Services at
Ohio Integrative Psychiatry
Integrative psychiatric care for teens and adults aged 12 and older in Twinsburg, Ohio, and by telehealth statewide.
Ohio Integrative Psychiatry treats anxiety, depression, attention-deficit/hyperactivity disorder (ADHD), trauma, mood disorders, and sleep problems. We look for what is driving symptoms in the brain and body, then build a plan that fits the person in front of us. Medication is one tool among many, and we prescribe it when it is the right one.
Conditions Treated at Ohio Integrative Psychiatry
Anxiety
Anxiety shows up as constant worry, physical tension, panic, avoidance, or a mind that will not settle at night. Our evaluation looks at contributing factors including sleep, nutrient status, thyroid function, caffeine, and trauma history alongside the psychiatric picture. Treatment may combine medication, mind-body practices, and physiological support rather than medication alone.
Depression
Depression can look like low mood, but it often looks like exhaustion, irritability, loss of interest, or an inability to start tasks. We assess for physiological contributors such as thyroid dysfunction, iron and vitamin D status, inflammation, and disrupted sleep before assuming the problem is chemical imbalance alone. This is a good fit for people whose depression has not responded fully to previous medication trials.
Attention-Deficit/Hyperactivity Disorder (ADHD)
We diagnose and treat attention-deficit/hyperactivity disorder (ADHD) in teens and adults, including people diagnosed for the first time in adulthood. Our assessment considers retained primitive reflexes, sleep quality, nutrient status, and anxiety, all of which can produce or worsen attention problems. We do not prescribe stimulants or other controlled substances for attention-deficit/hyperactivity disorder (ADHD). Treatment here uses non-stimulant medication options, primitive reflex integration, sleep and nutrient support, and practical structure, and we help patients taper off stimulant medication when discontinuation is the goal.
Trauma and Post-Traumatic Stress Disorder (PTSD)
Trauma lives in the nervous system, not only in memory, which is why it produces startle responses, sleep disruption, emotional numbness or reactivity, and chronic physical tension. We use Family Systems Trauma Therapy and body-based approaches to address how trauma is held in the body while treating the symptoms that interfere with daily function. This work is appropriate for single-incident trauma, childhood adversity, and relational trauma.
Bipolar Disorder
Bipolar disorder involves episodes of elevated or agitated mood alongside depressive periods, and it often goes unrecognized for years because people seek help during the low phases. Accurate diagnosis matters more here than almost anywhere in psychiatry, because antidepressants given without mood stabilization can worsen the course. We manage mood-stabilizing medication, track sleep closely because sleep loss both signals and triggers episodes, and coordinate with your therapist and primary care provider.
Anger and Irritability
Persistent anger, a short fuse, and irritability are symptoms, not character flaws, and they frequently signal depression, trauma, attention-deficit/hyperactivity disorder (ADHD), sleep deprivation, or a dysregulated nervous system. In teens and in men especially, irritability is often the main way depression presents. We identify what is driving the reactivity, then treat it directly with a combination of physiological support, nervous system regulation work, and medication where it is indicated.
Obsessive-Compulsive Disorder (OCD)
Obsessive-compulsive disorder (OCD) involves intrusive thoughts and repetitive behaviors that consume time and create distress. We provide diagnostic clarification, medication management when indicated, and referral to exposure-based therapy where that is the right next step. We also assess for co-occurring anxiety and trauma, which frequently accompany obsessive-compulsive disorder (OCD).
Perinatal and Postpartum Mood and Anxiety Concerns
Pregnancy and the first year after birth carry distinct risks for depression, anxiety, intrusive thoughts, and sleep disruption. We evaluate nutrient status, including copper and ceruloplasmin, thyroid function, and iron, which are frequently overlooked contributors during this period. We discuss medication safety in pregnancy and lactation with specifics rather than generalities.
Sleep Disorders and Insomnia
Insomnia is both a symptom and a driver of psychiatric illness, and treating it often improves mood, anxiety, and attention. We assess sleep architecture, circadian timing, nutrient status, and habits rather than reaching for sedating medication, and we do not prescribe controlled sedative-hypnotics. Many patients make substantial progress with behavioral and physiological approaches alone.Pregnancy and the first year after birth carry distinct risks for depression, anxiety, intrusive thoughts, and sleep disruption. We evaluate nutrient status, including copper and ceruloplasmin, thyroid function, and iron, which are frequently overlooked contributors during this period. We discuss medication safety in pregnancy and lactation with specifics rather than generalities.
You Deserve More Than 15-Minute Appointments and Trial-and-Error Prescriptions
If standard psychiatric care hasn't worked—or if you know you need something deeper than symptom management—you're in the right place. Our integrative approach looks for root causes: the biology, stress, trauma, and nervous system patterns driving your symptoms.
Every patient begins with a thorough assessment, because real healing requires real understanding first.
