HomeProvider StoriesGeneSight is a helpful resource GeneSight is a helpful resource December 11, 2020 Tianlai Tang, MD, Psychiatrist, and PhD in psychopharmacologyTennessee As a board-certified psychiatrist, I have more than 20 years of clinical experience. I am the medical director and owner of the Nashville Brain Institute which has locations in Nashville, Hermitage and Brentwood, Tenn. Previously, I was the attending and clinical assistant professor of psychiatry at Vanderbilt University Medical Center. My philosophy in patient care is finding the root cause of illnesses by focusing on the harmonious nature of the body and mind. Our goal at the Nashville Brain Institute is not simply to prescribe medications but to discover the root cause of a patient’s brain dysfunctions and arrive at an integrated treatment plan. With a PhD in psychopharmacology, I have an acute interest in how genetic testing can provide personalized care for our patients. Part of our approach is creating customized treatments for our patients, guided by genetic testing. Quite simply, I want to help my patients improve their psychiatric or neurological conditions so they can live a better and healthier life. Importance of Individualizing Treatment One of the day-to-day challenges I face is finding medications that help my patients. It’s a lot of trial and error, which makes many patients wonder why a particular medication did not work. Clinicians too can get frustrated when many medications will not work. Before the GeneSight test, my approach to prescribing medication was to look at the patient’s psychological history and their family history. For example, if the patient’s mother had depression and had some success with a particular medication, that’s what I may prescribe to the patient. Sometimes that may be right and sometimes that may be wrong. We try to individualize a patient’s treatment plan because each patient is different – their genetic composition is also different. It is very hard to predict how a patient responds to or metabolizes medication without knowing their genetic profile. GeneSight Is a Resource to Help My Patients That’s why all of our locations and prescribing practitioners now use the GeneSight test. I did a lot of research before deciding to try the GeneSight test and reviewed all the available clinical studies. My conclusion is that the GeneSight test could be something to help my patients. The GeneSight test can give some clues about the patient’s potential response to any particular medications – either the medication can be metabolized faster or metabolized slower. It can let the patient know they might have a particular genetic issue with any particular medication. I like to order the GeneSight test for every new patient, as many of them have been on medications previously. It is especially helpful for patients who have had a bad experience with antidepressant medications or had bad side effects. I am not going to just prescribe something else and hope it works. I want to give the patients some confidence that it has a better chance of working. I review the GeneSight test results with patients, who have told me they find it easy to understand and interpret. I view the test as a resource I can use to help my patients. See how the GeneSight test meets expectations. Patient MTHFR Mutations: Clinical Implications and Management Strategies MTHFR mutations—changes in the methylenetetrahydrofolate reductase (MTHFR) gene—have gained increased attention in the medical community due to their potent... Read more Patient Can an App Help Me Manage My Anxiety? Health and wellness smartphone apps have become so common that if you can name a health goal, desire or condition, you can probably find an app for it. N... 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Patient MTHFR Mutations: Clinical Implications and Management Strategies MTHFR mutations—changes in the methylenetetrahydrofolate reductase (MTHFR) gene—have gained increased attention in the medical community due to their potent... Read more
Patient Can an App Help Me Manage My Anxiety? Health and wellness smartphone apps have become so common that if you can name a health goal, desire or condition, you can probably find an app for it. N... Read more
Patient Black Trailblazers of Psychiatry and Mental Health: A Legacy of Healing and Advocacy As we celebrate Black History Month, we want to recognize a few individuals who have made extraordinary contributions to the field of psychiatry and mental heal... Read more
Patient Mindful Moments: Tips for Anxiety If a well-meaning friend or family member has ever told you to “just breathe” when you’re feeling worked up or stressed out, you’d be forgiven if you felt l... Read more
Patient Hints To Help You Have A Better New Year The holidays have ended, and a new year has begun—a time when many embrace a fresh start by setting New Year’s resolutions. This year, why not consider s... Read more
Patient Movement as Medicine: Solutions for Anxiety Moving forward. It sounds like a nice idea, especially when you’re feeling stuck deep in the throes of an anxiety spiral. But it turns out that physically m... Read more
Patient Weight-Loss Drugs and Mental Health: What You Need to Know New medications for weight loss seem to be flying off pharmacy shelves these days. But could they be linked to mental health conditions? Researchers are ... Read more
Patient 3 million patients (and counting!) have now taken the GeneSight test! We’re thrilled to share that 3 million patients (and counting!) have now taken the GeneSight test! We're so grateful to the dedicated healthcare providers who... Read more
Patient The Model Minority Myth and Mental Health The model minority myth stereotypes one cultural group, typically Asian Americans, as “intelligent, hard-working, and diligent and therefore more academically, ... Read more
Healthcare Provider How Clinicians Can Help Support Their Patients Who Are Being Bullied How Clinicians Can Help Support Their Patients Who Are Being Bullied Acts of bullying can cause feelings of fear, loneliness and sadness, as well as depressi... Read more