LET'S CHAT

248-326-8156

Patient Centered Psych (PCP)

Patient Centered Psych (PCP) is a woman owned, clinical, health and behavioral psychology practice that provides specialized mental health treatment, including psychotherapy, capacity evaluations, and neuropsychological assessments, to individuals affected by medical conditions and physical disease. PCP delivers psych services via 2 channels:

(1) On site to patients residing in long term care, subacute, and assisted living settings
(2) Outpatient via our psychology clinic which generally serves:
* individuals living with medical disease or physical injury
* individuals with loved ones affected by medical disease or physical injury
* healthcare employees working with patients affected by medical disease or physical injury

Call or Email Us Today

DIAL NOW

248-326-8156

EMAIL US

admin@patientcenteredpsych.com

Hi, it's nice to make your "e"cquaintance

I’m Dr. Tiffany Tuttle PsyD, a Clinical Psychologist Serving my Community.

Founded, owned and operated by a psychologist with over 20 years of experience in the fields of clinical, health and geropsych, PCP understands how to successfully implement evidence based strategies that result in mental health treatment with measurable outcomes.

By offering psychotherapy, capacity evaluations and neuropsychological assessments to our patients, PCP casts a wide net in the specialized services we are able to offer. The name Patient Centered Psych says it all! We are a local niche group that is able to provide our patients with the real 1 on 1 attention, care and treatment they need and deserve. Simply put, PCP is patient driven, humanized behavioral healthcare.

OUR ETHOS

WhyUs

Image Icon
Specialized Attention

We understand that the intersection of mental health and physical disease is a complicated space. Whether you are living with a serious medical issue, are the loved one of someone who is, or work in some capacity with individuals who have these ailments, PCP can offer psychotherapy that serves you and benefits your life.

Image Icon
Matched to Your Needs

We understand that individuals arrive to therapy at various places in their life and your treatment will meet you where you are, as you are. Cultural humility and inclusivity are cardinal tenets in our practice. Our goal is that your experience with PCP will positively impact you in a multitude of ways.

Image Icon
Grounded in Science

We use a variety of treatment modalities that are evidence-based and proven to engender positive results.

Image Icon
Bridging a Major Gap

We work with nursing homes, physical therapy clinics and other healthcare systems to establish paths that create accessible options for patients in need of receiving psychological counseling.

Paving Accessible Pathways

Mission

The mission of Patient Centered Psych is to enhance the quality of life for individuals impacted by medical conditions and physical disease through comprehensively meeting the psychological needs of each patient referred to service. PCP aims to make quality mental health services accessible to individuals with various degrees of independence, including those who are mild to severely disabled. Helping patients in LTC, SAR, ALF and ILF, as well as individuals residing in the community, live their best life despite barriers they may encounter is possible when you team with Patient Centered Psych.

PCP recognizes diversity, operates through a lens of cultural humility, highlights inclusivity, and works to amplify voices and expand space for those individuals who have been historically marginalized. #Diversability #Inclusion4Health #DisabilityALLY

Additionally, PCP works with nursing homes, physical therapy clinics and other healthcare systems to establish ancillary partnerships that are driven by a goal of successfully meeting patient’s mental health needs through creating inroads that connect individuals to quality psych services, post discharge.

Our Practice

What we do

Patient Centered Psych provides comprehensive counseling services in 2 different and equally important ways.

(1) We facilitate psychotherapy with patients on-site, in nursing homes, long-term care settings, subacute rehabilitation centers, and assisted living facilities. Our patients served in these settings are those with underlying medical conditions who are also in need of counseling and/or behavioral management to treat depression, anxiety, adjustment related distress, trauma, and other mental health issues. Medical conditions comorbid with psychological symptoms we often see include but are not limited to traumatic brain injuries, paralysis, history of motor vehicle accident, amputation, multiple sclerosis, Parkinson’s disease, stroke, dementia, neurocognitive impairment, cancer, congestive heart failure, spinal stenosis, arthritis, diabetes, and conditions post operation such as joint replacement.

(2) We facilitate psychotherapy to individuals in our outpatient office clinic, where we provide in person or Telehealth sessions. We offer counseling to people in the community who have medical issues that range from acute to chronic. We also offer and provide psychotherapy to the loved ones and caregivers of those living with a medical condition. Additionally, we see individuals employed within the expansive world of healthcare and we are extremely proud to have carved out a special niche for treating adults working in this multidisciplinary field. 

