Care that makes room
for your whole life.

What integrative care means here

At Timshel, integrative psychiatry begins with understanding the person seeking care. Kathie considers your mental health concerns alongside your physical health, sleep, daily habits, relationships, and current demands.

This does not mean that every concern has a lifestyle solution, or that taking medication is a failure. It means building a fuller picture before deciding on appropriate next steps. This is psychiatric care; it does not replace primary care for physical health concerns.

Care may include medication management, individual therapy, and practical discussion of routines that support your well-being. The combination depends on your assessment and the goals you set together.

You take part in the decisions

You may arrive ready to discuss medication. You may prefer to explore other options first. You may have tried treatment before and want to understand what could be different this time.

Kathie’s role is to assess, explain, and recommend appropriate care while making room for your questions. Your role is to share what matters to you: the changes you hope for, past experiences, worries about treatment, and practical limitations.

• Discuss the purpose of a proposed treatment and the alternatives.
• Ask about expected benefits, possible downsides, and how progress will be reviewed.
• Talk honestly about cost, scheduling, and following a plan at home.
• Raise concerns when something does not feel manageable or clear.

A warm conversation should lead to a clearer understanding of your care. It should not require you to agree before you understand.

Why choose psychiatric care?

Wanting help and choosing a particular clinician are separate decisions. A helpful choice is one that matches your clinical needs, the experience you want, and what you can sustain financially.

These are features of the service, not a promise of faster improvement or a reason to dismiss other care. Insurance-covered care, primary care, and another therapist or psychiatric clinician may also be good options.

Medication, therapy, or both?

Psychiatric care can involve assessment and medication management. Individual therapy focuses on talking through concerns and developing ways to respond to them. These services may complement each other, but they are not interchangeable.

Kathie offers medication management and individual therapy. Ask which services are appropriate for your situation and what the length and format of your appointments would be. A standard follow-up should not be assumed to include a separate, full-length therapy session.

If you already work with a therapist or primary care clinician, mention that early. Ask how collaboration could work and what consent would be needed to share information.

The plan has to fit real life

For a parent, a plan may need to account for school pickup, work, broken sleep, or limited time alone. For someone else, the constraints may look different. Those realities belong in the conversation.

You do not need to prove that you are struggling “enough.” You can describe what has changed, what it is costing you in everyday life, and what you would like to understand.

The introductory conversation can help you decide whether Timshel is a practical fit. The full assessment comes later, in the initial paid visit.