Comprehensive Care for Complex Conditions

Dr. Gardner specializes in treating psychiatric conditions that may have underlying hormonal or metaboliccauses, as well as endocrine disorders that create psychiatric symptoms. His unique training allows him to identify and treat conditions that are often missed or misdiagnosed by psychiatrists.

Mood Disorders

Depression

  • Treatment-resistant depression that hasn't responded to standard treatments

  • Hormone-related depression linked to thyroid, testosterone, or other hormonal imbalances

  • Postpartum depression and hormonal changes after childbirth

  • Seasonal affective disorder (SAD)

  • Depression related to metabolic syndrome or diabetes

  • Depression associated with perimenopause or menopause

Dr. Gardner evaluates thyroid function, vitamin levels, sex hormones, and other metabolic factors that can cause or worsen depression.

Bipolar Disorder

  • Bipolar I disorder with manic episodes

  • Bipolar II disorder with hypomanic episodes

  • Mood instability related to hormonal fluctuations

  • Rapid cycling bipolar disorder

  • Medication management with attention to metabolic effects

Comprehensive monitoring includes mood tracking and metabolic health, as many bipolar medications affect weight, blood sugar, and lipid levels.

Anxiety Disorders

Generalized Anxiety and Panic

  • Generalized anxiety disorder (GAD)

  • Panic disorder and panic attacks

  • Social anxiety disorder

  • Health anxiety and illness anxiety

  • Hormone-related anxiety (thyroid, perimenopause, testosterone)

Many patients experience anxiety due to hyperthyroidism, perimenopause, or other endocrine conditions that are evaluated and treated.

PTSD and Trauma

  • Post-traumatic stress disorder (PTSD)

  • Complex trauma and C-PTSD

  • Trauma with co-occurring depression or anxiety

  • Integration of psychiatric and physiological stress response

Endocrine-Psychiatric Overlap Conditions

These are conditions where psychiatric symptoms are directly caused or significantly worsened by hormonal imbalances:

Thyroid-Related Psychiatric Symptoms

  • Hypothyroidism causing depression, fatigue, cognitive fog

  • Hyperthyroidism causing anxiety, panic attacks, irritability

  • Hashimoto's thyroiditis with mood and cognitive symptoms

  • Subclinical thyroid dysfunction affecting mental health

  • Thyroid medication optimization for mental health

Sex Hormone Imbalances

  • Low testosterone in men causing depression, fatigue, low motivation

  • Perimenopause and menopause with mood swings, anxiety, depression

  • Polycystic ovary syndrome (PCOS) with mood and anxiety symptoms

  • Premenstrual dysphoric disorder (PMDD)

  • Hormone replacement therapy (HRT) psychiatric considerations

Adrenal and Stress Hormones

  • Adrenal dysfunction and cortisol imbalances

  • Chronic stress affecting hormone levels

  • Burnout with hormonal components

  • Cushing's syndrome or Addison's disease psychiatric effects

Metabolic Conditions Affecting Mental Health

  • Diabetes and blood sugar instability causing mood problems

  • Metabolic syndrome with depression and cognitive decline

  • Insulin resistance affecting brain function and mood

  • Vitamin deficiencies (D, B12) causing psychiatric symptoms

ADHD in Adults

  • Adult ADHD diagnosis and treatment

  • ADHD with co-occurring depression or anxiety

  • Hormone-related attention and focus problems

  • Thyroid and metabolic factors affecting concentration

  • Medication management with metabolic monitoring

Obsessive-Compulsive Disorder (OCD)

  • OCD with co-occurring mood or anxiety disorders

  • Medication management for OCD

  • Integration with metabolic health assessment

Sleep Disorders Affecting Mental Health

  • Insomnia related to hormonal changes

  • Sleep disruption from thyroid disorders

  • Sleep problems worsening psychiatric conditions

  • Medication effects on sleep

Chronic Fatigue with Psychiatric Symptoms

  • Chronic fatigue syndrome

  • Fatigue from thyroid, adrenal, or metabolic causes

  • Depression vs. medical fatigue differentiation

  • Comprehensive evaluation of multiple systems

Why Dr. Gardner's Approach is Different

Traditional psychiatry often treats symptoms without investigating underlying medical causes. Integrative psychiatry takes a whole-person approach, recognizing that:

  • Thyroid problems can masquerade as depression or anxiety

  • Low testosterone in men often causes treatment-resistant depression

  • Perimenopause can trigger new-onset panic attacks or mood swings

  • Vitamin deficiencies may worsen psychiatric symptoms

  • Blood sugar imbalances affect mood stability

  • Chronic inflammation is linked to depression

Dr. Gardner's unique training in both psychiatry and endocrinology allows him to identify and treat these complex interconnections.

Comprehensive Testing May Include:

  • Complete thyroid panel (TSH, free T3, free T4, thyroid antibodies)

  • Sex hormone levels (testosterone, estrogen, progesterone, DHEA)

  • Cortisol and adrenal function testing

  • Vitamin D and B12 levels

  • Metabolic markers (glucose, insulin, lipid panel)

  • Complete blood count and comprehensive metabolic panel

  • Other specialized tests based on individual presentation

Who Dr. Gardner Treats

Dr. Gardner treats adults, young adults, and the elderly.

Some endocrine disorders mimic psychiatric illness and it is, therefore, important to have a physician skilled in evaluating the whole person.

Not sure if your symptoms are psychiatric, hormonal, or both?

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