hearthstone-psychiatry-and-wellness

What Should I Expect at My First Psychiatry Appointment?

Wed, 30 Sep 2026 09:01:11 GMT

Medically reviewed by The Medical Doctors at Hearthstone Psychiatry & Wellness | September 2026

Scheduling a first psychiatry appointment can feel like a big step, and it is normal to have questions about what actually happens once you get there. At Hearthstone Psychiatry & Wellness, we want patients to feel prepared and comfortable before they walk through our door. Here is a clear look at what to expect, from scheduling through your first visit and beyond.

Before Your Appointment

Once you schedule your first visit, you may be asked to complete some initial paperwork or intake forms ahead of time. This helps your provider understand your history before you sit down together, so more of your appointment time can be spent talking rather than filling out forms.

It is helpful to gather a few things in advance:

A list of current medications, including dosages
Names and contact information for other physicians involved in your care
A brief history of past mental health treatment, if applicable
Notes on symptoms you have noticed, including when they started

What Happens During the Initial Evaluation

Your first appointment is primarily a conversation. Your psychiatric provider will ask about your current symptoms, personal and family medical history, and any past mental health treatment. This is also the time to talk through your daily life, relationships, and any stressors that may be relevant to your care.

Unlike a quick primary care visit, an initial psychiatric evaluation is typically longer, since it is designed to build a full picture of your mental and physical health rather than address a single symptom.

Some patients come in for a specific concern, such as symptoms of anxiety or depression , while others are unsure exactly what they are experiencing. Either is a reasonable place to start. Part of the evaluation is helping you put language to what you have been feeling.

Discussing a Treatment Plan

After your evaluation, your provider will talk with you about potential next steps. This may include medication management, therapy referrals, lifestyle recommendations, or a combination of approaches. At Hearthstone Psychiatry & Wellness, treatment plans are built around the individual rather than a one-size-fits-all protocol, and they often account for physical health alongside mental health.

You will have the opportunity to ask questions and share any concerns about medication or treatment options before deciding on a plan together.

What to Expect After Your First Visit

Follow-up care looks different depending on your treatment plan, but most patients return for a follow-up appointment within a few weeks to review how things are progressing. If medication is part of your plan, early follow-ups are typically focused on monitoring how you are responding and making adjustments as needed.

Many follow-up visits can be completed through telehealth for established patients, which can make ongoing care more convenient once your initial in-person evaluation is complete.

How to Prepare for a Smoother First Visit

A few simple steps can help your first appointment go more smoothly:

Arrive at least fifteen minutes early if completing paperwork in person
Bring a written list of medications rather than relying on memory
Write down your main concerns ahead of time so nothing gets missed
Be as open and specific as possible about your symptoms and history

There is no need to have everything figured out before your appointment. Part of your provider's role is to help sort through what you are experiencing and identify the right path forward.

Frequently Asked Questions

How long does a first psychiatry appointment usually take?

Initial evaluations are typically longer than routine follow-up visits, often 45 minutes to an hour, since the goal is to gather a complete picture of your history and current symptoms.

Do I need a referral to see a psychiatrist?

This depends on your insurance plan. Some plans require a referral from a primary care provider, while others allow direct scheduling. Visit our insurance page or contact your insurance plan to confirm your specific plan's requirements.

Will I leave my first appointment with a prescription?

Not always. Some patients begin medication after their first visit, while others benefit from further evaluation, therapy referrals, or lifestyle changes first. Your provider will discuss the most appropriate next step based on your individual situation.

What if I am not sure what is wrong, just that something feels off?

That is a common and valid reason to schedule an appointment. Part of the evaluation process is helping identify what you are experiencing and whether it fits a specific diagnosis or is better addressed through other support.

Common Questions From New Patients

Can my first appointment be in person and follow-ups be virtual?

Yes. At Hearthstone, we ask that patients have their initial evaluation in person. This allows you and your provider to build a stronger personal connection, reduces distractions, and allows a more in-depth assessment and comprehensive treatment planning. After this initial evaluation, we do offer both in-person and telehealth follow-up care based on individual circumstances.

What should I bring if I am currently seeing other doctors?

Bring the names and contact information for your other providers, along with a current medication list. This allows your psychiatric provider to coordinate care rather than treat your mental health in isolation from your other medical needs.

Is it normal to feel nervous before a first psychiatry appointment?

