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Integrative psychiatry approaches mental health through the lenses of conventional psychiatry and holistic modalities, together. All psychiatrists are medical doctors, who’ve done pre-med classes, then 4 years of medical school. Then we train for at least 4 years after medical school to specialize in psychiatry which includes how to diagnose and treat mental health conditions using medications, as well as look for many of the common underlying medical conditions that can contribute to mental health problems. And, we’re also extensively trained in a wide range of psychotherapies, for 4 years, with intensive supervision. Psychotherapy is an intrinsic part of psychiatry. What sets integrative psychiatry apart from traditional psychiatry is the inclusion of additional frameworks for understanding physical and emotional imbalances. We’re looking to the past, to ancient traditions of healing, and we’re looking to the future, to what’s at the cutting-edge. So we can discern when it might be appropriate to include additional ways of addressing issues, like nutraceuticals, yoga, acupuncture, Ayurveda, meditation, plant medicines, botanicals, etc. We always include an in-depth assessment of lifestyle, sleep, nutrition, and relationships with the intention of healing the root causes and restoring balance. The safest and most effective holistic approaches are combined with the most useful parts of traditional psychiatry, all in the context of a deep and caring doctor-patient relationship.

We commonly help people with depression, bipolar, anxiety, trauma, PTSD, OCD, and ADHD but our practice is not limited by diagnostic labels. People don't always neatly fit into those categories, and we don't take past diagnoses at face value. We always do a thorough assessment of our own, in collaboration with you. Sometimes this can be life-changing.

Dr. Sivilli sees people ages 18-63. Dr. Biscoe sees new patients ages 13-25, and continues to see established patients beyond age 25.

If you’re struggling with your mental health for longer than a few months, you should probably see a psychiatrist at least once. Psychiatrists are the only professionals who are trained in the full scope of diagnosing and treating mental health conditions, both medical and psychological. A consultation with a psychiatrist can help determine what form of treatment would be most appropriate for you, especially if what you’re dealing with is complex. You can use this guide to understand the training and roles of different types of professionals who help with mental health.

We’re not in-network with any insurance companies. Our patients self-pay, and depending on their out-of-network insurance benefits, may be reimbursed for some or all of the session fees. Some patients are reimbursed 100%, others none at all, and for many it's something like 50-80% after meeting a deductible. We can give you a general idea of what your policy covers.

To find out for sure, we’d recommend calling the number on the back of your card and asking: Do I have out of network coverage for psychiatry? If so, is there a deductible? If there's a deductible, have I met it? What percentage of fees will be covered? What is the allowable amount for codes 99204, 99205, 99213, 99214, 90833, 90836, 90838, 90785, 99217?

Most appointments are online using a secure video platform connected to the patient portal. We have offices in Tucson, Los Angeles, and Monterey so that we have the option of connecting in person. In some situations (like if we’re using any controlled substances) it’s necessary to meet in person periodically, but for most it’s not required.

Yes, if all of these conditions are met: we think the medication is appropriate for you, you use it as prescribed, you have the ability to check your blood pressure and heart rate at home, and we meet in person at least once.

Yes, we can help people who want to stop their medications, reduce their dose, or simplify their medication regimen. If we think it will do more harm than good, we’ll explain why. But many times it's a good option to consider, especially when there may be questions about the validity of the original diagnosis, when the current medication isn't helping enough, and when there may be other approaches that can decrease the need for medications over the long run.

Not at all. We’re not anti-medication. When we think medication could help, we’ll tell you, and we’ll talk through the pros and cons. We’re here to give you the information you need to make your own choices, aligned with your values. We support what works for each person to flourish, and we have no preconceived judgments about what that needs to be.

Yes, we love psychotherapy. At your 2-hour intake appointment, we’ll have a sense of what type of psychotherapy would be most helpful for you, and we’ll be able to give specific recommendations.

No, we don’t offer psychedelic-assisted therapy. Psychedelic-assisted therapy involves a therapist being present with someone during a psychedelic experience, usually with preparation sessions ahead of the experience and integration therapy sessions afterward. There is promising research happening with psychedelics like psilocybin and MDMA for a variety of mental health conditions, but this is still mostly illegal and not ready for use in regular practice. We are able to support you with integration therapy for prior psychedelic experiences you may have had, but we don’t give referrals for psychedelic experiences and we don’t recommend them outside of an FDA-approved research setting.