Personalized Care for a Range of Mental Health Concerns
Thoughtful psychiatric care for anxiety, depression, ADHD, mood concerns, sleep difficulties, and more.
Psychiatric care for people accustomed to carrying a lot.
Our practice works with patients who value personalized psychiatric care and want a deeper understanding of their mental health.
Physicians
Confidential psychiatric support for physicians navigating the unique personal and professional demands of medicine — with an understanding of stigma, privacy, and licensing concerns.
Healthcare Professionals
Care for nurses, therapists, pharmacists, and other healthcare professionals experiencing anxiety, depression, ADHD, sleep disruption, or emotional exhaustion.
Executives & Entrepreneurs
Psychiatric care for leaders managing high levels of responsibility, decision-making, uncertainty, and pressure — discreet and designed around demanding schedules.
High-Performing Professionals
Support for people who may appear successful externally while privately struggling with stress, anxiety, focus, or mood.
Adults Seeking Personalized Care
You do not need a demanding profession to belong here. We welcome adults looking for thoughtful, collaborative psychiatric care.
Anxiety
When a mind trained to anticipate problems never quite powers down.
Anxiety is not simply nervousness. For many adults, it is a constant background process — scanning, planning, rehearsing, and bracing for what might go wrong.
If you’re experiencing persistent worry, physical tension, or a mind that won’t switch off, a psychiatric evaluation can help determine what you’re dealing with and what may help.
Common signs
- Persistent worry or overthinking that is difficult to control
- Physical tension, restlessness, or a feeling of being on edge
- Racing thoughts, especially at night
- Panic episodes or sudden surges of fear
- Difficulty concentrating because your mind is elsewhere
- Avoidance of situations, decisions, or conversations
- Irritability or a shortened fuse with people you care about
How anxiety can appear in high-functioning adults
In capable, driven people, anxiety often hides behind productivity. It can look like meticulous preparation, relentless checking, or an inability to delegate — behaviors that are rewarded professionally while quietly costing you internally.
Many of the physicians and professionals we work with have functioned with anxiety for years before seeking care. You do not need to be falling apart for treatment to be worthwhile.
How psychiatric evaluation works
A psychiatric evaluation looks beyond the word ‘anxiety’ to understand its specific shape — when it started, what triggers it, how it affects your sleep, work, and relationships, and whether other factors such as thyroid function, medications, caffeine, or mood symptoms are contributing.
From there, you and Dr. Cavalieri discuss diagnostic impressions and treatment options together.
Treatment options
- Psychiatric medication, when appropriate, selected and monitored carefully
- Practical strategies for sleep, stress physiology, and workload
- Coordination with a therapist when structured psychotherapy would help
- Ongoing follow-up to adjust treatment as your life changes
Depression
When everything takes more effort than it should — and you're not sure why.
Depression does not always look like sadness. It can look like going through the motions — working, parenting, functioning — while feeling flat, depleted, or disconnected from the things that used to matter.
If you’re experiencing persistent low mood, loss of motivation, or emotional exhaustion, a psychiatric evaluation can help clarify what is happening and what treatment may offer.
Common signs
- Persistent low mood, emptiness, or emotional numbness
- Loss of interest or pleasure in things you used to enjoy
- Reduced motivation or difficulty starting tasks
- Changes in sleep — sleeping too much or too little
- Fatigue that rest doesn't fix
- Difficulty concentrating or making decisions
- Feelings of worthlessness, guilt, or hopelessness
- Withdrawing from colleagues, friends, or family
How depression can appear in high-functioning adults
Many professionals with depression continue to perform — sometimes remarkably well. From the outside, nothing appears wrong. Internally, everything feels heavier, flatter, and harder than it used to.
This pattern is sometimes called ‘high-functioning depression.’ Whatever the label, suffering that is invisible to others is still suffering, and it still deserves care.
How psychiatric evaluation works
Evaluation considers the full picture: symptom pattern and duration, medical contributors such as thyroid or vitamin deficiencies, medications and substances, sleep, stress load, grief, and previous treatment history.
