Dr. Peter Lake is passionate about child psychiatry, and specifically, he says, that a combination of different types of treatments are essential for making progress when working with difficult psychiatric cases. Lake is the medical director of Rogers Memorial Hospital in Oconomowoc and the Child & Adolescent Center.
Featured Doctor: Peter M. Lake, MD, Medical Director, Rogers Memorial Hospital-Oconomowoc, Child & Adolescent Center and Child and Adolescent Services - Oconomowoc
“One of the areas that I’m most passionate about for successful child psychiatry is that you need to do multi-modal treatment. And what I mean by multi-modal treatment is that you need to combine all the things that are essential to have difficult psychiatric cases get turned around and on the right track.
“So there’s a percentage of patients that come in and we know need very specific CBT obsessive-compulsive disorder protocol done to get back on track. There are other kids that come that, really, we’re giving an second or third opinion. We’re a center of excellence and have the time and the ability to do a more thorough diagnostic review. They’ve come in and their diagnoses are alphabet soup. And their medication management is been all over the board.
"I really wanted to set up the program so that there would be enough time to do a thorough diagnostic review. Part of that isn’t necessarily testing, but it’s time spent with the child, with the family, with their teachers at home on the phone or on conference call, to go over everything and to be able to review it and to drill down into the details that really help clarify a lot of diagnostic pictures.
"It’s very dangerous to try to put every patient in a silo or in a pigeon hole or in a diagnosis. They’re blended together. They’re interwoven. Especially in child and adolescent psychiatry. We’re constantly trying to hit a moving target.
"There’s been tremendous advances made with psychopharmacology and biologic psychiatry in the last 25 years, but there’s also, I think, been some tremendous advances in what key elements of psychotherapy or cognitive-behavioral therapy are required in order to change brain chemistry as well.
"We’re on the front lines with people who walk in the door and they’re hoping that we’re the last stop. Where they can get things turned around and prevent some of the merry-go-round that’s been going on."