Specialties
& Areas of Focus
Specialties & Areas of Focus
Mental health is rarely just about mental health.
Sleep, nutrition, physical health, relationships, our connection with technology, and the demands of daily life all shape how we think, feel, and function — and every part of that matters.
Specialties
Many people seek psychiatric care when something feels different — whether it's difficulty focusing, changes in mood, persistent worry, or challenges that affect daily life. Understanding what you're experiencing is the first step toward finding the right support.
ADHD
It’s Not Always What It Looks Like
Racing thoughts that never quite let you rest. Anxiety that never fully makes sense, no matter how many things you rule out. Mood swings that feel bigger than whatever set them off. If something about that sounds familiar — but nothing anyone's told you has quite explained it — there might be a piece missing.
ADHD in adults rarely shows up on its own, and it doesn't always look the way people expect. It can hide inside anxiety, get mistaken for depression, tangle together with mood instability, or shift and intensify across a woman's hormonal life — showing up differently in your twenties than it does approaching perimenopause. Many adults spend years being treated for one thing while the fuller picture stayed just out of view.
Many adults are walking around with ADHD they've never had a name for. And getting that clarity — finally hearing "yes, that's what this is" — can be its own kind of relief. Not because a label changes who you are, but because it explains what's been true all along. Once you know, you can actually start working with it, instead of quietly working against yourself.
Anxiety
& Chronic Worry
When your mind won't stop scanning for the next thing to worry about — a racing heart before a meeting, a spiral over an email you sent, a low hum of dread that never fully turns off. Anxiety is treatable, and you don't have to just manage it forever.
Bipolar II
& Mood Instability
Mood shifts that go beyond ordinary ups and downs — swings that affect your energy, sleep, relationships, and sense of self. Bipolar II is often missed or misread as something else, which is exactly why getting an accurate picture matters.
Depression
& Low Mood
When getting through the day takes more effort than it should — even for things that used to feel easy. Depression isn't a character flaw or something to push through alone.
Insomnia
& Sleep Disturbances
When your mind won't power down, no matter how tired your body is — or you wake up feeling like you never actually slept. Sleep shapes nearly everything else, which makes it one of the most important pieces to get right.
Women’s Mental Health
Including perimenopause, midlife mood shifts, and late-diagnosed ADHD in women — because hormones and mental health are deeply connected, and that connection deserves real attention.
One Story,
Several Possible Explanations
Anxiety. Depression. ADHD. Bipolar II. Digital overload. Hormonal shifts. On paper, many of these share the same surface symptoms — trouble focusing, restlessness, disrupted sleep, mood swings that don't quite add up. A racing mind at 2am could be anxiety. It could be ADHD. It could be a sleep-wake cycle that's quietly out of sync.
The only way to know is to look at the whole picture — not just which boxes a symptom checklist checks, but your full history and how things actually show up for you over time.
THE BIGGER PICTURE
Beyond a Diagnosis
What you're experiencing doesn't always come with a name — or a diagnosis.
Mental health doesn't always fit neatly into diagnostic categories. You may recognize yourself in an experience without knowing exactly what it means, where it's coming from, or whether it fits a particular diagnosis.
Stress & Burnout
Feeling depleted, stretched thin, irritable, or unable to keep up — the exhaustion that builds from carrying too much for too long. Care focuses on relief, steadier functioning, and practical ways to recover.
Brain Fog
That feeling when your mind just doesn't seem to be working the way it usually does. You may feel mental fatigue, have trouble concentrating or finding the right words, forget things more easily, or struggle to think clearly.
Life Transitions
Big changes — a career shift, a move, a loss, or a relationship or family change — can leave you feeling unsteady, overwhelmed, or not quite like yourself. Support during these seasons can help you find your footing again.
Finding the Right Match
Ayr may be a good fit if you are:
Curious about what's contributing to your symptoms
Looking for a collaborative partner in your care
Open to medication, lifestyle strategies, or both
Seeking personalized, evidence-based treatment
Interested in the convenience of secure telehealth
Not every practice is the right fit for every person. To help you decide whether Ayr is right for your needs, I've outlined my scope of care, including conditions I don't treat, services I don't provide, and when another level of care may better meet your needs.