Integrative Psychiatry

Thoughtful mental health care that looks beyond medication.

At Thrivewell Health, integrative psychiatry takes a whole-person approach to mental health care. We consider your symptoms alongside factors such as sleep, nutrition, stress, lifestyle, medical history, current medications, laboratory findings, hormonal and life-stage changes, and your personal treatment preferences.

Medication is one treatment option—not the only option.

For some clients, care may focus primarily on non-medication strategies. For others, medication may be one part of a broader, individualized treatment plan.

Medication Is One Option—Not the Only Option

Some people seek psychiatric care because they want help but are unsure about medication, have experienced unwanted side effects, or simply want to understand whether other options may be appropriate.

At Thrivewell Health, treatment decisions are collaborative.

Depending on your individual needs, your care may incorporate strategies related to:

  • Sleep

  • Nutrition

  • Movement and physical activity

  • Stress management

  • Behavioral and lifestyle changes

  • Nutritional deficiencies

  • Supplements or nutraceuticals when appropriate

  • Medical or metabolic factors that may influence mental health

  • Psychotherapy or other behavioral-health support

  • Medication when clinically appropriate and desired

The goal is not to avoid medication at all costs—or to make medication the entire focus of treatment. The goal is to develop a thoughtful plan that makes sense for you.

Whole-Person Factors We Consider

Mental and physical health are closely connected. Symptoms such as fatigue, difficulty concentrating, irritability, low motivation, poor sleep, anxiety, or changes in mood can sometimes be influenced or worsened by factors outside of a psychiatric diagnosis alone.

Depending on your symptoms and history, we may consider:

  • Sleep quality and sleep patterns

  • Nutrition and eating habits

  • Physical activity and movement

  • Chronic stress and daily routines

  • Current medications and supplements

  • Medical conditions

  • Caffeine and alcohol use

  • Vitamin and mineral status

  • Thyroid function

  • Blood sugar and metabolic health

  • Hormonal and life-stage changes

  • Previous treatment response

  • Family and personal health history

  • Your goals, preferences, and concerns about treatment

Looking at the broader picture can help identify factors that may deserve additional attention as part of your mental health care.

Lab-Informed Care

When clinically appropriate, laboratory testing may provide additional information about medical, nutritional, metabolic, or hormonal factors that could be relevant to your symptoms.

Testing is individualized and is not required for every client.

Depending on your history and clinical needs, commonly ordered testing may include:

  • Complete Blood Count (CBC)

  • Comprehensive Metabolic Panel (CMP)

  • Thyroid testing

  • Vitamin D

  • Vitamin B12 and folate

  • Iron and ferritin studies

  • Hemoglobin A1c

  • Lipid testing

  • Selected hormone testing when clinically relevant

  • Other targeted testing based on symptoms, medications, and health history

For some clients, more specialized nutritional, micronutrient, metabolic, or other advanced testing may also be considered when clinically appropriate.

Laboratory Costs

Some standard laboratory testing may be covered by health insurance when medically necessary. Coverage, deductibles, copayments, and out-of-pocket costs vary by insurance plan and cannot be guaranteed.

Specialized laboratory testing may be self-pay and may involve fees separate from your Thrivewell Health visit.

Pharmacogenomic Testing

Using genetic information as one additional piece of the treatment picture.

Pharmacogenomic testing is a type of genetic testing that looks at how certain variations in your genes may affect the way your body processes or responds to some medications.

In simple terms, the testing may provide additional information about whether your body is likely to break down certain medications faster or slower than expected or whether particular medication-related considerations may be relevant.

Pharmacogenomic testing does not tell us exactly which medication will work best and cannot guarantee that a medication will be effective or free of side effects.

Instead, results are considered alongside:

  • Your symptoms

  • Previous medication experiences

  • Current medications

  • Medical history

  • Family history

  • Treatment response

  • Other clinical information

  • Your personal preferences

When appropriate, pharmacogenomic testing can provide another piece of information to help guide a more individualized medication discussion.

Specialized testing and laboratory fees may be separate from your clinical visit.

Nutraceuticals, Supplements & Lifestyle Support

For some clients, treatment may include carefully selected nutritional supplements or nutraceuticals as part of a broader mental health plan.

Recommendations are individualized and may take into account your symptoms, medical history, current medications, laboratory findings, nutrition, sleep, stress, and treatment goals.

Depending on your needs, recommendations may include:

  • Nutrition and meal-pattern strategies

  • Sleep optimization

  • Movement and physical activity

  • Stress-management strategies

  • Caffeine and alcohol considerations

  • Vitamin and mineral support

  • Omega-3 fatty acids

  • Selected amino acids or nutraceuticals

  • Lifestyle strategies that support mood, focus, energy, and overall well-being

Supplements are not automatically recommended for every client and are not a substitute for appropriate medical or psychiatric treatment.

Potential benefits, risks, medication interactions, laboratory findings, and product quality are considered before recommendations are made.

When appropriate, clients may receive supplement recommendations through the Thrivewell Health Fullscript dispensary.

Looking Beyond Symptoms

ADHD, Anxiety, Depression & Mood

Integrative care does not mean that conditions such as ADHD, anxiety, or depression are simply caused by a vitamin deficiency, hormone level, or lifestyle factor.

These are legitimate mental health conditions.

However, other factors can sometimes contribute to, resemble, or intensify symptoms, which is why a broader evaluation may be useful.

