Integrative Medication management

Integrative medication management — A holistic approach to relief and healing

Get a personalized medication management plan that works — even if you’ve had trouble finding relief in the past.

Get a personalized, integrative medication plan that goes beyond just a prescription

If you’re struggling to find a medication routine for your mental health, you’re not alone. Trial and error with different drugs and different doctors can leave anyone feeling frustrated and hopeless. Sometimes the answer isn’t more medication — it’s an integrative approach that goes deeper than traditional mental health plans can.

serene woman looking out over denver lake with flare from sun behind her

What is integrative medication management?

Integrative treatment takes a whole-person approach to mental wellness.

Instead of forcing you to choose between traditional psychiatric care and more holistic therapies, an integrative plan offers you the best of both approaches. This creates a more comprehensive level of care and gives you more choices as a patient.

In addition, integrative mental treatment looks at the connection between mind, body, emotions, and spirit. This means treating depression, anxiety, PTSD, and other issues at their deepest level.

For instance, depression can be caused by unresolved trauma, but it can also be driven by hormonal imbalances, vitamin deficiency, or even exposure to toxic mold. Whereas traditional psychiatry might treat all of these cases the same, we would approach each of these root causes differently.

Most importantly, the deeper level of care that integrative mental health provides means it can often produce better outcomes — even if you’ve had difficulty finding relief in the past. Many patients at our center were struggling for years before we worked with them to find the right diagnosis and treatments.

“I had a complete work-up done … and found that a huge contributor to my depression was very low Vitamin D. It was a necessary baseline that no one had ever checked!” — Kyra M., Denver

 

At our center, you’re in control of your medication decisions

Our integrative medication management plans are based on your unique preferences and experiences. If you’re more comfortable with traditional options, your plan might focus on psychiatric medications. However, if you’d prefer a more holistic plan, we can discuss additional treatment options that can support a conventional approach. And if you’d like to find alternatives to medication, we can discuss the benefits and risks based on your specific medical history, lifestyle, and other factors. 

No matter which path you choose, we’ll help you make informed, evidence-based decisions about your care. Here’s some of the many options that your plan of care might include one or more of:

  • Medication trials for psychiatric medications that are new to you
  • Adjusting the dosage of your current medications
  • Tapering off a current medication
  • Psychotherapy or counseling
  • Ketamine infusions for depression, anxiety, or trauma
  • Bioidentical hormone replacement therapy
  • Thyroid treatment
  • Nutrient optimization (through food, supplements, or IV therapy)
  • Mindfulness recommendations like meditation
  • Somatic recommendations like massage therapy, yoga, and accupuncture
  • Lifestyle interventions such as sleep hygiene and exercise

Find out if our integrative medication management services are right for you with a free 15-minute phone consultation

Schedule a free consultation with a knowledgeable member of our team here:

Conditions we treat

Our integrative psychiatry and medication management experts specialize in diagnosing and treating a range of issues and disorders, including:

  • Major Depressive Disorder
  • Persistent Depressive Disorder
  • Treatment-Resistant Depression
  • Anxiety
  • PTSD
  • Complex Trauma
  • ADHD
  • Drug & Alcohol Addiction (inc. Medication-Assisted Treatment like Suboxone and Vivitrol)
  • Other Addictions (inc. Pornography, Gambling, Shopping)
  • OCD & Phobias
  • Bipolar Mood Disorder
  • Personality Disorders
  • Seasonal Affective Disorder (SAD)

Common Psychiatric Medications

There are several major categories of medications that may be used to treat mental health conditions:

Antidepressants: These medications help relieve depression symptoms like sadness, lack of energy, sleep issues, and difficulty concentrating. Some common antidepressant types include SSRIs (e.g. Prozac, Zoloft, Lexapro), SNRIs (e.g. Effexor, Cymbalta), TCAs (e.g. imipramine, nortriptyline), and MAOIs (e.g. phenelzine, tranylcypromine). Other antidepressants like Wellbutrin (bupropion) may also be used.

Anti-anxiety Medications: Medications like benzodiazepines (e.g. Xanax, Klonopin, Valium) can help reduce anxiety, panic attacks, and insomnia. We prescribe these judiciously and help patients learn coping skills to eventually taper off anti-anxiety meds when appropriate.

