Most traditional psychiatric care is focused on managing symptoms with medications and making medication changes when symptoms shift. My practice is different. I help people who want to look at the bigger picture — sleep, nutrition, blood sugar, inflammation, nervous system stability, and metabolic health — while carefully supporting the medications they are already on and, when appropriate, gradually tapering them. My work combines psychiatric deprescribing, hyperbolic tapering, metabolic psychiatry, therapeutic nutrition, and whole-person care.

Hyperbolic tapering is a way of reducing psychiatric medications in smaller and smaller proportional steps as the dose gets lower. This matters because lower doses can still have meaningful effects on the brain, and large cuts near the bottom of a taper are often where people run into the worst withdrawal symptoms. Hyperbolic tapering is slower and more individualized, and it is designed to give the nervous system time to adjust at each step. Every taper plan I create is built around the specific medication, the current dose, how long someone has been on it, their symptom history, and how their body is responding along the way.

Reducing psychiatric medications too fast can trigger withdrawal symptoms that are sometimes severe, prolonged, and very destabilizing. Because withdrawal symptoms can look a lot like anxiety, depression, insomnia, agitation, and other psychiatric symptoms, they are often mistaken for a relapse or a new diagnosis. That can lead to more medications being added when what the nervous system actually needed was a slower taper and more support. My practice uses a slower, more individualized approach specifically to lower that risk.

Protracted withdrawal refers to withdrawal symptoms that continue well beyond the time most people expect them to last — sometimes for months or years after stopping or reducing a psychiatric medication. It is more common than most people realize, and it is often misunderstood or misdiagnosed. I work with people in protracted withdrawal because I have lived through it myself, and I know how isolating and frightening it can be when no one around you understands what is happening.

I may help taper most psychiatric medication classes when it is clinically appropriate, including SSRIs, SNRIs, atypical antidepressants, tricyclic antidepressants, MAOIs (case-by-case), benzodiazepines, Z-drugs and sleep medications, antipsychotics, mood stabilizers and anticonvulsants used psychiatrically, lithium (case-by-case with monitoring), gabapentinoids when used for psychiatric or nervous system symptoms, and alpha-agonists like clonidine or guanfacine. Other psychiatric medications are reviewed individually based on history, indication, current stability, and safety.description

I do not taper opioids or stimulants, including Schedule II stimulant medications such as Adderall, Vyvanse, Ritalin, Concerta, methylphenidate, or dextroamphetamine. If you need help tapering opioids or stimulants, you will need to work with a clinician or program specifically trained for those medication classes.scription

Yes, when clinically appropriate. Benzodiazepine tapering often needs to be especially slow, and I approach it with the same hyperbolic, individualized principles I use for other psychiatric medications. People with long benzodiazepine histories, polypharmacy, or heightened nervous system sensitivity are usually a better fit for the Intensive Restoration Membership because of the closer oversight that level of care provides.

Yes. Not everyone is ready to taper right away, and many people benefit from spending time stabilizing first. That may include working on sleep, nutrition, blood sugar, inflammation, movement, stress load, and nervous system support before we change any medication doses. A more stable foundation generally makes tapering safer and more tolerable when the time comes.

No. Some people join the practice specifically to begin with stabilization and metabolic healing without making any medication changes yet. The timing of a taper depends on you, your goals, and what your nervous system needs.

Tapering timelines vary widely. For some people it may take several months. For others, especially those with long medication histories, polypharmacy, or a sensitive nervous system, it may take years. The process is individualized based on the medication, dose, duration of use, symptom history, and how your body responds along the way. I will not rush this with you, and I will not promise a timeline I cannot honor.

For patients in Texas, I generally take over prescribing of your current psychiatric medications during stabilization and tapering, so we are working from one consistent plan. For coaching clients outside of Texas, I do not prescribe at all, and you will continue working with your own licensed prescriber for all medication-related decisions. I can help you organize your symptoms, track your patterns, and prepare informed questions to bring to your prescriber.

Setbacks are a normal part of this work, and they do not mean something has gone wrong with you. When they happen, we slow down, pause, or adjust the plan based on what your body is telling us. The pace of the taper is always driven by how you are doing, not by a calendar.tem description

For patients in Texas, current psychiatric medications may be continued when clinically appropriate during stabilization and tapering.

This is not a traditional medication-management practice, and new psychiatric medications are generally not initiated as part of ongoing care.

No. Schedule II stimulant medications are not prescribed in this practice.

Yes. The initial standard metabolic lab panel is included with membership, and follow-up panels are included at the schedule that fits your membership tier. Advanced or additional labs may be billed separately when applicable.

The standard panel includes general health and safety labs, glucose and insulin markers, lipid and cardiovascular risk markers, thyroid labs, and key nutrient and deficiency markers. The exact list is individualized based on your history, symptoms, current medications, and clinical need. I am happy to walk through the full panel with you during onboarding or a discovery call.

Yes. The one-time onboarding fee covers the deeper front-end work needed to understand your history and build a personalized starting plan, including a full medication review, withdrawal-risk assessment, taper-goal review, metabolic history, lab planning, and initial recommendations. The monthly membership covers ongoing care and support after onboarding.

Pricing depends on which membership fits your needs. The 15-minute discovery meeting is $75. The Foundational Healing Membership is $499/month with a one-time $999 onboarding fee. The Intensive Restoration Membership is $899/month with a one-time $999 onboarding fee. For coaching clients outside of Texas, the membership is $399/month. Full details and what's included in each are on the Memberships page.

No. This is a direct-pay membership practice, and insurance is not billed for included services. If you would like to submit for out-of-network reimbursement, please ask and I can let you know whether a superbill is available for your situation.

No. This practice does not provide emergency, crisis, detox, inpatient-level, or higher-acuity care. If you are in crisis, please contact 988 (the Suicide and Crisis Lifeline), call 911, or go to your nearest emergency department. We can resume work together once you are stable.

My goal is for you to feel heard, informed, and never rushed. This work is slow by design. I will not push you to taper before you are ready, I will not pretend to know your nervous system better than you do, and I will not promise timelines I cannot honor. I bring clinical training, ongoing education in deprescribing and metabolic psychiatry, and my own lived experience with protracted withdrawal to this work. I expect us to be in partnership — you bring what you know about your body and your history, and I bring what I know about hyperbolic tapering, metabolic health, and what tends to help. We figure out the rest together.

The first step is the 15-minute discovery meeting. This is a brief call to connect, hear what you are looking for, and decide together whether my approach feels like the right fit for you. It is not a full clinical evaluation and does not start a treatment relationship by itself.