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Medication Assisted Psychotherapy

Monarch Mental Health Group opened Australia’s first medication assisted psychotherapy program in November 2023. This innovative program is led by our co-founder and Psychiatrist Dr. Ted Cassidy, along with Senior Clinical Psychologist Monica Schweickle. Our program builds upon the knowledge of Monarch Research Institute and the expertise of Associate Professor Bernadette Fitzgibbon and Professor Paul Fitzgerald.

Benefits of Medication Assisted Psychotherapy

Medication assisted psychotherapy has shown promise in the treatment of chronic depression and post-traumatic stress disorder. Clinical trials have demonstrated that these therapies are safe and effective treatment options for individuals experiencing treatment-resistant depression or post-traumatic stress disorder. Participants may report benefits such as an increased sense of connection to themselves, others, and the world, greater self-compassion, shifts in perspective on long-standing problems, and new insights to resolve their mental health challenges.

Medication Assisted Psychotherapy
Distinguishing Features

Distinguishing Features

It is important to note that medication-assisted psychotherapy is not micro-dosing and is not the same as taking standalone prescription medicine. The program is best thought of as an intensive psychotherapy program, augmented by three medicine sessions and supervised by a multidisciplinary medical and therapist team. These medicine sessions are designed to enhance the effectiveness of therapy, helping individuals process or overcome ingrained beliefs, traumas, and emotional distress, and amplifying their inner resources or wisdom to respond to life’s challenges. Medicine assisted therapy can be a next-step option for those who have not found enough benefit from traditional mental health treatments, such as antidepressants.

Distinguishing Features

How it Works

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Booking Your Assessment

The first step is to obtain a referral from your GP or treating psychiatrist and contact us (link to contact page).

Our program co ordinator will respond to your enquiry, answer any questions you have and explain the program and costs, then book in a screening assessment with a psychologist and prescriber psychiatrist.

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Screening and assessment

Our highest priority is your safety and ensuring our therapeutic program is likely to be an effective option for you. Our screening and assessment service involves a comprehensive psychological interview, medical screening, psychometric questionnaires, and prescriber psychiatrist assessment. We will work closely with your treating team, with your consent. This assessment process is holistic and is a process completed over several weeks, designed to understand your medical, social or psychological background and whether our therapeutic program is likely to be a safe and suitable option for your recovery goals at this time.

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Preparation sessions

Two experienced therapists (insert hyperlink to therapist team page) will support you through this therapeutic program, which is overseen by a prescribing psychiatrist. There are a minimum of three preparation sessions which take place over telehealth before the first medicine dosing session. These focus on building an understanding of what has brought you to treatment, creating the ideal mindset for the medicine experience, including intentions for the session and what to expect, and building a relationship with your therapists.

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Medicine dosing sessions

Our therapeutic program integrates three medicine dosing sessions across a minimum of 12 weeks. Each dosing session occurs on site in our accredited outpatient clinic, in a private room accompanied by your therapist team, with medical and nursing staff on site at all times. Dosing sessions are best thought of as a multi-day experience, it is recommended to keep a light schedule with minimal plans, and time for rest during the days after the dosing session. All dosing sessions occur at our accredited outpatient clinic in Melbourne. Accessibility is important to us, and we welcome clients from rural and regional Australia, interstate and overseas.

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Integration sessions

Your therapists will meet with you for three integration sessions after each dosing session, to support you processing the experience and any insights or realizations. Integration sessions are tailored to you and provide a space to make meaning of the experience and how this might translate to ongoing healing and recovery from trauma or depression. Your therapists and prescriber will work closely with you towards the end of treatment to develop a personalized ongoing integration plan.

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Group Integration Program

Medicine assisted therapy is a unique life experience, and it may be helpful to connect with other people who have been through the same treatment program. Monarch Mental Health Group offer an online support group facilitated by a therapist and a lived experience consumer advisor. The program is open to any individual who is engaged in or has completed a legal medicine assisted therapy program, or clinical trial, and is designed to introduce integration tools and provide a safe space for participants to share their experiences.

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Medication Assisted Treating Doctors

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Dr Ted Cassidy

Cofounder & Psychiatrist

Dr. Ted Cassidy is a psychiatrist and co-founder of Monarch Mental Health Group in Australia, which provides innovative treatments for depression, PTSD, and anxiety.

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Monarch Mental Health is recognized as Australia's first outpatient clinic offering assisted therapy and is the largest provider of outpatient magnetic stimulation therapy, among other advanced treatments. Previously, from 2004 to 2015, Dr. Cassidy was the co-founder and Chief Psychiatrist of The Hills Clinic Hospital and medical centers, which treated over 10,000 patients during his tenure.