Yes, this is very common. Most patients feel some nervousness before their first visit. Providers are accustomed to this and structure the conversation to feel as comfortable and low-pressure as possible.

How do I know if I need a psychiatrist versus a therapist?

Psychiatrists are medical doctors who can evaluate and prescribe medication in addition to discussing symptoms and history. If you are unsure which type of care fits your needs, our team can help guide that decision during your initial evaluation. Learn more about our approach to care.

Schedule Your First Appointment

If you are ready to take the first step toward better mental health, our team is here to help you feel prepared and supported from your very first visit. Schedule an appointment online or contact Hearthstone Psychiatry & Wellness with any questions before your visit.

Disclaimer: The information provided on this blog is for general informational purposes only and is not intended as, and should not be considered, medical advice. All information, content, and material available on this blog are for general informational purposes only. Readers are advised to consult with a qualified healthcare professional for medical advice, diagnosis, or treatment. The author and the blog disclaim any liability for the decisions you make based on the information provided. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

What Is Geriatric Psychiatry? Understanding Specialized Mental Health Care for Older Adults

Sat, 26 Sep 2026 09:00:28 GMT

Medically reviewed by The Medical Doctors at Hearthstone Psychiatry & Wellness | September 2026

Mental health needs can change as we age, and sometimes the kind of care that works best changes with them. Geriatric psychiatry is a specialized field built around understanding the unique ways that aging, physical health, medications, cognitive changes, life transitions, and emotional well-being can intersect.

At Hearthstone Psychiatry & Wellness, our care team includes a board-certified geriatric psychiatrist, giving older adults in Johnson City and Northeast Tennessee access to psychiatric care informed by specialized training in the mental health needs and complexities of later life.

This post explains what geriatric psychiatry is, why it can differ from general adult psychiatry, and when this specialized approach may be the right fit for you or someone you love.

What Is Geriatric Psychiatry?

Geriatric psychiatry is a subspecialty of psychiatry focused on the mental health and emotional well-being of older adults. Geriatric psychiatrists have additional training in understanding how aging, medical illness, medications, cognitive changes, neurological conditions, life transitions, and social circumstances can affect mental health.

Geriatric psychiatrists diagnose and treat many of the same conditions seen in general psychiatry, including depression and anxiety , but approach them through a lens shaped by aging: overlapping medical conditions, neurological changes, and the reality that most older patients are already managing several other diagnoses and medications at once.

For example, changes in mood, behavior, memory, sleep, or functioning may reflect a psychiatric condition, a medical illness, medication effects, a neurological disorder, cognitive decline, delirium, or a combination of several factors.

A geriatric psychiatrist is trained to look beyond a single set of symptoms and consider the whole clinical picture. This includes physical health, cognitive and functional changes, medications, family and caregiver observations, and how a patient's various treatments may interact.

Why Mental Health Care Becomes More Complex as We Age

Many older adults live with more than one medical condition and may receive care from several healthcare professionals. When psychiatric symptoms occur within this larger medical picture, determining exactly what is causing them can become more complicated.

Symptoms that appear to be depression, anxiety, or another psychiatric condition may sometimes be influenced by an underlying medical problem, neurological illness, medication side effect, sleep disturbance, cognitive disorder, or other change in health.

New psychiatric or behavioral symptoms that first appear later in life may therefore warrant particular attention to possible medical, neurological, cognitive, and medication-related causes.

Psychiatric conditions can also present differently in older adults. Depression, for example, does not always present primarily as sadness. Some older adults may experience changes in sleep or appetite, loss of motivation or interest, physical complaints, difficulty concentrating, cognitive concerns, or a decline in everyday functioning.

While many older adults receive excellent mental health care from general psychiatrists and primary care clinicians, some benefit from the additional expertise of a geriatric psychiatrist when psychiatric symptoms occur alongside complex medical, neurological, cognitive, or medication-related concerns.

The Intersection of Mental Health, Memory, and Cognition

Cognitive concerns are an important part of geriatric psychiatry, but geriatric psychiatry is not limited to dementia or memory loss.

Changes in memory, attention, judgment, personality, or behavior can have many possible causes. Depression, anxiety, medication effects, sleep disorders , medical illness, delirium, neurological conditions, and neurocognitive disorders can sometimes produce overlapping symptoms.

One important role of geriatric psychiatry is helping determine what may be contributing to these changes and developing a treatment plan based on the broader clinical picture.

