Conditions We Treat
ADHD
If you've spent your life feeling like you're constantly fighting against your own brain while struggling to focus, stay organised, manage time, or follow through on things that matter, you might have ADHD. Adult ADHD often looks different from the hyperactive child most people picture, which is why many adults go undiagnosed for decades.
ADHD isn't about being lazy or not trying hard enough. It's a neurodevelopmental condition that affects how your brain regulates attention, manages impulses, and processes information. With proper assessment and treatment including medication, strategies that work with your brain, and addressing factors like sleep that can worsen symptoms, symptoms of ADHD may become more manageable with appropriate treatment.
Anxiety
Anxiety is more than just feeling stressed or worried. When your mind won't stop racing, when you're constantly anticipating disaster, when physical symptoms like a pounding heart or tight chest become your daily companions, when you've started avoiding situations just to escape the dread, that's anxiety that deserves proper treatment.
Anxiety disorders are among the most common mental health conditions, and they can often be effectively managed. We help you understand what's driving your anxiety and develop a treatment plan that might include therapy, medication, lifestyle changes, and strategies for calming an overactive nervous system.
Depression
Depression isn't just feeling sad, it's a medical condition that can drain your energy, steal your motivation, disrupt your sleep, and make everything feel impossibly heavy. You might be going through the motions of life while feeling hollow inside, or struggling to find joy in things that used to matter.
If you've tried antidepressants that didn't work or came with intolerable side effects, you're not alone. Some people with depression don't respond adequately to first-line treatments. We take a comprehensive approach that looks beyond just prescribing medication, and for treatment-resistant depression, we offer advanced options like TMS and ketamine therapy.
Bipolar Disorder
Bipolar disorder involves episodes of depression alternating with periods of elevated mood (mania or hypomania) – though it's often more complex and subtle than the dramatic mood swings people imagine. You might experience periods of high energy, reduced need for sleep, racing thoughts, and increased activity, followed by crushing lows.
Bipolar disorder is frequently misdiagnosed as depression alone, which can lead to treatments that don't work or even make things worse. Accurate diagnosis is essential, and proper treatment – typically involving mood stabilisers and careful monitoring, may support greater mood stability.
Psychosis
Experiencing psychosis, whether hearing or seeing things others don't, holding beliefs that seem unusual to others, or feeling disconnected from reality, can be frightening and isolating. You might be unsure what's happening or reluctant to seek help for fear of how you'll be treated.
Psychosis can occur as part of several conditions, including schizophrenia, bipolar disorder, severe depression, or in response to extreme stress or substances. Early intervention is associated with improved outcomes. We provide compassionate, non-judgmental care that focuses on reducing symptoms, understanding what's contributing to your experiences, and supporting your recovery.
Borderline Personality Disorder
If you experience intense, rapidly shifting emotions, unstable relationships, a fragile sense of identity, and overwhelming fear of abandonment, you might have borderline personality disorder (BPD). Living with BPD can feel like being on an emotional rollercoaster you can't get off, exhausting for you and sometimes confusing for the people around you.
BPD has historically been stigmatised and poorly understood, but it's a genuine condition with effective treatments. Specialised therapies like Dialectical Behaviour Therapy (DBT) can help you develop skills for managing intense emotions, improving relationships, and building a more stable sense of self.
Autism
Many adults reach adulthood without knowing they're autistic, particularly women, who often develop sophisticated masking strategies that hide their differences. If you've always felt somehow different, if social situations exhaust you, if sensory experiences overwhelm you, or if you've felt like everyone else received an instruction manual for life that you somehow missed, autism assessment might provide answers.
Autism isn't something to be "fixed", it's a neurological difference. But understanding your neurodivergence can be profoundly validating and inform access to appropriate supports and strategies that actually work for how your brain functions.
Post Traumatic Stress Disorder
Trauma can leave lasting marks including intrusive memories, nightmares, hypervigilance, emotional numbness, or a sense of being stuck in the past even as life moves on around you. Post traumatic stress disorder isn't a sign of weakness; it's what happens when your brain and nervous system get stuck in survival mode after experiencing something overwhelming.
