A few years ago I went to Dr Butera. After several visits I had to find a real psychiatrist. Dr. Butera made a determination on my issues, not by actually talking to me like I was a real person, but by sitting a good eight to ten feet away from me. I always wondered why he didn't sit at his desk or in chairs more closely placed. I felt like he was afraid of me. Talking about things that I do not talk about, I need someone that's a little more concerned about me, and not their feelings that I might attack them so, they sit as close to the door as they can. I was also given what his determination of my mental state was/is. In Dr. Butera's opinion there was nothing wrong with me. Funny, I had a counselor and the psychiatrist she worked with that saw me. I was given PTSD tests, and several other tests checking my depression state. I would still be seeing them, but unfortunately they decided to close their office and retire. The doctor I saw after Butera was very through. By that time I wasn't sleeping more than two or three hours at night, and my thinking was a little scattered. My new doctor picked up on that, and we had a conversation about things in my life. He gave me something to help me sleep at night and a couple of pills to combat my depression. Seems that I have Cyclothymia (bipolar III) PTSD, Major depression disorder, and I'm just a little bit OCD.