Biology often comes first
Low ferritin, low B12, thyroid issues, blood sugar dysregulation and sleep loss can each produce textbook anxiety or depression on their own.

Anxiety and low mood are real symptoms with real biological drivers. Therapy and medication are tools — they're not the only tools.

✦ The pattern
“When the body is depleted, the mind follows. Treat the body and the mind has room to do its own work.”
Mood and anxiety symptoms are almost never just psychological. Blood sugar swings, low B12, thyroid under-function, a depleted nervous system, a gut that's inflamed — any of these can produce what looks exactly like depression or anxiety.
I don't replace therapy or psychiatric care when those are right — I work alongside them. And in many cases, getting the biology right is what makes the rest of the work possible.
Low ferritin, low B12, thyroid issues, blood sugar dysregulation and sleep loss can each produce textbook anxiety or depression on their own.
Estrogen and progesterone swings, particularly in perimenopause, create real mood symptoms that respond to hormonal support — not antidepressants.
Breathwork, somatic work and IFS therapy aren't wellness extras — they're nervous-system tools with measurable effects on anxiety and mood.
Thyroid (full panel, not just TSH), iron status (ferritin, not just hemoglobin), B12 and folate, vitamin D, blood sugar and insulin, cycle-timed sex hormones, and inflammatory markers. If any of those are off, treating the mood without treating them rarely works.
Sometimes they do — and they're the right call. I prescribe when warranted, refer when psychiatric support fits better, and don't position medication as failure. The goal is what works for you, with full information about each tool.
Targeted nutrients matched to your labs, blood sugar stabilization, sleep architecture, herbal medicine, and bioidentical hormone support when hormones are the lever. Alongside, the somatic work I'm trained in — Conscious Connected Breathwork, Internal Family Systems, Shadow Work — which speaks to the parts of you medicine can't reach with a prescription pad.
We start where you are. If you're in crisis, that's a different conversation and I'll help you find the right level of care. If you're functioning but not well, we have time to do this carefully — biology first, then deeper work.
Therapies I'd likely use
Yes. Many of my patients are on antidepressants and we work in parallel. I won't ask you to come off anything; if at some point you and your prescriber want to taper, I can support that carefully.
It includes therapeutic modalities I'm trained in, but I'm a naturopathic doctor — not a psychotherapist. For sustained psychotherapy I refer to people I trust and work alongside them.
If we find a nutrient or hormonal lever, often weeks. If we're treating a deeper pattern, give it three months of consistent work before judging the result.
Book a free 15-minute discovery call. I'll listen, you'll ask questions, and we'll decide together if this is the right fit.
Women's Health · Mood, Anxiety & Burnout