Four Pathways Mental Health

Integrative Psychiatry for the Overlooked and Misunderstood

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When Things Don’t Quite Add Up

You may be getting through the day, but something still feels off.

- Anxiety that isn’t improving
- Burnout that doesn’t lift, no matter what you try
- Focus issues that don’t fully make sense
- Mood, sleep, or energy shifts, especially around hormones
- Medications that never quite worked the way they should

If you’ve been told everything looks normal, you’re not imagining it.

This is where we take a closer look.

Pathways

Start here based on what you’re dealing with:



Mood, sleep, or focus changing with hormones?

These shifts often get dismissed or misattributed. We take those connections seriously.

→ Hormonal mental health support



Struggling with focus, follow-through, or mental overload?

Whether or not you’ve ever been diagnosed, we look at what’s actually getting in the way.

→ Focus & executive function support



Feeling burned out, anxious, or constantly on edge?

When stress stops being temporary and starts feeling like your baseline, something deeper may be going on.

→ Anxiety & burnout care

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Tried medications before but they didn’t quite work right?

Side effects, partial relief, never fully stable. You may need a more individualized approach.

→ Medication optimization & complex care

Explore Areas of Focus

Our Approach



Care here begins with careful assessment, not quick conclusions.

Before anything else, we take time to understand your full picture. That means your history, your current symptoms, how you sleep, how you function day to day, and anything else that might be contributing, including factors that have been overlooked before.

From there we build a plan that’s actually individualized. Medication is one tool, not the default. When it makes sense we also look at lab work, lifestyle, nervous system patterns, and how your care connects with other providers you’re already working with.

The goal is steady, meaningful progress. Not a quick fix, and not a one-size-fits-all protocol.

Client Testimonials

“I am so glad I found Heather, She is the most knowledgeable and caring BH Nurse Practitioner I have ever met. She took the time to listen to my concerns and provided me with the best possible care. I would highly recommend her to anyone looking for a new behavioral health professional!”
-JL –

“I felt that Ms. De Teresa was fully listening to me and cared about me. I love that she wants to work with me and uses a full-body approach.”
– BH –

“Heather created a space where I felt truly heard and understood. She didn’t just prescribe medications, we decided on my treatment plan together, and she worked within my budget and everyday life. Her respect for my decisions and non-judgmental attitude made the experience even more valuable. I highly recommend her to anyone seeking genuine care and personalized support.”
– KB –

“Very professional, easy to talk to, a lot of helpful information.”
– AS –

“Heather De Teresa is awesome to chat with! Check her out if you want a provider that’s not just professional but also fun and easy to talk to. She’s super chill, funny, and open-minded. It’s like talking to a friend who just gets it. She helped me figure out a plan that actually made sense for my life.”
– HC –

How Care Works

If you’ve felt rushed, dismissed, or like your appointments barely scratch the surface, how care is delivered matters as much as the care itself. Longer visits, consistent support, and time to actually understand patterns make a real difference.

Subscription Care

Regular visits with ongoing adjustments and space to go deeper, not just check a box each month. This is where most people see the most meaningful progress.

Flexible Care

For those who prefer to schedule as needed, without a set commitment.

Insurance-Based Care

Available for medication management and evaluation, with a more traditional visit style.

Explore Your Options

Ready To Take A Closer Look?

If something has felt off and you haven’t found the right fit yet, this might be it. Schedule a free 15-minute consultation and let’s figure out together if we’re a good match.