Patient Centered Psych is also dedicated to partnering with physical therapy clinics, nursing homes and other healthcare systems to establish pathways by which individuals discharging to home are provided with accessible ways for obtaining mental health treatment. 

     PCP performs:

  • intake assessments
  • capacity evaluations
  • neurological testing to assess memory loss, including dementia and other cognitive issues
  • follow up sessions for individuals in need of weekly or biweekly psych sessions
  • maintenance sessions for individuals with chronic mental health issues, including personality disorders or schizophrenia
  • crisis interventions and emergency psych hospitalizations
  • behavioral treatment planning for patients that display ongoing maladaptive behaviors
  • family consultation and family therapy as indicated
  • treatment planning that includes IDT consultation and collaboration
  • assistance with discharge planning
  • staff in-services and community education
  • outpatient Telehealth counseling
  • med management by consulting psychiatric providers

Free In-Service Available

In order to get a better idea what working together might look like for you, we invite you to review PCP’s options available for in-service presentations at your physical therapy clinic or nursing facility.

Read More Here

Psychotherapeutic Interventions

Approach To Treatment

Whether you’re an individual living with a medical condition or physical disease, the loved one of someone who is, or a person that works with people who are affected by health conditions, PCP knows that you can experience a multitude of various emotions including: depression, loneliness, isolation, despondency, grief, listlessness, fear, sorrow, despair, apathy, anguish, turmoil, anxiety, anger, irritability, frustration, aggravation, helplessness, hopelessness, exhaustion, emptiness, loss, distress, and other feelings.

Living with comorbid medical and psychological issues can be a complicated experience that manifests trauma responses, intensifies physical pain, and exacerbates mental health problems. Changes in identity due to increased dependence on others, decreased autonomy, loss of mobility and impaired physical dexterity, low self-esteem, loss of meaning and purpose in life, cognitive declines, memory impairments, preoccupation with death and dying, increased brooding and rumination, diminished executive functioning and reasoning skills, plus more are just some of the issues patients may experience having. People who are not living with medical conditions but who are loved ones of, or care providers to those who are, can also experience serious issues such as compassion fatigue, mental anguish, emotional turmoil, relationship problems, diminished quality of life, loss of pleasure in things that were once highly enjoyable, grief and loss, anger, anxiety, fear, burnout, and so much more.

Patient Centered Psych understands how to utilize a variety of psychotherapeutic modalities to treat an individual’s unique psychiatric symptom presentation so they can improve their mood, behavior, outlook, energy level, motivation, and overall well-being. PCP believes there is no age limit to which a person can learn how to adopt new coping strategies, gain insight, and implement behavior change. We understand that treating mental health is multidimensional; that no 2 patients’ psychological needs are identical; and that tailoring psych treatment around a person’s capacities and their individualized strengths is essential when facilitating psych services that yield positive results.

Psychotherapeutic Interventions utilized include:
  • Cognitive Behavioral Therapy
  • Behavior Modification
  • Trauma Informed Therapy
  • Dialectical Behavior Therapy
  • Acceptance and Commitment Therapy
  • Brief Solution Focused Therapy
  • Rational Emotive Behavioral Therapy
  • Nonpharmacological Pain Management
  • Addiction Counseling
  • Grief Counseling
  • Motivational Interviewing
  • Life Review Therapy
  • Supportive Therapy
  • Humanistic Therapy
  • Logo Therapy
  • Somatic Therapy
  • Somatic Awareness Training
  • Relaxation Training
  • Mindfulness Training
  • Meditation Training
  • Grounding Exercises
  • Visualization Exercises
  • Stress Reduction Training
  • Psychodynamic Therapy
  • Existential Therapy
  • Reminiscent Therapy
  • Anxiety Reduction Interventions
  • Exposure Therapy

Based in Southeastern Michigan

Owned and Operated by a Psychologist

Patient Centered Psych is a woman owned business that is operated by a clinical psychologist with over 20 years of experience. We are not a conglomerate that is run by a team of lawyers, investors or venture capitalists. Our focus is on providing exceptional mental health services to individuals in our community, the same community we are a part of and share with you. We are truly patient centered because we are patient driven. By being a boutique clinical group whose niche is health and behavioral psych services, we can offer the real 1 on 1 attention and care that we know it takes to comprehensively meet a patient's mental health needs. Our dedication and commitment to providing individuals we serve with the best psychological treatment available, is and remains our gold standard.

