I have been seeing Dr Koen for a number of years for severe depression and anxiety. Dr Koen is the most understanding Dr I have ever met. He really listens to me and understands what I am going through. He has been there for me at the most difficult times in my life. He is never condescending and will always explore different options of treatment with me and not just force medication on me without first exploring what is best for me. I highly recomend this brilliant Psychiatrist to anyone who needs mental health care.