Mood Stabilizers: This class of medication is used primarily for bipolar disorder to help manage dramatic mood swings. Lithium, anticonvulsants (e.g. Depakote, Lamictal), and atypical antipsychotics (e.g. Abilify, Seroquel) are often prescribed as mood stabilizers.

Stimulants: Stimulants such as methylphenidate (Ritalin) and amphetamines (Adderall, Vyvanse) may be used for attentional disorders like ADHD. These help improve focus and concentration.

Antipsychotics: Medications like risperidone, clozapine, olanzapine help reduce psychotic symptoms like hallucinations, delusions, and disordered thinking in conditions like schizophrenia. As with all medications, we aim to use the minimum effective dose.

Meet our psychiatric providers

If you’d like to see our full team, please visit our team page.

3 Simple steps to get started

Step 1: Free Consultation

Reach out here for a free 15-minute phone consultation with a member of our patient care team. This gives us a chance to learn about your health history, struggles, and goals. We’ll help determine if our services are a good fit and provide next steps.

Step 2: Initial Evaluation

In your first appointment, a member of our integrative psychiatry team will conduct an in-depth evaluation. Our psychiatric providers spend extensive time understanding you as a whole person — your unique biology, life experiences, relationships, diet, lifestyle habits, medical history, and more. This step will also include ordering lab tests if needed.

Step 3: Personalized Treatment Plan

Based on your evaluation, we’ll work with you to create an integrative treatment plan that meets your needs and honors your individual preferences. This may include medications, therapy, lifestyle changes, dietary plans, supplements, and other modalities.

Once your plan is set, your treatment can begin. Your progress will be closely monitored, and we’ll continuously adapt and optimize your medications and other treatment options to manage or even heal your symptoms while minimizing side effects.

Ready for your tailored medication management plan? Book your initial evaluation today

Call us at (720)222-0550 to book your first appointment or schedule a free consultation here.

Reviews

What our patients say about us

FAQs

How much does medication management cost?

You can find our current price list here.

The cost of treatment varies based on your needs. At minimum, you will need an initial evaluation with one of our psychiatric providers. If you receive a prescription medication, then regularly scheduled follow-up appointments will also be necessary.

Do you accept insurance for medication management?

Ballen Medical & Wellness is a cash pay clinic and does not accept insurance, but superbills for potential re-imbursement are available upon request.

We realize the costs of healthcare can be a hardship, but unfortunately working with insurance companies prevents us from providing the level of care the majority of our patients seek from us. Here are some of the primary reasons we have chosen to be a private pay clinic:

  • Many of our patients have already tried options through their insurance plans but still need help feeling better.
  • Insurance companies take control out of your hands and ours. We work together with you to decide the plan of care that’s right for your needs. Under insurance, they might refuse that plan, or make us try alternatives for weeks or even months before we can do the treatments we believe are best for you. We prioritize what we think will work best — they prioritize what is most cost effective for them.
  • Insurance companies are rarely up-to-date on the latest advances in mental health care and wellness. For example, we treated depression with ketamine for years before insurance companies began to consider ketamine treatment.
  • Working with insurance companies takes a lot of time away from our patients. The time spent on insurance paperwork and dealing with denied claims adds up to hours per week that our practitioners can’t see patients. 
  • Most insurance companies dictate a lower standard of care than we believe in. For example, they would reduce many of our 30-minute follow-up appointments to 15-minutes.
  • Insurance companies have to juggle multiple factors, such as their entire coverage pool of patients, when determining your care. Because we don’t accept insurance, we can focus on one patient at a time.

How do I know if I need medication for a mental health condition?

If you’ve been experiencing symptoms like ongoing depression, anxiety, insomnia, mood swings, or any other mental health issues that are impacting your daily functioning and quality of life, consulting with a psychiatrist or mental health provider can help determine if medication may be an appropriate option. Certain diagnoses like major depression, bipolar disorder, schizophrenia often benefit from medication.

What are the differences between psychiatric medication types like antidepressants, anti-anxiety meds, etc?

There are a few main classes of psychiatric medications: antidepressants treat depression and anxiety, anti-anxiety meds like benzodiazepines treat anxiety and panic specifically, mood stabilizers treat bipolar disorder, stimulants treat ADHD, and antipsychotics treat psychotic disorders like schizophrenia. Within each class, there are further sub-types like SSRIs, SNRIs, TCAs, MAOIs for antidepressants. Each medication works a bit differently in the brain.