Frequently Asked Questions

Have questions? See our FAQ section and please get in touch for more info.

What can you tell me about yourself?

This work is my calling and I have been in the field of clinical psych for over two decades. My father passed away from a brain tumor when he was 42 and I was 14, so early on in my life I learned about glioblastoma, cancer and the emotional and psychological experiences that people living with disease, and their loved ones, go through. I know that individuals directly affected by medical conditions are susceptible to psychological distress and I have deep empathy for people living with compromised health and/or cognitive functioning. I also know that people who love and care for individuals living with medical disease are emotionally affected, and they deserve to have a specialized space dedicated to sharing, processing, exploring, and discussing their experiences. Helping people affected by medical conditions and physical disease, enhance and improve their emotional and psychological health is the greatest highlight of my career.

Flashback to 2002 with me and Grandpa George

To give you a little more info about my background, I share this picture of my Grandpa George and I shortly before I began my clinical psych graduate training. After my dad passed away I became especially close to my grandparents who became pivotal role models to me. My Grandpa had a 4th grade education yet he was one of the most brilliant people I’ve ever known. He showed me what determination looks like; taught me how dedication, persistence and passion materialize into a work ethic; modeled how having integrity doesn’t cost anything but makes you rich; and demonstrated that a good life is one filled with meaning, purpose and love. The drive and commitment I hold to my career in clinical, health and geropsych is rooted in my background. I think of my father and grandparents often, and my experiences with them have furthered my understanding of and connection to the human condition.

I need medication management and psych services, do you work with any prescribing providers, like NP's, PA's or psychiatrists?

Yes I do. PCP partners with a niche group of esteemed, local, prescribing staff, most of whom have decades of experience providing psychiatric services to the specialized populations we see. PCP understands that comprehensively meeting an individual’s mental health needs, means offering psych services in conjunction with medication management and we are able to provide you with both types of treatment.

What are your qualifications?

I have consistently worked in the field of clinical psychology since 2004, and I have attained a specialization in geropsychology. I received my Doctoral degree in clinical and humanistic psychology in August of 2008 from the Michigan School of Psychology. Prior to this I earned my Master’s degree in clinical and humanistic psychology in 2004 from the Center for Humanistic Studies; I also earned two Bachelor’s degrees, one in sociology and one in psychology, in 2002 from Wayne State University. For over 20 years, I have worked in healthcare, providing mental health services to those individuals with comorbid medical and psychological issues.

Are you credentialed?

Yes indeed. Credentialed with Medicaid and Medicare, as well as Blue Cross Blue Shield, Blue Care Network, Blue Cross Complete, Aetna, Cigna, Priority, HAP, MacLaren and United Behavioral Health. I am a fully licensed psychologist (LP) actively licensed to practice clinical psychology in Michigan. I maintain professional liability insurance and complete annual tb testing.

Are there groups or organizations you belong to, and any other noteworthy work you've done?

Yes indeed, community engagement and involvement is important to me and I believe it promotes visibility of significant issues and can serve as a catalyst for positive change. I am a proud Board Member of the Farmington Hills Commission on Aging and a spirited Alzheimer’s Association volunteer where my focus is on community education. Professionally, I am a member of the American Psychological Association (APA) and various Divisions within APA including Division 18 representing Psychologists in Public Service, Division 22 Rehabilitation Psychology, and Division 38 the Society for Health Psychology. I am also a member of the Society of Clinical Geropsychology. Last, I am an author. I have written one self-help book and I am finishing my second manuscript coming in the Fall of 2025, titled “It’s All Related.”

I have had less than great experiences with psych groups in the past. I need the psych provider to be reliable, consistent with visits, and diligent with completing assessments, follow-ups, notes and note entry, can you provide this?

You’re speaking my language because I happen to be an overachiever who understands that being reliable is essential when doing this work. I am conscientious, organized, thorough, and recognize that being a part of your IDT and delivering the best care to your residents in part necessitates that a person maintain a regular schedule; see all patients referred by social work, nursing and the primary care physician; maintain confidentiality; adhere to all HIPAA guidelines; and uphold the highest professional standards. Additionally, my practice is to complete charting in a timely manner and email or upload my notes directly into your facility’s EHR (PCC, Matrix, etc) on the same date of service.

What does being a part of the interdisciplinary team (IDT) mean to you?

