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:
Initial Evaluation
75 minutes ($550)
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After your free 15 minute phone consultation, we will schedule your evaluation and you will fill out consent and history paperwork online through my secure electronic health record. In a 75 minute evaluation, we will review the issues bringing you in to see me as well as your history. At the end of the visit, we will discuss a provisional diagnosis and treatment plan that will help you meet your goals.
A treatment plan can include medication, supplements, laboratory testing, genetic testing, behavioral strategies, and psychotherapy. If further information or testing is needed and you are interested in medication, the decision about prescribing medication may be made at a follow up appointment.
If after this visit I don’t think I’m the best fit for your needs or you don’t want to continue working with me, I will provide you with referrals who would be better able to help you reach your goals.
Extended Follow Up
50 minutes ($395)
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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
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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)