ADHD & Focus

Attention and executive-function difficulties may be affected by factors such as:

  • Poor sleep

  • Chronic stress

  • Nutritional deficiencies

  • Medication effects

  • Hormonal changes

  • Metabolic health

  • Other medical conditions

For clients undergoing ADHD evaluation or treatment, these factors may be considered as part of the overall clinical picture.

Anxiety

Anxiety symptoms may sometimes be influenced by:

  • Sleep disruption

  • Excessive caffeine or stimulant intake

  • Thyroid abnormalities

  • Hormonal changes

  • Medication effects

  • Chronic stress

  • Nutritional or medical factors

An integrative evaluation may help identify additional areas that deserve attention alongside evidence-based psychiatric treatment.

Depression & Low Energy

Low mood, fatigue, poor concentration, reduced motivation, and sleep changes can occur with depression but may also overlap with medical or nutritional concerns.

When clinically appropriate, evaluation may consider factors such as:

  • Thyroid function

  • Vitamin and mineral status

  • Iron levels

  • Sleep

  • Metabolic health

  • Hormonal changes

  • Medication effects

  • Chronic health conditions

Mood & Emotional Regulation

Sleep, nutrition, stress, physical health, medications, hormonal changes, and other factors can influence emotional regulation and overall well-being.

The purpose of integrative care is to understand how these pieces may fit together—not to reduce mental health conditions to a single laboratory value.

Who May Benefit From Integrative Psychiatry?

This approach may be a good fit if you:

  • Want a more comprehensive mental health evaluation

  • Prefer to explore non-medication strategies when appropriate

  • Want medication to be one option rather than the entire treatment plan

  • Have experienced medication side effects or limited treatment response

  • Want to better understand lifestyle or health factors that may affect your mental health

  • Experience fatigue, sleep problems, difficulty concentrating, or changes in energy alongside psychiatric symptoms

  • Are navigating hormonal or life-stage changes

  • Are interested in nutritional or metabolic factors that may affect well-being

  • Want to discuss supplements or nutraceuticals safely

  • Are interested in pharmacogenomic testing

  • Want a treatment plan that considers your mental and physical health together

Integrative psychiatry is not a substitute for primary care or specialty medical care. When appropriate, coordination or referral to your primary-care clinician or another medical specialist may be recommended.

What to Expect

1. Comprehensive Assessment

We begin by reviewing your symptoms, psychiatric history, medical history, medications, supplements, previous treatments, lifestyle, sleep, nutrition, stress, and treatment goals.

2. Identify Relevant Factors

Together, we identify areas that may deserve additional attention.

This may include reviewing existing laboratory results or discussing whether additional testing would be clinically useful.

3. Develop an Individualized Plan

Your recommendations may include a combination of:

  • Psychiatric treatment

  • Lifestyle strategies

  • Nutritional considerations

  • Sleep support

  • Stress-management strategies

  • Supplements or nutraceuticals when appropriate

  • Laboratory follow-up

  • Pharmacogenomic testing when appropriate

  • Medication when clinically indicated and desired

  • Referral or coordination with another healthcare professional

4. Follow-Up

Follow-up care is individualized based on your treatment plan, response, and goals.

Insurance & Self-Pay Services

Integrative psychiatry includes both traditional psychiatric services that may be covered by insurance and specialized services that may be self-pay.

Insurance May Be Used For

Depending on your plan and eligibility:

  • Psychiatric evaluation

  • Medication-management visits

  • Covered behavioral-health services

  • Certain medically necessary standard laboratory tests

Insurance coverage is determined by your health plan and cannot be guaranteed.

Self-Pay Services May Include

Depending on the service:

  • Extended integrative consultations

  • Pharmacogenomic testing and results review

  • Certain specialized laboratory testing

  • Advanced micronutrient or metabolic testing

  • Other wellness-focused services not covered by insurance

Laboratory fees may be charged separately by the laboratory or testing company.

Specific self-pay pricing will be provided before services are scheduled.

A More Individualized Way to Approach Mental Health

Your mental health does not exist separately from the rest of your health.

At Thrivewell Health, our goal is to help you understand your options, identify factors that may be affecting how you feel, and develop a treatment plan that reflects your symptoms, health history, preferences, and goals.

Whether your plan includes medication, non-medication strategies, laboratory evaluation, lifestyle changes, or a combination of approaches, care is designed around the whole person.

Ready to Explore Your Options?

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GUT–BRAIN HEALTH

Digestive health, nutrition, inflammation, sleep, stress, and mental well-being can influence one another. When clinically appropriate, Thrivewell Health may explore nutrition, lifestyle patterns, relevant laboratory findings, and other whole-person factors as part of an individualized integrative assessment.

This approach may include:

• Review of digestive symptoms, nutrition patterns, stress, sleep, medications, and supplements

• Consideration of how physical symptoms and mental well-being may interact

• Evidence-informed nutrition and lifestyle recommendations within the provider’s scope

• Discussion of whether specialized testing or coordination with another clinician may be appropriate

• A personalized plan based on your history, goals, current care, and clinical findings

Specialized testing is not required for every patient. Testing, supplements, and outside laboratory services may be self-pay and are billed separately. Recommendations do not replace primary care, gastroenterology, emergency care, or other medically necessary evaluation.

Information provided on this page is for educational purposes and does not establish a patient-provider relationship. Laboratory testing, supplements, pharmacogenomic testing, and treatment recommendations are offered only when clinically appropriate following an individualized evaluation. Services offered may vary based on the patient's location, provider licensure, clinical needs, and applicable state requirements.