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Dr. Richard Granese, MD

Specializes in: Psychiatry
St. George's University School of Medicine
Professional interests include: depression, anorexia, personality disorders, and more.
30101 Town Center Drive
Laguna Niguel, CA 92677

Dr. Richard Granese, MD is a psychiatrist in Tustin, CA specializing in psychiatry. He graduated from St. George's University School of Medicine. Dr. Richard Granese, MD is affiliated with Providence St. Mary Medical Center, Hoag, Providence, Providence Mission Hospital - Laguna Beach, TELEMEDICINE GROUP PC, Providence St. Jude Medical Center, MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT, Providence Mission Hospital - Mission Viejo and JOHN C FREMONT HEALTHCARE DISTRICT.

View Doctor's Full Profile (949) 489-5564

Office Locations

Hoag

14351 Redhill Avenue Suite C
Tustin, CA 92780
(949) 320-3428
(949) 606-9969
open_in_new
2719 N Air Fresno Drive
Fresno, CA 93727
(714) 532-6811
(714) 532-5487
open_in_new

Providence Mission Hospital - Mission Viejo

30101 Town Center Drive
Laguna Niguel, CA 92677
(949) 489-5564
open_in_new

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Some issues Dr. Richard Granese, MD can help you with:

Bulimia

Bulimia nervosa, typically called bulimia, is a disorder where people binge (eat large quantities of food) and purge the food that they just consumed by vomiting, laxative abuse, fasting, or excessive exercise. This behavior is usually motivated by a feeling of powerlessness over eating and a fear of weight gain or desire for weight loss. Bulimia can occur in underweight, normal weight, and overweight people. Common symptoms of bulimia include:

  • Acid reflux
  • Intestinal distress
  • Dehydration from purging
  • Amenorrhea (the absence of menstruation)
  • Dental erosion from vomiting
  • Stomach ulcers
  • Delayed stomach emptying

Some people with bulimia may have swollen parotid glands (salivary glands near the cheeks) that give their face a puffy "chipmunk" appearance. Their skin may look dehydrated and dull from repeated purging. Red scars and marks on the backs of the knuckles are prevalent in those with bulimia. Eating disorder experts may refer to these as "Russel's sign," named after a well-known psychologist.

However, others with bulimia may not show any outward signs of having an eating disorder. They may deliberately hide their eating habits or conceal their purging after a meal. It is important that family members and friends help loved ones with bulimia seek treatment. While many people with bulimia are still able to lead outwardly successful and active lifestyles, bulimia may have lasting and severe consequences to one's health. Electrolyte imbalance from bulimia is particularly dangerous and may lead to heart attack or stroke. Similarly, continued dehydration and disturbances in electrolyte levels can cause kidney damage and reduced kidney function.

Treatment for bulimia typically includes therapy and nutrition counseling. Eating disorder support groups, both online and in person, are often beneficial to recovery. Medical professionals may also look to treat the mental health problems that frequently accompany bulimia, which are body dysmorphia, post-traumatic stress disorder (PTSD), and depression. Dietary specialists can assist patients with reintegrating foods into their diet and increasing consumed calories. Some patients may attend inpatient rehabilitation or eating disorder clinics, which provide all of the above treatments in a residential facility.

Fortunately, many people recover from bulimia and are able to fully restore their health.

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

  • Feeling sad, guilty, empty or hopeless
  • Fatigue and a lack of energy and motivation
  • A loss of pleasure in activities that were previously enjoyed
  • Unusual sleep or eating habits
  • Mental fog -- trouble concentrating, remembering, or making decisions
  • Physical aches and pains
  • Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Seasonal Affective Disorder (SAD)

Seasonal affective disorder (SAD), also known as seasonal depression, is a mood disorder that causes people to develop depression around the same time every year. For those with seasonal affective disorder, a change of season induces negative emotions and unhappiness. SAD most frequently begins during the transition to fall and winter months and ceases in the springtime (known as fall-onset depression). At times, SAD can arise in the early summer and end in the fall, although this spring-onset depression is highly unusual.

