Beyond “medication management

My patients want to work with a psychiatrist who uses interventions that extend beyond medications to help them.

My approach considers and incorporates:


  • Conventional Psychiatric Treatments: standard mental health medications and psychotherapy

  • Lifestyle Factors: nutrition, movement, sleep, and light exposure

  • Medical Context: nutrient deficiencies, genetic differences, and hormonal or medical issues that may contribute to psychiatric symptoms

  • Supplements and Natural Therapies: evidence-based supplements

  • Mind-Body Practices: mindfulness and meditation

  • Psychotherapy: “talk therapy”

Could it be my hormones?

🌸 In a short answer, yes! Times of hormonal change increase the risk of mental health challenges.

💉 With specific training in prescribing hormones in PMDD, perimenopause and menopause, if your symptoms are caused or exacerbated by hormonal changes, we can consider whether hormone therapy could help you.

🍃 However, there are many ways beyond hormonal therapies to help with symptoms. We can discuss other medications, evidence-based supplements, diet, exercise, and lifestyle changes.

Do symptoms have to be related to hormones to work with together? No! Thinking about hormones is just one example of how we would go beyond the surface to understand your current experience.

How it works:

midlife women's psychiatrist

Initial Evaluation

75 minutes ($550)

  • Think of this as a deep-dive investigation. Whether you are looking for a new therapist or already have a provider you love, we start by understanding the landscape of your biology and your life.

    • The Session: We spend over an hour reviewing your history, current symptoms, and specific goals. We don’t just look at a checklist; we look at the context of your hormones, lifestyle, and career pressures.

    • The Clinical Determination: At the end of our visit, we will discuss a roadmap for your care. While medication may be initiated during this first visit if clinically indicated, my priority is a thorough investigation. In many cases, we may wait for lab results or further data to ensure the most precise and safe treatment plan.

    • Flexible Models of Care:

      • Combined Treatment: For those seeking a single point of contact for both specialized psychotherapy and medical management.

      • Collaborative Medical Management: For those who already have a therapist they value. I provide physician-led biological and medical care, working in communication with your existing provider to ensure your treatment is seamless.

    • Good Faith Estimate

      • A personalized Good Faith Estimate will be provided to you through the secure patient portal upon scheduling your initial evaluation

Extended Follow Up

50 minutes ($395)

  • This visit length is for established patients and is used for:

    • patients wanting a longer, unrushed appointment time

    • more complicated treatment plan discussions that cannot be done in 25 minute appointments

    • psychotherapy appointments

Established Follow Up

  • This visit length is for established patients and is used:

    • to discuss progress towards goals

    • to check in about medication progress and make medication adjustments

    • to follow up on lab or other testing results

25 minutes ($265)