Dr. Brams is NOT a therapist; he is a medications-only doctor, though he has therapists in his practice. As a meds expert, he is probably the best in town. I've worked with him over a decade, and the problem is the irrelevance of having an apppointment. Time after time, I made an appointment, arrived on time, and waited and waited, only to be told that the doctor wasn't even in town! Always the excuse is he's on a plane with mechanical problems. It gets old after a while. His practice didn't used to be this way, and I'm wondering if Dr.Brams has developed some problems that his staff masks with "plane mechanical problems". I know he has pressing family issues of his own, but honesty would go a lot further with me.. If you have a complicated situation, by all means consult Dr. Brams, but be prepared to wait months to actually see him.