Suburban Behavioral Health Services

07/28/2025

www.suburbanbhs.com

07/01/2025

06/26/2025

What is SPRAVATO® (esketamine)?
SPRAVATO® (Esketamine Nasal Spray)

How it works:

Esketamine targets glutamate, a brain chemical involved in mood regulation. It works faster than most traditional antidepressants, with patients often seeing improvement within the first few treatments

What to expect:

▪️Urine drug screening required prior to treatment
▪️Administered in our clinic under provider supervision
▪️Patients will be monitored for 2 hours by staff, with intermittent blood pressure checks
▪️Sessions begin as 2 times/week for the first month, then once weekly for the second month, then once every 2 weeks or once monthly for maintenance if recommended based on treatment response
▪️Due to sedative effects, designated driver is required to and from each appointment

Side effects:

▪️Dizziness, nausea, sedation, dissociation (feeling detached from reality)
▪️Short-term increase in blood pressure

Not recommended in patients with:
▪️Active substance use or abuse
▪️Aneurysmal vascular disease (including thoracic and abdominal aorta, intracranial and peripheral arterial vessels) or arteriovenous malformation.
▪️History of intracerebral hemorrhage.
▪️History of hypersensitivity to esketamine, ketamine, or related.

Pauleana Stevanovski, PA-C

06/26/2025

What is TMS❓

How it works:
A device placed on the left side of your scalp sends painless magnetic pulses to stimulate neurons in an area of the brain called the prefrontal cortex. This helps "reset" brain activity in people with depression by improving communication in mood-regulating circuits.

What to expect:

Outpatient sessions 5 times/week for a total of 35 sessions
The first appointment is the ‘mapping’—where’ we use our technology to determine something called your motor threshold. This allows us to find your treatment threshold, which is 120% of the motor threshold, and the level of stimulation we give you at each treatment
Sessions last about 20–40 minutes each
No sedation - you can drive yourself to and from appointments!

Side effects:

Mild headache or scalp discomfort
Very low risk of serious side effects - no memory loss as compared to electroconvulsive therapy (ECT)

❌Not recommended in patients with:

Intracranial metal implants such as cochlear implants, aneurysm clips, or stents
Presence of other implantable medical devices, such as pacemakers
History of adverse events related to previous TMS therapy

🚧Caution in those with pregnancy, severe or recent heart disease, intracranial stimulation electrodes, cardiac stents or pacemakers, hearing impairment, epilepsy, or elevated intracranial pressure.

Pauleana Stevanovski, PA-C

05/29/2025

Supportive relationships and connected communities foster a sense of belonging and promote mental well-being for all.
• Strong mental health is for everyone—and support should be available to all.
• Each person’s mental health journey is unique—a strong support system makes a difference.
• Prioritizing self-care and seeking support strengthen resilience and well-being.
• Social connection and community support play a vital role in mental health and recovery.
• Open conversations about mental health help break stigma and encourage people to seek support.

05/28/2025

This is a testament to the team we have and our medical director, Dr. Mazhar Golewale. Thank you Dr. G, for choosing such a wonderful team!
"Dr. Golewale is highly professional and cares about his patients. The office staff is consistently friendly and helpful, making you feel comfortable. The care you receive is personalized; they are kind, understanding, and patient with everyone." ⭐️⭐️⭐️⭐️⭐️ (real patient)

05/28/2025

Here's another one! Way to go Pauleana!!! ⭐️⭐️⭐️⭐️⭐️ (real patient)
Pauleana has been one of the best healthcare professionals I’ve worked with. She listened closely, asked thoughtful questions, and took detailed notes during our sessions. I felt genuinely heard and understood. She was patient, kind, and never made me feel rushed. Her office is also really nice; you can tell she puts care into creating a welcoming and comfortable space. I highly recommend her for anyone seeking help with ADHD or mental health support.

05/28/2025

Another Awesome Review! Way to go Hailey!!! ⭐️⭐️⭐️⭐️⭐️ (Real patient)
"Hailey Richter is a wonderful resource to me, listens to what I’m saying, and works with me to find the best path to go. I feel comfortable with her, opening up about things in my life that could affect my treatment, and I trust the direction she has guided me in. I have been working with her a little over a year now, and I’m very happy with the support I have received from her."

05/28/2025

Positive Review!!!! Way to go Meagan! (Real Patient)⭐️⭐️⭐️⭐️⭐️
"Meagan Donner is the best psych in the world. After 32 years of being in need of psych support, I can honestly say I’ve never experienced a more brilliant, thorough and compassionate psychiatrist in my life! She makes me feel seen, listens like no other, and has helped brilliantly create a med regimen that has saved my life."

05/15/2025

Meet our newest PA-C, Pauleana Stevanovski😊 Pauleana Stevanovski, PA-C is a certified and state-licensed physician assistant at Suburban Behavioral Health Services in Oakbrook Terrace and Wheaton, Illinois.

Pauleana graduated with distinction from Michigan State University with a Bachelor of Science in Physiology and a minor in Health Promotion. She then went on to obtain her Master of Medical Science in Physician Assistant Studies (MMS) at Midwestern University in Downers Grove, IL. Pauleana has gained valuable experience in previous roles as a nursing assistant and medical assistant, caring for diverse patient populations, including underserved communities, adolescents and the geriatric population.

Pauleana aims to provide compassionate and holistic care that focuses on both mind and body. Her approach is rooted in the belief that any coexisting medical conditions or stressors are best cared for when the mind is too. Pauleana treats a variety of mental health conditions, such as mood disorders, anxiety disorders, and personality disorders, among others. She is also interested in alternative psychiatric treatments and lifestyle interventions. She is LGBTQ+-affirming.

Her goal is to foster a comfortable environment for all patients where they feel heard, understood, and valued. Pauleana sees patients as more than their diagnosis and encourages each to play an active role in their mental health journey to find the care regimen that will lead them to healing, remission, and/or recovery.

Outside of work, Pauleana is an avid concert-goer, soccer player, artist, cat mom and Detroit Lions fan.

To schedule an appointment with Pauleana, call the nearest Suburban Behavioral Health Services office or book an appointment online today. www.suburbanbhs.com 630-613-9800

05/08/2025

Mental health is essential for overall well-being at every stage of life. Regardless of age, background, or experience, prioritizing mental health strengthens individuals, families, and communities. www.suburbanbhs.com

04/18/2025

🫶 Volunteering, helping a friend or neighbor, or teaching someone a new skill fosters a feeling of connection and is good for your mental health! During and beyond, make a difference in someone’s life. samhsa.gov/find-support/helping-someone www.suburbanbhs.com