
When mental health treatment isn't enough, something may be missing


Getting started is simple.
From your first consultation to personalized care, here’s how it works.
Step 1
Initial Clinical Consultation
During your first appointment with a psychiatrist, we take the time to understand your unique metabolism and brain health, and evaluate the best path forward for your care.
Step 2
Lab Work & Individual Treatment Plan
After you get lab work done at a location convenient to you, our clinical team analyzes your results to build a treatment plan tailored specifically to you.
Step 3
At-Home Monitoring Devices
We'll send you easy-to-use devices to track your health from home. Depending on your plan, these may include a smart scale, blood pressure cuff, and a ketone and glucose meter to provide real-time insight into how your body is responding to treatment.
Step 4
Ongoing Virtual Care
Stay connected with your dedicated care team through regular virtual appointments. We'll monitor your progress, adjust your plan as needed, and support you every step of the way.
Physician-led psychiatric care, grounded in research
Real-world results, backed by science















What our patients say
FAQs
Is this covered by insurance?
Coverage varies by state and plan, and for services not yet covered, we offer monthly payment plans to make care accessible.
Before you begin, our team will verify your benefits and meet with you individually to walk through the costs.
We are actively expanding our in-network coverage nationwide to make metabolic psychiatry care available to more people.
Is this just following a keto diet?
No. While ketogenic therapy may be part of your plan, metabolic psychiatry is comprehensive medical care that evaluates your full metabolic and mental health picture.
Your care team evaluates and adjusts factors that affect brain energy and mental health, including inflammation, gut health, blood sugar stability, hormones, sleep, and medications. Based on your clinical profile, they'll determine which interventions, including nutrition approaches, are right for you.
When appropriate, ketogenic metabolic therapy is prescribed and closely supervised. For others, different nutrition protocols may be more effective. For patients with eating disorders, we take a specialized, closely supervised approach to ensure safety and nutritional balance.
Every plan is individualized and guided by licensed clinicians with expertise in metabolic psychiatry and nutrition interventions. For some patients, ketogenic metabolic therapy (KMT) may be part of their plan.
How does treatment work?
You’ll work with a dedicated care team, including a board-certified psychiatrist, clinical metabolic specialists, and nutrition experts, through our mobile app.
Your team begins by testing for metabolic factors that affect brain function, such as insulin resistance, inflammation, hormone imbalances, and blood sugar regulation. These results reveal what’s happening in your body, not just your symptoms.
Then they build your personalized treatment plan by combining psychiatric care, metabolic interventions, nutrition guidance, and medication management, all coordinated around your unique biology.
You’ll attend video visits with your psychiatrist, complete daily check-ins to track your progress, and communicate with your team through secure messaging. Your team monitors your data on an ongoing basis and adjusts your treatment as your body responds.
Unlike traditional psychiatry, which treats symptoms in isolation, your team works together on one integrated plan that addresses both your mental health and the metabolic factors influencing it. This model allows for more continuous, responsive care than traditional appointment-based psychiatry.
Do I need a diagnosis to get started?
No. During your intake, our clinical team will review your symptoms, health history, and any lab results to understand how this approach can support you.
You don’t need an existing diagnosis to begin; our process helps determine whether metabolic psychiatry care is the right fit for your needs.
What is Metabolic Psychiatry?
Metabolic psychiatry is a medical discipline shaped by the work of Stanford physician-scientist Dr. Shebani Sethi, who coined the term and leads some of its foundational research. This field examines how your body’s metabolism affects your brain and mental health.
Your brain depends on a steady supply of energy. When that system is disrupted, through high blood sugar, inflammation, or nutrient imbalances, it can worsen or even drive conditions such as depression, anxiety, bipolar disorder, and schizophrenia.
While traditional psychiatry focuses on managing symptoms, metabolic psychiatry identifies and addresses the underlying metabolic factors that influence brain function and treatment response. By improving how your body and brain produce and use energy, it can enhance mood stability, treatment effectiveness, and overall quality of life.
Learn more about the science →