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Sleep Is Not Just About Getting More Hours: Why You May Still Feel Tired, Wired, or Restless at Night
Sleep is one of the first things I ask about when someone is struggling with anxiety, depression, brain fog, irritability, low motivation, hormone symptoms, or feeling completely exhausted by the end of the day. It is also one of the most common things people minimize. Many people say, “I know I should sleep more,” but sleep is not always that simple. Sometimes the issue is not discipline, willpower, or needing a better bedtime routine. Sometimes the body is trying to tell us
Joannie Hambel
Jun 2310 min read


Hormones and Thyroid Function Can Contribute to Anxiety and Why I Test for Them
Anxiety is often treated as if it only lives in the mind. While thoughts, trauma, stress, relationships, sleep, and coping patterns absolutely matter, the body also plays a major role in how safe or unsafe we feel. As a psychiatric provider with an integrative approach, I do not look at anxiety as “just anxiety.” I want to understand what the nervous system is responding to and whether there may be underlying physiologic stressors making symptoms worse. Two areas I often cons
Joannie Hambel
Jun 239 min read


How to Make a Symptom Diary for PMS, PMDD, Mood, and Hormone Patterns
If you feel like your mood changes throughout the month, but you cannot quite explain when, why, or how severe it gets, a symptom diary can be one of the most helpful places to start. A symptom diary does not need to be complicated. You do not need a fancy app, a perfect spreadsheet, or a color-coded system. You just need a simple way to track what your body and nervous system are doing across your cycle. This matters because PMS and PMDD are cyclical. That means the timing o
Joannie Hambel
Jun 217 min read


Why Do I Feel on Top of the World One Day and Then on Others I Feel It Resting on My Shoulders?
Why do I feel like two different people? One of the most common things I hear from women struggling with severe PMS or PMDD is, “I feel like two different people.” One week they may feel clear, motivated, connected, patient, and calm. Then suddenly, often in the days before their period, everything feels heavier. Their mood drops, anxiety increases, irritability feels harder to control, sleep changes, and even small stressors feel overwhelming. If this sounds familiar, I want
Joannie Hambel
Jun 217 min read


PMDD: When Your Cycle Affects Your Mental Health More Than It Should
If this happens to you every month, you’re not imagining it There are women who notice mild changes before their period. And then there are women who feel like a completely different person. They describe: sudden anxiety or panic irritability or rage that feels out of character deep sadness or hopelessness feeling overwhelmed by things they normally handle wanting to withdraw from everything And then, just as quickly as it came on… It lifts. And they’re left wondering what ju
Joannie Hambel
Apr 245 min read


Estrogen, Progesterone, and Your Genes: Why Hormones Feel So Different for Some Women
If your hormones feel unpredictable, there may be a reason Some women move through their cycle with minimal symptoms. Others experience: anxiety that comes and goes mood shifts that feel intense or hard to explain irritability, overwhelm, or emotional sensitivity sleep changes before their cycle And often, they’re told: “Your labs are normal.”“This is just hormonal.” But that doesn’t explain why it feels so different for you. Quick recap: how your body processes hormones Befo
Joannie Hambel
Apr 244 min read


MTHFR, COMT, and Mental Health: Why Your Genetics Matter More than "They" Think
This is one of the most common questions I get Patients will come in and say: “I’ve heard about MTHFR… or COMT… do I need to worry about that?” And the answer is not “yes” or “no.” The better answer is: It depends on how your body is using the tools it was given. Quick recap: what genes actually do Before we go further, let’s simplify this. Your genes are like instructions. They tell your body how to: process nutrients regulate stress make and break down brain chemicals They
Joannie Hambel
Apr 243 min read


What Is Functional & Integrative Psychiatry?
You are what you eat. You are what you don't eat. And you are what you absorb. My mentor, Dr. James Greenblatt, MD, CEO and Medical Director of Psychiatry Redefined, loves to make this statement. This idea is simple—but it changes everything. Because mental health is not just about thoughts or emotions. It’s about how your entire body is functioning. A different way of understanding mental health Traditional psychiatry often focuses on managing symptoms. If you feel anxious,
Joannie Hambel
Apr 243 min read
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