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Dr Anish Modak

Consultant Psychiatrist

Dr Anish Modak is a psychiatrist at The Monarch Clinic in Melbourne.

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He completed his undergraduate medical degree and Master of Psychiatry at the University of Melbourne.  He is a fellow of the Royal Australian and New Zealand College of Psychiatrists, having completed his specialist psychiatry training at ACT Health in Canberra and  Alfred Health in Melbourne. Dr Modak's interests include mood disorders and ADHD.  His training has focused on general adult psychiatry but he also has experience working in a specialist youth mental health service. Dr Modak has experience with a range of treatment modalities, including neurostimulation, pharmacological interventions, and psychotherapy.  He has published research in the area of transcranial magnetic stimulation and has clinical expertise in this area.  Alongside biological interventions, he has interests in psychodynamic psychotherapy and mindfulness-based psychotherapy.  Finally, he has a strong interest in emerging and innovative treatments, including next-step medications.

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Dr Michael Lau

National Medical Director & Consultant Psychiatrist

Dr Lau has a strong interest in neuromodulation treatment in mental health.
 

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Dr Lau is a medical doctor trained in addiction and adult psychiatry. His treatment services include inpatient and outpatient psychiatric care tailored to individual needs and cultural backgrounds. He has experience in managing addiction, mood disorders, OCD, PTSD, generalised anxiety disorders and psychosis including TMS and trauma-informed addiction services.

Monarch’s Research Doctor Team

Paul-Fitzgerald

Prof Paul Fitzgerald

Cofounder & Director of Monarch Research

Professor Paul Fitzgerald is an internationally recognised expert in novel treatments for mental health treatments including the use of TMS.

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Professor Fitzgerald is a qualified psychiatrist, and has a Masters of Psychological Medicine and research PhD.Professor Fitzgerald was an elected board Member of the International Society for Transcranial Magnetic Stimulation (ISTS) and was an invited member of the World Federation of Biological Psychiatry Taskforce on Brain Stimulation (2006-2009).He is currently a committee member for the Electroconvulsive Therapy and Neurostimulation Special Interest Group with The Royal Australian and New Zealand College of Psychiatrists (RANZCP), and serves on the board of directors for Neurosciences Victoria. He is Psychiatric deputy editor for the journal ‘Brain Stimulation’ and is on the Editorial Boards of ‘Psychiatry Research’ and the ‘Australian and New Zealand Journal of Psychiatry’.As the head of the School of Medicine and Psychology at the Australian National University, Fitzgerald has conducted over 20 clinical trials of TMS and related methods and has published over 500 scientific papers and has personally treated over 1500 patients with TMS.

Dr-Anish-Modak-1

Dr Anish Modak

Consultant Psychiatrist

Dr Anish Modak is a psychiatrist at The Monarch Clinic in Melbourne.

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He completed his undergraduate medical degree and Master of Psychiatry at the University of Melbourne.  He is a fellow of the Royal Australian and New Zealand College of Psychiatrists, having completed his specialist psychiatry training at ACT Health in Canberra and  Alfred Health in Melbourne. Dr Modak's interests include mood disorders and ADHD.  His training has focused on general adult psychiatry but he also has experience working in a specialist youth mental health service. Dr Modak has experience with a range of treatment modalities, including neurostimulation, pharmacological interventions, and psychotherapy.  He has published research in the area of transcranial magnetic stimulation and has clinical expertise in this area.  Alongside biological interventions, he has interests in psychodynamic psychotherapy and mindfulness-based psychotherapy.  Finally, he has a strong interest in emerging and innovative treatments, including next-step medications.

Grace-Chan

Dr Grace Chan

Consultant Psychiatrist

Dr Grace Chan is a consultant psychiatrist at The Monarch Clinic and in private practice in Melbourne.

Psychotherapy Team

Monica Schweickle

Consultant

Monica Schweickle

Consulting Clinical Psychologist

Monica is a Senior Clinical Psychologist and a Psychology Board Approved Supervisor with 18 years of experience in a range of mental health settings.
 