For patients living with dementia or another neurocognitive disorder, geriatric psychiatrists may also help evaluate and treat associated symptoms such as depression, anxiety, agitation, sleep disturbance, hallucinations, or other behavioral and psychological symptoms when they occur.

Medication Management: An Important Part of Geriatric Psychiatry

Because older adults may receive medications from several clinicians, reviewing the complete medication list is particularly important.

Aging can also affect how the body processes and responds to medications. Some older adults may be more sensitive to medication side effects or more vulnerable to problems such as sedation, dizziness, falls, confusion, changes in blood pressure, or cognitive effects.

A thorough medication review can help identify:

Potential interactions between psychiatric and non-psychiatric medications
Medications that may be contributing to psychiatric, cognitive, or functional symptoms
Opportunities to simplify a medication regimen when clinically appropriate
Situations in which a medication may warrant reassessment with the clinician who prescribed it
Opportunities for careful deprescribing when the potential risks of a medication may outweigh its continued benefits

Rather than simply adding another medication to an already complicated regimen, geriatric psychiatric care considers how psychiatric treatment fits within the patient's overall medication and medical picture.

When changes to medications prescribed by another healthcare professional may be appropriate, coordination with that clinician can help ensure that changes are made safely and thoughtfully.

Why Coordination With Other Physicians Matters

Older adults may receive care from primary care clinicians, neurologists, cardiologists, other medical specialists, therapists, and additional healthcare professionals.

Geriatric psychiatry recognizes that mental health care is often most effective when it is considered alongside the patient's broader medical care.

When clinically appropriate and with the patient's permission, a geriatric psychiatrist may coordinate with other members of the healthcare team. This can provide important context when evaluating symptoms, reviewing medications, or developing a treatment plan.

The goal is not simply to treat a psychiatric diagnosis in isolation, but to make psychiatric care fit thoughtfully within the patient's overall health and treatment needs.

Who Should Consider Geriatric Psychiatric Care?

Geriatric psychiatry may be especially helpful for older adults who:

Are experiencing depression, anxiety, or other mental health concerns later in life
Have psychiatric symptoms complicated by multiple medical conditions
Are experiencing changes in mood, behavior, memory, cognition, or daily functioning
Have neurological illness or cognitive concerns alongside psychiatric symptoms
Take multiple medications or have experienced difficulty tolerating psychiatric medications
Have symptoms that could potentially be related to medications or medical conditions
Need help evaluating behavioral or psychological symptoms associated with a neurocognitive disorder
Have a complex psychiatric history requiring additional consideration of age-related medical and medication factors
Have family members or caregivers who have noticed meaningful changes in mood, memory, behavior, or functioning

A person does not need to have dementia, multiple medical problems, or unsuccessful previous psychiatric treatment to benefit from geriatric psychiatric care. Sometimes the complexity of the clinical picture itself makes specialized evaluation worthwhile.

If you are unsure whether this level of specialized care is the right fit, our team can help you determine the best next step. Learn more about our approach to care or contact our office to discuss your situation.

A Personal Commitment to This Kind of Care

Many of us have navigated the challenges of aging alongside our own family members, from managing multiple specialists and complicated medication lists to watching someone we love experience changes in health, independence, memory, or emotional well-being.

Those experiences reinforce something that is central to geriatric psychiatry: treating an older adult means understanding much more than a diagnosis.

Aging can bring changes in physical health, relationships, independence, identity, living circumstances, caregiving needs, grief, and connection with family and community. These experiences can profoundly affect emotional well-being and deserve to be understood as part of the patient's overall story.

Bringing geriatric psychiatry into our practice reflects our commitment to providing thoughtful, comprehensive psychiatric care for older adults and helping address a specialized need for patients and families in our community.

Why Geriatric Psychiatry?

Older adults do not necessarily experience entirely different psychiatric illnesses simply because they have reached a certain age. What changes is often the context in which those illnesses appear and need to be treated.

Medical illness, neurological disease, cognitive change, medications, functional changes, grief and loss, changing relationships, caregiving dynamics, changes in independence, and the biological effects of aging can all influence psychiatric symptoms and treatment.

Geriatric psychiatry brings specialized expertise to this intersection. The goal is not simply to ask, "What psychiatric condition does this person have?" It is also to ask: "What is happening in this person's life, brain, body, medications, health, and environment, and how might all of those factors be contributing to what we are seeing?"

That broader perspective is at the heart of geriatric psychiatric care.

Frequently Asked Questions

Is geriatric psychiatry only for patients with dementia or memory loss?