Assessments and Prescribing
Medication Management
Medication management means selecting, starting, adjusting, and, when appropriate, tapering psychiatric medication with a prescriber who knows your history. Our visits are long enough to discuss how a medication is actually working, what constitutes a "fair trial" of medication, what side effects you are living with, and whether the dose still fits. This service suits people currently on medication who want closer attention, and people considering medication for the first time who want a thorough conversation before starting. We do not prescribe controlled substances for attention-deficit/hyperactivity disorder (ADHD), anxiety, or sleep, and we provide structured deprescribing support for patients who want to discontinue a controlled medication safely.
Pharmacogenomic Testing
Pharmacogenomic testing analyzes genes that affect how your body metabolizes psychiatric medications, using a cheek swab. The results help explain why a standard dose produced strong side effects or no benefit at all, and they narrow the list of medications likely to suit your physiology. This testing is most valuable for people who have tried several medications without success or who are sensitive to low doses.
Laboratory Testing and Bloodwork
We order laboratory testing because psychiatric symptoms frequently have measurable physiological contributors. Depending on your presentation, this may include thyroid panels, vitamin D, vitamin B12 and folate, ferritin and a complete blood count, metabolic panels, inflammatory markers, and copper with ceruloplasmin. Results guide the treatment plan directly, and we review every value with you rather than simply filing the report.
FOUNDER & CLINICIAN MESSAGE
"Why I Practice This Way"
If you've been searching for a provider who actually listens, I'm here - and I've built a practice designed to give you the time and care you deserve.
Mental health symptoms don’t happen in a vacuum—they are shaped by biology, development, stress, trauma, and the nervous system. I believe patients deserve time, careful listening, and accurate diagnosis before long-term treatment decisions are made. This practice was built to offer that level of care with intention, integrity, and respect for the whole person.
Choosing psychiatric care is a big decision. At Ohio Integrative Psychiatry, we believe patients deserve care that is thoughtful, thorough, and focused on real healing - not rushed visits or guesswork.
Nutrition, Supplements, and Lifestyle
Nutritional Recommendations
The brain is built and fueled by what you eat, and patterns like blood sugar swings, low protein intake, and inadequate fat intake produce symptoms that look psychiatric. We give specific, workable dietary guidance based on your labs and your actual life rather than a rigid prescribed diet. This suits anyone whose energy, mood, or concentration shifts noticeably across the day.
Targeted Supplementation
We recommend supplements selectively, based on laboratory findings and clinical presentation, not as a standard package everyone receives. Common examples include vitamin D, methylated B vitamins, magnesium, omega-3 fatty acids, iron, and zinc, each chosen for a documented reason and in a form the body absorbs. We also review supplements you already take for interactions with your prescribed medications.
Botanical Medicine
Botanical medicine uses plant-derived preparations with evidence for supporting sleep, anxiety, and stress physiology. We discuss which botanicals have meaningful research behind them, which have interaction risks with psychiatric medication, and how to use them at effective doses. This option appeals to patients who prefer to begin with gentler interventions, and to those seeking additional support alongside prescribed medication.
Lifestyle Medicine
Lifestyle medicine addresses the daily inputs that shape brain function: movement, light exposure, sleep timing, substance use, screen habits, and social connection. We translate these into a small number of specific changes rather than a list of ideals no one can sustain. This work runs throughout treatment and often determines whether other interventions hold.
"Many patients feel relief simply from being thoroughly understood."
Neurorestorative and Body-Based Care
Primitive Reflex Integration
Primitive reflexes are automatic movement patterns present in infancy that normally integrate as the nervous system matures. When they persist, they can contribute to attention difficulties, anxiety, poor balance, handwriting struggles, and a nervous system that stays on alert. We assess for retained reflexes and teach simple, repeated movements, drawn from Blomberg Rhythmic Movement Training, that support integration; this work fits teens and adults with attention-deficit/hyperactivity disorder (ADHD), anxiety, or trauma histories. These gentle body movements also support wellness for individuals after neurodegenerative diagnosis (Parkinson's and Alzheimer's Disease) or neurological injury (traumatic brain injury [TBI], stroke, cerebral palsy).
Groove-Based Recreational Music-Making
Groove-based recreational music-making brings small groups together to drum and move in shared rhythm, which supports nervous system regulation through entrainment rather than through talk. No musical training is required, and nobody performs; the work is participatory and the instruments are simple. GROOVE SESSIONS® are offered as part of the six-month care package and suit patients who find that talk-based approaches alone have taken them only so far.
Mind-Body Approaches
Mind-body approaches include breathwork, paced movement, grounding practices, and other techniques that shift the autonomic nervous system directly. We teach skills you can use in the moment, and we explain the physiology so the practice makes sense rather than sounding like an instruction to relax. This supports anxiety, panic, trauma responses, and sleep-onset difficulty.
