We treat mental health conditions that are manageable in an outpatient office based setting.

Call our office at 501.701.4270. Our friendly office manager Nancy will answer the phone unless she is assisting someone else. Making you speak to an answering machine and waiting for us to call you back when it is convenient to us is not how we treat our patients.   

We are in Hot Springs in the Keystone Crossing shopping center on Section Line Road. We are between the Arvest Bank building and Genesis Cancer Center. The Arkansas Heart Hospital clinic is in the same center. 

Yes, we accept most major health insurance plans and will apply for your plan if it is not on our current list. We will verify your coverage with the insurance company and explain what copays apply before services are rendered. We do not want you to encounter any unanticipated charges.

We do not accept Medicaid. If you need services we cannot provide, we will direct you to someone who can help you.

Yes. Your treatment team may recommend medication, therapy or a combination of both. It all depends on your circumstances. 

Yes. Some patients need medications, some need counseling and some need both. We work with you to develop an individual treatment plan tailored to your circumstances and needs.

Dr. Guresky reviews and signs all patient care notes. He meets with the treatment team and supervises all care delivered at Pioneer Health. 

“The unexamined life isn’t worth living.” - Socrates  

Counseling or psychotherapy has many benefits. The goal is to gain personal insight about our emotions and motives so we can make changes that allow us to live happier lives. A properly trained counselor uses proven interventions and techniques that promote self understanding and personal growth. His or her interventions go beyond what a well meaning friend or pastor can provide. An effective therapist should make you uncomfortable at times because the process involves pointing out unhealthy or maladaptive behaviors or thoughts that negatively effect your functioning. Therapy should always have set goals that are regularly re-evaluated with you. Therapy should not go on for extended periods without clearly defined objectives.

Yes, counseling sessions are strictly confidential. We go to extraordinary means to protect your privacy. Our prescribers and therapists only document enough personal information to remind them about you and your situation. We will not release therapy notes to anyone, including your insurance carrier, without your permission.

To further protect your privacy, notes are deliberately vague and non-specific. We may even redact or “black out” information deemed particularly sensitive. Our medical director personally reviews and approves all records and correspondence leaving the office to ensure that the highest standards of patient privacy have been met.