The Guerra Fisher Institute
home about us medical staff nursing staff contact us
Electroconvulsive Therapy (ECT) in Boulder, Colorado

Frank Guerra, MD, DLFAPA, FACA

Dr. Frank Guerra is a graduate of The Johns Hopkins University School of Medicine and completed residencies in psychiatry and anesthesiology at the Universities of Colorado and Pennsylvania. He has been twice elected President of the Colorado Psychiatric Society and is Clinical Professor of Psychiatry and Anesthesiology at the University of Colorado School of Medicine. Dr. Guerra is the recipient of The Lifetime Achievement Award of the Colorado Psychiatric Society in April 2012.

Dr. Guerra brings over forty years of consultative experience in psychiatry and anesthesiology. Dr. Guerra served in The United States Navy and the former Lieutenant Commander (LCDR) Guerra was Chief of Anesthesiology from 1973 to 1975 of Naval Hospital Lemoore in Lemoore, California. He has participated in over 65,000 electroconvulsive therapy procedures as a consultant for patients who are either treatment resistant or experiencing life threatening psychiatric illness. Prior to pursuing full time psychiatric consultative work, he was President of Metro Denver Anesthesiologists. Dr. Guerra represented the Colorado Psychiatric Society in the Assembly of the American Psychiatric Association for ten years. Dr. Guerra also serves as a member of the Board of Directors of the Colorado Physicians Health Program and is an Honorary Board Member of Mental Health America Colorado.

Dr. Guerra evaluates patients who are referred by other psychiatrists, treating often life-threatening psychiatric illness. These include major depression, bipolar disorder (manic, depressed, or mixed/rapid cycling), catatonia, and suicidality. Patients are given a thorough evaluation with emphasis on diagnosis, treatment history, medical conditions, and appropriateness for electroconvulsive therapy. Patients and their families are educated in detail regarding reasons for recommending treatment, potential side-effects and complications. The history and effectiveness of ECT is detailed as is the likelihood of success in each case. As of November 2012, Dr. Guerra is no longer accepting new psychiatric patients, but he will continue to care for ECT patients in an anesthesiology capacity.

Daniel Fisher, MD

Dr. Daniel Fisher is a board certified adult Psychiatrist with two decades of experience in his field. Specializing in Treatment Resistant Mood Disorders, Dr. Fisher offers comprehensive, expert consultation and second opinions for patients referred by other psychiatrists and primary care doctors. Recommendations are then made involving the use of a variety of treatment modalities; these range from psychopharmacology, behavioral interventions, alternative/complementary approaches, and, when necessary, Electroconvulsive Therapy.

Referral for some newer "neuromodulatory" treatments including Transcranial Magnetic Stimulation or the still experimental, albeit highly promising, Deep Brain Stimulation may also be considered. The evaluations are exhaustive and thorough, with emphasis on accurate diagnosis, obtaining additional input from family members when appropriate, in depth review of medical history, analysis of prior psychiatric treatment efforts, and ultimately feedback and education about diagnosis and relative risks and benefits of treatment alternatives.

ECT is a treatment that has been in existence for over seventy years, and it represents a safe, often life-saving, alternative for the patients who suffer from the most severe forms of Depression and Bipolar illness, and who have not achieved adequate relief with other treatments. Dr. Fisher has started ECT programs in the Boulder area, and has safely performed over 15,000 treatments.

Dr. Fisher practices in Boulder, Colorado with his partner, Frank Guerra, MD at the Guerra Fisher Institute at Boulder Community Hospital. The Institute recently welcomed Leon Que, MD, a recent graduate of the residency program at Johns Hopkins.

Dr. Fisher graduated summa cum laude from Princeton University, and with Honors from the University of Michigan Medical School, where he attended on a full, merit-based scholarship. He did his residency training in New York City before continuing his career in Colorado. He is a volunteer Clinical Instructor of Psychiatry at the University of Colorado School of Medicine. Prior to coming to Boulder Community Hospital, Dr. Fisher was at Centennial Peaks Hospital for fifteen years. He was Chief of Staff and the Medical Director of the Adult Services at this 72 bed free standing psychiatric hospital, where he developed its ECT program. He lives in Boulder with his wife, Michelle, and two young children.

Michelle Fisher is Psychiatric Mental Health Nurse Practitioner who has recently joined Dr. Fisher in a joint practice using psychopharmacology and psychotherapy. She brings to the practice the added expertise that comes in having been a Family Practice NP prior to specializing in behavioral medicine.

Christopher B. Reyburn, M.D.

Dr. Christopher Reyburn is from the Mountain West, growing up in Colorado and Wyoming and receiving his undergraduate degree from the University of Wyoming. He received his medical degree from Creighton University and completed training in general psychiatry at Vanderbilt University Medical Center.

In his 17 years of clinical work, Dr. Reyburn has practised inpatient and outpatient psychiatry in Wyoming, Idaho and Colorado. He has interest and expertise in neuropsychiatry and the treatment of resistant depression and chronic mental illness.

Dr. Reyburn is board-certified in general psychiatry by the American Board of Psychiatry and Neurology.

The Guerra Fisher Institute
1155 Alpine Avenue
Suite 385
Boulder, Colorado 80304
United States of America
Phone: (303)440-2456
Facsimile: (303)440-2427