Effective trauma treatments have come a long way, and there are now evidence-based approaches that can help you process what happened without requiring you to relive it in distressing detail. Many individuals experience improvement with appropriate treatment.
Obsessive Compulsive Disorder
Obsessive-Compulsive Disorder (OCD) involves unwanted, intrusive thoughts (obsessions) and repetitive behaviours or mental acts (compulsions) performed to reduce the anxiety those thoughts create. OCD can attach itself to almost anything including contamination, harm, symmetry, taboo thoughts, the need for certainty and can consume hours of your day.
OCD is often misunderstood as simply being neat or particular. In reality, it can be debilitating, and the thoughts involved are often deeply distressing precisely because they go against your values. Effective treatment, including specialised therapy (ERP) and sometimes medication, can significantly reduce OCD's grip on your life.
Substance Use Disorder
If your relationship with alcohol, drugs, or other substances has become problematic, if you're using more than you intend, if it's affecting your health, relationships, or functioning, you're dealing with a medical condition, not a moral failing.
Substance use often co-occurs with other mental health conditions like depression, anxiety, or trauma, and addressing both together leads to better outcomes than treating either alone. We provide compassionate, non-judgmental care that meets you where you are.
Narcissistic Personality Disorder
Personality disorders affect how you perceive yourself, relate to others, and navigate the world, patterns that are deeply ingrained and often cause significant distress or impairment. Narcissistic Personality Disorder involves patterns related to self-image, need for admiration, and difficulty with empathy that can create problems in relationships and other areas of life.
If you're concerned about these patterns in yourself or if you're dealing with the aftermath of a relationship with someone who has narcissistic traits, we can help. Treatment focuses on understanding these patterns and developing healthier ways of relating to yourself and others.
Our Treatment Approaches
Comprehensive Assessment
Every treatment journey begins with thorough assessment. We take time to understand your symptoms, history, circumstances, and what you've tried before. We screen for co-occurring conditions and contributing factors that others might miss. This foundation ensures your treatment plan actually fits your situation.
Medication Management
When medication is appropriate, we provide careful prescribing based on your specific needs – not a one-size-fits-all approach. We monitor for effectiveness and side effects, adjust as needed, and recognise when medication alone isn't enough.
Therapy Coordination
Psychotherapy is essential for many conditions. We work in house as well as with a network of therapists and can help connect you with the right type of therapy for your needs whether that's Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), Eye Movement Desensitisation and Reprocessing (EMDR), or other evidence-based approaches.
Advanced Treatment Options
For conditions that haven't responded to standard treatments, we offer advanced options including Transcranial Magnetic Stimulation (TMS) and ketamine therapy for treatment-resistant depression. TMS uses focused magnetic pulses to stimulate brain regions involved in mood regulation – a non-invasive approach that doesn't require medication or anaesthesia. Esketamine therapy works through a different mechanism entirely, offering rapid relief for some people who haven't responded to conventional antidepressants.
Ongoing Support
Mental health care isn't a one-time fix. We provide ongoing support, adjusting treatment as your circumstances change and ensuring you're not left to navigate challenges alone.
Why Choose Comprehensive Psychiatric Care?
We take time to listen. Your initial consultation isn't rushed. We want to understand your full picture, not just match symptoms to a prescription.
We look deeper: Sleep, nutrition, physical health, life circumstances. All of these affect mental health. We identify and address contributing factors that others might overlook.
We offer more than medication. While medication can be life-changing for many people, we recognise it's not the only tool. We coordinate with therapists, address lifestyle factors, and offer advanced treatments when needed.
We provide continuity. Having a psychiatric team that knows you and your history makes a real difference. You're not starting from scratch at every appointment.
We meet you where you are. Whether you're seeking help for the first time or you've been struggling for years without finding the right care, we work with your situation as it actually is.
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Locations
To better serve our patients and provide accessible, comprehensive care, Dr. Aly consults from Hirondelle Private Hospital and Brisbane Waters Private Hospital. These facilities are staffed with experienced professionals and equipped with the resources needed to deliver the highest standard of mental health services.
Chatswood
CENTRAL COAST
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