What Care Here Looks Like

Based in Montrose, this practice provides mental health care in Montrose, CO, along with telehealth services to adults across Colorado.

Your first appointment is 60 minutes. Thorough, and designed to give us a genuine picture of your health.

We begin by understanding your full story: your symptom history, prior treatments, what's worked and what hasn't. We assess mood, anxiety, sleep and concentration, and, where symptoms point that way, the hormonal patterns behind them.

This evaluation includes:

• Comprehensive psychiatric assessment, with hormonal evaluation where symptoms warrant

• Review of prior labs, medications, and treatment history

• Evaluation of cycle patterns, perimenopause and thyroid function when relevant

• Diagnostic clarity and a clear, individualized treatment plan

• Lab review and ordering

Follow-up treatment may include:

• Medication management
• Monitoring symptoms across hormonal shifts
• Estrogen, progesterone, testosterone, or thyroid management when clinically appropriate
• Treatment adjustments during perimenopause or other transitions

Hormone-informed care is integrated into psychiatric treatment when indicated not offered as a separate service.

• Depression
• Anxiety and panic
• PTSD
• Adult ADHD
• Bipolar disorder
• Mood instability

• PMDD and cycle-linked mood changes
• Insomnia
• Hormone-related mood and anxiety changes

• Obesity affecting mental health

Telehealth psychiatry for the Western Slope and everywhere else in Colorado.

I provide hormone-informed evaluation and management for adults when symptoms of mood, cognition, energy, sleep, or sexual health may be influenced by hormonal factors.

Care focuses on careful assessment, appropriate use of laboratory data, and ongoing monitoring rather than one-time treatment decisions.

Areas Commonly Addressed

• Perimenopause and menopause-related mood and sleep changes
• Hormonal influences on anxiety, depression, and irritability
• Low libido and sexual health concerns
• Testosterone, estrogen, and progesterone evaluation and management
• Thyroid-related symptoms impacting mental health

Hormone and sexual health care is integrated thoughtfully into psychiatric treatment when clinically appropriate and is guided by safety, evidence, and individual goals.