During my pediatric internship in the 1980s, with the goal of becoming a pediatrician, I became not only sleep deprived due to the on-call experience every third night but I was overwhelmed by the children and families struggling with mental health challenges even though they were not identified as such. I experienced in the emergency room many victims of trauma and abuse; in the Neonatal Intensive Care Unit (NICU) I experienced overwhelming guilt, sorrow, and grief; and in my outpatient rotation, I was particularly moved by children with chronic Abdominal pain without any medical reasons. When I was given the time to sit with these young children, I was able to discover bullying and difficult peer relationships at school. This information is never obtained in brief medical visits. At that time, I changed my residency program from pediatrics to psychiatry with the goal of child psychiatry.

During my residency in pediatrics, I found few services for children struggling with mental health challenges. Many of these kids were not identified with psychiatric diagnoses and were struggling with physical symptoms that found them and their families caught up in the medical system that was not appropriate for the psychological and overwhelming stress in their lives. My concern for the total health of pediatric patients shifted to models of family therapy, nutritional and lifestyle changes, as well as a better understanding of the social and cultural impact on determinants of health.

My interest in Integrative Psychiatry actually started in college where I was able to do an independent study on Orthomolecular medicine and the role of Vitamin B3 in Schizophrenia. I was able to spend 6 weeks studying the work of Linus Pauling and Abraham Hoffer. This unique experience in the early 1980’s provided the impetus for ongoing readings and clinical interest in Integrative Psychiatry.

My practice has been devoted to the Functional Medicine aspects of Integrative Psychiatry. I have utilized an organized Functional Medicine testing approach looking at those tests most relevant to psychiatry and developing a personalized nutritional supplement plan with individual and family psychotherapy to support patients in recovery.

Over 33 years of practicing Integrative Psychiatry, my colleagues and patients are much more open and interested in understanding Integrative Medicine for mental health. People appreciate objective testing, the model of not guessing but having a scientific, evidence-based approach. I also believe in a balanced approach to meeting patients where they are most comfortable utilizing all tools, which might include medications.