Services
Our integrative psychiatry practice combines hormone-informed medicine with compassionate, evidence-based care— designed for people navigating transitions from adolescence through menopause.
Specialized Care For Every Stage Of Life
Start Your Health Journey Today!
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Comprehensive Clinical Intake
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Hormone-Informed Care Plan
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Ongoing Virtual Management
Core Focus Areas
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Menopause & Hormonal Health
Perimenopause and menopause evaluation and treatment
Comprehensive hormone consultations
Menopausal hormone therapy (HRT)
Testosterone evaluation and management
Men's hormone evaluation and testosterone therapy
PMS and PMDD
PCOS
Sexual health
Hormone-related sleep, mood, cognitive, and metabolic concerns
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Mental Health
Comprehensive psychiatric evaluation and ongoing management
Psychiatric medication management
Anxiety and depression
ADHD evaluation and management
Trauma and PTSD
Perinatal and postpartum mental health
Mood and cognitive changes associated with hormonal transitions
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Metabolic Health & Weight Management
Comprehensive metabolic and weight evaluation
Medical weight management
GLP-1 medication management when appropriate
Insulin resistance and metabolic health
Weight and body-composition changes associated with perimenopause and menopause
Nutrition and lifestyle counseling
Other Focus Areas
Explore our range of services designed to help you move forward with confidence, wherever you're headed next.
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Evidence-based treatment for intrusive thoughts and overwhelming worry, utilizing specialized techniques like ERP and mindfulness to help you move past fear and toward your values.
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Comprehensive care for persistent low mood or loss of interest, combining therapeutic processing with actionable behavioral changes to restore a sense of hope and vitality.
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Expert guidance through the hormonal shifts of midlife, focusing on mood stabilization, cognitive clarity, and the integration of hormone replacement therapy (HRT) where appropriate.
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Compassionate mental health care that validates the reality of chronic pain, offering tools to manage medical trauma, relationship strain, and the "invisible" burden of endometriosis.
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(Polycystic Ovary Syndrome) Addressing the unique intersection of metabolic health and mental well-being, specifically focusing on the mood swings, anxiety, and self-image challenges linked to PCOS.
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(Premenstrual Dysphoric Disorder) Targeted clinical care to manage severe cyclical mood shifts, providing both hormonal and psychiatric strategies to regain control over your month.
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Specialized support for navigating the emotional complexities of pregnancy and the first year of parenthood, addressing "baby blues," birth trauma, and adjustment.
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Evidence-based treatment for intrusive thoughts and overwhelming worry, utilizing specialized techniques like ERP and mindfulness to help you move past fear and toward your values.
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A safe, nervous-system-informed approach to healing from the past, focusing on reclaiming your sense of safety and integrating difficult experiences into a new narrative of growth.
"Living in a rural part of Montana, I never thought I’d have access to a world-class specialist in menopause and psychiatry. Ruby’s telehealth platform was so easy to use and felt completely private. She didn't just give me a prescription; she gave me an education on what was happening to my body. I finally have my resilience back."
- Michelle, Kalispell, MT