Services Offered at Atkinson Family Practice

Sleep Consultations and Counseling

with Dr. Wendy Chabot

Sleep is one of the pillars of good health. For various reasons, many of us are not receiving the innumerable mental and physical benefits of sleep. While sleep medications may provide short-term relief from sleep difficulties, their long-term safety and efficacy are unknown.

Individual behavioral sleep consultations are available for people of all ages to explore non-medicinal approaches to improving sleep. Before you can schedule your appointment, there is a packet of questions Dr. Chabot requests you fill out so that she may be the most prepared for your intake appointment. Please call the Front Desk at (413) 549-8400 to request one.

The Balance Clinic

with Deb Ellis, MSPT, NSC

Are you concerned about your balance? Have you had any falls in the last six months? Do you wonder if you should be working on your balance more actively to prevent problems? If so…


Come to the Monthly Balance Clinic for a FREE Balance Assessment!

Give the Front Desk a call at (413) 549-8400 to schedule your assessment, or to find out more.

TMS Therapy

with Dr. Nora Schwartz-Martin

Atkinson Family Practice is the proud home of an exciting new alternative treatment for individuals with depression called TMS! TMS stands for Transcranial Magnetic Stimulation, and is the first and only FDA-approved treatment for depression that does not require surgery or medication, and is safe and effective. When medication management becomes too much, side effects overwhelming, or non-traditional approaches exhausted, individuals coping with depression may have an answer at last.

According to John Hopkins, TMS is a, “non-invasive method of brain stimulation that relies on electromagnetic induction using an insulated coil over the scalp, focused on an area of the brain thought to play a role in mood regulation.” It is comparable to MRI machines in terms of the strength and pulse of the waves it generates. The rapid succession of the pulses produces lasting, healthful results in brain activity. In some cases, TMS has shown long-lasting, favorable results, and could be a long sought-after solution.

The Co-Op

with Charles Milch, MHP, MBA, PA-C & Mark Ryan, PA-C

Instead of regular suboxone follow-up meetings with providers, approved patients can attend The Co-Op every Wednesday with Charles Milch and everyone other Friday with Mark Ryan. These are approximately one hour group and patients are expected to attend a minimum of two each month.

The Co-Op is optional, but the added benefits of these meetings include: no co-pay, and they will count as part of the Twelve Step visits.

Date: Wednesdays at 5:45 p.m with Charles Milch & every other Friday at 1pm with Mark Ryan

Location: Online and In-person options

Cost: Online: no charge for AFP patients; In-Person–covered by insurance

Sign Up: Contact your provider or email

Introduction to Exercise

with Anne Ye, MSPT

Are you motivated to restart an exercise program? Are you having trouble making exercise goals and knowing what is the best approach for you?

Join Anne Ye, PT for a practical and supportive approach to restarting regular exercise.

You will learn why you do each exercise, how to get the most out of what you’re doing, how/when to make each exercise harder/easier, how to adapt each exercise to accommodate existing issues, and how to push yourself using clear, reasonable parameters. Next, you’ll work with providers to come up with ideas for an exercise progression to continue trying new things after the program is over. Participants must commit to six classes; classes are covered by most insurances with a co-pay for each class. Call the Front Desk to sign up for an upcoming session.

Watch Your Back Healthy Back Class

with Anne Ye, MSPT

Watch Your Back! Healthy Back Class helps establish each patient’s unique current baseline status regarding their back and function. The program, created by Anne, is designed to:

Reduce lower back pain

Gain postural support muscle strength

Pave a path to independence from back pain

Improve posture

Prevent future injury

Improve body mechanics & function

Each Participant Will:

  1. Work as a class and learn as an individual
  2. Be expected to perform home exercises for 15minutes a day, 6 days a week, aerobics 3x/week
  3. Become empowered to progress through the program safely and effectively
  4. Have fun!

Anxiety Coaching Group

with Judy Grupenhoff, MS, M.Ed. and Anne Vaillant, Psychiatric NP

Atkinson Family Practice is excited to announce that we are starting an Anxiety Coaching Group.  The coaching group is a six-session group medical visit for people interested in learning skills and developing strategies that can help reduce their anxiety and feelings of overwhelm.

The goal of the group is to provide guidance and support in making sustainable changes in outlook and behavior.  The group will be facilitated by Anne Vaillant, Psychiatric Nurse Practitioner, and Judy Grupenhoff, Integrative Health and Wellness Coach. You will learn techniques to manage stress and anxiety, identify goals you would like to work toward, and take small steps toward these goals each week.

This is not a drop-in group.  The sessions and skills build on each other and consistency is important for building trust and a feeling of safety within the group.  While we understand that emergencies happen, we ask that you plan to attend all six of the scheduled sessions.

