Dr. Koenigsberg


Board Certified, 1985
Licensed in California, 1980
Licensed in Texas, 1985


Frequently Asked Questions

1. How do I know if I need Psychiatric Treatment?

Use the same criteria as for any other general medical or surgical concern: If you're not feeling well, and the problem has lasted for several days or weeks and not gotten better, call for an appointment.

2. What are common symptoms of Everyday Psychiatric Conditions?

Typical symptoms are anxiety, excessive worrying, obsessional thoughts that won't go away and interfere with functioning, compulsive behaviors that interfere with daily functioning, depressive mood that lingers, too much or too little sleep, excessive fatigue, change in appetite, lack of motivation, crying that won't stop, decreased sexual drive, thoughts of suicide, lack of concentration, inability to make decisions.

3. What are these symptoms typical of?

The Anxiety disorders include Panic Disorder, Agoraphobia, Post-Traumatic Stress Disorder, and Obsessive-Compulsive Disorder. Depressive symptoms may be a result of normal grieving, Major Depression, Dysthymia (a more moderate form of Clinical Depression), Bipolar Disorder (BPD, formerly known as Manic Depressive Disorder). Chronic or long standing difficulties with attention, more problematic than anxiety or mood swings can be a result of Attention Deficit Hyperactivity Disorder, or ADHD.

It's also important to remember that many of these symptoms can result from other general medical conditions, such as fatigue from low thyroid or diabetes, depressed mood from prescription medications, and poor attention due to external stressors. That's why Psychiatrists do a comprehensive initial consultation to clearly determine the causes of a particular set of symptoms before recommending a treatment plan.

4. What kinds of treatments are available?

Treatment always results from a rational understanding of the causes of the symptoms and the individual patient's preferences. If a general medical condition is at cause, referral to a Family Physician or Internist is often recommended. If Biofeedback or similar treatment is best, usually a referral to a Psychologist specializing in that treatment is made. Sometimes, Physical Therapy may be recommended for various muscle pains.

Most treatments can be considered either some form of medication treatment or some form of psychological treatment:

Medications used in Psychiatry are quite similar to those used in other fields of medicine and surgery. Some are used primarily for symptom treatment, as with a sleeping pill for occasional insomnia. Others are used for a specific event, such as a medication for anxiety when an individual has an intense fear of public speaking or flying.

Often, medications used to treat depression and anxiety are taken once or twice daily for three to six months, and then re-evaluated. Some may be tapered and stopped, others continue to be taken regularly, much as with diabetes, thyroid disorders or high blood pressure.

The medications are remarkably safe and well tolerated. The ones available now are much safer, have fewer side effects, and are more specific than have been available in the past.

The goal of treatment is to achieve a state of being well. With time, judicious adjustments of the medications, and open communication between the patient and psychiatrist, most patients achieve this.

Psychotherapy is a form of treatment where unresolved conflicts are brought to a person's awareness. Weekly therapy sessions are set at the same time every week, and a routine is established. The patient comes in each week and brings up what comes to mind, and the Psychiatrist helps the patient become aware of his or her blind spots. This enables the patient to work through difficulties in dealing with current day life. Often, repetitive troubles that one encounters as an adult are the result of not being aware of what is buried beneath the surface. This does not imply that one had bad parenting. What is does mean is that we may be unconsciously or unintentionally re-enacting patterns we learned as children in our everyday life with other adults. Sometimes these patterns help us be successful, and sometimes these patterns are self sabotaging.

Psychotherapy is usually once or twice weekly and generally lasts between six months and one year. Some people may finish sooner, others may want more time. It's like taking piano lessons or learning a foreign language; it takes a while to become proficient, and is well worth the time and effort.

5. How do I make an appointment?

Call and leave your name, telephone number and a very brief idea of what you need help with (if you can) and a good time to have your call returned. The actual initial consultation lasts about an hour and a half (90 minutes).

6. What actually happens during that first appointment?

Dr. Koenigsberg will come out into the waiting room to greet you, and ask you to fill out a face sheet with some basic information. When you're done, you go into his office and the hour and a half goes by very quickly. You'll be asked to tell him what brings you in, what kinds of symptoms are troubling you. After a while, he'll begin to ask specific questions about your medical history, current medications, a detailed family history, and so on.

When he's asked all his questions, he'll ask you add anything else that might be helpful. He'll then pull all the information together and offer a diagnosis, explanation of causes, and treatment options. Both you and he will work out a plan to get you well. Almost everyone comments on how it was much less stressful than they had expected.

7. How do follow-up appointments work?

If medication treatment alone is the preferred option, generally follow-up is in four weeks. Once a person is well, appointments may be every three months for as long as treatment is necessary.

If psychotherapy is indicated, an appointment schedule is discussed to meet weekly. If both medications and psychotherapy are indicated, regular appointments are made for therapy, and medications are discussed as needed.

8. What about confidentiality?

All notes are kept in a binder, nothing is done electronically. All communications are personal and confidential, which means Dr. Koenigsberg will not discuss any aspect of your treatment without your request and permission. You are welcome to email him, and many patients find this very useful between visits. Keep in mind, though, if this is done in a work place, the employer may have access to those emails.


Alan Koenigsberg, M.D.


2325 Coit Road, Suite E
Plano, TX 75075

Office Hours

Monday - Friday
9:00AM to 5:30PM
The last appointment is scheduled for 4:30PM.
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