I am a GP who specialises in complex clinical conundrums. This includes managing people who, for whatever reason, have ended up in the 'too hard basket'. My patients tend to be people with complicated presentations, chronic pain syndromes, and complex multisystem disease. I also manage patients with complex mental health issues, neurodiversity and/or a history of trauma. Many, but by no means all, of my patients identify as people with a Disability.
I graduated from The University of Queensland with a BSc (Psychology) in 2000, and MBBS in 2004. I spent my early medical career working in regional and rural Queensland, before moving back home to Brisbane in 2009. After spending a year working at the Royal Brisbane and Women's Hospital, I then completed my GP training in Ipswich and became a Fellow of the Royal Australian College of General Practitioners in 2010. I have been working as a GP at Grange Road Medical Centre in Ipswich since then but I have also spent time working as a GP with Special Interest (GPwSI) in various Specialty Clinics, including the Migraine and Headache Clinic at Royal Brisbane and Women's Hospital, and the Chronic Pain Management clinic at the Princess Alexandra Hospital.
Although I am not a Clinical Psychologist or Psychiatrist, I have nearly 20 years experience as a Doctor and over 16 years experience working as a GP. I have completed level 2 Mental Health Training and am qualified to provide Focussed Psychological Strategies treatment. I have special interests in complex mental health, trauma, PTSD, neurodiversity, rheumatology, chronic pain syndromes, Emergency Medicine and complex multisystem disease.
I started ‘The Declutter Doctor’ because the Medical system in Australia is not set up to manage chronic, complex mental health issues and neurodiversity. Some things need to be managed at home, rather than in the clinic, and some problems require multiple long consultations in order to make any progress. Unfortunately, Medicare isn’t set up for this, which makes accessing the right help difficult for a lot of people. Also, if the problem doesn’t have a ‘medical’ cause, it may not be covered by Medicare.*
Specifically, I started the Declutter Doctor to help people who have problems with hoarding, agoraphobia, ADHD, Cognitive decline, physical health problems and/or any other issues that make it difficult for them to manage their home environment and their 'stuff'. They want to be in charge of the process, without anyone taking away their agency and/or sense of control, but they know they can’t do it alone.
My clients know they need help to improve the state of their homes and their lives, but they haven't been able to get this help in a traditional clinical setting at a GP practice, or through regular cleaning or decluttering services.
As the Declutter Doctor, I only do extended home visits, and occasionally telehealth visits. Appointments last a minimum of one hour and can last up to 4 hours if desired. They are usually done on weekends and after hours (although weekday visits can be arranged by prior appointment). I can do as many or as few visits as are required, but the ultimate goal is to help my clients/patients achieve independence and autonomy so they can manage on their own without the need for ongoing support.
Treatment plans are tailored individually, depending on the client/patient's goals, needs and circumstances, and are designed to be extremely flexible. Support person and carer input is encouraged, but not essential, and is at the discretion of the client/patient. The pace of treatment is set by the patient (or client, if there is no ‘patient’ involved), with whatever they feel comfortable with, and the patient (or client) is the one who has the final say about everything that happens.
The Declutter Doctor program is specifically designed for people who have been 'burned' before, and my methods are different from those provided by other cleaning and decluttering services. I don't just 'deal with' the problem 'for' my clients, instead I work 'with' them to help them get back their sense of control and competency. Using the principles of medicine, Psychiatry, Neurology, Occupational Therapy and Psychology, I help patients (and their loved ones) understand WHY they have problems, WHAT those problems are and HOW to fix them.
The ultimate goal is for the patient (or client) to get their control and sense of agency back. The focus is on competence, re-enablement, rehabilitation, healing and wellness as well as developing an internal sense of control and achievement.
Subsidies may be available through MyAgedCare, NDIS, or Medicare, but I am happy to see privately funded clients/patients too.
Note for GP’s and other Providers:
GP referrals are desirable but not compulsory, but patients MUST have their own regular GP. Medicare rebates are available (for the first hour of each session only, unfortunately), and funding may also be available through NDIS or MyAgedCare for eligible patients.
As a GP, I can also be part of a patient’s multidisciplinary team.
GPMPs and TCA’s:
I do not need to use any of a patient’s 5 EPC’s as part of their GPMP/TCA, but am happy to act as a second provider.
Mental Health Care Plan (MHCP) and Eating Disorder Treatment (EDT) Plans:
I can access Focussed Psychological Strategies EPC visits as part of a MHCP and EDT plan, however, if a patient is also seeing a Psychologist or other Allied Health professional for counselling, it is usually more cost effective for patients to use their FPS visits for their preferred provider and use regular Medicare visits to see me.
I am happy to provide progress and final reports to other members of a patient’s treating team (GP, Psychiatrist, Psychologist, Occupational Therapist or other specialist or allied health provider) and funding provider (MyAgedCare or NDIS provider) as required and requested, if the patient consents to this.