Medical Comorbidities

A core part of the clinical focus of this practice involves addressing the often-overlooked connections between mental health and medical comorbidities — the gut-brain connection in gastrointestinal disorders, and the effects of inflammatory, autonomic, autoimmune, endocrine, and metabolic conditions such as IBS/IBD (ulcerative colitis, Crohn's), Sjögren's syndrome, POTS, MCAS, allergic rhinitis, chronic pain and fatigue, diabetes, thyroid disorders, and hormonal or nutritional deficiencies.

These conditions often involve underlying systemic processes that shape both the course of psychiatric illness and the efficacy and tolerability of psychiatric medications — factors weighed carefully in formulating treatment plans for individual patients.

Psychiatric / Medical Comorbidities:

Gut–brain connection

Addressing the bidirectional relationship between gastrointestinal conditions such as IBS, Crohn’s disease, and ulcerative colitis and mood, anxiety, cognition, and stress regulation

Inflammatory and autoimmune conditions

Considering the psychiatric and cognitive effects of systemic inflammation, including conditions such as seasonal allergies, POTS, MCAS, chronic pain, and chronic fatigue

Thyroid disorders

Evaluating the impact of hypothyroidism and Hashimoto’s disease on mood, energy, cognition, and sleep

Diabetes mellitus

Monitoring stress associated with managing Diabetes type 1 and type 2

Monitoring effect of uncontrolled blood sugar (hyperglycemia / hypoglycemia) on mood, sleep, cognition

Monitoring effect of psychiatric medications on blood sugar via interaction with diabetic medications and effect on hormone levels

Nutrient deficiencies

Assessing how low vitamin D, vitamin B12, magnesium, and other nutrients may contribute to fatigue, mood changes, cognitive symptoms, or sleep disturbances

Hormonal deficiencies and imbalances

Considering the effects of estrogen, progesterone, and testosterone changes on mood, cognition, energy, sleep, and emotional well-being