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Monica is also a mother, yoga teacher, gardening enthusiast and book nerd. Her clinical experience includes working with people who have experienced childhood and adult trauma, especially veterans, current and former serving defence personnel, First Nations peoples, domestic violence survivors, and victims of crime. She has worked within inpatient and outpatient psychiatric hospital settings, in private practice, and prisons. Monica has expertise in the field of substance use, having worked across opiate substitution clinics, community settings and residential rehabilitation services. Monica has been involved in the training, supervision, and well-being of other mental health professionals for the past decade. She provides clinical supervision to health professionals, counsellors and peer workers, provisional, registered, and clinical registrar psychologists, as well as professionals with conditions posed on their registration by AHPRA. Monica believes that the relationship between client and therapist is the heart of effective therapy and that the relationship between supervisee and supervisor is equally as important. She is a warm, insightful therapist whose approach depends on the needs of the person. Her therapeutic style draws on strengths-based approaches, relational and interpersonal psychotherapy, Eye Movement Desensitisation Reprocessing (EMDR), IFS, somatic psychotherapy, mindfulness and non-dual meditation practices. Monica is an Accredited EMDR Practitioner with EMDRAA, an Internal Family Systems (IFS) Level 1 Practitioner. She is a Certified iRest Yoga Nidra teacher and has co-authored research on yoga and mental health. She is also a non-executive committee member of a domestic violence charity in Newcastle.