What are the potential risks and side effects of psychiatric medications?

Side effects vary for each medication but may include weight gain/loss, nausea, headache, drowsiness, insomnia, agitation, reduced sex drive, and more. Some rare but serious risks are increased suicidal thoughts in youth on antidepressants and tardive dyskinesia (involuntary movement) from antipsychotics. A good psychiatrist will closely monitor side effects and adjust meds to minimize risks.

How long do I have to take psychiatric medications - is it lifelong?

This varies greatly from patient to patient. In some cases, medication can just  be a temporary bridge to bring you relief while other treatment options take root.

For conditions like major depression or anxiety, medications may only be needed short-term for acute symptoms. For recurrent or chronic conditions like bipolar disorder, longer term usage is often necessary to manage symptoms, though dosages can be re-evaluated. Some patients only need medications during episodic flare ups.

How do I know if my medication is working or not?

Track your symptoms and any side effects to determine if a medication is helping relieve your mental health issues without causing problematic side effects. Your doctor can provide questionnaires or apps to help monitor. Be patient – it can take 4-6 weeks to fully feel the effects. Contact your doctor with your observations to see if dosage adjustments or a different medication is needed.

What should I do if I'm experiencing negative side effects from a psychiatric medication?

Never abruptly stop a psychiatric medication – notify your doctor right away if you have any concerning side effects. Some mild side effects dissipate in the first few weeks. But if any side effects are severe or persistent, your doctor can prescribe additional medications to counteract them or switch you to a better tolerated drug. Dosage adjustments can also help.

Are psychiatric medications addictive? Can I become dependent?

Most psychiatric meds like antidepressants and mood stabilizers are not addictive, though stimulants and benzodiazepines do carry a risk for addiction and should be closely monitored. Some medications can cause physical dependence where stopping abruptly could lead to withdrawal symptoms – so adhering to your doctor’s tapering guidance is important if discontinuing.

What non-drug alternatives are there for treating mental health conditions?

Many evidence-based non-drug options exist like psychotherapy, light therapy, meditation, yoga, exercise, nutrition changes, supplements, neurofeedback, and more. An integrative approach may combine medication with various therapies for more comprehensive results.

How do I know which psychiatric medication is right for me?

Choosing the right medication requires some trial and error guided by a psychiatrist. They will match a medication to your symptoms, diagnosis, medical history, genetics, side effect risk factors, and previous medication responses. Dosage fine tuning and monitoring is key to optimizing results. Be patient and keep your doctor informed each step.

How do I safely stop taking a psychiatric medication if I want to?

Never stop a psychiatric medication abruptly – tapering down slowly under a doctor’s supervision is crucial to prevent withdrawal symptoms. Your doctor can create a gradual tapering schedule for you. Timeframes vary drastically, so setting realistic expectations about the process is important. Supportive therapies during tapering can also help manage symptoms.

What happens if I miss doses of my psychiatric medication?

Try not to miss doses, as consistency is important for efficacy. But if you occasionally miss a dose, do not double up. For most medications, just resume your normal dosing schedule – check with your doctor if unsure. If you frequently miss doses or stop abruptly, notify your doctor, as tapering guidance or other adjustments may be needed to avoid instability.

How much do psychiatric medications cost with/without insurance coverage?

Cost varies greatly by medication, dosage, insurance, and region. Generics tend to cost under $100 per month, while branded drugs can range from $200-600 without coverage. GoodRx.com provides pricing comparisons. Your doctor can suggest cost effective options. Many pharmaceutical companies also offer discount cards for brand name medications.

How often will I need follow-up appointments if I start a medication?

Initially follow-ups are usually every 2-4 weeks to assess effects and dosage needs. Once stabilized on an effective medication routine with minimal side effects, appointments may space out to once every 1-3 months for ongoing monitoring and prescription refills. More frequent visits may be needed if issues emerge.

What type of doctor prescribes and manages psychiatric medications?

Psychiatrists (MDs) specialize in prescribing psychiatric medications. In some states, like Colorado, psychiatric nurse practitioners (NPs) can also prescribe. Primary care doctors may prescribe basic psychiatric meds but do not specialize in mental health treatment like psychiatrists.

Book your free 15-minute IV therapy consultation

If this is an emergency, please dial 911 or visit your local emergency room. For all other inquiries, please use the form below or call us at (720)738-8531.

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