No. Although cognitive disorders and the psychiatric and behavioral symptoms that can accompany them are an important part of geriatric psychiatry, the specialty encompasses much more.

Geriatric psychiatrists also evaluate and treat conditions such as depression, anxiety, and other psychiatric disorders while considering the effects of medical illness, neurological conditions, medications, cognitive changes, functional changes, and the circumstances of later life.

Memory loss is one possible reason to seek geriatric psychiatric care, but it is certainly not a requirement.

What age qualifies someone for geriatric psychiatric care?

Geriatric psychiatry generally focuses on adults age 65 and older, although chronological age is not the only consideration.

Depending on the clinical circumstances and the individual practice, some younger adults with cognitive disorders, neurological illness, significant medical complexity, medication sensitivity, or concerns more commonly associated with later life may also benefit from geriatric psychiatric expertise.

Will my geriatric psychiatrist communicate with my other doctors?

Yes. Coordinating with primary care physicians, neurologists, and other specialists is a central part of geriatric psychiatric care, since medication decisions and treatment plans need to account for a patient's full medical picture.

How do I know if I need general psychiatry or geriatric psychiatry?

Many older adults can receive excellent care from a general psychiatrist or primary care clinician. When clinically appropriate and with your permission, your geriatric psychiatrist may coordinate with your primary care clinician, neurologist, or other members of your healthcare team.

Geriatric psychiatry may be particularly useful when mental health symptoms occur alongside medical illness, neurological conditions, cognitive concerns, functional changes, medication sensitivity, multiple medications, or other complexities associated with aging.

An initial evaluation can help determine what type of care is most appropriate for your individual circumstances.

Common Questions From Families

How can I bring up mental health concerns with an aging parent?

Starting with specific observations can sometimes be more helpful than beginning with a diagnosis. You might mention changes you have noticed in sleep, appetite, mood, memory, behavior, interest in activities, or everyday functioning.

Approaching the conversation from a place of concern and support, and inviting your loved one to participate in decisions about their care, may make it easier to discuss seeking an evaluation.

What should I do if my loved one is resistant to seeing a psychiatrist?

Reluctance to seek psychiatric care can occur for many reasons, including stigma, fear, concerns about independence, or simply not believing that psychiatric care is necessary.

For some families, involving a trusted primary care clinician can help begin the conversation. It may also be useful to explain that geriatric psychiatric evaluation considers medications, physical health, cognition, sleep, mood, and other factors, not simply whether someone has a psychiatric diagnosis.

Can a geriatric psychiatrist help simplify a confusing list of medications?

Medication review can be an important component of geriatric psychiatric care.

A geriatric psychiatrist can evaluate whether medications may be contributing to mood, cognitive, behavioral, or functional symptoms, consider interactions with psychiatric treatment, and identify areas that may warrant further review.

When a medication has been prescribed by another healthcare professional, any proposed changes may require coordination with that clinician to ensure that treatment remains safe and appropriate.

Does insurance cover geriatric psychiatric care?

Coverage varies by plan. Visit our insurance page for current information or contact our office directly with questions about your specific plan.

Take the Next Step

If you or someone you love is navigating the intersection of aging, mental health, cognitive changes, medications, and complex medical care, specialized support is available. Schedule an appointment online or contact Hearthstone Psychiatry & Wellness to learn more about our geriatric psychiatry services.

What Is Spravato? A Patient's Guide to Esketamine Nasal Spray

Wed, 23 Sep 2026 09:01:01 GMT

Medically reviewed by The Medical Doctors at Hearthstone Psychiatry & Wellness | September 2026

For patients who have tried multiple antidepressants without meaningful relief, the search for an effective treatment can feel discouraging. Spravato® is one option that has changed the landscape for these patients. This guide explains what Spravato is, how it works, and who it may be right for.

What Is Spravato?

Spravato is the brand name for esketamine, a nasal spray medication approved for treatment-resistant depression . Unlike traditional oral antidepressants, Spravato is administered in a monitored clinical setting rather than taken at home, and it works through a different mechanism in the brain than most conventional antidepressants.

Spravato is typically used alongside an oral antidepressant, rather than as a standalone replacement for it, as part of a broader depression treatment plan. In some cases, Spravato may allow patients to reduce or even discontinue oral medications, but this should be part of an individualized treatment plan.

