Many women experience symptoms of depression or anxiety even after trying recommended treatments, including medication and therapy. In some cases, underlying biological contributors—such as iron deficiency, thyroid changes, metabolic markers, sleep disruption, or nutritional factors—have not been fully evaluated.

I offer an evidence-informed psychiatric approach that integrates careful assessment with personalized care. The goal is not to promise specific outcomes, but to improve clarity, inform decision-making, and support more tailored treatment plans.

This is not an alternative or replacement for psychiatric care—it is psychiatry practiced with a broader lens, grounded in current research and measured reasoning.

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Why This Approach

Mental health symptoms such as depression, anxiety, fatigue, and sleep disruption often have more than one contributing factor. While medication and therapy remain important and effective components of treatment, research suggests that underlying biological patterns can also influence how people feel and how they respond to care.

These factors do not explain everything, and they are not the sole cause of mental health conditions. However, in some individuals, evaluating a few key biological areas may add helpful context when symptoms persist or feel difficult to understand.

Evidence indicates that several physiological systems can interact with mood and cognitive function. Depending on the individual, the following areas may be relevant to assess:

  • metabolic health

  • inflammation

  • micronutrient status

  • thyroid function

  • iron stores (including ferritin)

  • sleep and circadian rhythm

  • physical activity patterns

  • stress physiology

This program integrates these considerations into a mental health framework. It does not assume that every factor will apply to every person or that all contributors can be identified. Instead, it provides a structured way to explore what may be relevant for you.

The approach centers around three steps:

1. Learn your history in depth — including symptoms, treatment response, lifestyle patterns, and medical context.

2. Evaluate targeted biological contributors when indicated — focusing on areas supported by evidence and your clinical presentation.

3. Create a treatment plan that reflects your findings, preferences, and goals, integrating medication, lifestyle strategies, and supportive care as appropriate.

This process is not a replacement for traditional psychiatric care but an expansion of it—designed to bring clarity, context, and more individualized direction when symptoms feel unresolved.

Who Is This For?

This program is designed for women who want a more complete understanding of what may be contributing to their mental health symptoms. It may be a good fit if you’re looking for thoughtful, evidence-informed evaluation rather than quick conclusions or one-size-fits-all recommendations.

You May Be A Good Match If:

  • You are a woman between age 23 and 54

  • Experiencing symptoms of depression, anxiety, fatigue, or changes in sleep

  • Have tried at least one standard treatment (such as medication or therapy)

  • Want to better understand potential biological contributors

  • Are open to targeted lab testing when clinically indicated

  • Value an approach that combines psychiatry with nutrition, sleep, and lifestyle considerations

  • Are comfortable with a structured, collaborative care plan

  • Prefer clear communication and shared decision-making

You do not need to have everything “figured out” to begin—only a willingness to explore your symptoms with curiosity, care, and a broader lens.

What I Evaluate

Biological factors do not explain every mental health symptom, but in certain cases they can provide meaningful context. When symptoms persist despite appropriate care, or when there are patterns that suggest a physiological component, targeted lab testing may help clarify what is contributing—and what is not.

The specific tests recommended depend on your history, symptoms, and goals. Testing is always personalized and discussed collaboratively.

The lab work and other select functional tests I recommend are commonly used in functional psychiatry clinical practice when certain symptoms—such as fatigue, sleep changes, low mood, anxiety, or difficulty concentrating—may be influenced by underlying physiological patterns. Not every test applies to every person, and many results will fall within normal ranges. That information is valuable because it helps narrow the focus of treatment.

What You Receive

This program is structured to provide individualized psychiatric care while also examining potential biological, nutritional, and lifestyle contributors to mental health symptoms. It is not a group program—each component is tailored to you.

All patients in the program receive a combination of clinical evaluation, education, and structured support designed to help clarify next steps in treatment.


Your care includes:

  • a 90-minute comprehensive psychiatric intake, including a full review of symptoms, history, and treatment response

  • targeted and comprehensive testing based on your clinical presentation and shared decision-making

  • interpretation of all completed labs with education about what the results may or may not contribute to your symptoms

  • medication management, when indicated, including careful evaluation of risks, benefits, and alternatives

  • individualized guidance on sleep, nutrition patterns, and daily routines aligned with current evidence

  • a structured schedule of follow-up treatment visits

  • nurse coaching sessions to support implementation of agreed-upon changes

  • secure messaging between sessions for clinical questions and clarification

  • coordination with outside providers (therapists, primary care, specialists) when appropriate

The problem with mental health care today is that it often treats symptoms while overlooking root causes. When real answers are missing, trust and hope fade. At Metabolic Mental, I help you uncover the biological, psychological, and lifestyle factors driving your symptoms.

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