Relational and Life-Stage Support
Family Systems Trauma Therapy
Family Systems Trauma Therapy examines how patterns within a family shape a person's symptoms and how those patterns pass between generations. Sessions may include family members, and the work addresses roles, loyalties, and unspoken rules that keep a person stuck even after individual treatment. This suits families where one member is identified as the problem, and adults tracing current difficulties to the family they grew up in.
Trauma Recovery
Trauma recovery is structured work aimed at restoring nervous system regulation and a sense of safety in the body. We pace the work deliberately, building stabilization skills before addressing traumatic material, so treatment does not overwhelm you. This is appropriate for adults and teens with childhood adversity, medical trauma, relational trauma, or a single traumatic event.
Postpartum Support
Postpartum support addresses mood, anxiety, intrusive thoughts, sleep, and the physiological depletion that follows pregnancy and birth. We evaluate thyroid function, iron, vitamin D, and copper status, and we discuss medication options with clear information about lactation. Partners are welcome in these visits, since recovery in the first year is a household matter rather than an individual one.
Insomnia and Sleep Support
Insomnia and sleep support begins with identifying what is actually disrupting your sleep: circadian timing, hyperarousal, nutrient deficiency, medication timing, or sleep apnea that needs referral. We use behavioral strategies with strong evidence, address the physiology, and use non-controlled medication options where they fit the specific pattern. For patients taking a controlled sleep medication, we support a structured taper to discontinuation. Improving sleep often reduces anxiety and depressive symptoms measurably within weeks.
Premarital Coaching
Premarital coaching is educational work for couples preparing to marry, covering communication, conflict patterns, finances, family-of-origin expectations, and intimacy. This service is coaching rather than psychiatric treatment or psychotherapy, and it is not billed as a medical service. Couples work with Laurel Myers Hurst and David Hurst together through their marriage coaching practice.
Frequently Asked Questions
Do you treat attention-deficit/hyperactivity disorder (ADHD)?
Yes. We diagnose and treat attention-deficit/hyperactivity disorder (ADHD) in teens aged 12 and older and in adults, including adults diagnosed later in life. We do not prescribe stimulants. Treatment may include non-stimulant medication, primitive reflex integration, sleep and nutrient work, and practical structure, and we support patients who want to taper off stimulant medication.
Do you prescribe medication?
Yes. We prescribe psychiatric medication when it is the right treatment, and we manage it closely. The difference here is that prescribing sits inside a broader plan rather than standing alone.
Do you prescribe stimulants, benzodiazepines, or sleep medications?
No. We do not prescribe controlled substances for attention-deficit/hyperactivity disorder (ADHD), anxiety, or sleep. We do work with patients who want to discontinue a controlled medication, providing a structured taper and support through the process.
Can teenagers be seen here?
Yes. We treat teens aged 12 and older. A parent or guardian participates in the assessment and treatment planning for patients under 18.
Do you take insurance?
We are out-of-network providers and accept direct payment from patients by credit card or TimeCredits. We issue superbills you can submit to your insurance company for possible reimbursement.
What does the first appointment involve?
The comprehensive assessment package is a multi-visit package including initial assessment, extended follow-up, and a lab interpretations group medical visit, priced at $750. Patients who continue in treatment are offered a six-month care package that includes 1:1 visits, group medical appointments, integrated psychotherapy, GROOVE SESSIONS®, and neurorestorative movement. New patients are typically scheduled within two weeks.
Where We Serve
Ohio Integrative Psychiatry is located in Twinsburg, Ohio, and sees patients in person from Solon, Aurora, Hudson, Macedonia, Streetsboro, Kent, Bainbridge, Bedford, and the greater Cleveland and Akron areas. Telehealth appointments are available to anyone located in Ohio. The Twinsburg location sits within a short drive of eastern Cuyahoga, western Geauga, Portage, and northern Summit counties, which supports the consistent follow-up this kind of care requires.
Ready to Begin?
If this approach resonates:
- Review this page carefully
- Make sure the assessment-first model feels right
- Choose your next step
"We're honored to walk with patients who are ready for thoughtful, restorative psychiatric care."
Schedule an Appointment
Call 330-227-8333 to schedule a comprehensive assessment. Tell us whether the appointment is for yourself or for a teen aged 12 to 17 so we can set up the visit correctly.
Testimonials
★★★★★
“We learn this stuff in the textbooks, but I totally see how it relates to my symptoms. Wow!”
- Medical student
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Let's Begin Your NeuroRestorative Journey
Our flagship location:
9777 Ravenna Rd STE 102
Twinsburg OH 44087
330-227-8333
833-523-2203
Seeing patients 12 and older
Safety Disclaimer
If you experience a mental health crisis, call/text 988 or dial 911.
Accepted Forms of Payment
Payments accepted by credit, debit, HSA, FSA, or TimeCredits.
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