Does Two Dreams provide psychiatric services?

Yes; we have a fulltime psychiatrist on-staff at our Chicago location and consulting psychiatrists at our Outer Banks and New Orleans locations. Psychiatric services include: evaluation, diagnosis, medication prescription/maintenance, individual and group talk therapy sessions, and integrated care with other services. We also have a specialized Suboxone Program, which you can read more about here: http://twodreams.com/treatment-programs/suboxone-treatment

Who is best suited for psychiatric treatment at Two Dreams?

Two Dreams is ideal for adult clients (18+ years old) struggling with substance abuse, addictive behavior, and/or mental disorders. Every client we see has been diagnosed with the disease of addiction. It is important to recognize that addiction is a mental illness characterized by changes in behavior that arise from drug-induced alterations in the brain. Our clients are oftentimes simultaneously diagnosed with depression, anxiety, bipolar disorder, personality disorders, etc. We also work with clients struggling with chronic pain, relationship and/or codependency issues, sleep disorders, and other pervasive problems.


Who will be providing the psychiatric services?

Dr. David Barthwell, M.D.

Dr. David Barthwell, M.D. (“Dr. David”) is a board-certified psychiatrist and our Corporate Medical Director. He spent the last eight years as a full-time psychiatrist at the Edward Hines VA Medical Center where he served as the Medical Director of Substance Abuse Services. Dr. Barthwell has extensive practice history in general psychiatry and in treating substance use disorders. He possesses a Drug Addiction Treatment Act of 2000 waiver, which allows him to prescribe Suboxone (buprenorphine) to treat opioid addiction. Dr. Barthwell received his BS in Biology from Trinity College in Hartford, CT and earned his MD from the University of Michigan Medical School. He completed his psychiatry residency at Michael Reese Hospital and Medical Center where in his senior year served as Chief Resident.

Dr. Andrea Grubb Barthwell, M.D., D.F.A.S.A.M.

Dr. Andrea Grubb Barthwell, M.D., D.F.A.S.A.M., is an internationally renowned physician that has been a pioneer in the field of addiction medicine within the American Addiction Society of Medicine (ASAM) and a contributor to the field of alcoholism and addiction treatment. She is a past president of ASAM, was awarded Fellow status, and is certified by the American Board of Addiction Medicine (ABAM). Dr. Barthwell has been widely regarded by her peers as one of the “Best Doctors in America” in addiction medicine. Dr. Barthwell’s career has been as diverse and successful as the patients for whom she advocates. Her career has been comprised of a unique balance of research and practice, and reflects her steadfast commitment to merging scientific inquiry with the human side of addiction: Dr. Barthwell has combined involvement in governmental policy with community-based work in health-care organizations, as well as serving on a number of editorial boards of scientific journals and widely publishing her own research. Dr. Barthwell left clinical practice in 2002 when called to service as the Deputy Director for Demand Reduction, Office of National Drug Control Policy (ONDCP) by President George W. Bush. Following her service at ONDCP, Dr. Barthwell has worked to advance policies that strengthen medical care within addiction settings, conceived and developed a state-of-the-art holistic center for the treatment of alcoholism and drug dependence (Two Dreams with programs in Chicago, Illinois and Outer Banks, North Carolina), and re-opened her multispecialty group practice for the treatment of trauma, pain, and addiction in Chicago (Encounter Medical Group).

Dr. Barthwell is widely published and has served on a number of national advisory boards and committees, most notably the National Institute on Drug Abuse (NIDA), the Center for Substance Abuse Treatment (CSAT), and the US Food and Drug Association (FDA) Drug Abuse Advisory Committee. Currently, she serves as a member of the National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). She was appointed a clinical professorship for the School of Social Welfare at the State University of New York Stony Brook (SUNY). Additionally, Dr. Barthwell has been on the editorial boards of the Journal of International Drug, Alcohol and Tobacco Research (2010-present), the Journal of Global Drug Policy and Practice (2005-present), the American Journal on Addictions (1995-2002), the Journal of Maintenance in the Addictions (1997-2002), and the NIDA Editorial Advisory Board (1994-2002). She is the founder of “The Parents’ Academy”, a lecture series aimed at helping parents rear tobacco-, alcohol-, and drug-resistant children. Dr. Barthwell serves as the Medical Director for Encounter Medical Group PC and is the Founder and CEO of the Two Dreams facilities.

Dr. Michael L Smith, M.D.

Dr. Michael L Smith, M.D. is the consulting physician for our Outer Banks inpatient facility. He earned his Bachelor’s Degree at Marquette University in Milwaukee, Wisconsin and attended medical school at the Medical College of Wisconsin in Milwaukee. He also attended two years of graduate study at Marquette University in the Department of Physiology, during which time he studied exercise physiology. Dr. Smith completed his internship in the Navy at Great Lakes, Illinois and completed a surgical residency at the Naval Hospital in Oakland, California. He received fellowship training in Medical Oncology at the National Naval Medical Center in Bethesda, Maryland, and training in Surgical Oncology at Roswell Park Memorial Institute in Buffalo, New York. After fellowship training, Dr. Smith worked at his own clinical practice and performed research in combat casualty care at the Naval Medical Research Institute in Bethesda, Maryland. After leaving the Navy, Dr. Smith practiced primary care, general & thoracic surgery and medical oncology in Warrenton, Virginia. Dr. Smith practiced general surgery at the Outer Banks Hospital in Nags Head and later at Martin General Hospital in Williamston, North Carolina. Dr. Smith has served as medical examiner in Virginia and North Carolina.

Dr. Arwen Podesta, M.D.

Dr. Arwen Podesta, M.D. is the consulting physician for our New Orleans intensive outpatient and outpatient programs. She is a board certified adult psychiatrist with sub-specializations in addiction medicine, forensic psychiatry, and integrative & holistic medicine. She has a background in biochemistry, complementary medicine and massage therapy. She was excited to successfully merge her intellectual and vocational interests by becoming a medical doctor. She graduated from University of Southern California, Keck School of Medicine, and then moved to New Orleans for a psychiatry residency at Louisiana State University. She then pursued a fellowship in Forensic Psychiatry at Tulane University. After Hurricane Katrina, Dr. Podesta was involved with psychiatric care for the most needy and disenfranchised. She was awarded the Gambit’s 40 Under 40 in 2009. She has been actively working in the public sector, as Medical Director of Odyssey House, consulting for Unity for the Homeless, and as chair and co-creator of the New Orleans Forensic Mental Health Coalition. She also consults for Orleans Criminal Court Intervention (Drug Court), and Municipal Court Diversion Services. Dr. Podesta continues to teach and pursue academics, is Tulane Clinical Faculty, is on a dissertation committee at UTH Dallas, teaches at the NOPD Academy, and consults with several other organizations and institutions.

She is a well renowned speaker, and travels to teach and speak on the subjects of Addiction Medicine and Integrative Psychiatry. After opening Podesta Psychiatry LLC in 2012, Dr. Podesta has been voted into New Orleans Magazine Top Doctors every year. The team at Podesta Psychiatry includes some of the best treatment providers in the Gulf Coast. Podesta Psychiatry has grown toward the multi-disciplinary collaborative model that embodies Dr. Podesta’s wellness model for whole health. Utilizing a unique and carefully tailored approach of psychotherapy, medications and robust collaboration, Dr. Podesta offers patients guidance, help and hope in dealing with such difficulties as anxiety and mood symptoms, attention deficit, addiction and substance problems, eating disorders, grief, major depression, life changes/adjustment, and panic attacks.


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