Integrative psychiatry that bridges medicine and more
Integrative psychiatry in New York that combines conventional psychiatric medicine with complementary tools, chosen carefully and checked against each other for safety.
Sometimes something feels off and no one can say why. You are tired despite sleeping, low without an obvious cause, or caught in emotional patterns that medication alone has not shifted. Integrative psychiatry looks at the biological picture alongside the psychological one, then brings together prescription support, supplements, lifestyle changes, mindfulness and trauma-informed therapy into one coherent, carefully monitored plan.
“You should not have to choose between a prescriber who ignores supplements and a wellness approach that ignores medicine.”
Integrative psychiatry holds both in one place, so every part of your plan is considered in relation to everything else you are taking and doing.
Conventional and complementary, working together
Integrative psychiatry combines established psychiatric practice with complementary approaches, coordinated by a clinician who can prescribe.
Many people end up managing their mental health across separate worlds. A psychiatrist adjusts medication in short appointments; a nutritionist, wellness clinic or online forum suggests supplements; a therapist works on emotions; and no one looks at how it all fits together. Integrative psychiatry brings those threads into a single plan, with one clinician who understands both the medication and the complementary options and how they interact.
My training as a board-certified psychiatric nurse practitioner, and my earlier years in primary care, mean I take biology seriously. Thyroid function, nutrient levels, hormones, sleep, inflammation and medication side effects can all influence mood, focus and energy. Where it would genuinely clarify things, we may consider lab work. Where a prescription would help, I can provide and monitor it. Where supplements or lifestyle changes might offer support, I weigh them with the same care.
Integrative does not mean anti-medication, and it does not mean adding as many remedies as possible. It means choosing deliberately, combining safely, and simplifying when a plan has become crowded.
Integrative or holistic psychiatry?
The terms are close cousins. Holistic psychiatry describes the scope of care: looking at the whole person and the whole of their life. Integrative psychiatry describes the toolkit: deliberately combining conventional psychiatric treatment with evidence-informed complementary approaches, and making sure they work together safely. My practice offers both, and many clients benefit from each.
Safety at the centre
Supplements and nutraceuticals may support mood, anxiety, focus or recovery from trauma, but they are not harmless by default. Some interact with psychiatric medication, affect sleep or alter how other drugs are processed. I review everything you take, prescribed or not, before suggesting changes, and supplements are never offered as a replacement for necessary medical care.
When there is no clear diagnosis
Integrative psychiatry is especially useful when you feel unwell without fitting a neat category: persistent fatigue, unrefreshing sleep, brain fog, irritability or recurring emotional patterns. Rather than forcing a label, we look carefully at possible contributors across body and mind, then decide together what to address first.
When you want the full toolkit
Integrative psychiatry suits people who want medical expertise without a medication-only mindset, and people already using supplements who want them reviewed properly. It can support a broad range of concerns, from long-standing diagnoses to symptoms that have never been fully explained.
- Fatigue and low energy
- Sleep that never feels restful
- Anxiety or depression
- ADHD and focus difficulties
- Trauma-related symptoms
- Medication that only partly helps
- Side effects you want addressed
- Interest in evidence-informed supplements
- A crowded regimen needing review
- Feeling unwell without a diagnosis
Tools combined with care
Your plan is built through conversation, not a protocol. These are the main elements I can draw on, in whatever combination makes sense for you, with each one reviewed in light of the others.
Prescription support
Starting, adjusting, simplifying or tapering psychiatric medication when it helps. Every change is gradual, explained clearly and monitored closely, and you always have a say in the decision.
Supplements and nutraceuticals
Vitamins, minerals and nutraceuticals that may support mood, anxiety, focus or recovery. I select them with attention to quality, dose and interactions, alongside anything else you take.
Biological investigation
Where useful, we consider lab work to look for physical contributors such as thyroid, nutrient or hormonal factors, drawing on my background in primary care to interpret the bigger picture.
Lifestyle medicine
Sleep, nutrition, movement, light and stress load shape brain chemistry. We identify the changes most likely to make a difference for you and build them in realistically.
Trauma-informed therapy
Medication and supplements work best when emotional experience is also addressed. Therapy can be part of the same relationship, so psychological and biological care stay connected.