Young adults ages 18 to 30 are most commonly diagnosed with SAD. For unknown reasons, more women have SAD than men. Those who have a preexisting mood disorder, mental illness, or live in a region with cloudy and dark weather are also more likely to have SAD. People with SAD may experience:

  • Feelings of hopelessness
  • Fatigue
  • Daytime exhaustion
  • Loss of interest in activities
  • Weight gain
  • Social withdrawal
  • Oversleeping
  • Headaches
  • Increased desire for carbohydrates
  • Difficulty focusing

The causes of seasonal depression are uncertain. It is suggested that the reduced daylight and sunshine of winter and fall can alter the chemistry of the brain. Sunlight may assist in the production of serotonin, a hormone that regulates mood and happiness. Less exposure to sunlight may result in decreased serotonin, leading to SAD. Other potential causes include disrupted circadian rhythms, vitamin D deficiency, and increased melatonin (sleep hormone).

A variety of treatments are used to alleviate SAD. Patients usually benefit from more than one treatment. Light therapy is a special lamp that lets off intense light. The therapy is performed at home with patients keeping the lamp a few feet away from them as they complete their regular activities. Two types of light therapy include the light box (consistently bright lamp) and the dawn simulator (lamp that gradually becomes brighter and brighter). Light therapy may be partnered with other treatments for SAD, such as:

  • Antidepressant medication
  • Increased sunlight exposure
  • Vitamin D supplements
  • Psychotherapy

SAD is more than feeling disappointed by shorter winter nights or rainy days; it is months of depression that can drastically influence mood and behavior. Fortunately, people with SAD typically respond quickly to consistent light therapy and other treatments. Self-care and relaxation are also vital to the SAD recovery process. For those with SAD, treatment can be the first step to making four or five months of the year enjoyable once again.

In The News (see more mentions in the news)

“Fear is likely the reason the Olympians' stories about the alleged robbery were less than truthful, according to Orange County psychiatrist Richard Granese.”—"Only On 2: Former Lochte Coach Has Harsh Words For Olympian", CBS News, August 2016
“Dr. Richard Granese, a specialist in psychiatric disorders of the brain, said marijuana has potential to cause irreversible damage.”—"Lecturers discuss legalized marijuana", The Orange County Register, April 2015
“Years later, Smith, along with friend and psychiatrist Dr. Richard Granese and certified drug and alcohol counselor Drew Fisher, set out on a mission to help other men affected by substance use...”—"Mental health, addiction treatment program a tribute to a son", The Orange County Register, February 2015

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2012 were hospital care, inpatient care, medication management and mental health therapy.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

diagnostic evaluation 20
hospital care 613
inpatient care 613
medication management 384
mental health therapy 102

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

doctor visit 221
hospital care 862
inpatient care 862

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 94
Female 112
Ethnicity
Non-Hispanic White 178
Black 0
Hispanic 14
Asian 0
Other 0
Native American 0
Age
From 65 to 74 61
From 75 to 84 0
85 and over 0
Less than 65 112

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2013

Hypertension 51
High Cholesterol 43
Stroke 0
Ischemic Heart Disease 25
Depression 75
Chronic Kidney Disease 23
Asthma 17
Osteoperosis 9
Atrial Fibrilation 7
Heart Failure 10
Chronic Obstructive Pulmonary Disease 18
Diabetes 20
Dementia 14
Cancer 13

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

doctor visit 521
hospital care 132
inpatient care 132

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 100
Female 162
Ethnicity
Non-Hispanic White 237
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 106
From 75 to 84 40
85 and over 17
Less than 65 99

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2014

Hypertension 56
High Cholesterol 49
Stroke 6
Ischemic Heart Disease 29
Depression 75
Chronic Kidney Disease 22
Asthma 11
Osteoperosis 10
Atrial Fibrilation 9
Heart Failure 15
Chronic Obstructive Pulmonary Disease 17
Diabetes 21
Dementia 18
Cancer 11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

doctor visit 598
hospital care 45
inpatient care 45

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 180
Female 266
Ethnicity
Non-Hispanic White 396
Black 0
Hispanic 26
Asian 0
Other 0
Native American 0
Age
From 65 to 74 204
From 75 to 84 82
85 and over 24
Less than 65 136