Understanding Treatment-Resistant Depression

Treatment-resistant depression generally refers to depression that has not adequately improved after trying at least two different antidepressant medications at appropriate doses and durations. This is more common than many patients realize, and it does not mean that depression is untreatable. It often means that a different approach is needed.

For patients in this situation, options beyond standard antidepressants become an important part of the conversation about what to try next.

How Spravato Works

Most traditional antidepressants target serotonin, norepinephrine, or similar neurotransmitters. Spravato works differently, acting on the brain's glutamate system, which is believed to play a role in how the brain forms and strengthens neural connections. This different mechanism is part of why Spravato can help some patients who have not responded to other treatments, and why it can sometimes work more quickly than traditional antidepressants.

Who May Be a Candidate for Spravato?

Spravato is generally considered for adults who:

Have tried at least two other antidepressant medications without adequate improvement
Continue to experience significant depression symptoms despite ongoing treatment
Are already working with a psychiatric provider on an existing treatment plan

A thorough evaluation is necessary to determine whether Spravato is an appropriate fit, since it is not the right option for every patient with depression. If you have been managing depression for some time without the results you were hoping for, it may be worth discussing whether you meet the criteria.

What to Expect During Treatment

Spravato is administered as a nasal spray during an in-office visit, where patients are monitored for a period of at least two hours afterward due to potential short-term side effects such as dizziness, dissociation, or changes in blood pressure. Treatment typically starts at twice weekly for four weeks, then once weekly for four weeks. After eight weeks, you and your doctor can determine whether once weekly or every other week treatments are right for you.

Because Spravato® may temporarily affect alertness, coordination, and judgment, patients are expected to arrange transportation home after each treatment session and avoid driving or operating machinery for the rest of the day.

Frequently Asked Questions

How is Spravato different from traditional antidepressants?

Spravato is a nasal spray administered in a monitored clinical setting and works on a different brain pathway than most oral antidepressants. It is used alongside an oral antidepressant rather than in place of one, and it is specifically intended for depression that has not responded to standard treatment.

How quickly does Spravato work?

Some patients notice improvement sooner than they might with traditional antidepressants, though individual response varies. Your provider will discuss realistic expectations based on your specific situation during treatment planning.

Is Spravato the same as ketamine?

Esketamine, the active ingredient in Spravato, is derived from ketamine but is a distinct, FDA-approved formulation specifically studied and approved for treatment-resistant depression, with a defined dosing and monitoring protocol.

Will I need to continue taking my current antidepressant?

In most cases, yes. Spravato is approved for use alongside an oral antidepressant rather than as a replacement, so your provider will likely continue your current medication unless there is a specific reason to change it.

Common Questions About Getting Started

How do I know if my depression qualifies as treatment-resistant?

If you have tried two or more antidepressants at appropriate doses without adequate improvement, it is worth discussing treatment-resistant depression with your provider. An evaluation can help clarify whether this describes your situation.

Is Spravato covered by insurance?

Coverage varies by plan. Our office can help verify your specific benefits once an evaluation determines that Spravato may be an appropriate option for you. Visit our insurance page for general information.

What happens if Spravato is not the right fit for me?

If Spravato is not appropriate, your provider will discuss other options for treatment-resistant depression, which may include other medication strategies or additional treatment approaches. Learn more about our approach to care.

Take the Next Step

If antidepressants have not given you the relief you were hoping for, you may have more options than you realize. Schedule an appointment online or contact Hearthstone Psychiatry & Wellness to discuss whether Spravato could be part of your treatment plan.

Menopause and Mental Health: What Women Need to Know

Thu, 17 Sep 2026 15:36:33 GMT

Medically reviewed by The Medical Providers at Hearthstone Psychiatry & Wellness | September 2026

Menopause is often discussed in terms of hot flashes and physical symptoms, but the mental health effects can be just as significant, and are frequently overlooked. Many women notice changes in mood, anxiety, and emotional resilience during perimenopause and menopause, sometimes without connecting these changes to hormonal shifts. Understanding this connection is an important step toward getting the right kind of support.

How Hormones Affect Mental Health

Estrogen influences several brain chemicals involved in mood regulation, including serotonin. As estrogen levels fluctuate and eventually decline during perimenopause and menopause, these changes can directly affect mood stability, anxiety levels, and emotional resilience.

This is why some women who have never struggled with anxiety or depression begin experiencing symptoms for the first time during this life stage, while others with a prior history of anxiety or depression may notice their symptoms intensify.

