Explore Our Services
Explore our range of services designed to help you move forward with confidence, wherever you're headed next.
What We Offer
Not feeling your best self? We offer a range of services to meet the needs of every client.
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Discussion and treatment planning of common and complex mental health problems. This includes an integrative approach if desired.
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Testing and treatment of women’s and men’s (coming soon!) hormone levels with BHRT.
Bioidentical hormones are hormones that have the exact same chemical structure as the hormones your body naturally produces.
Female Benefits:
Vasomotor symptoms: Approximately 75% reduction in hot flashes and night sweats
Genitourinary symptoms: Relief of vaginal dryness, painful intercourse, and urinary symptoms
Bone health: Reduced risk of osteoporotic fractures (approximately 25% reduction)
Quality of life: Improved sleep, mood, and daily functioning related to symptom relief
Sexual Dysfunction Symptoms That May Improve with BHRT:
Physical symptoms:
Vaginal dryness - decreased natural lubrication
Dyspareunia (painful intercourse) - particularly effective improvement with estrogen therapy
Vaginal atrophy - thinning and inflammation of vaginal tissues
Decreased lubrication during sexual activity
Vulvovaginal discomfort or irritation
Desire and arousal symptoms:
Low sexual desire (hypoactive sexual desire disorder) - at least 23% of postmenopausal women experience distressing low desire
Decreased arousal - difficulty becoming sexually excited
Difficulty achieving orgasm
Decreased sexual satisfaction
Men's Symptoms Indicating Potential Need for BHRT (Testosterone Therapy)
Sexual Symptoms (Most Specific for Testosterone Deficiency):
Decreased morning erections - reduced frequency or absence of morning/nocturnal erections
Low sexual desire/libido - reduced interest in sexual activity
Erectile dysfunction - difficulty achieving or maintaining erections sufficient for intercourse
Reduced frequency of sexual thoughts
Decreased sexual satisfaction
Physical Symptoms:
Decreased muscular strength and reduced ability to perform vigorous activity
Loss of body hair (facial, axillary, pubic)
Reduced muscle mass and increased body fat
Decreased bone density or fractures with minimal trauma
Gynecomastia (breast tissue development)
Small or shrinking testes
Fatigue and reduced endurance
Hot flashes (less common than in women)
Psychological/Cognitive Symptoms:
Reduced energy and motivation
Depressed mood
Poor concentration and memory
Irritability
Loss of confidence
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Feel like you’re struggling with symptoms of hypo/hyperthyroid? Let us evaluate.
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Combining both mental health and hormone treatment (if indicated)
Pricing
“You pay for what you get” earns a spot here with all-inclusive treatments including medication management, therapy, supplements, lifestyle coaching, sleep hygiene and more. Read more details below!
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Time for complete history and treatment planning
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Extensive treatment planning and/or therapy
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Typically used to go over lab results or add in therapy
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A typical follow-up to discuss medication adjustments
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A quick check-in to say things are good
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Includes:
• Comprehensive hormone assessment
• Mood stability screening
• Risk evaluation
• Lab ordering
• Treatment plan development
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• Lab interpretation
• Initiation or adjustment of hormone therapy
• Education and safety monitoring
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• Dose adjustments
• Symptom reassessment
• Ongoing monitoring
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Existing psyciatric care clients have the option of adding hormone management to our current treatment plan. The add-on includes additional updated hormone labs, as well as medication initiation.
*Subsequent follow up appointments will be charged as “combo”
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For those who want integrated management of mood, anxiety, sleep, and hormone therapy under one provider.
Includes:
• Full psychiatric evaluation
• Hormone symptom assessment
• Medical and risk review
• Lab ordering
• Treatment planning
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• Review lab results
• Initiate or adjust hormone therapy
• Psychiatric medication adjustments if indicated
• Risk/benefit counseling
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• Hormone management
• Psychiatric medication management
• Symptom monitoring
• Dose adjustments
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Full intake, lab review, and 2 follow up appointments
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Includes intake, lab review, and 2 follow up appointments
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Psych and hormonal intake, full lab review, and 2 follow up appointments.
