Depending on your needs, care may include:

• Support for tapering existing psychiatric medications

• Hyperbolic taper planning and ongoing adjustment

• Continued prescribing of current psychiatric medications during stabilization and tapering, when appropriate

• Metabolic lab review and interpretation

• Guidance around metabolic mental health

• Therapeutic nutrition support using whole-food, paleo, low-carbohydrate, ketogenic, or carnivore frameworks when appropriate

• Support for stabilization before beginning a taper

• Guidance around sleep, movement, and stress management

• Whole-person support designed to strengthen resilience and support healing

I work with most psychiatric medication classes when tapering is clinically appropriate and within the scope of my practice. The list below covers the most common ones. If your medication is not listed, it does not necessarily mean I cannot help — reach out and we can talk.

SSRIs (selective serotonin reuptake inhibitors) Escitalopram (Lexapro), sertraline (Zoloft), fluoxetine (Prozac), paroxetine (Paxil), citalopram (Celexa)

SNRIs (serotonin-norepinephrine reuptake inhibitors) Venlafaxine (Effexor), desvenlafaxine (Pristiq), duloxetine (Cymbalta)

Atypical antidepressants Bupropion (Wellbutrin), mirtazapine (Remeron), trazodone, vortioxetine (Trintellix), vilazodone (Viibryd)

Tricyclic antidepressants Amitriptyline, nortriptyline, clomipramine

MAOIs Reviewed case-by-case and with extra caution.

Benzodiazepines Alprazolam (Xanax), clonazepam (Klonopin), lorazepam (Ativan), diazepam (Valium)

Z-drugs and sleep medications Zolpidem (Ambien), eszopiclone (Lunesta), zaleplon (Sonata)

Antipsychotics Quetiapine (Seroquel), olanzapine (Zyprexa), risperidone (Risperdal), aripiprazole (Abilify), lurasidone (Latuda)

Mood stabilizers and anticonvulsants used psychiatrically Lamotrigine (Lamictal), valproate or divalproex (Depakote), carbamazepine (Tegretol), oxcarbazepine (Trileptal), topiramate (Topamax)

Lithium Reviewed case-by-case, with appropriate monitoring.

Gabapentinoids Gabapentin (Neurontin), pregabalin (Lyrica) — when being used for psychiatric or nervous system symptoms.

Alpha-agonists and related psychiatric medications Clonidine, guanfacine.

Other psychiatric medications are reviewed individually based on history, indication, current stability, and safety.

Medications I do not taper: opioids and stimulants, including Schedule II stimulant medications such as Adderall, Vyvanse, Ritalin, Concerta, methylphenidate, and dextroamphetamine. These tapers require a clinician or program specifically trained in pain management, substance use treatment, or stimulant and ADHD care. If that is what you are looking for, I would encourage you to find a clinician equipped for that specific work.

My practice uses a hyperbolic tapering approach, which means psychiatric medications are generally reduced in smaller and more gradual proportional steps as the dose gets lower.

This matters because lower doses can still have significant effects, and many people experience fewer withdrawal problems when tapering slows as they get closer to zero. Rather than using rushed or overly large reductions, I take a slower and more individualized approach intended to better support the nervous system.

For many individuals, safe tapering is not a quick process. It may take months and, in some cases, years.

Emerging research in metabolic psychiatry suggests that metabolic health may play an important role in mental health and nervous system function.

That is one reason metabolic healing is a central part of my clinical approach. Nutrition, blood sugar regulation, inflammation, sleep, stress, and overall metabolic health can all influence mood, resilience, and how well the body tolerates healing and change.

Depending on the individual, care may include whole-food, paleo, low-carbohydrate, ketogenic, or carnivore approaches as part of a personalized plan.

A lot of symptoms we call "mental health symptoms" have metabolic, nutritional, and physiological roots, or get worse when those things are off. Low thyroid, iron deficiency, insulin resistance, low B12, inflammation, blood sugar swings, and vitamin D deficiency can all influence how a person feels.

Before making clinical recommendations about tapering, stabilization, or metabolic care, I want to know what is actually happening in your body. Labs give us a clear starting point and something to measure progress against.

Standard Metabolic Lab Panel (included with both clinical membership tiers)

• Complete Blood Count (CBC) with Differential

• Comprehensive Metabolic Panel

• Lipid Panel

• Hemoglobin A1c

• Insulin and C-Peptide

• C-Reactive Protein (hs-CRP)

• TSH, Free T4, and Free T3, with reflex to Thyroid Peroxidase (TPO) antibodies

• Vitamin D, 25-Hydroxy

• Homocysteine

• Apolipoprotein B (ApoB)

• Ferritin

• Vitamin B12 and Folate

Additional labs that may be added when clinically indicated

Depending on your history, symptoms, and what we are working on, additional labs may be recommended. These are not part of the standard included panel but can be added when clinically appropriate:

• Fasting glucose

• Uric acid

• GGT

• Lipoprotein(a) — ideally once, as a baseline risk marker

• Thyroglobulin antibodies

• Iron, TIBC, iron saturation

• Magnesium (preferably RBC magnesium when available)

• Zinc, copper, selenium

• Omega-3 Index

• Morning cortisol

• Sex hormones, depending on symptoms and history

• Urinalysis

• Pregnancy test, if applicable

• Additional inflammatory, autoimmune, or GI-related labs as clinically appropriate

Follow-Up Labs at 3 to 6 Months

Follow-up labs help us monitor metabolic improvement, safety, medication-related risk markers, nutrition status, and how your body is responding to dietary or lifestyle changes. The follow-up panel is individualized based on your baseline results and what we are tracking. In most cases it includes a repeat of the standard panel, with any additional labs repeated as clinically needed.

Lab testing is individualized. Not every person needs every test on this list, and some people need labs that are not on this list. Decisions are based on your medical history, current symptoms, medications, baseline abnormalities, dietary changes, and what we are working on clinically.

This is not a traditional medication-management practice.

I may continue prescribing your current psychiatric medications while we work on stabilization, metabolic health, and taper planning. However, new psychiatric medications are generally not initiated as part of ongoing care.

Schedule II stimulant medications are not prescribed in this practice.

This practice also does not provide rapid medication discontinuation, crisis care, emergency psychiatric services, or hospital-level care.

This practice may be a good fit for you if you:

• want to safely taper existing psychiatric medications

• want a slower, more thoughtful approach rather than rushed medication changes

• are open to a root-cause, whole-person model of care

• want to improve mental health through metabolic and lifestyle support

• are willing to work on sleep, nutrition, movement, and stress as part of healing

• understand that tapering may take months to years

• want support that goes beyond a quick medication check

This practice may not be the right fit for you if you:

• are looking for a traditional psychiatric medication-management clinic

• want to start new psychiatric medications

• are seeking Schedule II stimulant prescribing

• want to discontinue psychiatric medications as quickly as possible

• are not interested in lifestyle or metabolic-health support

• need crisis care, emergency psychiatric care, or hospitalization

• want a quick fix without a long-term healing commitment

I offer two membership paths depending on the level of support you need: a small-group option for those wanting education, structure, and a more accessible entry point, and a private 1:1 option for individuals needing more personalized support.

To learn more about membership options and pricing, visit the Memberships page or book a 15-minute discovery call ($75).