Integrative Psychiatry Care

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• Comprehensive pre-intake questionnaire including past psychiatric history, medical history, lifestyle, and goals for treatment.

• Review of past medical records if relevant.

• Review of current medications/supplements.

• Sharing your story, possibly including family tree work and drawings

• Individualized treatment recommendations which may include:

  • Nutritional psychiatry - optimizing your diet to reduce mental health symptoms and taking your metabolic health into the context of your emotional wellbeing

  • Psychotherapy (values oriented, cognitive behavioral therapy, boundaries, parts work, self-compassion)

  • Ketamine assisted psychotherapy

  • Medications with careful selection and discussion of risks/benefits

  • Medication De-prescribing Taper Plan

  • Wearable technology integration

  • Sustainable lifestyle recommendations based on your symptoms and bandwidth - movement, mind-body practices, stress management, connection, light therapy

  • Action-based skills- emotional regulation, vagal nerve toning exercises, perceptual exercises (meditation, breathwork, non-sleep deep rest), cognitive reframing, practicing boundaries, interpersonal mastery

  • Customized selection of evidence-based, pharmaceutical-grade supplements/herbal options based on your labs, genetics, and symptoms

  • Evidence-Based sleep optimization - lifestyle, CBT for insomnia (CBT-I), supplements, medications, blood glucose stabilization

  • Personalized basic and functional labs to assess for underlying contributors such as thyroid and other hormone issues, metabolic dysfunction, nutrient/mineral deficiencies, oxidative stress, mitochondrial function, methylation, toxicity, co-occurring infections, inflammation. 

    • Basic labs are through your local clinic and are typically covered by insurance.

    • Thoughtful functional advanced lab testing may be considered such as pharmacogenetic testing (Genomind) especially if you have a history of medication ineffectiveness/side effects and you are looking for medication options

    • Other functional lab testing may include: Salivary cortisol testing (with DHEA), organic acid testing, mycotoxin testing, NutrEval, comprehensive genetic marker testing (3x4 Genetics).

• Integrating mental health treatment/nervous system rebalancing/reducing inflammation for other health issues you may have (thyroid issues, hormonal shifts, fibromyalgia, chronic pain, chemical sensitivities, mold, GI conditions, autoimmune conditions, mast cell activation, Candida, Lyme)

• A handout with specific recommendations and resources

• Collaboration with your wellness/healthcare team

• Ongoing communication with Dr. Burger via Charm EHR