Have been going to Dr. Pakier for 3-4 years now. Like most psychiatrists seem to nowadays, 80% of the session is meds management. It seems some of the other reviewers were looking for someone to talk things out with, and they might be better off trying a couple of therapists for that.
Regarding the meds, Dr. Pakier has demonstrated the ability to recognize major changes in a patient's internal state from visit to visit, ask the patient questions about how long / how often and external factors that may be causing or exacerbating the new presenting symptoms, and only then consider adjusting meds (without having to look up side affects, etc.). For me, I'm actively working on resolving behavioral issues and sometimes things get worse before they get better - he isn't thrown off by these temporary variations in the trajectory of a long change, but is still flexible enough to provide some "relief" when we both feel that a variation is significant enough to interfere with long-term improvement in a particular area. _This_ is where he shows his caring, shows that he's really paying attention.
In summary, my experience is that Dr. Pakier is a solid professional who knows his business and, perhaps, is most effective when the patient is also seeing a therapist intent on ultimately reducing the patient's meds to the bare minimum over time, if not zero. Dr. Pakier supports this goal and is very willing to maintain communication with a patient's therapist so that everyone is on the same page regarding where the patient needs to "go", and how to best get them there.
Would definitely recommend to family & friends - and have. read more