Care in your language: English, Russian, Ukrainian, Armenian
Services
What We Help With
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
Your plan will draw on some of the services below, not all of them. What’s right for you gets decided together, after we understand your history and your goals.
Psychiatric Evaluation
A thorough diagnostic assessment covering your symptom history, developmental and family history, medical background, medications and supplements, substance use, sleep, stress, and current functioning.
The goal is diagnostic clarity, including ruling out medical contributors that can mimic or worsen psychiatric conditions. You’ll leave with a working understanding of what’s going on and a concrete plan for what comes next.
Medication Management
Evidence-based medication management for ADHD, anxiety, and depression, with careful attention to dosing, side effects, interactions, and how a medication fits into your life.
GeneSight pharmacogenomic testing is available to inform these decisions, showing how your genetics may affect the way you metabolize psychiatric medications — useful when previous medications haven’t worked or caused difficult side effects. It’s one input among several, interpreted alongside your full clinical picture.
Advanced Laboratory Testing
Standard screening answers standard questions. When symptoms persist without explanation, deeper testing often finds what routine labs miss.
Metabolic & blood sugar
Fasting glucose, insulin, and hemoglobin A1c to evaluate insulin resistance — a driver of fatigue, mood instability, and cognitive fog long before it becomes diabetes.
Cardiovascular risk
ApoB, Lipoprotein(a), and high-sensitivity CRP (hs-CRP) to identify risk that a standard cholesterol panel can miss.
Hormone balance
Thyroid function (TSH, Free T3, Free T4), sex hormones (testosterone, estradiol), and stress markers including cortisol. Hormonal shifts are among the most commonly overlooked contributors to depression, anxiety, and brain fog.
Nutritional status
Vitamin D, Vitamin B12, and key minerals — deficiencies that directly affect mood, energy, and cognition.
Organ function
Liver enzymes and kidney markers including cystatin C, for a more sensitive assessment than creatinine alone.
Specialty functional panels
GI-MAP for gut microbiome, pathogen, and digestive function analysis — relevant to the gut-brain connection. DUTCH for comprehensive hormone and cortisol metabolite testing.
Immune Health & Inflammation
A growing body of research connects chronic inflammation to depression, anxiety, fatigue, and cognitive symptoms. We assess inflammatory markers, identify contributing factors — sleep, diet, stress, gut health, autoimmunity — and address them directly.
Low Dose Naltrexone (LDN)
Naltrexone at low doses (typically 1.5–4.5 mg daily) behaves differently than the standard dose used for opioid dependence. Rather than sustained opioid receptor blockade, low-dose naltrexone appears to modulate immune activity and increase the body’s own endorphin production.
It has drawn clinical and research interest for:
-
Immune modulation — calming an overactive immune response in conditions such as multiple sclerosis and lupus
-
Chronic pain — including fibromyalgia and related pain syndromes
-
Mood — some patients report improved mood and reduced anxiety
-
Inflammatory bowel conditions — including Crohn’s disease and IBS symptoms
-
Neuroprotection — an active area of ongoing research
How it’s prescribed. LDN isn’t available commercially at these doses, so it must be custom-compounded — which also allows dosing and formulation (capsule, liquid, topical) to be tailored to you.
What to expect. We start low and increase gradually. Many patients do best dosing at bedtime. Full benefit can take up to eight weeks, so patience matters. We’ll track symptoms and side effects together throughout. Because LDN temporarily occupies opioid receptors, it isn’t compatible with opioid medications, and alcohol should be limited.
LDN is prescribed off-label for these indications. We’ll review the evidence, the uncertainties, and the alternatives before you decide.
Longevity & Healthspan
The goal isn’t more years — it’s more good years.
Rapamycin
Rapamycin is currently the most effective pharmacological intervention for lifespan extension in animal research, extending median lifespan in mice by roughly 15–36% depending on dose, timing, and other factors.
How it works. Discovered in 1964 in soil from Easter Island, rapamycin was developed to prevent organ rejection after transplant. Research over the past two decades established that it acts on the mTOR pathway, which governs the balance between cellular growth and cellular maintenance. Partial mTOR inhibition has extended healthy lifespan across multiple species. Rapamycin selectively inhibits mTORC1 — shifting cells toward autophagy, their internal cleanup process — while largely sparing mTORC2, which supports insulin signaling. This selectivity depends on dosing: low intermittent dosing (roughly 3–10 mg weekly) preserves it; chronic daily dosing does not.
What the human evidence shows so far. Research through 2025 includes randomized trials in immune function, reproductive health, and cardiovascular function, plus the year-long PEARL longevity trial:
-
Autophagy — a 2025 study in ME/CFS patients found improvements in autophagy markers and symptoms at 6 mg weekly
-
Immune function in older adults — a 2014 trial found roughly 20% improvement in influenza vaccine response with a low-dose mTOR inhibitor; a 2023 study reported lower rates of COVID-19 and long COVID among users
-
Cardiovascular — a 2025 trial found improved cardiac strain and endothelial function in older men after eight weeks at 1 mg daily
-
Reproductive aging — a 2025 IVF study found improved embryo quality and higher clinical pregnancy rates at 1 mg daily
-
Lean tissue — the PEARL trial found a ~6% increase in lean body mass in women at 10 mg weekly over 48 weeks
What it does not show. Rapamycin has not been proven to extend human lifespan. The honest framing is healthspan — the possibility of better function for longer — not longevity guarantees.
Rapamycin for healthspan is an off-label use. It requires physician supervision, baseline and ongoing lab monitoring, and a candid conversation about what remains unknown. We’ll have that conversation before prescribing anything.
Weight Management
GLP-1 medications, prescribed at both standard and microdosed levels. Microdosing is an approach some patients prefer for tolerability, for preserving lean mass, or for maintenance after reaching a goal weight. We’ll discuss which fits your situation, along with the nutrition, protein intake, resistance training, and monitoring that make weight loss sustainable rather than temporary.
Weight, metabolic health, and mental health are tightly linked, and we treat them as one picture
Additional Support
Where appropriate, plans may also include targeted supplementation, IV therapy, and structured guidance on nutrition, sleep, movement, and stress.
Cancellation and Arrival Policy
We have limited our appointments each day so that we are able to spend more time with you.
We ask that you value our time as we value yours.
This office has a strict 72 business hour (3-Business Day) notice for cancellations. Failing to cancel your appointment within this time frame (by 10am Wednesday for a 10am Monday appointment), will result in a charge of a $150 cancellation fee for a new patient appointment, $100 cancellation fee for an existing patient appointment and/or the FULL AMOUNT for ancillary services.