Holistic psychiatry that treats the whole person
Psychiatric care that takes in your physical health, emotional wellbeing, relationships and lifestyle, not just a list of symptoms.
Your mind is deeply connected to your body, your history and the life you're living. Holistic psychiatry starts there, with time to understand the full picture before deciding together what will help.
“What's wrong with you?”
“What's happening right now, and what is your experience telling us about the present and the past?”
That shift sits at the heart of holistic psychiatry. Symptoms matter, but they're part of a bigger story, and understanding that story is what makes lasting change possible.
Clinical expertise, widened
Holistic psychiatry is psychiatric care that looks beyond diagnosis and prescription to the whole of who you are.
At Modern Holistic Psychiatry, I take time to understand the full context of your life: your history, your physical health, your environment, your relationships and what matters to you. Rather than matching symptoms to a medication, we look at what might be driving how you feel and what would genuinely support you.
This approach brings together evidence-based psychiatric practice with insight from somatic awareness, psychoanalytic thinking and whole-body health. It's spacious, grounded and collaborative, and it treats you as the expert on your own life.
Is it still “real” psychiatry?
Yes. I'm a board-certified psychiatric nurse practitioner, so I can assess, diagnose and prescribe. Medication remains an option when it's helpful. The difference is that it's one tool among many, used thoughtfully and alongside the other things that shape your mental health, rather than the whole plan.
Holistic, integrative or alternative?
You'll see these terms used interchangeably. Here, holistic means looking at the whole person; integrative means combining conventional psychiatry with complementary approaches where they help. In practice, my work is both. It isn't “alternative” in the sense of replacing medicine, but it does offer an alternative to the rushed, symptom-only model many people have experienced.
Why people look for something different
Many clients come to me after feeling unseen in conventional psychiatry. What I offer is designed to be the opposite of that experience.
What many people have experienced
- Short appointments that feel rushed
- Care split between several providers who rarely speak
- Medication offered without deeper conversation
- Symptoms treated in isolation from the rest of life
- Little say in the direction of treatment
Care at Modern Holistic Psychiatry
- Unhurried 60 and 90-minute sessions
- Psychiatry and psychotherapy held in one relationship
- Medication considered carefully, alongside other options
- Body, mind, history and lifestyle explored together
- A collaborative plan that respects your autonomy
Tools chosen for you
No two plans look the same. We work together to find what's most useful, not just for now, but for long-term, meaningful change. Your care might draw on any combination of the following.
Psychotherapy
Space to talk, reflect and understand your patterns, drawing on psychoanalytic, relational, feminist, CBT and DBT-informed approaches.
Thoughtful medication
Starting, adjusting, simplifying or tapering psychiatric medication, with careful monitoring and clear explanations at every step.
Supplements & nutraceuticals
Personalised vitamins, botanicals and nutraceuticals that may support mood, focus, anxiety and recovery, reviewed for safety alongside any medication.
Somatic work
Body-based practices that support grounding, nervous system regulation and processing experiences that are hard to put into words.
Lifestyle & whole-body health
Sleep, nutrition, movement, stress and physical health, explored as part of the picture, because they all shape how you feel.
Mindfulness & regulation
Practical tools for calming the nervous system, building awareness and responding to difficult moments with more choice.
Support for a wide range of experiences
Holistic psychiatry can help whether you're facing something new, living with a long-standing diagnosis, or carrying something you can't quite name. It's also well suited to people who want to review their current medication or explore options beyond it.
- Anxiety and panic
- Depression and low mood
- Burnout and chronic stress
- Trauma and PTSD
- ADHD and focus difficulties
- Sleep problems
- Grief and life transitions
- Mood instability
- Identity, gender and LGBTQIA+ care
- Medication review or tapering
What working together looks like
A clear, unhurried path from first conversation to ongoing support.
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1
Free consultation 15 minutes
A short, no-obligation call to talk about what's bringing you here, ask your questions and see whether my approach feels like the right fit.
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2
Comprehensive evaluation 90 minutes
An in-depth first session covering your mental and physical health, history, relationships, lifestyle and any current or past treatment. Where helpful, I may suggest lab work to rule out physical contributors such as thyroid, vitamin or hormonal factors.
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3
Your personalised plan
We decide together what to focus on and which tools to use, whether that's therapy, medication changes, supplements, somatic work, lifestyle shifts or a combination. You'll understand the reasoning behind every recommendation.
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4
Ongoing care 60 or 90 minutes
Regular sessions to deepen the work, review progress and adjust as you change. Because I keep a small caseload, you'll have consistent, attentive support over time.
Francesca Rome-Marie, PMHNP-BC
As a psychiatric nurse practitioner trained at Johns Hopkins, with further study in gender theory, feminist thought, global religion and culture, and visual art, I bring a multidisciplinary lens to mental health.
My years in primary care mean I pay close attention to the physical side of wellbeing, and my somatic training means the body is always part of the conversation. I intentionally work with a small group of clients, which allows for the consistent, attentive support that's so often missing from healthcare today.
Whether you're seeking holistic psychiatry, alternative psychiatry or a more relational, trauma-informed approach to healing, we'll begin with where you are.
Clear, upfront rates
I don't accept insurance. Modern Holistic Psychiatry is an out-of-network provider, which means sessions are paid for directly. Depending on your plan, you may be able to claim reimbursement through your out-of-network benefits, and I can provide the documentation you need to submit a claim.
Find out how much your insurance may coverHolistic psychiatry FAQs
What's the difference between holistic psychiatry and conventional psychiatry?
Conventional psychiatry often focuses on diagnosing symptoms and prescribing medication in short appointments. Holistic psychiatry still offers diagnosis and medication where helpful, but places them within a much broader understanding of your physical health, lifestyle, relationships, history and goals, with far more time to explore them.
Do I have to stop taking my medication?
No. Holistic psychiatry isn't anti-medication. Many clients continue their current medication, some adjust doses, and some choose to taper with careful support. Any change is made gradually, collaboratively and only when it's safe and right for you.
Can you prescribe medication?
Yes. As a board-certified psychiatric nurse practitioner, I can assess, diagnose and prescribe psychiatric medication, as well as manage, adjust or taper existing prescriptions.
Will I need lab tests?
Not always, but they can be useful. Factors such as thyroid function, vitamin D, B12, iron and hormones can all affect mood, energy and focus. If tests could help clarify what's going on, we'll discuss them during your evaluation.
Do you offer therapy as well as psychiatry?
Yes, and that's one of the key differences. Rather than seeing one provider for medication and another for therapy, you can receive both within a single, consistent relationship, so nothing gets lost between appointments.
Do you take insurance?
I don't accept insurance and I'm out of network. Many clients are able to claim partial reimbursement through their out-of-network benefits. You can check your likely coverage here.
Who do you work with?
I support clients across New York State, with my practice based at 41 Union Square West in Manhattan. I keep a small caseload by design, so the free consultation is the best way to check availability and fit.
Care that sees a person, not a diagnosis
If you're looking for psychiatric care that treats you as a whole person, I'd be glad to talk. Book a free 15-minute consultation to see what working together could look like.