Mindfulness practice
Simple, practical mindfulness tools help regulate stress and increase awareness of how changes in your plan are affecting you, making monitoring more collaborative.
From scattered advice to one plan
Integrative psychiatry replaces fragmented, sometimes conflicting guidance with a single, coordinated approach.
Fragmented care
- Prescriber unaware of your supplements
- Supplements chosen without medical review
- Physical causes rarely checked
- Therapy and medication kept separate
- Regimens that only ever grow
Integrative psychiatry
- Everything you take reviewed together
- Supplements checked for interactions
- Physical contributors considered early
- Therapy and prescribing in one relationship
- Plans simplified when possible
Starting integrative psychiatry
A thorough beginning, then steady, monitored progress.
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1
Free consultation 15 minutes
A short call to describe your concerns, current medication or supplements, and what you are hoping for. I will explain how integrative care works and we can decide whether it suits you.
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2
Integrative evaluation 90 minutes
A detailed review of symptoms, mental and physical health, medication and supplement history, sleep, nutrition, stress and relationships. Please bring a list of everything you currently take, including doses.
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3
Your coordinated plan
We agree which elements to start with, in what order, and how we will know whether they are helping. Changes are introduced one at a time where possible, so effects are easier to read.
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4
Follow-up and adjustment 60 or 90 minutes
Regular sessions track progress, side effects and interactions. We adjust gradually, add or remove elements thoughtfully, and keep the plan as simple as it can be while still meeting your needs.
Francesca Rome-Marie, PMHNP-BC
I bring together psychiatry, psychotherapy, somatic work and whole-body health, informed by years in primary care and further study in gender theory, feminist thought, culture and visual art.
I keep a deliberately small caseload so that every client receives consistent, unhurried and genuinely attentive care, held within one relationship rather than split across several providers.
Clear, upfront rates
I don't accept insurance. Modern Holistic Psychiatry is an out-of-network provider, so sessions are paid for directly. Depending on your plan, you may be able to claim reimbursement through your out-of-network benefits.
Find out how much your insurance may coverNeed urgent support? If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or call 911.
Integrative Psychiatry FAQs
What does integrative psychiatry mean?
Integrative psychiatry combines conventional psychiatric care, including diagnosis and medication, with complementary approaches such as supplements, lifestyle medicine, mindfulness and therapy. The key word is integration: one clinician considers how all these elements interact, so your plan is coherent and safe rather than assembled from separate, unconnected sources.
Can supplements replace my psychiatric medication?
Sometimes supplements can play a supportive role, and for some people a plan may eventually rely less on medication. But supplements are not a like-for-like replacement, and stopping medication suddenly can be risky. Any change would be discussed thoroughly, made gradually and monitored closely, with your safety as the priority.
I already take several supplements. Can you review them?
Yes, and I would encourage it. Bring a list of everything you take, including doses and brands if possible. I will look at potential interactions with any medication, overlapping ingredients and whether each one is likely to be helping. Often the result is a simpler, more targeted regimen.
I feel unwell but have never had a clear diagnosis. Can integrative psychiatry help?
That is one of the situations it suits best. Persistent fatigue, poor sleep, brain fog or recurring low mood can have psychological and physical contributors. We look carefully at both, consider whether investigations would help, and build a plan that addresses the most likely factors first.
Is integrative psychiatry evidence-based?
The conventional elements, such as psychiatric assessment and medication, rest on established practice. Complementary tools vary in how strongly they are supported, so I am transparent about what is known and what is less certain, and I recommend options with a sensible safety profile. You make every decision with clear information.
Do I need to want medication to work with you?
No. Some people come specifically hoping to avoid or reduce medication; others want help optimising a prescription they value. Integrative psychiatry respects both. My role is to give you honest information about all the options and support whichever path you choose, while keeping safety in view.
Where do you practise integrative psychiatry?
My practice is at 41 Union Square West, Suite 735, Manhattan, and I support clients across New York State. A free 15-minute consultation is the first step to check availability and talk about your needs.
Medicine and more, in one place
If you want psychiatric care that brings every part of your treatment together, I would be glad to talk. Book a free 15-minute consultation to begin.