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Psychiatry that treats causes, not just symptoms

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Room to Thrive.

Let's Start with the Whole Story

Depression that hasn't lifted, no matter what you've tried. Anxiety with no obvious source. Attention that fractured somewhere in adulthood. Fatigue that sleep doesn't touch, brain fog that makes familiar work feel difficult — and lab results that keep coming back "normal." Maybe you've been through this more than once, with more than one provider, and left each time holding a prescription but not an explanation.

None of this is a character flaw or a failure of willpower. These are signals, and signals have sources. Inflammation, hormone shifts, gut health, nutrient status, thyroid function, and blood sugar regulation all shape mood, focus, and energy — often well before they surface on routine screening, which isn't built to catch them. At Marbell Integral, that's exactly where we look.

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What integrative psychiatry looks like here

We start with a real history. Your first visit is 90 minutes. We cover your health history, family patterns, genetics, nutrition, sleep, stress, relationships, and what you’ve already tried. Nothing gets rushed.

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We test rather than guess. Advanced diagnostics — metabolic, hormonal, inflammatory, nutritional, and GI panels, plus GeneSight pharmacogenomic testing — help us understand what’s driving your symptoms and which medications your body is likely to tolerate well.

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We use medication skillfully, not reflexively. Evidence-based medication management for ADHD, anxiety, and depression is a core part of what we do. So is knowing when a medication isn’t the whole answer.

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We build one plan, not two. Mental health and physical health get addressed in the same treatment plan — because they were never separate to begin with.

Conditions we treat

  • Mental health — ADHD, anxiety, depression, treatment-resistant depression, mood instability, stress and burnout​​

  • Focus, energy & sleep — brain fog, difficulty concentrating, persistent fatigue, unrefreshing sleep, insomnia​

  • Hormonal & metabolic — perimenopause and menopause symptoms, thyroid dysfunction, insulin resistance, weight that won’t move​

  • Inflammation & immune — chronic pain and fibromyalgia, gut symptoms affecting mood and energy, autoimmune conditions​

  • Prevention & longevity — cardiovascular risk, cognitive protection, healthspan and metabolic optimization

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Telehealth Psychiatry, from Anywhere in Pennsylvania

Some of the best conversations happen when you're somewhere you feel safe. Every visit here takes place by secure video, so you can meet from your own home, on your own terms.

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  • No travel, no waiting room. Appointments start on time, and you spend your time in the visit rather than getting to it.

  • Easier to keep consistent. Regular follow-up matters in psychiatric care, and a fifteen-minute check-in is far more manageable when it doesn't require half a day off work.

  • More scheduling flexibility, including options that fit around work, childcare, and school hours.

  • Privacy. No shared waiting room, no chance of running into someone you know.

  • Secure and HIPAA-compliant video platform — no special software or technical experience needed.

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