Care for what you are actually going through
Most people arrive with a tangle of symptoms and no clear name for any of it. These are the concerns we assess and treat most often — each one approached with the same unhurried, judgment-free attention.
Anxiety
What it can feel like
A mind that runs ahead of you: racing thoughts, a tight chest, a body braced for something that hasn't happened yet. Some people feel it as restlessness, others as dread that arrives before perfectly ordinary days.
How evaluation works
The first appointment is a long conversation about when it started, what makes it worse, your sleep, your health history, and what you've already tried. Part of the work is telling anxiety apart from things it can hide behind — thyroid problems, depression, ADHD, or the effects of caffeine and stimulants.
How treatment can help
Treatment usually pairs medication, when it's appropriate, with practical education about how anxiety works in the body. Doses start low and are reviewed often, adjusted around how you actually feel rather than a fixed schedule.
Depression
What it can feel like
Everything takes more effort than it should. Interest drains out of things you used to love, sleep and appetite change, and it can be hard to explain to anyone why you're so tired. Sometimes it looks like irritability rather than sadness.
How evaluation works
We spend time on the shape of it: how long it's been going on, whether it comes and goes, how it affects sleep, work and relationships, and whether anything else — medical, hormonal, or another psychiatric condition — might be contributing.
How treatment can help
Medication is discussed openly, including what it can and can't do, how long it takes to work, and what side effects to watch for. Where it fits, treatment also covers sleep, routines, and the support that makes a difference alongside medication.
OCD
What it can feel like
Intrusive thoughts that feel like they mean something about you, followed by rituals or checking that promise relief and never quite deliver it. It is exhausting, often invisible, and frequently kept private for years.
How evaluation works
An evaluation maps the cycle — the thoughts, the triggers, the rituals, and the time they take from your day. Distinguishing OCD from anxiety, perfectionism, or habits matters, because the treatment approach is specific.
How treatment can help
Medication, when used, is chosen and dosed for OCD specifically, often differently from how it is used for anxiety. Treatment is explained step by step, with attention to tolerability and a realistic pace you can live with.
PMDD
What it can feel like
Mood that drops in the days before your period and lifts once it starts — irritability, hopelessness, or a sense of being a different person for part of every month. It is a real condition, not a personality flaw or something to push through.
How evaluation works
Diagnosis starts with a careful history and, often, tracking symptoms across at least two cycles so the pattern is clear. We also consider depression, anxiety and thyroid conditions that can look similar.
How treatment can help
Options include medication taken continuously or only in the luteal phase, alongside conversation about what has and hasn't helped before. The plan is reviewed with your cycle in mind, not against a generic calendar.
ADHD
What it can feel like
Focus that slips mid-sentence, tasks that pile up, time that disappears, and a long history of being told you aren't trying hard enough. For many adults it shows up as exhaustion from holding everything together.
How evaluation works
A proper evaluation looks at your whole life, not just this month: school years, work history, relationships, sleep, and what you've already tried. Other explanations — anxiety, depression, sleep disorders, thyroid issues — are considered before any diagnosis is made.
How treatment can help
Where medication is part of the plan, it is started carefully with close attention to dose, timing, sleep and side effects. Education about how ADHD works is part of the treatment, not an extra.
Sleep Disorders
What it can feel like
Nights that won't come together, mornings that start far too early, or sleep that never feels restorative. Days start on empty, and mood, focus and patience follow.
How evaluation works
We look at your sleep pattern in detail — when you go to bed, what wakes you, how you feel in the morning, caffeine and alcohol, and how long this has been going on. Psychiatric symptoms and sleep problems are closely linked, so both are assessed together.
How treatment can help
Treatment depends on what's keeping you awake, and often includes addressing the condition underneath it. Medication, where used, is chosen for tolerability and reviewed regularly rather than continued indefinitely.
Adjustment Disorder
What it can feel like
Something in your life changed — a move, a job, a breakup, an illness, a loss — and you haven't found your footing since. The reaction is real and often out of proportion to what others expect, which can make it feel lonely.
How evaluation works
An evaluation focuses on what changed, when symptoms began, and how they are affecting sleep, work and relationships. Ruling out depression, anxiety disorders and other conditions matters, because adjustment difficulties can sit alongside them.
How treatment can help
Care is usually short-term and practical: support, education, and medication only where symptoms are significant enough to need it. The goal is to help you get back to functioning while the situation settles.
Life Transitions
What it can feel like
A new city, a new role, caregiving, a separation, or a chapter ending earlier than you expected. Sometimes the change is good and still overwhelming — and there is no script for how long it should take to feel normal again.
How evaluation works
We talk through what the transition has taken from you and what it demands, and we check whether something more than adjustment is going on — untreated anxiety, depression, or a condition that has been quietly building.
How treatment can help
Medication is used thoughtfully and only where it clearly helps; much of the work is education, structure and steady follow-up through the months a transition takes. Nothing is prescribed without a conversation about what you want from it.
No label required
Not sure where you fit?
Most people aren't sure what to call what they're feeling, and that's a perfectly good place to start. A first evaluation is how we work it out together — no preparation, no label, and no obligation to continue.
Start here
Taking the first step doesn't have to feel overwhelming
One short conversation request is enough to begin. You'll hear back within one business day — no pressure, no obligation.