Being a cash-pay business we are considered “Out of Network” but patients can be provided a receipt (Superbill) to submit to insurance for reimbursement. Labs and medications are still covered under insurance.
**Note: Medicare and Medicaid cannot submit superbills, but ask about special pricing
Specialized hormone and functional nutrition testing is out of pocket, but many are FSA/HSA available.
For patients who already have an established psychiatric provider, I offer hormone-focused care with optional coordination. My role will focus specifically on hormone evaluation and management while supporting mood stability in collaboration with your primary psychiatric clinician.
For Hormone-Only Care, patients must maintain an established psychiatric provider if actively treated for a psychiatric condition unless switching practices
Who We AreWhile we know there are many online and local competitors, we base pricing on true individualization, and combined care. Women don’t just buy hormones — they buy clarity, safety, and feeling understood. Surprisingly, men actually want that too.
As a Psychiatric Mental Health Nurse Practitioner (PMHNP), I provide comprehensive hormone and thyroid care for both women and men — integrating endocrine health with mental health in a way most telehealth startups, med spas, and even some traditional practices cannot.
Hormones, Thyroid & Mood Are Deeply Connected
Hormonal shifts — whether from perimenopause, menopause, low testosterone, or thyroid imbalance — commonly present as:
Anxiety or panic
Irritability
Depression
Insomnia
Brain fog
Low motivation
Low libido
Fatigue
Too often:
Women are placed on SSRIs when the issue is hormonal.
Men are prescribed testosterone without evaluating mood or anxiety patterns.
Thyroid dysfunction is missed — or treated without assessing psychiatric impact.
I specialize in differentiating primary mood disorders from hormone- or thyroid-driven changes. I safely integrate hormone therapy with psychiatric medications and adjust treatment thoughtfully during physiologic shifts — reducing misdiagnosis and unnecessary polypharmacy.
Thoughtful, Longitudinal Risk Management
Hormone and thyroid therapy require careful evaluation of:
Blood clot risk (VTE)
Breast cancer risk
Cardiovascular history
Migraine patterns
Metabolic markers
Trauma history
This isn’t checklist medicine. My training emphasizes comprehensive history-taking, nuanced risk–benefit discussions, and close monitoring over time — not quick-start protocols or standardized dosing.
Integrated Care — Not Symptom Chasing
Hormonal and thyroid changes affect far more than lab values.
I evaluate:
Sleep architecture, not just insomnia
Stress physiology and nervous system regulation
Trauma activation during hormonal shifts
ADHD vs. estrogen-related cognitive changes
Testosterone vs. depression overlap
Thyroid vs. mood vs. perimenopause interactions
This is whole-person, systems-based care — not algorithm-based prescribing.
Care for Women and Men
For women, I address the full spectrum of perimenopause and menopause, including mood, cognition, sleep, and identity shifts.
For men, I evaluate low testosterone within the broader context of mental health, stress load, metabolic health, and life stage — not just a single lab number.
Both deserve nuanced, individualized treatment.
Continuity You Can Trust
Hormonal transitions are vulnerable seasons.
You deserve a provider who:
Knows your baseline
Understands your psychiatric history
Tracks patterns over time
Is local and accessible — not an anonymous portal
Relational continuity improves medication adherence, emotional safety, and long-term outcomes.
Balanced, Evidence-Informed Treatment
I avoid the extremes — overprescribing for “optimization,” underdosing out of fear, aggressively pushing pellets, or dismissing hormones entirely.
My approach is balanced, personalized, and grounded in evidence.
More Than Hormone Therapy
Hormonal and thyroid changes affect identity, sexuality, aging, career confidence, relationships, and self-perception.
You’re not just receiving prescriptions.
You’re gaining:
Hormone therapy
Thyroid optimization
Mood stability
Restorative sleep
Cognitive clarity
Emotional regulation
Safe medication integration
Trauma-informed care
A long-term therapeutic partnership