Dr. Lesley Michael

Services and Approach

Dr. Michael takes an integrative, evidence-based approach to psychiatric care, considering the biological, psychological, hormonal, nutritional, medical, and environmental factors that may contribute to mental health and wellbeing. Treatment is highly individualized and may incorporate:

  • Comprehensive psychiatric evaluation, including assessment of relevant medical, hormonal, and nutritional contributors

  • Psychiatric medication management, including initiation, optimization, and thoughtful discontinuation when appropriate

  • Hormone therapy evaluation and management, when clinically appropriate

  • Laboratory evaluation for nutritional deficiencies and other medical contributors to psychiatric symptoms, when clinically indicated

  • Psychotherapy, including supportive, cognitive-based, and psychodynamic approaches

  • Evidence-informed nutritional, lifestyle, and supplement guidance

  • Collaboration with OB/GYNs, GIs, endocrinologists, internists, and other specialists when appropriate

Dr. Michael’s therapeutic style is warm, practical, and collaborative. Her integrative approach combines evidence-based psychiatry and psychotherapy with careful attention to physical health, hormonal transitions, nutritional status, sleep, lifestyle, and relationships. Treatment is highly individualized and may include psychiatric medication, hormone therapy, laboratory evaluation and correction of nutritional deficiencies, as well as collaboration with other medical specialists when indicated.

Dr. Michael treats depression, anxiety, ADHD, OCD, PTSD, and adjustment disorders, with particular expertise in reproductive mental health and the influence of hormonal transitions on mood, anxiety, sleep, cognition, and overall wellbeing.