordinated and collaborative care with your healthcare provider(s). At the time of your Evaluation appointment, you will be requested to complete a Release of Information form to allow Dr. Lamparyk to communicate with your healthcare providers, which will typically occur after the evaluation, at the conclusion of treatment, and intermittently during treatment as the need arises. Individual circumstances may be discussed on a case by case basis.
Billing.
Flexible Spending Accounts (FSAs), Healthcare Savings Accounts (HSAs), and credit/debit cards are accepted through the online Patient Portal. Dr. Lamparyk is not currently affiliated with any health insurance plans, and instead provides competitive rates and can supply documentation for you to submit for reimbursement based on your insurance’s out-of-network coverage. If you are having trouble making payments at the time of service or you expect to have difficulty with payments, please discuss this as soon as possible.
Notice: You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. (OMB Control No. 0938-XXXX)
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises