
Services and pricing
Psychiatric services
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Purpose
This in-depth assessment is designed to provide a thorough understanding of an individual's psychological and psychiatric functioning, including cognitive abilities, personality traits, emotional state, and adaptive behaviors. Unlike a standard medication management intake, this evaluation is ideal for individuals who are not yet diagnosed, have a complex interplay of symptoms, or are uncertain about the diagnoses or treatments that best fit their needs. We offer this service to both children and adults, including those who suspect they may have ADHD but have not yet been formally diagnosed.
This evaluation culminates in a formal, written report that integrates findings from various testing measures and tools, beyond the clinical interview and history, to provide a comprehensive diagnostic picture and clear treatment recommendations.
Evaluation Process:
Intake Interview: A detailed discussion of the individual's history, symptoms, and goals.
Psychological Testing: Administration of standardized tests to assess various aspects of psychological functioning, including:
Personality tests: Assess personality traits, coping mechanisms, and emotional functioning.
Neuropsychological tests: Evaluate cognitive functions such as memory, attention, and executive functioning.
Clinical Interview: An in-depth exploration of the individual's symptoms, experiences, and coping mechanisms.
Diagnostic Assessment: A comprehensive integration of findings from the intake interview, psychological testing, and clinical interview to clarify the diagnostic picture and determine an appropriate diagnosis, if necessary.
Treatment Recommendations: A personalized treatment plan developed based on the evaluation findings, discussed in a complementary 30-minute follow-up session. This plan may include a range of interventions, not necessarily limited to medication management. Options could focus on lifestyle adjustments, holistic or integrative interventions, or targeted psychotherapy recommendations, depending on the individual’s needs.
Who Should Choose a Comprehensive Psychiatric Evaluation?
This evaluation is distinct from a typical medication management intake and is particularly suited for:
Individuals who have not yet been diagnosed with a mental health condition and are seeking clarity.
Individuals experiencing a complex mix of symptoms and are unsure what diagnosis or treatment approach best fits their situation.
Adults or children who suspect they have ADHD but have not been formally diagnosed.
Individuals looking for a detailed, formal written report that integrates outside testing measures and provides a clear, personalized treatment plan.
Individuals seeking a holistic approach that includes lifestyle interventions or therapeutic recommendations beyond medication.
Key Benefits:
Accurate Diagnosis: This thorough evaluation provides the clarity needed to accurately diagnose mental health conditions.
Personalized Treatment: A tailored plan based on extensive data from testing and interviews, not limited to medication—other options include lifestyle changes, holistic treatments, or psychotherapy.
Comprehensive Understanding: Helps individuals and their families better understand the interplay of strengths and challenges.
Formal Report: Leave the session with a formal written document outlining the findings and personalized treatment plan.
Appointment Details:
This comprehensive evaluation is 90 minutes long and includes a 30-minute follow-up to review findings and collaboratively establish a treatment plan that fits the individual's needs.
Pricing:
Comprehensive Psychiatric Evaluation: $650
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Purpose
To provide comprehensive medication management for individuals with a variety of psychological conditions, including:
Mood disorders: Depression, bipolar disorder
Anxiety disorders: Generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder
Neurodevelopmental Disorders: Attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder
Trauma and Related Disorders: Posttraumatic stress disorder, Acute stress disorder
Medication Management Process
Initial assessment: A thorough evaluation to determine the underlying cause of the psychological issue and identify any potential contributing factors.
Medication selection: Careful consideration of the individual's symptoms, medical history, and preferences to choose the most appropriate medication.
Medication monitoring: Regular follow-up appointments to monitor the effectiveness of the medication, adjust dosages as needed, and address any side effects.
Education: Providing information about the medication, its potential benefits and risks, and how to manage side effects.
Coordination of care: Working closely with other healthcare providers, such as therapists or psychiatrists, to ensure comprehensive treatment.
Who Should Consider Medication Management:
Individuals with a diagnosis of a psychological condition.
Individuals who are experiencing symptoms of a psychological condition but have not yet been diagnosed.
Individuals who are not responding adequately to non-pharmacological treatments, such as therapy.
Note: Medication management is often used in conjunction with other forms of treatment, such as psychotherapy. It is important to work with a qualified mental health professional to develop a comprehensive treatment plan.
Pricing:
New Patient Medication Management or Functional Medicine Intake $300, $350 with Senior NP
Medication Management or Functional Medicine Follow Up (30 minutes): $150, $175 with Senior NP
Medication Management of Functional Medicine Follow Up (60 minutes) : $300, $350 with Senior NP
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A formal autism evaluation is a comprehensive assessment conducted by a qualified professional to determine if an individual meets the diagnostic criteria for Autism Spectrum Disorder (ASD). This evaluation involves a detailed assessment of the individual's social communication, social interaction, and repetitive behaviors.
Evaluation Process
Our autism evaluation process involves the following steps over several appointment sessions:
Intake and History: Gathering detailed information about the individual's developmental history, behavioral patterns, and family history.
Clinical Interview: Conducting a semi-structured interview with the individual and their caregiver to assess social communication, social interaction, and repetitive behaviors.
Psychological Testing: Administering standardized tests to assess behavioral components, adaptive functioning, sensory processing, and executive function. Examples include the Autism Diagnostic Interview -Revised (ADI-R), Vineland Adaptive Behavior Scales (VABS), Sensory Profile 2, and Brown Executive Function Scale.
Diagnostic Assessment: Integrating the findings from the clinical interview, psychological testing, and any additional assessments to determine a diagnosis of autism spectrum disorder based on DSM-5 criteria.
Disability Evaluation: Assessing the individual's functional limitations and needs related to their ASD diagnosis and determining eligibility for disability services.
Who should have a formal neurodevelopmental evaluation for ASD?
It is best suited for
Individuals who are exhibiting signs or symptoms of ASD, such as difficulties with social interactions, communication challenges, or repetitive behaviors.
Key Benefits
Comprehensive Understanding: The evaluation process aims to provide a comprehensive understanding of the individual's strengths, challenges, and needs, and to inform subsequent interventions and support.
Clarity and Peace of Mind: An autism evaluation can provide clarity and peace of mind. We'll help you understand your or your child' s unique needs and develop a personalized plan for success. We currently assess both children and adults.
Pricing
ASD Evaluation: $3000
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Are you worried about your child's development? Or are you an adult who has concerns about social challenges and repetitive behaviors? Our autism screening services can help you get the answers you need. We offer a quick and easy assessment to see if you or your child might benefit from further evaluation.
Purpose
To provide a preliminary assessment for individuals suspected of having Autism Spectrum Disorder (ASD). This screening can help identify potential cases early and facilitate timely referrals for further evaluation and diagnosis.
ASD Screening Process
Initial Assessment: A brief assessment is conducted, often consisting of several questionnaires and clinical interview with the client or caregiver. This assessment gathers information about the individual's social communication, social interaction, and repetitive behaviors.
Screening Tools: Standardized screening tools, such as the Social Communication Questionnaire (SCQ), Autism Spectrum Quotient (AQ), Autism Spectrum Screening Questionnaire, or others may be used to gather objective data.
Referral: If the screening results indicate a high likelihood of ASD, the individual will be referred for a comprehensive evaluation with a qualified professional to confirm the diagnosis.
Who Should Consider an ASD Screening?
Parents or caregivers of children who may be exhibiting signs or symptoms of ASD, such as delayed speech, repetitive behaviors, or difficulty with social interactions.
Adults who suspect they may have ASD.
Healthcare providers who are concerned about a patient's development or behavior.
Key Benefits of Early Screening
Early Identification: Screening can help identify potential cases of ASD early, allowing for timely intervention and support.
Improved Outcomes: Early intervention can lead to better outcomes for individuals with ASD, including improved social communication, adaptive skills, and overall quality of life.
Reduced Anxiety: Early screening can provide families with answers and reduce anxiety related to concerns about their child's development.
Note: Screening is not a definitive diagnosis. A comprehensive evaluation by a qualified professional is necessary to confirm a diagnosis of ASD.
Pricing
ASD Screening: $600
Functional medicine and integrative health services
What is Integrative or Functional Medicine?
Integrative health care combines the best of conventional medicine and holistic approaches to identify the root cause of your concerns while guiding you towards optimal functioning. Our goal is to support the body’s natural ability to heal, but we also recognize that sometimes a combination of functional medicine and pharmaceutical intervention is needed for you to feel your best. Your practitioner will use a personalized approach, including comprehensive blood work, functional testing (see test descriptions below), an in-depth clinical interview, and a review of your medical history and previous treatments. Together, we will review these findings, identify trends, and develop a treatment plan that best suits your needs. This plan may include a combination of prescription medication, dietary adjustments, lifestyle changes, and practitioner-grade supplements that meet the highest quality and safety standards in a largely unregulated industry.
Who is Integrative Medicine For?
Those Seeking Symptom Relief Beyond Traditional Approaches: If current medications, therapy, or lifestyle interventions haven’t fully resolved your symptoms, integrative medicine offers a more comprehensive solution.
Those Who Feel “Normal” Isn’t Optimal: If you’ve been told that “everything is normal”; but still don’t feel your best, we will work to uncover the differences between what is considered “normal” and what is truly optimal for your health.
Individuals Seeking Natural Interventions First: If you prefer to explore natural treatments before turning to pharmaceuticals, integrative medicine offers a wide array of effective, evidence-based alternatives.
The Health Enthusiast: If you don’t have specific health concerns but want a comprehensive evaluation to establish a baseline of your health, integrative medicine provides the tools to do so.
Those Looking to Safely Taper Off Medications: If you are interested in safely tapering off medications, especially psychiatric medications, we offer individualized tapering strategies that may include compounded medications for microdosing, ensuring a smooth and comfortable transition.
Functional Lab Testing
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Complete Blood Count (CBC)
A simple CBC can provide clues about lingering viral infections, including latent Epstein-Barr virus (EBV), Lyme disease, and even parasitic infections.
Metabolic Functioning Assessment
This includes a comprehensive metabolic panel, insulin, hemoglobin A1C, leptin, a lipid panel, apolipoprotein A and B, and a full thyroid panel.
Did you know? You can have insulin resistance even if you are at a healthy weight and your labs appear "normal".
Vitamin and Mineral Assessment
We check key vitamins and minerals, including vitamin B1, B3, B6, vitamin D, zinc, copper, and a full iron panel with ferritin levels.
Did you know? Many of these nutrients are essential for producing neurotransmitters like serotonin and dopamine.
Adrenal Function and Stress Response Evaluation
We assess cortisol, cortisol-binding globulin, adrenocorticotropic hormone (ACTH), DHEA-S, aldosterone, and renin levels to get a picture of your adrenal health.
Did you know? Both acute and chronic stressors impact our HPA (hypothalamic- pituitary-adrenal) axis in distinct ways.
Hormone and Fertility Assessment
Hormonal levels such as estradiol, estrone, progesterone, luteinizing hormone, follicle-stimulating hormone, free and total testosterone, prolactin, and AMH are tested.
Did you know? Although hormone levels are best assessed through urine and saliva metabolites using DUTCH testing, blood tests can still offer valuable insights into your hormonal health.
Inflammation and Autoimmunity Assessment
We evaluate markers such as high-sensitivity C-reactive protein (hs-CRP), sedimentation rate (ESR), antinuclear antibodies (ANA), thyroid antibodies, specific autoimmune antibodies, histamine, anti-gliadin IgA antibodies, deaminated gliadin antibodies, and tissue transglutaminase antibodies.
Did you know? These tests can help identify sources of inflammation from conditions like Hashimoto’s thyroiditis and autoimmune gastrointestinal disorders like celiac disease.
Pricing
Bloodwork will be processed through your insurance policy at your chosen lab service location. Individual costs will vary depending on your healthcare plan, but these tests are often covered in full.
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This advanced hormone panel provides a complete view of your adrenal and sex hormones, including cortisol, DHEA, estrogen, progesterone, and testosterone. By mapping your hormone patterns throughout the day and assessing key metabolites, the Dutch Plus test helps uncover imbalances linked to fatigue, stress, mood swings, and hormonal issues. Ideal for anyone struggling with unexplained fatigue, PMS, perimenopause, or symptoms of adrenal fatigue, it offers precise insights to guide effective, natural treatments.
Pricing
Dutch Plus: $570
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Perfect for women dealing with irregular cycles, fertility concerns, or severe PMS symptoms, the Dutch Cycle Mapping Plus test tracks your estrogen and progesterone levels across an entire menstrual cycle. This in-depth evaluation allows us to see exactly how your hormones are behaving each day, revealing underlying imbalances and giving a deeper understanding of your unique hormonal landscape. The test also includes an adrenal assessment for a holistic approach to balancing your hormones.
Pricing
Dutch Plus Cycle Mapping: $699
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Feeling tired but wired? The Dutch CAR test specifically evaluates your body's cortisol spike upon waking, a crucial marker for adrenal health and stress resilience. This test helps identify the root causes of fatigue, anxiety, burnout, and poor sleep by measuring how well your body is coping with stress from the moment you open your eyes. By understanding your cortisol rhythm, we can craft a personalized plan to restore energy, improve mood, and support optimal adrenal function.
Pricing:
Please contact your provider directly for pricing details.
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The Dutch Adrenal test focuses on your body's stress hormones—cortisol and DHEA—throughout the day, providing critical insights into how your adrenals are functioning. If you’re constantly fatigued, experiencing brain fog, or struggling with stress management, this test will pinpoint whether your adrenal glands are overworked or underperforming. Tailored protocols based on this test can help you regain your energy, improve sleep, and restore hormonal balance.
Pricing:
Dutch Adrenal: $380
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Digestive health is at the root of overall wellness. The GI Map is a cutting-edge stool test that analyzes your gut microbiome, identifies harmful pathogens, and evaluates digestive function. Whether you're dealing with chronic digestive issues, like bloating, IBS, diarrhea, or unexplained fatigue and mood issues, this test provides a detailed roadmap to healing your gut. It also screens for key markers of inflammation and leaky gut, offering targeted solutions for improved gut health.
Pricing:
GI Map: $510
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Are food sensitivities or hidden allergies making you feel miserable? This comprehensive test evaluates both immediate (IgE) and delayed (IgG) immune responses to a wide range of foods, inhalants, and environmental allergens. It helps you uncover the root causes of symptoms like headaches, skin problems, digestive issues, and chronic inflammation. Armed with these insights, we can create a personalized plan to eliminate triggers, heal your gut, and restore vibrant health.
Pricing:
Please contact your provider directly for pricing details.
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Environmental toxins are often hidden contributors to chronic illness. The Total Toxin Burden test measures your body’s load of harmful toxins, including pesticides, heavy metals, mold, and more. If you’ve been experiencing unexplained fatigue, brain fog, skin issues, or hormonal imbalances, this test can reveal the toxic exposures that may be undermining your health. With the results, we develop a targeted detoxification plan to clear toxins and restore balance.
Pricing
Total Toxin Burden: $690
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Brain fog, memory loss, and cognitive decline don’t have to be a mystery. The Neural Zoomer test evaluates your immune system’s response to key neurological proteins, helping detect early markers of autoimmune or neuroinflammatory activity. By identifying risk factors for conditions like Alzheimer's, multiple sclerosis, and other neurodegenerative diseases, this test allows us to intervene early with personalized protocols to support brain health and longevity.
Pricing:
Please contact your provider directly for pricing details.
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If you’ve had unexplained symptoms like joint pain, chronic fatigue, or neurological issues, tick-borne diseases like Lyme might be the cause. The TickBorne Diseases 2.0 test is a thorough evaluation that screens for a range of tick-borne infections, both acute and chronic. This test offers peace of mind by providing clarity on whether a tick-borne illness is contributing to your symptoms, and helps us develop a targeted, effective treatment plan.
Pricing:
Please contact your provider directly for pricing details.
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Struggling to find the right mental health medication? Genesight is a revolutionary test that analyzes your unique genetic makeup to determine how you metabolize psychiatric medications, including antidepressants, anxiety medications, and ADHD treatments. This personalized approach takes the guesswork out of prescribing, ensuring you receive the medications that work best for your body. The result is faster relief from symptoms and fewer side effects, with a tailored treatment plan based on your genetic profile.
Pricing:
Pricing per insurance.
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The Genetic Lifehacks Pro Report offers a deep dive into your raw genetic data, providing valuable insights into how your unique genes affect your health. This personalized report helps uncover genetic predispositions related to critical areas of health, including conditions like MTHFR mutations, ADHD, POTS (Postural Orthostatic Tachycardia Syndrome), Ehlers-Danlos Syndrome (EDS), long COVID, chronic fatigue, fibromyalgia, and mast cell activation syndrome (MCAS).
By analyzing key genes that impact nutrient metabolism, detoxification pathways, inflammation, and hormone balance, this report empowers you to make informed decisions about diet, supplements, and lifestyle changes that can optimize your health. A valuable tool in functional medicine, it provides a roadmap for addressing chronic conditions, reducing symptom burdens, and promoting long-term wellness through personalized, gene-based care.
Pricing:
Please contact your provider directly for pricing details and options.
WEIGHT MANAGEMENT SERVICES
Equilibrium Psychiatry and Integrative Medicine- Weight Management Mission Statement:
At Equilibrium, our mission is to foster holistic health for the body, mind, and spirit. Under the expert guidance of Stephanie Carletta, PMHNP-BC, we recognize the interconnected nature of the human body and are dedicated to an integrative approach that combines the best of Western medicine with lifestyle modifications, nutrition, and complementary therapies.
Stephanie has pursued advanced certification in obesity medicine through the Obesity Medicine Association (OMA), the largest organization dedicated to improving the lives of patients affected by obesity. Our approach is comprehensive, scientific, and individualized, ensuring that each patient receives personalized care tailored to their unique health and weight goals.
We are proud to offer the latest advancements in GLP-1 agonist injectable medications, such as semaglutide and tirzepatide, which have revolutionized obesity management. By utilizing even microdoses, we can provide effective symptom relief while minimizing side effects, making these treatments more accessible and sustainable.
At Equilibrium, we understand that inflammation and metabolic dysfunction are at the root of many chronic conditions, including autoimmunity, Type 2 Diabetes, PCOS, infertility, and cognitive decline. We also recognize the significant impact of metabolic health on mood disorders and the challenges posed by life-saving mental health medications which can contribute to unfavorable metabolic changes. Our goal is to address these issues at their root, rather than merely managing symptoms.
Our integrative medicine provider supports patients in areas such as nutrition, body recomposition, lifestyle improvements, gut health, hormone health, and mental health. We strive to create a safe, nurturing, and educational environment where individuals can explore these interventions without judgment.
What sets us apart is our commitment to personalized medicine. By utilizing compounded medications, we are not bound by the constraints of traditional medicine, brief visits, or insurance dictating care. This flexibility allows us to leverage the latest breakthroughs in healthcare, providing our patients with the most effective treatments at an accessible price point. We partner only with nationally accredited pharmacies that meet the highest international regulatory standards, ensuring the utmost quality of our compounded medications.
We invite you to join us on a transformative journey towards optimal health. At Equilibrium, we believe in the power of these innovative treatments to catalyze long-term wellness and empower you to achieve your health goals.
MEMBERSHIP OPTIONS
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Our Basic Membership is designed to offer affordable, flexible, and consistent care for your health journey. You’ll receive:
Personalized Medication Plan: Semaglutide ($325/month) or Tirzepatide ($475/month).
Quarterly Follow-Up: A mandatory check-in every three months to ensure you're on track and optimize your treatment plan.
Optional Additional Visits: Extra support available at any time for $175 per visit.
This membership provides predictable costs, ongoing support, and expert care—keeping you on course to meet your health goals with confidence.
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Our Premium Membership offers comprehensive care and exclusive perks for those who want a more tailored approach to their health. You’ll receive:
Personalized Medication Plan: Semaglutide ($475/month) or Tirzepatide ($625/month).
Monthly Follow-Up: Regular check-ins to fine-tune your plan and keep you progressing.
Exclusive Test Discounts: Enjoy a 20% discount on advanced functional medicine tests (GI Map, DUTCH test, Total Toxin Burden, and more) every six months.
This all-inclusive membership is perfect for health enthusiasts seeking deeper insights, proactive care, and substantial savings on essential health testing.