We regard every person as unique, and every story as important.

What "evidence-based" means to us

Good psychiatry starts with good medicine. Before we reach for a psychiatric explanation, we want to know: what's your sleep like? Have your labs been checked in the last year? Are you on a medication for blood pressure or contraception that can affect mood? Could this be a thyroid issue, sleep apnea, a nutritional deficiency?

For some patients, that foundational workup alone produces substantial relief. For others, it rules out confounders and lets us confidently treat what remains.

Integrative, not alternative

Western medicine is our primary tool. Medications work, when chosen carefully. Therapy works, when matched to the patient. And a number of "integrative" approaches — nutrition, sleep, movement, light, mindfulness, herbal adjuncts used responsibly — have a growing evidence base and deserve a place in the plan.

What we're not: dogmatic. We don't push supplements over SSRIs, and we don't push SSRIs over reasonable non-medication options. We pick what fits the person in front of us.

Comorbidity is the rule

Textbook psychiatric diagnoses are useful clinical shortcuts. Real patients almost never fit cleanly into a single box: ADHD alongside anxiety alongside a trauma history. Depression with unrecognized sleep apnea. PMDD with perfectionism. We hold the whole picture and treat the whole person.

Patience with complexity

Some patients need one medication and get stable. Most need iteration — dose adjustments, sometimes class switches, sometimes the addition of therapy, sometimes deprescribing something that didn't earn its place. Our care model is built for the long arc, not the single visit.

Shared decision-making — for real

You know your body and your life better than we do. We bring clinical training, pattern recognition, and the willingness to say when we're not sure. The plan that actually works is the plan we build together.

What we won't do

• Prescribe before we've listened
• Push a protocol that doesn't fit you
• Moralize about substance use, sleep, or weight
• Dismiss somatic or "subclinical" concerns as nothing
• Pretend medications don't have side effects, or that they do when they don't
• Keep you on a medication you don't need

"Every person who walks through the door arrives mid-story. Our job is to pick up the thread — and help you turn the page."

— Dr. Ravi Hariprasad, Founder