Integrative Psychiatric Evaluation

(Dallas–Fort Worth & Beyond)

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Integrative Psychiatric Evaluation

Mental healthcare often feels rushed and impersonal. You might spend months waiting for an appointment, only to have a brief, 15-minute consultation that ends with a prescription but no real answers. If you’ve felt like just another number in a system focused on managing symptoms rather than understanding their source, you are not alone. This conventional model, constrained by insurance demands and overbooked schedules, can leave you feeling unheard and without a clear path forward.

At Willow & Stone, we are redefining what a psychiatric evaluation can be. We believe that true healing begins with time, precision, and partnership. Our approach is founded on the principle that you are a whole person, not just a collection of symptoms. Led by Dr. Stacey Forbes, a board-certified and doctorally prepared psychiatric nurse practitioner with advanced training in integrative and functional medicine, our practice offers a different way. We combine evidence-based conventional psychiatry with a deep, scientific exploration of the biological and environmental factors influencing your mental health.

This is a space where your story matters. We dedicate the time to listen, investigate, and collaborate with you. Together, we move beyond symptom suppression to uncover the root causes of your distress, creating a personalized roadmap toward lasting wellness.

What Is an Integrative Psychiatric Evaluation?

An integrative psychiatric evaluation is a comprehensive, whole-person assessment that merges the best of conventional psychiatry with the deep-dive analytics of functional and biological medicine. Unlike a standard evaluation that focuses primarily on diagnosing a condition based on reported symptoms, our functional psychiatry evaluation seeks to understand the why behind your struggles. We believe that symptoms like anxiety, depression, or brain fog are not the problem itself, but signals that something is out of balance in your body’s intricate systems.

 

Our approach examines your health through several interconnected layers:

Psychological

We explore your thoughts, emotions, behaviors, and personal history. This includes a thorough review of your mental health journey, past treatments, and your unique life experiences. We use this information to understand your subjective experience and build a strong therapeutic alliance.

Biochemical

Your brain doesn't operate in a vacuum. Its function is directly influenced by your body’s biochemistry. We investigate potential imbalances in neurotransmitters, hormones, and your immune system. We also look at nutrient deficiencies, gut health, and genetic predispositions that can profoundly impact your mood and cognitive function.

Environmental

We consider your exposure to environmental toxins, allergens, and other external factors that can contribute to inflammation and neurological distress. Your diet, sleep patterns, stress levels, and daily routines are all critical pieces of your health puzzle.

Social and Spiritual

Your relationships, community support, sense of purpose, and connection to something greater than yourself are fundamental pillars of well-being. We honor this aspect of your health, understanding that true healing involves nurturing your entire being.

By weaving these elements together, we create a detailed, high-resolution picture of your health. This method of whole-person psychiatry in DFW allows us to identify root causes that are often missed in a conventional setting, such as chronic inflammation, hormonal disruptions, nutrient deficiencies, or unresolved gut issues. The goal is not just to name your condition but to understand its origins and empower you with a plan that addresses them directly.

What to Expect During Your Evaluation

Your journey with Willow & Stone is a collaborative and transparent process designed to make you feel safe, heard, and empowered. We’ve structured our integrative psychiatric evaluation to be thorough, insightful, and entirely focused on you. Here’s a step-by-step look at what you can expect.

Step 1: The Comprehensive Psychiatric Interview

This is where our partnership begins. Your initial consultation with Dr. Forbes is unhurried, lasting anywhere from 60-90 minutes. This protected time allows us to go far beyond a simple symptom checklist. We will compassionately explore:

Your Presenting Concerns

What brought you to us? We want to understand your struggles in your own words—how they feel, when they started, and how they impact your daily life.

Your Health History

We’ll discuss your complete medical and psychiatric history, including past diagnoses, medications you’ve tried, and what has or hasn’t worked for you.

Family and Social History

Understanding your family dynamics, relationships, and support system provides crucial context.

Developmental History

We’ll touch upon key life stages and experiences that have shaped who you are today.

This conversation is the bedrock of our work together. It’s a confidential and judgment-free space for you to share your story openly.

Step 2: Functional Lab Recommendations

Based on your unique history and symptoms, Dr. Forbes may recommend advanced functional lab testing to uncover underlying biological imbalances. This is a key differentiator of our approach, providing objective data to guide your treatment. Testing is personalized and may include:

Hormone Panels

Assessing thyroid, adrenal (cortisol), and sex hormones (estrogen, progesterone, testosterone) that regulate mood, energy, and stress response.

Nutrient Markers

Identifying deficiencies in essential vitamins (like B12 and D), minerals (like magnesium and zinc), and fatty acids that are critical for brain function.

Inflammatory Markers

Measuring markers of systemic inflammation, which is strongly linked to depression, anxiety, and cognitive issues.

Gut Health Analysis

Evaluating the gut microbiome, as imbalances and “leaky gut” can directly affect mental health through the gut-brain axis.

Genetic Testing

Offering insights into how your genetic makeup may influence your response to certain medications, supplements, and lifestyle interventions.