Common Mental Health Changes During Perimenopause and Menopause

Mental health symptoms associated with this transition can include:

New or worsening anxiety
Low mood or depressive symptoms
Increased irritability
Difficulty concentrating, sometimes described as brain fog
Mood swings that feel less predictable than in the past
Sleep disruption that compounds mood and cognitive symptoms

These symptoms can vary significantly from one woman to another, both in intensity and in when they appear relative to other menopausal symptoms.

Why This Transition Deserves Specialized Attention

Menopause-related mental health symptoms are sometimes dismissed as a normal, unavoidable part of aging, which can leave women without the support they need. In reality, these symptoms are a legitimate area of psychiatric care, and treatment approaches may need to account for hormonal factors rather than following a standard depression or anxiety protocol alone.

A provider familiar with this connection can help distinguish between symptoms driven primarily by hormonal changes, a separate mental health condition, or some combination of the two, which shapes what kind of treatment is likely to help most.

Distinguishing Perimenopause Symptoms From Depression

One of the more difficult aspects of this transition is that perimenopause symptoms and depression can look similar on the surface. Both can involve low energy, irritability, sleep changes, and difficulty concentrating. A few distinctions that can help clarify the picture include the timing of symptoms relative to menstrual cycle changes, whether symptoms fluctuate with other menopausal signs like hot flashes, and whether there is a personal or family history of depression.

Because of this overlap, a thorough evaluation is often the clearest way to understand what is actually happening and identify the most appropriate treatment path.

Treatment Approaches for Menopause-Related Mental Health Symptoms

Treatment is not one-size-fits-all, and options may include:

Psychiatric medication management tailored to symptoms and health history
Coordination with a patient's other providers regarding hormonal factors
Lifestyle strategies that support sleep, stress regulation, and overall well-being
Ongoing monitoring as hormonal changes and symptoms evolve over time

Because hormonal and psychiatric symptoms are often intertwined during this transition, care that considers the whole picture tends to be more effective than addressing mood symptoms in isolation.

Frequently Asked Questions

Can menopause cause anxiety even if I have never had it before?

Yes. Hormonal changes during perimenopause and menopause can trigger new anxiety symptoms in women with no prior history, due to the effect of declining estrogen on brain chemistry involved in mood regulation.

How do I know if what I am feeling is perimenopause or depression?

This can be difficult to determine without an evaluation, since symptoms often overlap. A psychiatric provider can help assess your symptoms, timing, and history to clarify what is driving your experience and what treatment approach makes sense.

Is brain fog during menopause a mental health issue?

Brain fog during menopause can be related to hormonal changes, mental health symptoms, sleep disruption, or a combination of these factors. It is a legitimate symptom worth discussing with a provider rather than something to dismiss.

Will I need to stop my current psychiatric medication during menopause?

Not necessarily. Some women need adjustments to their existing treatment plan during this transition, while others do not. This is something to discuss individually with your provider based on your specific symptoms and history.

Common Questions About Getting Support

At what age should I start paying attention to mental health changes related to menopause?

Perimenopause can begin years before menopause itself, often in a woman's 40s, so it is reasonable to pay attention to mood or anxiety changes earlier than many expect, rather than waiting until symptoms become severe.

Can hormone-related mental health symptoms get worse if untreated?

For some women, yes. Without support, symptoms such as anxiety, low mood, or sleep disruption can persist or intensify as hormonal changes continue. Seeking evaluation earlier can help identify effective strategies sooner.

Does insurance cover psychiatric care related to menopause symptoms?

Coverage varies by plan. Visit our insurance page or contact our office to confirm details for your specific plan.

What should I bring up with my provider if I suspect menopause is affecting my mental health?

Share specific details, including when symptoms started, how they relate to your menstrual cycle if applicable, and any physical menopausal symptoms you have noticed alongside mood changes. Learn more about our approach to care .

Take the Next Step

If you have noticed changes in your mood, anxiety, or emotional resilience during perimenopause or menopause, you do not have to navigate it without support. Schedule an appointment online or contact Hearthstone Psychiatry & Wellness to talk through what you have been experiencing.

Disclaimer: The information provided on this blog is for general informational purposes only and is not intended as, and should not be considered, medical advice. All information, content, and material available on this blog are for general informational purposes only. Readers are advised to consult with a qualified healthcare professional for medical advice, diagnosis, or treatment. The author and the blog disclaim any liability for the decisions you make based on the information provided. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.