OUR SERVICES

Personalized holistic psychiatry

CALIFORNIA • ARIZONA

So, how are you, really?

(And when was the last time you gave a thoughtful answer to that question?)

What if you had the tools and support you need to pause, go within, and reorient?

That’s where we come in. We’re integrative psychiatrists, which means that we studied intensively for over a decade to be able to bring you the best wisdom from western medicine, holistic wellness, and psychotherapy. 

We live for this, and we’re here for you.

WHAT WE DRAW FROM, WITH DISCERNMENT:

Medications
Supplements
Botanicals
Lab Tests
Nutrition
Sleep
Journaling
Meditation
Guided Imagery
Relationship Skills
Daily Rituals
Somatic Practices

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OUR APPROACH

We’re integrative psychiatrists

who share an approach that’s grounded in compassion, holding a vision of what’s possible for you, and guiding you in taking gentle, practical steps in the direction you want to go.

We can help you to deeply understand your story, see the underlying cyclical patterns, and the confluence of factors that led to this point— biological, psychological, social, spiritual, relational, and environmental. 

We create a personalized pathway for what comes next, through the lens of good, solid, evidence-informed medicine and psychotherapy, on a foundation of holistic wellness approaches and mind-body practices.

FREQUENTLY ASKED QUESTIONS

Here’s how we help:

  • A thorough initial assessment

    We take at least 3 hours to look at your health history, psychological history, relationships, and lifestyle to make a well-considered assessment. It’s a big investment of time and energy up front, but ends up being more efficient because it can save you from months of trying unhelpful approaches. We treat you like you’re complex and unique, because you are.

  • Comprehensive lab testing, when it’s helpful

    We can gather useful information from well-chosen lab tests. There’s no standard panel that we order for everyone, and we don’t order tests without a clear reason. We look for the information that’s most likely to be relevant and impactful for you.

  • Sleep health

    Sleep health is the foundation of brain health. It affects every part of your life, and it’s often overlooked. We help you make gradual changes to optimize your sleep-wake cycle and get into a rhythm of restful, restorative sleep.

  • Practical nutritional guidance

    We look at your eating patterns and see if there are any small, easy, sustainable changes that would be worth your while to make. We don’t tell everyone to cut out the same food groups or follow a strict elimination diet. We support you in developing a more attuned relationship with your body and with food, so you can give yourself the nutrition you need.

  • Medications

    Medications can be wonderful tools and they deserve thoughtful consideration in the context of a larger, more comprehensive approach. If we think medications could be helpful, we’ll explain why and what options are available. We’ll go through the pros and cons together and you’ll be supported in making a decision that feels right for you.

  • Help reducing or stopping medication

    There’s an art and a science to this, and it really helps to have expert support to taper off medications. We can help you decide if this is a good way to go, and we can set you up for the best chances of a smooth and successful experience.

  • Supplements and botanicals

    We’re thoughtful about supplements— you won’t get a long list of pills to take with dubious benefit. Instead, we help you select appropriate supplements, herbs, and botanicals that have established safety and evidence to support their use. We help optimize your regimen, and provide you with access to high-quality, professional-grade products.

  • Psychotherapy

    We can assess which types of therapy may be a good fit for you and explain what they entail. If we think you’d benefit from a type of therapy that we offer, then we can do that together. If you already have a therapist, we’re happy to collaborate. Our guidance to you is always informed by psychotherapeutic principles.

  • Mind-body skills

    We draw from meditation, breathing techniques, guided imagery, somatic practices, biofeedback, journaling, creative arts, and intentional movement like yoga, dance, and tai chi. If it resonates for you and works, we’ll help you incorporate these skills into your life in a practical way.

  • Tracking progress

    We use rating scales and journals at regular intervals to track how your experience changes over time so that you can measure your progress, see how far you’ve come, and realign when needed.

  • Direct messaging with your psychiatrist

    You can reach us directly through the secure online messaging portal with any questions or concerns that come up between sessions, and we’ll get back to you usually within a day or two.

  • Easy insurance reimbursement

    If you’re using out-of-network benefits, we’ll set you up with an app that minimizes paperwork and files your reimbursement claims for you.

HOW THE PROCESS WORKS

01

  • You’ll fill out a quick form and have a brief phone call with the psychiatrist you’d like to see. If it feels like a good fit, you’ll schedule your Comprehensive Intake appointment.

02

  • You’ll fill out an extensive questionnaire and send that back to your psychiatrist a week ahead of your appointment so she can prepare.

03

  • SESSION LENGTH: 2 HOURS

    This is the first video call where you’ll share your story and your psychiatrist will be listening and asking nuanced questions. We’ll want to know more about what you’re struggling with, your health history, the important people in your life, your nutrition and physical activity, what really matters to you, and what you’re looking for now. You’ll leave this session with a personalized plan, which might include lab tests, written logs to track symptoms, and recommendations on lifestyle, nutrition, mind-body practices, psychotherapy, supplements, and medications.

04

  • SESSION LENGTH: 30 or 45 MINUTES

    (Weekly, every other week, or monthly)

    These are sessions where we’ll look at what’s come up and how you’ve been feeling since we last met. We’ll do psychotherapy and we’ll also review any lab results, medications, supplements, etc. We’ll consider what’s working well for you and what isn’t, and refine your plan.

  • Comprehensive Intake (includes 2 hours of session time, plus preparation): $1250

    Follow-up Session Fees:

    Dr. Dunne:

    $450 (45 minutes)

    $300 (30 minutes)

    Dr. Sivilli:

    $325 (45 minutes)

    $250 (30 minutes)

    Dr. Biscoe:

    $450 (45 minutes)

    $300 (30 minutes)

    Reduced fees may be available for weekly psychotherapy sessions.

  • We provide our patients with a high level of personalized care. In order to offer our best work to you, we don’t directly work with any insurance companies.

    If you have out-of-network benefits, you may be reimbursed for a percentage of the fees after you meet your deductible. You can look up your out-of-network benefits here, and we can give you an app that makes filing your reimbursement claims easy.

What Our Patients Are Saying

  • "My only hesitation was cost, however since receiving care I fully feel confident that I’m paying for the highest level of care.

    I am better able to cope with the fluctuations my brain creates, because I am receiving proper treatment. It’s also a relief to know someone is checking in and genuinely cares about my health.”

  • "The way I feel now-- and the progress I have made-- is what I would wish for someone I care about to have, if they felt like I did at the start.

    I have had such a positive experience. And it has made such a huge difference.”

  • "It is energizing to have a treatment plan and be observing myself with new eyes.

    Emotionally, I am feeling clearer on the outline of my mental health struggles in life, and appreciative that I have someone to advise me.”

Our Psychiatrists