Being a part of an IDT means that Patient Centered Psych has the opportunity to consult with professionals working in various disciplines who also treat a patient referred to us for service. Getting input from individuals on the IDT and providing feedback to these members assists in treatment because it provides relevant data that when integrated, furthers the clinical understanding of a resident’s symptom presentation and associated behaviors. Ongoing open collaboration with the IDT is quintessential and helps ensure that PCP delivers outstanding psych services to patients we see. Patient Centered Psych recognizes the value and necessity of including the administrator, executive director, director of nursing, social worker(s), nurses, aides, physical therapists, occupational therapists, speech therapists, wound care, dietitian and dietary staff, and activities department, as indicated when gathering data pertaining to a resident’s mental status, mood, and behavior.

I'm an administrator who expects gifts and perks from folks that independently contract with my facility, can I count on PCP for this?

We at PCP believe that the quality of mental health services delivered is the heart of our practice and why our company outshines the competition. We do not have a large marketing department and believe that providing you with gifts, trinkets, and doodads is not what this work is about. Respectfully, if gifts other than our dedication to treating and enhancing the mental and emotional well-being of your residents are important to you, PCP may not be the right fit for your facility.

If I work at an outpatient physical therapy clinic, or in a nursing home, how can you assist me with discharge planning?

PCP can say with confidence that we understand a number of the patients you see are in need of outpatient psychotherapy and counseling services after successfully completing their treatment with you. Patient Centered Psych can provide this exact service and can assist by working to become your trusted source when it comes to referring patients to outpatient psych. Together, we can create pathways by which patients can access and connect to the quality mental health services they need and deserve post discharge.

I work in healthcare, can I see you for therapy?

Absolutely. You are 1 of over 22 million people working in this field (cdc.gov), and you do important work that can be demanding and draining. Individuals who work in healthcare are heavy hitters when it comes to making this entire planet go round. That sounds like a hefty load in itself. Add to that the fact that you are human and most likely have a life outside of your career. Making time and space for yourself to receive psych services is up to you, and if you choose, PCP is available to assist. *Please note, your therapy does not have to revolve around your career in healthcare; there is no agenda, it’s your therapy.

My son was in a car accident and is paralyzed; My mom has Alzheimer's disease; My friend has MS; My wife has cancer; My dad had a stroke; My brother has a TBI; Can I see you for psych services?

Absolutely. Caring for and loving someone who directly encounters a disease or accident can impact you mentally, emotionally, psychologically and physically. Creating time and space to process, explore, and talk about your experiences and feelings associated can have a positive effect on your wellbeing and your relationships. If you decide to pursue psych services, PCP is available to work with you. *Please note, your therapy does not have to revolve around being the loved one or caregiver of someone with a medical condition; there is no agenda, it’s your therapy.

I've had type 1 diabetes my whole life and don't think I've ever really processed my feelings about it. Should I see you?

I cannot determine what you should or should not do, however, I know that processing your thoughts and feelings in a space that fosters open exploration can be rewarding. I believe there are positive side-effects to receiving therapy, including that it can help you learn more about yourself and teach you things that you can apply in real-time to benefit your life. I can also add that the American Psychological Association indicates around 75% of individuals who enter psychotherapy show some benefit from services received so, chances are you would gain something positive from entering therapy with PCP or another provider of your choosing.

I've been diagnosed with a terminal disease. I am devastated and out of sorts. I don't know where to start?

Receiving a terminal diagnosis can and does activate a variety of intense emotions. It can feel painfully overwhelming, depressing, upsetting, traumatic, frightening, and distressing in so many different ways. Sometimes coping with heavy feelings and events can leave a person in shock, speechless and confused. Therapy is an organic experience and does not need to “look” a certain way. The space created there is yours to fill with processing, emoting, silence, dialogue, discussion, reflection, and other components that naturally unfold for you. Receiving added support at this time is something I would recommend, and entering therapy is one avenue for you to gain support.

Do you have a motto when it comes to providing therapy?

Yes I do, it’s simple and pretty much captures everything, Come As You Are.

Are you licensed to practice in states besides Michigan?