Dr Samir Ibrahim-1
Psychiatrist
Dr Samir Ibrahim
Consultant Psychiatrist
Dr Ibrahim is the Director of the TMS program at Northpark Private Hospital.
Dr Samir Ibrahim is a Senior Consultant Psychiatrist at The Monarch Clinic and is Director of the Transcranial Magnetic Stimulation Program at Northpark Private Hospital. Dr Ibrahim is also an international member of the American Psychiatric Association and is the Co-Chair of the Family Research and Interventions Sections at the World Psychiatric Association. Dr Ibrahim is also an international member of the American Psychiatric Association and is the Co-Chair of the Family Research and Interventions Sections at the World Psychiatric Association. Dr Samir Ibrahim has been a psychiatrist for 39 years, and practices in Sydenham and Bundoora. He arrived in Australia from Egypt 25 years ago and has a passion for helping people who have mental health conditions find their voice.
Dr Jeff Adams
Psychiatrist
Dr Jeff Adams
Consultant Psychiatrist
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Psychiatrist
Dr Kavitha Shankar
Consultant Psychiatrist
Over 15 years of expertise in the diagnosis and management of emotional and psychiatric disorders. Dr Shankar's care is based on the premise that each individual is different and needs a customised approach to mental health recovery.
She has previously held public appointments at Monash Health in the inpatient and community health settings in the area of Old Age Psychiatry and Chronic Pain management. Her clinical interests include both general adult and old age psychiatry. Dr Shankar's special interests are in addiction, pain medicine and neurostimulation. Qualifications BSc (Med) MBBS(UNSW) MPsych(Melb) FRANZCP.
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Psychiatrist
Dr Ryan Cocker
Consultant Psychiatrist
Dr. Cocker is a highly qualified psychiatrist with extensive experience across various specialisations in psychiatry.
He completed his medical degree at the esteemed University of New South Wales and went on to obtain his Master of Medicine (psychiatry) from the University of Sydney. His psychiatry training was completed through the South East Sydney Area Health Service, where he also served as the senior registrar at St George Hospital. Dr. Cocker has worked in diverse psychiatric areas including general psychiatry, addiction medicine, emergency psychiatry and perinatal psychiatry, affording him a broad knowledge and deep expertise in the field.
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Psychiatrist
Dr Su Lynn Cheah
Consultant Psychiatrist
Dr Cheah is a general adult psychiatrist at The Monarch Clinic.
She graduated in medicine from Monash University and completed specialty training in New South Wales. While Dr Cheah finds all aspects of psychiatry interesting and rewarding, she’s particularly interested in computational neuroscience, global mental health, and the intersection of psychiatry and emerging technologies on an academic level.
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Psychiatrist
Dr Mitali Das
Consultant Psychiatrist
Dr Mitali Das is a psychiatrist at The Monarch Clinic and is a general adult psychiatrist who has worked in emergency psychiatry, crisis teams, secure extended care and rehabilitation.
In addition, she has experience with inpatient and community settings in Monash and Frankston Health. Dr Das has a vast range of special interests including anxiety disorders, depression, drugs & alcohol and transcranial magnetic stimulation (TMS) as well as women’s mental health.
Dr-Anish-Modak
Psychiatrist
Dr Anish Modak
Consultant Psychiatrist
Dr Anish Modak is a psychiatrist at The Monarch Clinic in Melbourne.
He completed his undergraduate medical degree and Master of Psychiatry at the University of Melbourne.  He is a fellow of the Royal Australian and New Zealand College of Psychiatrists, having completed his specialist psychiatry training at ACT Health in Canberra and  Alfred Health in Melbourne. Dr Modak's interests include mood disorders and ADHD.  His training has focused on general adult psychiatry but he also has experience working in a specialist youth mental health service. Dr Modak has experience with a range of treatment modalities, including neurostimulation, pharmacological interventions, and psychotherapy.  He has published research in the area of transcranial magnetic stimulation and has clinical expertise in this area.  Alongside biological interventions, he has interests in psychodynamic psychotherapy and mindfulness-based psychotherapy.  Finally, he has a strong interest in emerging and innovative treatments, including next-step medications.
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Psychiatrist
Dr Angelo de Gioannis
Consultant Psychiatrist
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Psychiatrist
Dr Ashwin Varghese
Consultant Psychiatrist
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Psychiatrist
Dr Aparna Chawla
Consultant Psychiatrist
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Psychiatrist
Dr Dulip Wettasinghe
Consultant Psychiatrist
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Psychiatrist
Dr Ivy Kwon
Consultant Psychiatrist
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Psychiatrist
Dr Tarun Yadav
Consultant Psychiatrist
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Psychologists
Peter Seligman
Director of Psychology
With over thirty years of experience as a registered psychologist and AHPRA Supervisor, he is also a NDIS Accredited Practitioner.
Peter is working from our Sydney Office and Nationally. Peter has extensive experience working with clients from diverse backgrounds, from school age to older community members and has extensive experience working with clients with diverse presentations and abilities, history and cultural backgrounds. Over the last ten years has worked clients with complex medical, social and clinical presentations to improve their psychological, social and emotional functioning. With experience working therapeutically with clients with have a range of social disadvantage, disabilities, ASD ADHD Anxiety and Depression, Trauma. He a particular interest working with clients who have experienced significant medical or life changing events, chronic pain or loss of social and physical function, he takes a holistic approach to aide physical, social and emotional recovery and restore quality of life. Peter has extensive experience working with LGBTQI+ clients, working with young people, individuals in transition, older individuals adjusting to life changes and social and emotional challenges, relationship breakdown and loss and grief. Peter is an accredited Gottman Practitioner, has provided couples, families and relationship counselling. With many years working with young people with learning issues, psycho-social challenges and anxiety or depression, disabilities of various kinds he recognises that for all clients, mental health and well-being is a lifelong journey that is based on developmentally appropriate techniques, skills, insight and support.
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Psychologists
Clara Fritchley
Clinical Psychologist
Clara is the senior clinical psychologist at The Monarch Clinic.
Clara holds an honours degree in Psychology and a master's degree in Clinical Psychology, both from Macquarie University. She is in her final years of a PhD at the Matilda Centre, University of Sydney, with her thesis examining people’s experiences of therapy while engaged in the NSW Drug Court Program, using both qualitative and quantitative methodology. Clara is registered with the Australian Health Practitioner Regulation Agency (AHPRA) and is a member of the Australian Clinical Psychology Association (ACPA). She is a registered supervisor with AHPRA and provides supervision to both provisional psychologists and clinical psychology registrars. Clara has a 20-year history of clinical work within the forensic, clinical and substance misuse fields of psychology, working in both public and private facilities. She has worked extensively with children and adults, specialising in the assessment and treatment of complex presentations where a person may have multiple comorbidities and have endured traumatic experiences. For the past 14 years, Clara has worked privately providing psychological therapies to adults experiencing clinical mental health disorders. She has also been providing psychological assessments and reports to the Courts specialising mainly in drug use disorders. For the past two years, she has been consulting with Ngaoara providing psychological interventions and support to Aboriginal children with a history of trauma and limited social support. Clara utilises several clinical interventions in her work, including Dialectical Behaviour Therapy (DBT) and Radically Open Dialectical Behaviour Therapy (RO DBT), Schema Therapy and Cognitive Behaviour Therapy. She is particularly interested in relational psychodynamic approaches to therapy.
alessandro
Psychologists
Alessandra Piano
Registered Psychologist
Alessandra/Ali has completed 5 years of formal education (Bachelor of Psychology and Master of Cognitive Neuroscience) at the University of Turin in Italy.
During the final year of studies, Alessandra/Ali submitted her research thesis project on cognitive rehabilitation of individuals with schizophrenia, while also undertaking employment in a shelter for women and children escaping from domestically violent relationships. Upon graduation, Alessandra/Ali moved to Australia and worked in the mental health disability sector while waiting to obtain formal recognition of her overseas degree. Upon validation of her degree, Alessandra undertook 2 years of post-graduate training; this involved training in the assessment, diagnosis and treatment of mental health and psychological across all age ranges and cultural backgrounds. Alessandra enjoys working with a wide array of people who live with problems associated with depression, anxiety, attachment/complex trauma, personality disorders, and parenting issues. Alessandra draws her therapeutic approach from relational psychodynamic psychotherapy, interpersonal and narrative psychotherapy, yoga and somatic therapies, as well as cognitive therapies like CBT and DBT. Alessandra has also a strong interest in psychedelic integration. Alessandra offers a warm supportive environment in which she operates according to the belief that an individual can achieve meaningful changes in their lives through insight, understanding and validation.
Angela Porter Image
Psychologists
Angela Porter
Registered Psychologist
Angela is a psychologist at The Monarch Clinic and has special interests in counselling, assessing and treating adults.
Angela graduated with a Bachelor of Psychology (Honours) and a Master of Professional Psychology both from Macquarie University. She is a provisionally registered psychologist with the Psychology Board of Australia and has been counselling, assessing, and treating adults and young adults for 2 years. Angela is passionate about improving her client’s quality of life and is experienced with adults from late adolescence through to the very elderly. Angela is trained in Cognitive Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT) and has experience working with a broad range of clinical presentations, including alcohol and other drugs, depression, anxiety, PTSD/C-PTSD and ADHD.
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researcher
Associate Professor Bernadette Fitzgibbon
Deputy Director of Monarch Research Institute
Associate Professor Bernadette Fitzgibbon is the Deputy Director of the Monarch Research Institute within Monarch Mental Health Group, and an adjunct Associate Professor within the Department of Psychiatry, at Monash University.
Bernadette has over a decade of experience in clinical research including pharmacological and device-based clinical trials. She has received >10 awards for her research including being invited to give the 2021 Tess Cramond Lecture at the Australasian Pain Society Meeting, the 2018 Australasian Brain Stimulation Society Early Career Award and was selected for the 2018 Veski Inspiring Women in STEM Sidebyside program. She is currently an executive member of the Australasian Brain Stimulation Society and was recently the founding Chair of the Australian Brain Alliance Early to Mid-Career Brain Science Network, an initiative of the Australian Academy of Science (2017-21).
samantha webb
researcher
Samantha Webb
Clinicial Research Coordinator

