How GT Healthcare Distinguishes Overlapping Mental Health Symptoms
- ORGANIZATION
- GT Healthcare
- PATIENT POPULATION
- Children and Adults
- CARE MODEL
- Interdisciplinary Mental Health and Family Medicine, Telehealth-First
- LOCATION
- California
- FEATURED CLINICIAN
- Gabrielle Thompson, FNP-C
- CREYOS CUSTOMER SINCE
- 2021
per day present with symptoms that overlap across conditions, and clinical interview and self-report alone cannot always separate what is driving them.
covering memory, concentration, reasoning, and verbal ability are measured objectively at intake and tracked across the course of treatment.
to a confirmed diagnosis and a treatment plan tailored to a patient's particular symptoms rather than to the diagnosis alone.
"What Creyos helps with most is helping me confirm what I think is going on and finding out if there's a possibility of something else causing the same symptoms. I can narrow down a diagnosis using measurements like scoring."
One practice for mental health and family medicine, delivered across California
GT Healthcare is a mental health and family medicine practice serving patients of all ages across California by telehealth. Gabrielle Thompson, FNP-C, a board-certified family nurse practitioner, founded it to bring psychiatry, therapy, primary care, and nutrition under one roof, so patients and their families get the range of care they need without being managed between unconnected offices.
The team sees 8 to 10 patients a day for depression, anxiety, ADHD, PTSD, mood and bipolar disorders, insomnia, and more. Therapists deliver psychotherapy, a registered dietitian handles nutrition, and Gabrielle and a physician assistant provide psychiatric and primary care. GT Healthcare calls itself a data- and results-driven practice, and psychological testing is a standard part of reaching a diagnosis rather than an occasional add-on.
“It's really hard for patients to find one place where they can get complete, well-rounded care for everything they need. So I wanted to create a one-stop shop where our team can work in an interdisciplinary fashion and make sure that we can all make the best decisions for our patients together.”
Overlapping symptoms that a clinical interview alone cannot separate
Gabrielle built GT Healthcare as an entirely telehealth practice, which meant working without the in-person read clinicians rely on, in the one area of medicine with the least to measure. "Especially for mental health, symptoms aren't always things that you can see," she says. "It's not like, okay, you have high blood pressure, you take the blood pressure, you can confirm it."
Demand shifted alongside that. Patients increasingly arrive having already researched their symptoms and encountered conditions that match what they are experiencing, often asking to be evaluated for something specific. Gabrielle takes those concerns seriously and still needs to establish what is actually producing the symptoms, particularly when a treatment involves controlled substances. Her background in pain management made that responsibility familiar.
Underneath the demand is the clinical problem that the same symptoms belong to several conditions. Inattention can point to ADHD, or to anxiety, depression, poor sleep, or trauma, and across 8 to 10 patients a day, the cost of that ambiguity is trial and error. Gabrielle wanted to confirm what she was seeing before treating it, and she was not willing to build a practice without that.
“I didn't want to start treating conditions like ADHD without objective measurement, otherwise it's hard to gauge the success of treatment and progress.”
An objective evaluation of cognitive function, added to the clinical picture
Gabrielle went looking for a data-driven assessment she could put alongside the clinical interview, and Creyos met the requirements. Testing runs remotely, which suits a telehealth practice, and results come back immediately in a report she and the patient can read together.
The cognitive tasks measure memory, concentration, reasoning, and verbal ability against age-matched norms, and behavioral health questionnaires cover the symptom side. Rather than returning a single overall verdict, the report breaks performance down by area, which is what makes it useful when several conditions could explain the same presentation.
Cognitive results sit alongside the rest of what the practice collects. "As much data as I can have on somebody, tests, labs, all those kinds of things really help shape total care," Gabrielle says.
How the assessment moves through an interdisciplinary practice
Almost every patient who comes to GT Healthcare begins with an initial cognitive and mental health assessment that includes Creyos, which gives the team a baseline before treatment starts.
For patients who arrive through therapy, the pathway begins in a session where they describe their history and current difficulties. When those experiences suggest a diagnosable condition, the therapist refers the patient internally to Gabrielle, who reviews the therapist's notes and selects the assessments that fit. The patient completes them at home rather than in session, which is deliberate. "I want them to take it in an area that's distraction free, when they're well rested, so we can try to get the best results," Gabrielle says.
Because results generate immediately, Gabrielle reviews the report ahead of that visit and arrives with an initial read on the treatment plan. She and the patient then go through the report together, which turns the results into a conversation about that person's strengths and difficulties rather than a verdict delivered to them. Patients continue with their therapist, who now has the same objective data informing their work.
Reassessment happens as often as every 3 months. Repeat testing generates a trendline, so the team can adjust treatment against something other than how the patient felt on the day they were asked.
A diagnosis the clinician can stand behind, and a plan built for the patient
With objective data alongside the clinical interview, Gabrielle can separate what a patient describes from what is producing it. A patient presenting with complex symptoms who mentions a history of trauma can be tested with the PCL-5, and the depression they came in for turns out to be connected to PTSD. She then works with the therapist to treat and measure each condition distinctly.
The report also separates deficits that a diagnosis alone would flatten. Gabrielle describes patients whose attention is intact but whose response inhibition is not, meaning the difficulty is tuning out distractions rather than focusing, which changes both the guidance she gives and the medication she reaches for. "It's not like one thing fits everybody," she says. "Everybody has different symptoms within these diagnoses."
Progress in mental health treatment can be hard to feel, and a trendline lets Gabrielle show measurable improvement alongside what is still worth working on. Patients respond to that, and completion rates on assessments sent home have gone up.
The EHR integration supports the operational side, moving results into the chart automatically. That returns 5 to 10 minutes per patient to front office staff.
“Creyos supports my decision-making. Having these reports gives me clear answers about where there are deficits, like in attention, versus other types of measures. I'm really able to read out a patient's specific symptoms and target which medication I think will work best for them.”
What diagnostic clarity gives a patient
Patients leave with an explanation that accounts for their symptoms and a treatment aimed at what the assessment found. When the answer is a different condition than the one they came in for, they are pointed toward the right care instead of spending months on a treatment that was never going to work.
The effect is largest for the youngest patients. Gabrielle uses the pediatric assessments from age 6, and describes what happens when a high schooler who has struggled for years finally gets an explanation. "It's so empowering for patients to know it's something with a name, that it's validated for them," she says. "It's really something that is going on."