Psychiatry & Therapy Services

Psychiatry and therapy in one practice

Integrative Psychiatry and Wellness provides psychiatric care and talk therapy under one roof, in person at our Mission Viejo office and by secure telehealth across California, Oregon, Washington and Colorado. When you see both a prescriber and a therapist here, the two sides of your care communicate rather than working in parallel without contact.

The practice is led by a dual board-certified Psychiatric Mental Health and Family Nurse Practitioner, which means laboratory work is ordered and interpreted here rather than referred back to primary care. That matters more often than people expect: thyroid disease, iron deficiency, B12 deficiency and untreated sleep apnea produce fatigue, poor concentration and low mood that are easily mistaken for depression or anxiety.

Psychiatric services

Comprehensive psychiatric evaluation — a full diagnostic assessment rather than a fifteen-minute prescription visit, covering history, current symptoms, function, medical contributors, substances and risk, ending in a diagnostic impression stated plainly.

Medication management — ongoing prescribing and monitoring, including adjustments, side-effect management and measurement of whether treatment is actually working.

Adult ADHD evaluation and treatment — evaluation performed in house, with stimulant and non-stimulant medication available by telehealth in all four states we serve.

Integrative psychiatry — psychiatric care that considers sleep, nutrition, hormones, metabolic health and laboratory findings alongside diagnosis and medication.

Mental wellness check-ins — a yearly check-in on mood, stress, sleep and focus, with depression and anxiety screening and a review of labs and other factors that overlap with psychiatric symptoms.

Hormone and mental health treatment and weight management and metabolic health — for the mood, anxiety and cognitive symptoms that track with hormonal transitions and metabolic change.

Therapy services

Therapy is delivered in house by our therapy team — independently licensed therapists and, under board-registered clinical supervision, pre-licensed associate clinicians.

• Individual therapy — including cognitive behavioral therapy (CBT), the treatment with the strongest evidence base for anxiety disorders and depression
• Trauma therapy and EMDR — EMDR and trauma-focused therapy for post-traumatic stress and trauma-related symptoms
• Couples therapy
• Exposure and response prevention (ERP) — the first-line psychotherapy for OCD

What we treat

Anxiety, depression, ADHD, OCD, bipolar disorder, post-traumatic stress, perimenopausal and postpartum mood symptoms, insomnia, and treatment-resistant depression. The full list is on our conditions we treat page.

What we refer out

We would rather say plainly what we do not do. Formal adult autism diagnostic assessment, neuropsychological testing and sleep studies are arranged by referral to clinicians who specialise in them.

Where we practice

In person in Mission Viejo, California, and by secure telehealth across California, Oregon, Washington and Colorado — including Orange County and Portland. Clinicians see patients only in the states they are licensed in.

What a first appointment involves

A full evaluation, a diagnostic impression stated in plain language, and a clear account of what is still uncertain and what would settle it. If what you need is therapy rather than medication, we will say so. Hours are Monday to Friday 9:00 am – 5:00 pm and Saturday 10:00 am – 2:00 pm. Call (949) 259-5123.