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Hormone Replacement Therapy (HRT)

$100 Per Month Subscription

Hormonal changes can significantly impact mental health. Many individuals experience mood changes, anxiety, brain fog, fatigue, or depression during periods of hormonal transition such as perimenopause, menopause, postpartum, or age-related hormonal decline. At Practical Behavioral Care, we offer integrated Hormone Replacement Therapy (HRT) with psychiatric care, addressing both the biological and psychological factors affecting your wellbeing.

Unlike clinics that treat hormones in isolation, our approach recognizes the strong connection between hormones, neurotransmitters, and mental health. Estrogen, progesterone, and testosterone influence key brain chemicals such as serotonin and dopamine that regulate mood, energy, and stress response.

Our goal is to help patients achieve hormonal balance, improved mental health, and overall wellness through personalized, evidence-based care.

  • Hormones play a powerful role in regulating brain function. Changes in hormone levels can affect:

    • Mood and emotional regulation

    • Anxiety and stress tolerance

    • Sleep quality

    • Energy and motivation

    • Cognitive function and memory

    • Libido and relationship wellbeing

    During perimenopause and menopause, declining estrogen levels can contribute to increased symptoms of depression, anxiety, sleep disturbances, and cognitive changes.

    Research also suggests that estrogen therapy may have antidepressant effects for some women experiencing mood symptoms related to hormonal changes, particularly during the perimenopausal period.

    Because psychiatric symptoms may be influenced by hormonal changes, a comprehensive evaluation of both mental health and endocrine function can be essential to effective treatment.

  • Hormone replacement therapy may be helpful for individuals experiencing symptoms such as:

    Mood & Emotional Symptoms

    • Depression or persistent low mood

    • Anxiety or panic symptoms

    • Increased irritability

    • Emotional instability

    • Reduced stress tolerance

    Cognitive Symptoms

    • Brain fog

    • Difficulty concentrating

    • Memory problems

    • Reduced motivation

    Physical Symptoms

    • Fatigue or low energy

    • Sleep disturbances

    • Hot flashes or night sweats

    • Low libido

    • Weight changes

    These symptoms often overlap with psychiatric conditions such as depression, ADHD, or anxiety disorders. By addressing both hormonal and mental health factors, treatment can be more effective.

  • At Practical Behavioral Care, we combine expertise in psychiatric evaluation and hormone optimization to create personalized treatment plans.

    Comprehensive Assessment

    Your initial evaluation may include:

    • Psychiatric and mental health assessment

    • Review of symptoms and medical history

    • Hormonal symptom screening

    • Laboratory testing when appropriate

    • Medication and lifestyle review

    Personalized Treatment Plan

    Treatment may include:

    • Hormone replacement therapy (when appropriate)

    • Psychiatric medication management

    • Lifestyle and metabolic support

    • Sleep optimization

    • Nutritional and wellness guidance

    Because mental health and hormones interact closely, treatment plans are individualized and may evolve as symptoms improve.

  • Depending on your symptoms and medical history, hormone therapy may include:

    Estrogen Therapy

    Often used to treat symptoms related to perimenopause and menopause, including mood changes, sleep problems, and vasomotor symptoms.

    Progesterone

    May be prescribed alongside estrogen or independently to support hormonal balance and sleep.

    Testosterone Therapy

    In select patients, testosterone may support energy, libido, and motivation.

    All treatments are prescribed after careful evaluation and discussion of risks, benefits, and alternatives.

  • Many patients struggle for years with mood symptoms that may be partially driven by hormonal changes. Our practice offers a unique model that integrates:

    ✔ Psychiatric expertise
    ✔ Hormonal evaluation
    ✔ Evidence-based treatment
    ✔ Personalized care plans
    ✔ Whole-person mental health care

    By addressing both brain chemistry and hormonal balance, we aim to help patients achieve lasting improvements in mood, cognition, and overall wellbeing.

  • Our Hormone Wellness Membership provides ongoing access to expert care designed to support hormonal balance. This affordable monthly subscription ensures consistent monitoring, personalized treatment adjustments, and direct provider support throughout your care.

    What’s Included

    Ongoing Provider Oversight
    Regular review of your symptoms, progress, and treatment plan by a qualified clinician specializing in hormone.

    Medication Management
    Evaluation and adjustment of hormone therapy medications when clinically appropriate to help optimize symptom relief and overall wellbeing.

    Secure Messaging Access
    Direct communication with your provider through our secure patient portal for questions, concerns, and treatment guidance between visits.

    Treatment Plan Updates
    Continuous optimization of your hormone treatment plan based on symptom response and clinical assessment.

    Care Coordination
    Coordination of care recommendations including laboratory monitoring, lifestyle guidance, and wellness strategies to support hormonal health.

    Not Included in Membership

    The monthly membership does not include the cost of laboratory testing or medications. Any labs ordered or prescriptions provided will be billed separately through the laboratory or pharmacy.