Unlock New Paths to Healing: Explore Our Medicine Assisted Psychotherapy Program Today

Unlock New Paths to Healing: Explore Our Medicine Assisted Psychotherapy Program Today

Frequently Asked Questions

Can I attend the program if I do not reside in the same city as the clinic?

Yes, we welcome clients from all over Australia and the world. A core value of Monarch Mental Health Group is the equitable access of mental health services for people from rural and remote regions of Australia, and we have demonstrated track record of delivering mental health services using Telepsychology and Telepsychiatry. The screening, preparation and integration sessions may be completed via Telehealth; however the dosing sessions are always on site and medically supervised. 

Can I drive myself home after the medicine dosing sessions?

No, we recommend avoiding driving for at least five days after dosing sessions. It is a safety requirement that a suitable support person (friend, spouse, family member) accompany you home from the clinic after dosing and be with you until the first integration session the following day. If you are travelling from another region or state, your support person will need to accompany you to your accommodation and stay with you after the dosing session.

What if I need more therapy sessions, or more time between medicine sessions?

Dosing session experiences can be incredibly diverse, and it is difficult to know what will emerge during the session. As such, the prescriber psychiatrist and therapist team will work collaboratively together with you and refine treatment based upon your response to the therapeutic program. Additional therapy sessions are available, in discussion with your therapist team.

What support is available after the therapeutic program?

Integration and recovery from mental health concerns and trauma can be an unfolding, multilayered process. As such, at the end of our program your therapists and prescriber will develop an ongoing integration plan with you. We will communicate to your treating team, with your consent, to provide continuity of care. 

Monarch Mental Health Group offer a group integration program (link) for people who have participated in medicine assisted therapy, whether in clinical trials or in clinical programs, which is facilitated by a therapist and lived experience advisor.

What is the cost of the program?

Medicine assisted therapy at Monarch Mental Health Group means engaging in approximately 36 hours of therapy with two therapists, plus psychiatrist reviews and involvement of a multidisciplinary team including a senior clinical psychologist and nurse. We offer a subsidy for private paying patients to reduce the cost of the therapeutic program. Our program co-ordinator will discuss your situation and funding options.