Yes I am! During the height of the Covid pandemic many of us learned that individuals experienced increased isolation due to state mandated quarantining. Patients living in nursing homes were especially susceptible to the negative effects of isolation; many had baseline mood disorders and most of these individuals were prevented from leaving their nursing facility and from having in-person visits with their family, friends and other loved ones. In light of the urgent need for healthcare providers, I sought to expand my reach of delivering psych services to this vulnerable population. I worked to gain licensure in Ohio and I am pleased to say that I successfully achieved this goal. I can facilitate psychotherapy and complete capacity evaluations to patients on site or via Telehealth, in Ohio. (Though I am a local native to Southeast Michigan, in my world, the Wolverines and Buckeyes are pals.)

I'm a nursing home administrator / executive director who usually works with a large psych group. What benefits does partnering with Patient Centered Psych have over hiring a conglomerate run by non mental health providers?

The main benefit is that partnering with Patient Centered Psych delivers humanized psychiatric care. Simply put: we are mental health providers, providing mental health services. We spent years receiving training and experience that enables us to call ourselves experts. We joined the helping profession to do just that- to help individuals in need. We are patient driven because we are patient focused. We understand the trends in healthcare by which large corporations acquire clinical groups, and we choose to create a different landscape. Partnering with a psychology practice owned and operated by a clinical psychologist can offer you deliverables that are measured by quality of patient care above dollar signs.

Insurances accepted:

The Process

Free In-Service

In order to get a better idea of working together might look like for you, we invite you to review options available for in-service presentations. This is a free service offered to your facility on a topic below. If you don't see what you're most interested in, email me and let's collaborate on a topic. In-service presentations are typically 15-30 minutes.

Image Icon
Caregiver Fatigue

What to do when empathy becomes depleted. How to recognize signs of burnout, ask for help, and learn practical strategies for restoring compassion.

Patient Perspectives

What does living in a nursing home feel like? Feedback and considerations on the emotional experience of being in LTC and living with a neurocognitive disorder, physical debility, chronic medical issue and/or progressive disease.

Dealing with Aggressive Behaviors

Strategies for managing patients with physical combativeness and/or verbal hostility.

Mindfulness Training

How our language, demeanor, mannerisms and physical presence can impact a patient’s mood and well-being.

Dignity in Aging

How to connect with patients who have different levels of functioning. Discussing creative ways to understand patients who cannot verbally articulate their thoughts and feelings and recognizing how the efforts you make can have a huge impact on a patient’s mood and well-being.

Ageism

Discussing misconceptions, stereotypes and bias, and sharing insight into the vibrant world of folks over age 60.

Normalizing Mental Health

For the Healthcare Heroes because sometimes the helpers need help too. This topic will answer what therapy is and discuss some of its benefits. Staff have lives outside of work and whose life isn’t stressful at times? Stress is not always something that can be easily “checked at the door” and it can follow us from our home and personal life into our work life. This topic is on how outpatient psych services can benefit you as an employee.

Pain Management

Discussing recovery pain versus injury pain, and factors that impact variations in discomfort tolerances that different patient’s display. I will offer ideas that can assist you in working with patients in real-time on pain management issues that affect their performance in their treatment with you.

Coping With Negative Patient Attitudes

At times patients will release some of the feelings they find hard to manage, onto you. Even though you didn’t ask for it, it can be thrown your way and received, and it’s something you must handle while you also dutifully perform your interventions and care with the patient. This topic will discuss strategies for managing harsh attitudes directed at us that are sometimes displayed by the patients we work with.

Abuse Questions and Responses and Next Steps

Individuals with medical issues, physical disabilities, mobility impairments, cognitive problems, and/or speech issues are vulnerable because they may need to rely on others in order to successfully complete some, all or most activities of daily living. Sometimes the patients we work with have physical, verbal, mental and/or emotional impairments that render them dependent on people in their environments. This topic will address abuse, identify warning signs of abuse, teach you some common language to use in order to generally assess for abuse, and outline next steps if you suspect a patient is being abused.

The mission of Patient Centered Psych is to enhance the quality of life for individuals impacted by medical conditions and physical disease through comprehensively meeting the psychological needs of each patient referred to service. PCP aims to make quality mental health services accessible to individuals with various degrees of independence, including those who are mild to severely disabled. Helping residents in LTC, SAR, ALF and ILF, as well as individuals residing in the community, live their best life despite barriers they may encounter is possible when you team with Patient Centered Psych. PCP recognizes diversity, operates through a lens of cultural humility, highlights inclusivity, and works to amplify voices and expand space for those individuals who have been historically marginalized. #Diversability #Inclusion4Health #DisabilityALLY

Contact Us Today