Understanding what kind of depression you’re experiencing — and what is maintaining it — shapes the treatment plan.
Treatment options
- Antidepressant medication, thoughtfully selected and monitored
- Adjustment or simplification of medications that aren't helping
- Attention to sleep, routine, movement, and structure
- Recommendation or coordination of psychotherapy
- Regular follow-up to track progress and refine the plan
ADHD & Focus Difficulties
When intelligence and effort aren't the problem — but consistency is.
Many adults reach adulthood — sometimes well into successful careers — before wondering whether ADHD explains a lifelong pattern of distraction, disorganization, and last-minute sprints.
If you’re experiencing persistent difficulty with attention, organization, or follow-through, a thorough psychiatric evaluation can help determine whether ADHD or another condition best explains your experience.
Common signs
- Difficulty sustaining attention on routine or uninteresting tasks
- Chronic procrastination followed by adrenaline-fueled cramming
- Disorganization, missed details, or forgotten commitments
- Starting many projects and finishing few
- Restlessness or a mind that jumps between topics
- Time blindness — chronically underestimating how long things take
- Frustration that your output doesn't match your ability
How ADHD can appear in high-functioning adults
Capable adults often compensate for ADHD for years through intelligence, structure, urgency, or sheer effort. These strategies work — until the demands of a career, training program, or family exceed what compensation can cover.
It is also common for anxiety, depression, or sleep problems to mimic or mask ADHD. Careful evaluation matters, because the right diagnosis determines the right treatment.
How psychiatric evaluation works
An ADHD evaluation at this practice is thorough by design. It reviews your history from childhood forward, current symptoms across settings, and other conditions that can resemble ADHD — including anxiety, depression, sleep disorders, and thyroid problems.
When appropriate, collateral history and validated rating scales are incorporated before any diagnosis is made.
Treatment options
- Medication, when clinically appropriate, started carefully and monitored
- Behavioral and organizational strategies tailored to your work
- Treatment of coexisting anxiety, depression, or sleep problems
- Coaching or therapy referrals when skills support would help
Sleep Difficulties
When the day ends but your mind doesn't.
Sleep sits at the crossroads of mental and physical health. Anxiety, depression, ADHD, stress, shift work, and medication effects can all disrupt it — and poor sleep makes every one of those conditions worse.
If you’re experiencing insomnia, irregular sleep, or racing thoughts at night, a psychiatric evaluation can help identify what is driving the problem.
Common signs
- Difficulty falling asleep despite feeling exhausted
- Waking in the night with a mind that immediately starts working
- Waking too early and being unable to return to sleep
- Racing thoughts, planning, or rumination at bedtime
- An irregular schedule from call shifts, travel, or work demands
- Relying on caffeine to function and alcohol or sleep aids to wind down
- Daytime fatigue, fog, or irritability
How sleep problems can appear in high-functioning adults
Professionals and physicians often treat sleep as negotiable — the first thing sacrificed and the last thing protected. Over time, the cost shows up as anxiety, low mood, poor concentration, and diminished resilience.
Many patients are surprised to learn that their ‘sleep problem’ and their mood or attention problems are the same problem, seen from different angles.
How psychiatric evaluation works
Evaluation looks at sleep pattern and schedule, stress and mood, caffeine, alcohol, and medication effects, screen and work habits, and medical contributors such as sleep apnea.
The goal is to treat the cause of the sleep disruption, not only the symptom.
Treatment options
- Treatment of underlying anxiety, depression, or ADHD when present
- Medication for sleep when appropriate, used judiciously
- Behavioral sleep strategies and schedule restructuring
- Referral for sleep testing or CBT-I when indicated
Mood Concerns
When your mood feels less like weather and more like climate.
Mood concerns range from persistent low mood to periods of elevated energy and everything in between. Because mood symptoms overlap with anxiety, ADHD, trauma, thyroid disease, and medication effects, careful diagnosis matters.
If you’re experiencing mood instability, recurrent depression, or shifts in energy and behavior that concern you, a psychiatric evaluation can help determine what you’re dealing with.
Common signs
- Depressive episodes that recur or persist
- Periods of unusually elevated energy, reduced need for sleep, or impulsivity
- Mood shifts that feel disproportionate to circumstances
- Irritability or emotional intensity that surprises you
- A pattern others have noticed before you did
- Previous treatments that helped partially — or stopped helping
How mood concerns can appear in high-functioning adults
In driven adults, mood symptoms are easy to reinterpret: depression becomes ‘just stress,’ elevated energy becomes ‘productivity,’ and instability becomes ‘passion.’ Careers can absorb a great deal before the pattern becomes undeniable.
Accurate diagnosis is the foundation. Treating the wrong condition — or only half of the right one — is why some people have tried treatment before without real relief.
How psychiatric evaluation works
Evaluation includes a detailed mood history over time, family history, previous treatment response, medical and medication review, and screening for conditions that mimic mood disorders.
When the picture is complex, diagnosis is treated as a working hypothesis — revisited as treatment unfolds, rather than fixed prematurely.
Treatment options
- Medication tailored to the specific mood pattern, monitored carefully
- Reconsideration of regimens that have plateaued or caused side effects
- Sleep and rhythm stabilization, which is central to mood stability
- Collaboration with therapists for structured psychotherapy
Life Transitions
When the ground shifts — even for good reasons.
Career changes, relationship changes, relocation, parenthood, loss, and retirement all reorganize a life. Even welcome transitions can surface anxiety, low mood, sleep problems, or a disorienting loss of footing.
If a significant change has affected how you feel or function, a psychiatric evaluation can help determine whether you’re experiencing a normal adjustment or something that would benefit from treatment.
Common signs
- Persistent sadness, worry, or emptiness following a major change
- Difficulty sleeping or concentrating during a transition
- Loss of identity or direction after a role or career change
- Grief that remains heavy longer than you expected
- Strain in relationships under the weight of change
- Questioning decisions you were once confident about
How transitions can affect high-functioning adults
People who are used to competence find transitions particularly disorienting — especially ones that change their role, status, or identity. Physicians finishing training, executives changing companies, and new parents often describe the same feeling: ‘I should be handling this better.’
There is no prize for handling change alone. Support during transitions is not an indulgence; it is often what keeps a difficult season from becoming a difficult year.
How psychiatric evaluation works
Evaluation places your current symptoms in the context of what changed, what was lost, what is uncertain, and what supports you have. It distinguishes adjustment reactions from depression, anxiety, or grief that would benefit from treatment.
It also clarifies what you want the next chapter to look like — because treatment should serve your goals, not just your symptoms.
Treatment options
- Short-term or ongoing medication when symptoms warrant it
- Therapy recommendations or coordination for deeper processing
- Stabilization of sleep and routine during periods of change
- A consistent physician who follows you through the transition
Expert, physician-led care for ADHD, anxiety, and depression
Expert Psychiatric Care
Expert evaluation and treatment for ADHD, anxiety, depression, mood disorders, and other mental health concerns.
MD-Level Care
Experience matters. Receive physician-level psychiatric care backed by more than 15 years of clinical and academic experience, including work at a major academic medical institution treating a wide range of mental health conditions.
Dual Board-Certified Expertise
Board-certified in both Adult Psychiatry and Child & Adolescent Psychiatry, providing a deeper understanding of how mental health conditions may begin earlier in life and evolve throughout adulthood.
Treatment Tailored to You
You are not an algorithm. Treatment should be individualized to your history, symptoms, goals, preferences, and response to medication. Thoughtful medication management is both a science and an art.
Not sure where your experience fits?
Most people don’t arrive with a diagnosis — they arrive with a feeling that something isn’t right. A comprehensive evaluation is designed to bring clarity.