Traditional psychiatry and advanced neuromodulation, practiced by the same physicians, in the same place.
Psychiatric illness is medical illness, and we treat it that way. We look at your symptoms through a brain-based lens, we know what each of our treatments can and cannot do, and we build the plan around your situation. Good enough is not good enough. We aim for remission, for the moment you feel like yourself again.
The deepest interventional program in the region. Targeted, non-invasive techniques that change how specific brain circuits work. We were among the first practices in the country to use TMS for psychiatric illness.
Physician-supervised, nurse-administered infusions in a private clinical setting, used for depression and other conditions when standard treatment has not been enough. Your physician decides whether ketamine fits your plan, oversees each session, and adjusts as you go.
Most people know Botox for wrinkles and migraines. Its psychiatric use is newer and still developing. Injecting specific facial muscles changes the feedback your brain receives from facial expression, and controlled studies have shown improvement in depression and anxiety symptoms independent of any cosmetic effect.
We are the regional experts in the use of Botox for psychiatric symptoms.
Your evaluation is the foundation of everything that follows. A full psychiatric and medical workup: your history, your symptoms, your past treatments, what helped and what did not. We use scales, measures, and testing to get the full picture.
You leave with a diagnosis you understand and a plan built for you, not a generic protocol.
Diagnosis and medication, handled by experienced pharmacologists. We evaluate, prescribe, monitor, and adjust. Our physicians help you navigate medications, supplements, hormones, and lifestyle, using testing rather than guesswork to guide the choices. The goal: as well as possible, as fast as possible, with as little as possible.
Therapy helps with anxiety, depression, trauma, grief, relationship strain, and more, on its own or alongside medication and interventional care. Work with a licensed therapist or with our doctors; every one of our physicians is trained in psychotherapy, so the talking and the prescribing stay connected.
Psychiatric conditions affect weight, blood sugar, lipids, and hormones. Metabolic problems affect mood, energy, and thinking. We treat both sides.
Your physician reviews metabolic labs, weight, sleep, thyroid and hormone status, inflammation, and diet alongside your psychiatric symptoms. Where a medication has driven metabolic change, we adjust it. Where a deficiency, hormonal shift, or diet is feeding the symptoms, we address that directly.
Our physicians have real depth in nutraceuticals, phytoceuticals, adaptogens, and hormone replacement. We offer personalized guidance, select supplements, and CBD products when they fit your care.
Patients arrive on medications added over years by different prescribers, with no clear record of what each one was meant to do. More medication is not better treatment. We practice intelligent psychopharmacology, where every medicine is doing a job and you are not taking anything you do not need.
Deprescribing is the deliberate reduction of medications that are no longer earning their place. We review the full list, sort what is working from what is only being continued, and taper on a schedule with monitoring at every step. Some patients finish on fewer medications and feel better than they have in years. Others learn that what they are taking is necessary after all, which is worth knowing.
Referring physicians send us their complicated patients for this reason.
Kentucky now permits medical cannabis for certain qualifying conditions. As part of our whole-person, brain-body approach, our physicians can evaluate whether medical cannabis belongs in your plan and guide its use under state law.
Qualifying conditions include post-traumatic stress disorder (PTSD), chronic or severe pain, cancer, neuropathy, arthritis, fibromyalgia, and Parkinson's disease, along with seizures, multiple sclerosis or muscle spasms, chronic nausea or cyclical vomiting, terminal illness, HIV/AIDS, Crohn's disease, ulcerative colitis, and glaucoma.
A cancer diagnosis affects the brain as well as the body. Depression, anxiety, insomnia, and changes in memory and concentration are common during treatment and after it, and each one responds to treatment rather than having to be endured.
Our physicians have long-standing involvement with the American Psychosocial Oncology Society, hold board certification in Psychosomatic Medicine, and collaborate with oncologists across the region. We see patients during active treatment and in survivorship, and we work with your oncology team on drug interactions, symptom burden, and the effects that cancer treatment has on mood and thinking.
We also consult with oncologists and hospitals building behavioral oncology programs of their own.
Not all illness resolves. When it does not, treatment still has work to do, and that work is reducing suffering and protecting the life a person can live.
Serious medical illness brings psychiatric symptoms with it. Depression, anxiety, delirium, insomnia, and demoralization appear in advanced cancer, heart failure, COPD, kidney disease, autoimmune illness, dementia, and many other conditions. These respond to treatment even when the underlying illness does not.
Prescribing here can be complicated. Organ function, drug interactions, and what a patient can physically tolerate all narrow the options. Our physicians hold board certification in Hospice and Palliative Medicine as well as Psychosomatic Medicine. We manage your psychiatric care alongside your medical team and coordinate with any hospice or palliative program already involved.
The same principle applies to psychiatric illness that has not remitted. Some patients have spent years in treatment without reaching the outcome anyone wanted. We keep treating, and we also treat what those years have cost: sleep, pain, isolation, and the ability to work and be with the people who matter. Goals move toward function and relief, and the treatment continues.
Families can suffer alongside the patient, and we treat them as part of the picture.
Hormones change brain chemistry, and the psychiatric symptoms that follow do not always look like textbook depression. Premenstrual dysphoric disorder can be severely disruptive, and it responds well to treatment. Postpartum depression and anxiety get mistaken for ordinary exhaustion. Perimenopause brings mood changes, anxiety, insomnia, and brain fog of its own.
Our physicians look at cycle timing, hormone status, general health, and sleep alongside your psychiatric history, because a mood problem driven by hormones calls for a different plan than one that is not. Treatment may involve medication, hormone therapy where it fits, or approaches that avoid systemic medication entirely. We prescribe, guide, and coordinate with your obstetrician, gynecologist, or primary care physician.
Objective tools to measure how your brain is functioning: memory, attention, and executive function. Results let your physician track impairment and improvement over time and adjust your plan accordingly.
Conditions we assess: ADHD, dementia, autism, depression, concussion and traumatic brain injury, PTSD, and more.
Your genetics affect how you metabolize medication. That explains part of why a standard dose works for one patient and causes side effects in another.
A cheek swab shows us how your body's enzymes work and where standard dosing is likely to miss. We use those results alongside your history and how you have actually responded to treatment, so the testing narrows the field while your physician still makes the call.
We accept insurance for TMS, and are fee-for-service for our other services. If TMS is part of your treatment, our team handles the insurance side and tells you what to expect before anything begins. If you have questions about cost, our team is ready to walk you through it.
The first step is a phone call. The next is a plan built around you.