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2015

Hypertension 53
High Cholesterol 48
Stroke 0
Ischemic Heart Disease 22
Depression 75
Chronic Kidney Disease 20
Asthma 12
Osteoperosis 12
Atrial Fibrilation 9
Heart Failure 13
Chronic Obstructive Pulmonary Disease 13
Diabetes 20
Dementia 15
Cancer 14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

doctor visit 291
hospital care 62
inpatient care 62

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 77
Female 119
Ethnicity
Non-Hispanic White 165
Black 0
Hispanic 12
Asian 0
Other 0
Native American 0
Age
From 65 to 74 86
From 75 to 84 44
85 and over 18
Less than 65 48

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2016

Hypertension 62
High Cholesterol 58
Stroke 9
Ischemic Heart Disease 32
Depression 75
Chronic Kidney Disease 35
Asthma 22
Osteoperosis 13
Atrial Fibrilation 14
Heart Failure 20
Chronic Obstructive Pulmonary Disease 17
Diabetes 30
Dementia 24
Cancer 12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

doctor visit 276
hospital care 33
inpatient care 33

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 75
Female 115
Ethnicity
Non-Hispanic White 163
Black 0
Hispanic 13
Asian 0
Other 0
Native American 0
Age
From 65 to 74 74
From 75 to 84 36
85 and over 15
Less than 65 65

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2017

Hypertension 59
High Cholesterol 49
Stroke 12
Ischemic Heart Disease 26
Depression 75
Chronic Kidney Disease 35
Asthma 14
Osteoperosis 13
Atrial Fibrilation 12
Heart Failure 18
Chronic Obstructive Pulmonary Disease 19
Diabetes 26
Dementia 17
Cancer 10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

hospital care 32
inpatient care 32

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 22
Female 29
Ethnicity
Non-Hispanic White 39
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 17
From 75 to 84 0
85 and over 0
Less than 65 18

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2018

Hypertension 73
High Cholesterol 69
Stroke 0
Ischemic Heart Disease 47
Depression 75
Chronic Kidney Disease 51
Asthma 0
Osteoperosis 0
Atrial Fibrilation 25
Heart Failure 39
Chronic Obstructive Pulmonary Disease 33
Diabetes 47
Dementia 37
Cancer 0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

doctor visit 73
hospital care 69
inpatient care 69

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 56
Female 59
Ethnicity
Non-Hispanic White 86
Black 0
Hispanic 15
Asian 0
Other 0
Native American 0
Age
From 65 to 74 25
From 75 to 84 0
85 and over 0
Less than 65 62

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2019

Hypertension 68
High Cholesterol 57
Stroke 18
Ischemic Heart Disease 37
Depression 75
Chronic Kidney Disease 49
Asthma 15
Osteoperosis 10
Atrial Fibrilation 13
Heart Failure 31
Chronic Obstructive Pulmonary Disease 30
Diabetes 33
Dementia 38
Cancer 0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

hospital care 73
inpatient care 73

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 33
Female 52
Ethnicity
Non-Hispanic White 54
Black 0
Hispanic 0
Asian 13
Other 0
Native American 0
Age
From 65 to 74 25
From 75 to 84 16
85 and over 14
Less than 65 30

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2020

Hypertension 75
High Cholesterol 75
Stroke 22
Ischemic Heart Disease 42
Depression 75
Chronic Kidney Disease 59
Asthma 20
Osteoperosis 19
Atrial Fibrilation 0
Heart Failure 38
Chronic Obstructive Pulmonary Disease 28
Diabetes 45
Dementia 53
Cancer 0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2021 were hospital care, inpatient care and nursing home care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

hospital care 125
inpatient care 125
nursing home care 12

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 48
Female 63
Ethnicity
Non-Hispanic White 79
Black 0
Hispanic 13
Asian 0
Other 0
Native American 0
Age
From 65 to 74 34
From 75 to 84 24
85 and over 11
Less than 65 42

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2021

Hypertension 73
High Cholesterol 67
Stroke 15
Ischemic Heart Disease 44
Depression 75
Chronic Kidney Disease 50
Asthma 23
Osteoperosis 12
Atrial Fibrilation 21
Heart Failure 36
Chronic Obstructive Pulmonary Disease 35
Diabetes 43
Dementia 45
Cancer 10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

hospital care 33
inpatient care 33

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 33
Female 23
Ethnicity
Non-Hispanic White 42
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 20
From 75 to 84 0
85 and over 0
Less than 65 24

Conditions of Medicare patients treated by Dr. Richard Granese, MD in 2022

Hypertension 70
High Cholesterol 66
Stroke 0
Ischemic Heart Disease 25
Depression 66
Chronic Kidney Disease 30
Asthma 21
Osteoperosis 0
Atrial Fibrilation 20
Heart Failure 30
Chronic Obstructive Pulmonary Disease 34
Diabetes 41
Dementia 32
Cancer 0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Richard Granese, MD for Medicare patients.