Please note that prior to registering for the Anxiety Coaching Group, patients must fill out a short informational form.  Ask your provider for more information about receiving this form and registering for this series.

Nutrition Counseling

with Fatemeh Giahi Ph D, RDN, LDN and Amanda Mittman, RDN, LDN

Dr. Giahi and Registered Dietitian Nutritionist Amanda Mittman provide nutritional consulting, weight management for children, adolescents, and adults, medical nutrition therapy for obesity, diabetes, heart disease, digestive disorders, and food sensitivity.

Dr. Giahi is also the instructor of the class, Mindful Eating, which she teaches with Greg Petrosky. Call our front desk to find out about upcoming sessions!

Dialectical Behavior Therapy Skills Series

with Katherine Dixon-Gordon, Licensed DBT Therapist & Anne Vaillant, Psychiatric NP

Are you struggling to manage emotions? DBT is an evidence-based treatment that helps people who are struggling with out of control  emotions or self-destructive behaviors to build loves worth living.

DBT skills group is an important part of that treatment, and teaches mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance.

More information and resources to come.

Consent to Receive Telehealth Services Release Form

–Pre-Screening Checklist

Health & Wellness Coaching

with Judy Grupenhoff, MS, M.Ed., NBC-HWC & Liz Gelotte, NBC-HWC

The Health & Wellness Coaches at Atkinson Family Practice help clients make positive and lasting changes to their health

A Health & Wellness Coach guides patients through the process of creating a vision for their health and well-being.  That includes developing healthy habits, sometimes introducing them to a new way of thinking about their minds and bodies, and encouraging them every step of the way until they accomplish their goals.

Coaching Intake Form

MCAS Support Group HIPAA Agreement

Stress Management Program

with Chaia Wolf, LICSW

How do we know we are stressed? Well, our body gives all sorts of indicators…

  • BODY
    • Headaches, frequent infections, taut muscles, fatigue, skin irritations, breathlessness
    • Loss of confidence, more fussy, irritability, depression, apathy, alienation
  • MIND
    • Worrying, muddled thinking, impaired judgment, nightmares, indecisiveness, negativity, hasty decisions
    • Accident prone, loss of appetite, loss of sex drive, drinking more, insomnia, restlessness, increased smoking

There are many physiological reactions to stress. Prolonged stress can lead to many diseases, such as…

  • Hypertension
  • Stroke
  • Heart disease
  • Kidney disorders
  • Depression
  • Alcoholism
  • Gastro-Intestinal disorders
  • Sexual Dysfunctions
  • Auto-immune disorders
  • Irregular menstrual cycles
  • Trigger migraines
  • Maternal stress can be harmful for both mother and expected child during pregnancy

The set of physical changes your body makes in response to a threat is called a negative stress response. In these types of stressful situations, the body releases chemicals that trigger…

  • Increased heart rate and blood pressure
  • Rapid breathing
  • A sudden rush of strength
  • Slowed digestion
  • Dilated pupils

Many lifestyle events can cause stress to occur including, but not limited to, the following…

  • Major life events, college, daily life hassles, illness, impact of multiple roles expected of women, employment, financial stress
  • Impact of economic status, complex family structure, ethnic minority, quality of family relationships, intensity of the labor market

Boston Heart Diagnostics


Dear valued patient,

We regret to inform you that our office will no longer be offering the Boston Heart Diagnostics lab services. This decision has come after much deliberation and thought. We have come to realize that offering this lab service is no longer sustainable for our office and staff. Also, with decreased insurance reimbursement, our patients are getting larger bills and are being sent to collections if they do not pay. Unfortunately, we no longer have the agreement with Boston Heart that our patients’ bills will be written off.

Our primary care providers will consider ordering comparable labs on a case-by-case basis. If you have conditions being monitored through Boston Heart labs, please discuss alternative options with your PCP. They will determine which labs are necessary to manage your medical condition. Please keep in mind that the labs options will be less extensive than the full Boston Heart panel previously offered.

Once your PCP has ordered the labs, you are encouraged to contact your insurance company to determine coverage. Please keep in mind if you have a deductible as well. Attached, you will find a list of CPT codes associated with each of the labs tests available from Quest and Baystate Reference Labs. You need to check with your insurance to see if these codes are covered. If the labs are not covered you may choose to pay out of pocket, and those costs will be determined by Quest or Baystate.

We do understand that this is frustrating and may create some inconvenience. Boston Heart has provided incredible services to our patients for the last few years. We regret that this change has become necessary. We do hope you can find a solution with your provider for ordering comparable labs as needed. Your health is our priority.

Atkinson Family Practice