KAIROVA is an adjunctive functional restoration programme for adults whose depression, anxiety, or cognitive fatigue has stalled despite good psychiatric care. We are a rehabilitation-model service, not a second opinion and not a transfer of care. Your patient remains your patient. You keep prescribing, you keep diagnostic authority, and we report function and symptom measures back to you.
You know the presentation. Adherent, engaged, seeing you regularly. Two or three medication trials conducted properly. Therapy attended and used well. The acute risk is managed, the diagnosis is right, and the treatment is defensible in every respect — and the patient is still not working, still not sleeping properly, still not the person they were.
In rehabilitation medicine this is familiar territory. When a condition has been correctly treated and function has not followed, function itself becomes the target of care — measured, worked on directly, and reassessed on a schedule. That is the model KAIROVA applies to mood, anxiety, and cognitive symptoms, alongside the psychiatric care already in place.
We are not an alternative to what you are doing. We are what runs alongside it when function has stopped moving.
Mikhail Artamonov, MD · Founder & Medical Director
This is the part most worth being explicit about, because it is the reason most clinicians hesitate. A referral to KAIROVA is not a handover, and there is nothing in it that competes with your practice.
We benefit when your patient improves and stays with you. Our programme is time-limited and function-focused by design; it has no reason to retain a patient who no longer needs it, and no capacity to serve as anyone's ongoing psychiatric care.
Adults eighteen and over, clinically stable, under active care, whose functional recovery has plateaued despite an adequate course of treatment.
Adequate trials conducted, partial or absent functional response. Symptom scores improved but daily function did not follow, or neither moved.
Generalised or refractory anxiety limiting work, relationships, or activity, despite appropriate pharmacological and psychotherapeutic treatment.
Concentration, processing speed, word-finding, or stamina complaints — including post-concussive and post-viral presentations — where cognition is the barrier to function.
Stable patients under care whose trauma-related symptoms continue to constrain function. Veterans and first responders included.
Patients whose mood or cognitive picture sits alongside chronic pain, where the two are difficult to separate and neither has fully responded.
Professionals holding their work together at visible personal cost, who do not present as ill and are therefore easy to under-serve.
We decline referrals that are not appropriate, and we would rather say so at the outset than after your patient has made the journey.
Write or call before referring. A five-minute conversation between clinicians resolves most fit questions, and there is no cost or obligation attached to it.
Four steps, and you hear from us at each of the ones that matter.
Your patient speaks with Dr. Artamonov directly — twenty minutes, at no cost, by telephone or video. Not an intake coordinator and not a sales call.
Full clinical evaluation with review of your records and current regimen, and a validated baseline battery. Candidacy is determined honestly; where we cannot help, we say so and return the patient to you with our reasoning.
You receive a letter after the evaluation setting out our impression of functional status, what we propose to work on, and the measures we will track — before anything begins.
A defined course of adjunctive care with reassessment at set intervals, and a closing report. Your patient continues seeing you throughout.
The clinical components of the programme are physician-administered interventions established in the literature and named openly elsewhere on this site. We are glad to discuss them with you in detail, clinician to clinician — we simply do not describe protocol specifics in referral material.
Every referred patient is measured with validated instruments at baseline and at defined intervals, and those numbers come back to you in writing. This is a rehabilitation-model programme, and measurement is not optional in it.
Scored at baseline, at defined intervals, and at conclusion. Reported to you as absolute scores and change from baseline.
Same schedule, same reporting. No proprietary or in-house scales are substituted for validated instruments.
Physical function, fatigue, sleep, cognitive function, and participation in social roles — the domains that describe whether a patient has their life back.
A letter after evaluation, at reassessment intervals, at conclusion, and at any point where something arises that you should know about.
Safety screening is conducted at intake and repeated during care. Any concern that requires your attention is communicated to you promptly and directly, not held until the next scheduled report. KAIROVA does not provide emergency psychiatric care; patients in crisis are directed to 988 or emergency services and you are notified.
Founder and Medical Director. Residency-trained in Physical Medicine & Rehabilitation at Temple University and MossRehab, and board-certified in Physical Medicine & Rehabilitation, Brain Injury Medicine, and Pain Medicine. He holds staff privileges at Lehigh Valley Health Network and active medical licences in Pennsylvania, New York, and New Jersey.
The rehabilitation model is not a metaphor borrowed for marketing purposes here. It is the discipline he trained in, applied to a population that plateaus for reasons that are neurological rather than motivational — and it is why the programme is built around measured function rather than symptom description alone.
Your patient sees him personally, from the first conversation through the duration of the programme.
There is no portal, no account, and no form to complete. Write to us with the patient's name and contact details, and whatever clinical context you consider useful.
Physician Referral
Your patient is contacted within one business day and offered a complimentary consultation with Dr. Artamonov.
(570) 872-9800, Monday through Friday. Clinician enquiries reach Dr. Artamonov directly.
Please send only what is necessary and appropriate to share, by a secure route consistent with your own practice's policies. We will confirm receipt of every referral in writing.