The highest averages for the top procedures that Dr. Richard Granese, MD treated as a psychiatrist in Tustin, CA were hospital care, inpatient care, mental health therapy and diagnostic evaluation.

diagnostic evaluation 20
doctor visit 330
hospital care 189
inpatient care 189
mental health therapy 102
nursing home care 12

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Richard Granese, MD.

Gender
Male 65
Female 90
Ethnicity
Black / African American 0
Asian / Pacific Islander 1
Non-Hispanic White 130
Native American / Alaskan Native 0
Hispanic 8
Other 0
Age
75 to 84 22
85 and over 9
Less than 65 57
65 to 74 59

Average of Total of Conditions of Medicare patients treated by Dr. Richard Granese, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Richard Granese, MD treated were depression, hypertension, high cholesterol and chronic kidney disease.

Hypertension 58
High Cholesterol 52
Stroke 7
Ischemic Heart Disease 29
Depression 67
Chronic Kidney Disease 34
Asthma 14
Osteoporosis 8
Heart Failure 22
Chronic Obstructive Pulmonary Disease 22
Diabetes 29
Atrial Fibrillation 11
Dementia 26
Cancer 6

Education & Training

Dr. Richard Granese, MD graduated from St. George's University School of Medicine. He completed residency at West Virginia University Affiliated Hospitals. He is certified by the American Board of Psychiatry & Neurology - Psychiatry and has a state license in California.

Medical School: St. George's University School of Medicine

Residency: West Virginia University Affiliated Hospitals (2003)

Board Certification: American Board of Psychiatry & Neurology - Psychiatry

Licensed In: California

Affiliations & Hospitals

Dr. Richard Granese, MD is associated with these hospitals and organizations:

Providence St. Mary Medical Center
Hoag
Providence
Providence Mission Hospital - Laguna Beach
TELEMEDICINE GROUP PC
Providence St. Jude Medical Center
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
Providence Mission Hospital - Mission Viejo
JOHN C FREMONT HEALTHCARE DISTRICT

Ratings & Reviews

Dr. Richard Granese, MD has an average of 1.0 out of 5 stars based on 9 ratings. We collect ratings and reviews of Dr. Richard Granese, MD from all over the web to help you find the right in Tustin, CA. 

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General Payments

These charts describe general payments received by Dr. Richard Granese, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Otsuka America Pharmaceutical, Inc. $1,172 ABILIFY TABLET
$444 		REXULTI
$371 		ABILIFY MAINTENA
$233 		Nuedexta
$124
Janssen Pharmaceuticals, Inc $722 INVEGA SUSTENNA
$455 		SPRAVATO
$105 		No Product
$96 		RISPERDAL
$66
AstraZeneca Pharmaceuticals LP $345 SEROQUEL XR
$276
$69
Alkermes, Inc. $342 Vivitrol 380 mg
$155 		Vivitrol
$62
$125
Sunovion Pharmaceuticals Inc. $323 LATUDA
$323
Other $1,399 Brintellix
$368 		VRAYLAR
$229 		VYVANSE
$187 		Evekeo
$95 		Trintellix
$72 		Other
$448
Types of Payments
Food and Beverage $3,813
Education $490

Biography

Dr. Richard Granese is a specialist in psychiatry. Patient reviews placed him at an average of 1.0 stars (out of 5). Areas of expertise for Dr. Granese include bulimia, alcohol abuse, and behavioral therapy. Dr. Granese's hospital/clinic affiliations include Providence, Providence St. Mary Medical Center, and Hoag. According to Hoag, he is not acceping new patients at this time. Before performing his residency at a hospital affiliated with West Virginia University, Dr. Granese attended St. George's University School of Medicine.

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