Katie Lindenbaum Nurse Practitioner in Psychiatry PMHNP-BC

Katie Lindenbaum RN, MSN, PMHNP-BC

about me

I am an ANCC board-certified Psychiatric Mental Health Nurse Practitioner offering medication management (psychopharmacology) and talk therapy for adults with mental health concerns. I take a holistic approach to treatment and look at the whole person; addressing the physical, emotional, social, spiritual, and environmental influences affecting your mental health and overall wellbeing. I place an emphasis on behavior/lifestyle modifications, sleep hygiene, physical activity, nutrition, and other important aspects of self care. I have worked in different roles in oncology for over ten years and provide support to individuals who have been affected by cancer.

I have a strong understanding of the circumstances and issues that can arise throughout all phases of the cancer journey- from initial cancer diagnosis, through the active cancer treatment phase, and beyond treatment and with survivorship. I am also experienced in supporting the unique mental health needs of cancer caregivers, and those individuals experiencing grief, loss and bereavement.

I received my graduate training in Psychiatry at Hunter College in NYC where I achieved a Master of Science degree in Nursing. I also hold a Bachelor of Arts degree in Psychology from Binghamton University. My background is in nursing and I am an experienced Registered Nurse (RN) who spent years caring for patients at the bedside with a variety of acute and chronic illnesses. I received my Bachelor of Science Degree in Nursing from Drexel University. My most recent and meaningful work experience was at a renowned cancer center in NYC where I provided care to oncology patients for over 7 years.

I offer a non-judgmental and empathetic environment for you to feel comfortable expressing your thoughts, feelings, and concerns in a safe space. I will work with you and support you in meeting your goals, take the time to listen to you, and validate your unique experience. I believe that no matter how difficult things might be and even in situations that might feel hopeless, it is possible to find balance, purpose and meaning.

Katie

Education:

Hunter College | 1/2016-12/2018

Drexel University | 3/2012-3/2013

Binghamton University | 8/2007-5/2011

Training:

Memorial Sloan Kettering Cancer Center | 7/2015-8/2022

Hospital of the University of Pennsylvania | 8/2013-6/2015

 FAQs

  • My specialty focus area is Psycho-Oncology— cancer-focused mental health concerns, psychopharmacology in cancer care, cancer caregiver distress and burnout, and grief loss and bereavement.

    I can help with anxiety disorders, depressive disorders, sleep disorders (e.g insomnia), trauma related disorders (e.g PTSD), maternal mental health, Trichotillomania/Body focused Repetitive Behaviors (BFRBs), stress management, relationship concerns, and more.

  • At this practice your safety and wellbeing is the utmost priority. Due to the nature of telepsychiatry visits, this practice does not treat the following as it requires a higher level of care: Bipolar Disorder, Psychosis, Schizophrenia, active Substance Abuse, Acute Suicidal Ideation, or recent history of Suicide Attempt or Psychiatric hospitalization. At this time, in-person visits are not available.

    If you are currently in active cancer treatment and I determine you need a higher level of care than what I can offer at an outpatient telepsychiatry practice, I will provide other referrals/highly recommend you see a mental health professional at your oncology center who can offer closer monitoring. An example requiring referral to another treatment setting would be if in-person evaluations are needed, or very frequent lab/test monitoring.

  • Initial appointments are typically 60 minutes (extended initial appointments 75 or 90 minutes in specific circumstances are at the provider’s discretion and dependent on schedule availability).

    Session length and frequency for follow up visits are dependent on your individual needs. Follow up sessions with or without medication management are either 25-30 minutes, 45 minutes, or 60 minutes.

    In many cases medication management visits are once a month. We may see each other more frequently at the start of treatment or if making adjustments to medications. For clients seeking more frequent talk therapy visits we may see each other weekly or biweekly. In some circumstances, follow up visits may be spaced out to every 3 months once stable or your current regimen.

  • A Psychiatric Nurse Practitioner has a graduate level degree in Nursing with a specialization in Psychiatry/ Mental Health and is trained to treat mental health conditions across the lifespan. Psychiatric Nurse Practitioners can carry out mental health assessments and exams, diagnose psychiatric conditions, devise a treatment plan which may include the prescribing of psychiatric medication, provide patient and family education, provide psychotherapy, and make other specialty referrals.

  • According to the American Psycho-Social Oncology Society (APOS), psycho-oncology is defined as “a cancer specialty that addresses the variety of psychological, behavioral, emotional and social issues that arise for cancer patients and their loved ones. Cancer can cause significant distress for patients and their families. The type of distress varies based on each individual and family experience. It may be influenced by a variety of factors — including the type of cancer, where patients are in their life, and how they tend to cope with challenging situations. In the broadest terms, there are two psychological dimensions of cancer. The first is the emotional response patients and families have to cancer. The second are the emotional, behavioral, and psychosocial difficulties that influence living with cancer. Psychosocial oncology is the specialty that addresses all of these dimensions.” (APOS 2020)

    What is psychosocial oncology? APOS. (2020, June). Retrieved March 6, 2023, from https://apos-society.org/professionals/what-is-psychosocial-oncology/

One of the services I offer is cancer-focused mental health support which can involve the use of medications to treat mental health concerns such as anxiety, depression, and mood disturbances that may arise from a cancer diagnosis, the effects of cancer, or side effects from cancer treatment.

Psychiatric Medications and Cancer

Some psychiatric medications such as certain Antidepressents can have interactions or side effects when used in combination with specific treatments and medications used in the oncology setting. I have had clinical training in Psycho-Oncology and I am very knowledgable on these potential interactions and am able to prescribe medication with the intent of prioritizing safety, minimizing side effects and maximizing wellbeing. In addition, when prescribed thoughtfully, psychiatric medications can also help with some of the physical symptoms individuals with cancer may experience such as fatigue and attention issues, nausea, reduced appetite and weight loss, hormonal related symptoms such as hot flashes, sleep disturbances, and more.

Talk Therapy and Cancer

In our sessions we can address common feelings that often accompany a cancer diagnosis such as hopelessness, existential distress, or demoralization. One area my clients often need assistance with is problem solving for practical issues related to their treatment; e.g help with managing personal and professional responsibilities in the midst of a busy treatment/medical appointment schedule, or working through their goals in a safe and unbiased space. Another common focus of our sessions might be improving communication with loved ones and treatment teams or navigating difficult conversations. Survivorship related issues and other topics include survivor’s guilt, dating after cancer treatment, intimacy concerns, body image issues, parenting with cancer, anxiety prior to medical scans, and fears of recurrence. For cancer caregivers, we can address caregiver distress and burnout so that you can best take care of yourself as well as your loved one.

While challenging and often uncomfortable, living more presently even in the face of uncertainty is possible. Even when circumstances might be different than before or there may be specific limitations, we can work together to find sources of purpose and meaning. I have experience working with others who have gone through something similar and I truly understand the impact cancer can have physically, emotionally and spiritually on the individual and loved ones.

“We must never forget that we may find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one's predicament into a human achievement.” - Viktor Frankl, Man’s Search for Meaning