Psychiatry & Medication Management

Feelings of heaviness, disconnection, or hopelessness can take many forms. At Sage, we support people experiencing persistent low mood and fatigue, postpartum shifts in identity and mood, and chronic sadness that feels difficult to explain or resolve.
These experiences may be categorized under major depressive disorder (MDD), postpartum depression, or dysthymia.

At Sage, we focus on how these experiences impact your daily life, whether you're navigating life transitions, processing grief, or recovering from burnout. We aim to meet you where you are, with care that honors your unique experience. We support depression through personalized medication management when appropriate. We also offer lifestyle support in areas like sleep, movement, and nutrition. Sage can also provide therapy referrals rooted in trauma-informed, somatic, or relational psychotherapy and ketamine assisted therapy. For clients working with plant medicines outside of treatment, we offer integration support and collaborative harm reduction.

We are often asked, "do I need to take medication?"
Not necessarily. We view medication as one of many tools. Our collaborative process helps you decide what combination of therapies supports your goals.

Anxiety often shows up as chronic worry, tension, or nervous system dysregulation. Whether it manifests as panic, social unease, or health-related fear, our approach explores root causes and restores a sense of safety and regulation.

We commonly support people experiencing persistent worry across many areas of life. Some experience panic attacks and sudden waves of fear, while others struggle with social anxiety or fear of being seen or judged.

In some cases we rule out medical conditions like thyroid dysfunction, consider medication management where appropriate, and potentially refer out therapy including somatic therapy or ketamine assisted therapy.

What’s the best approach for panic attacks?
We often pair therapeutic tools, including medication when appropriate, with long-term nervous system support and therapy to build resilience and restore calm.

Big emotional highs and lows can be confusing, especially when they impact relationships, sleep, and daily function. Whether you've received a diagnosis of bipolar disorder or are navigating cycles of energy and depression, we work with you to create a stabilizing care plan. We support clients with a range of presentations that may align with bipolar I, bipolar II, or somewhere on the bipolar spectrum.

We may offer medication such as mood stabilizers or antipsychotics when clinically appropriate. Care also includes close monitoring and lab testing where needed.
We offer psychoeducation and collaborative planning for sleep, structure, and lifestyle support often incorporating nutritional guidance and bodywork referrals to support nervous system regulation. Our referrals to therapy help clients process trauma, relationships, or emotional regulation.

Is medication always required for bipolar symptoms?
Not always and never without conversation. Many people find medication to be a helpful part of their support system, but it's not the only path. Together, we’ll explore what helps you feel more grounded, while honoring your needs, goals, and values.

Trauma affects people differently—and it doesn’t always come from a single event. At Sage, we support clients with both acute PTSD and complex trauma (C-PTSD) related to long-term stress, neglect, systemic oppression, or abuse.

Symptoms may include flashbacks, nightmares, and emotional numbness or difficulty feeling safe. People may also experience feelings of overwhelm, irritability, or hypervigilance.. To treat these conditions, we support sleep, anxiety, and stabilization. We also refer clients to somatic and trauma-informed therapy. Our work often includes grounding practices and nervous system regulation tools. We also support clients in rebuilding trust, meaning, and connection through holistic approaches.

How do I know if I have PTSD?
If past experiences continue to influence your present thoughts, feelings, or reactions, it may be worth exploring further. Working with a professional can help you thoughtfully consider whether this diagnosis resonates with your experience and how it might inform your healing goals.

If you’re managing intrusive thoughts, compulsions, or focus-related challenges, you’re not alone. Many of our clients arrive after years of masking symptoms of OCD or ADHD, especially women and nonbinary individuals who were overlooked in childhood.

While we offer medication support when appropriate, your care plan may also include coaching for executive functioning and time management. We often connect clients with specialized therapy to address OCD symptoms, and we provide lifestyle and structural support to help navigate the demands of daily life.

Can you help with undiagnosed ADHD?
Yes. Many adults come to Sage seeking a clearer understanding of their attention-related struggles. We provide evaluations, personalized support, and integrative care planning.