Hormone Panels

Assessing thyroid, adrenal (cortisol), and sex hormones (estrogen, progesterone, testosterone) that regulate mood, energy, and stress response.

Nutrient Markers

Identifying deficiencies in essential vitamins (like B12 and D), minerals (like magnesium and zinc), and fatty acids that are critical for brain function.

Inflammatory Markers

Measuring markers of systemic inflammation, which is strongly linked to depression, anxiety, and cognitive issues.

Gut Health Analysis

Evaluating the gut microbiome, as imbalances and “leaky gut” can directly affect mental health through the gut-brain axis.

Genetic Testing

Offering insights into how your genetic makeup may influence your response to certain medications, supplements, and lifestyle interventions.

These tests are typically completed through simple blood, urine, or saliva samples. Once the results are in, Dr. Forbes will review them with you in detail during a follow-up appointment, explaining what they mean and how they connect to your symptoms.

Step 3: Lifestyle and Trauma-Informed Assessment

Lasting wellness is built on a foundation of healthy daily habits. We’ll take a close look at your lifestyle, including your nutrition, sleep quality, physical activity, and stress management techniques.

Crucially, our practice is grounded in a deep understanding of how trauma impacts the mind and body. As a trauma-informed clinician, Dr. Forbes recognizes that past adverse experiences can shape your nervous system, emotional responses, and even your biology. This assessment is conducted with the utmost sensitivity, creating a safe environment to explore how past events may be influencing your present health without requiring you to relive them.

Step 4: Your Collaborative Treatment Plan

This is where all the pieces come together. After gathering and analyzing all the information—from your personal story to your lab results—we will co-create a comprehensive, multi-faceted treatment plan. This is a living document that we will adjust and refine as you progress. Your personalized plan is truly integrative and may include:

Nutritional Psychiatry

Specific dietary recommendations and targeted nutrient therapy to correct deficiencies and reduce inflammation.

Lifestyle Modifications

Actionable strategies for improving sleep, incorporating movement, and building stress resilience.

Therapeutic Recommendations

Referrals for specific types of psychotherapy (such as EMDR, somatic therapy, or CBT) that align with your needs.

Mindful Medication Management

If medication is appropriate, it is prescribed thoughtfully and precisely, often in conjunction with other interventions. We use a “less is more” philosophy and may use genetic testing to inform our choices.

Botanicals and Supplements

Evidence-based recommendations for professional-grade supplements to support biochemical pathways and promote healing.

Nutritional Psychiatry

Specific dietary recommendations and targeted nutrient therapy to correct deficiencies and reduce inflammation.

Lifestyle Modifications

Actionable strategies for improving sleep, incorporating movement, and building stress resilience.

Therapeutic Recommendations

Referrals for specific types of psychotherapy (such as EMDR, somatic therapy, or CBT) that align with your needs.

Mindful Medication Management

If medication is appropriate, it is prescribed thoughtfully and precisely, often in conjunction with other interventions. We use a “less is more” philosophy and may use genetic testing to inform our choices.

Botanicals and Supplements

Evidence-based recommendations for professional-grade supplements to support biochemical pathways and promote healing.

We schedule dedicated follow-up appointments to monitor your progress, review labs, and make any necessary adjustments. Our goal is to be your long-term partner in health.

Who Benefits from This Evaluation?

While anyone seeking a deeper understanding of their mental health can benefit, our integrative evaluation is particularly transformative for certain individuals. We work with teens (16+) and adults who are navigating complex challenges and are ready for a different approach.

This evaluation is especially helpful for those experiencing:

Depression, Anxiety, and Mood Dysregulation

When your mood feels unmanageable and you want to understand the biological drivers behind it.

Trauma and PTSD

For those seeking a trauma-informed psychiatrist who understands the deep mind-body connection and the physiological impact of trauma.

ADHD/Attention Issues

We look beyond stimulant medication to explore factors like nutrient deficiencies, gut health, and inflammation that can impact focus and executive function.

Burnout and Chronic Stress

For professionals, parents, and caregivers feeling emotionally exhausted and physically depleted, we can identify and address the adrenal, hormonal, and nutritional consequences of chronic stress.

Treatment-Resistant Conditions

If you have tried multiple medications or therapies without finding lasting relief, an integrative approach can uncover the missing pieces of your health puzzle. Often, an undiagnosed biological issue is the barrier to your recovery.

An integrative evaluation offers new hope and a clear direction. It provides a data-driven framework that explains why you feel the way you do, empowering you to take targeted action and finally begin to heal.

Insurances We Accept

Why Choose Willow & Stone?

Choosing a partner for your mental health journey is a significant decision. At Willow & Stone, we have built our practice around the core values of time, precision, and partnership—values often missing in conventional, insurance-driven models.

Some may hesitate due to the time and resources required. We understand that our model, which operates outside of insurance constraints, represents a commitment. However, this freedom allows us to provide a level of care that is simply not possible within the traditional system. The investment is in a thorough, definitive process that aims to provide lasting answers and reduce the long-term costs—both financial and personal—of chronic, unresolved health issues.

Appointments for minors require parent or guardian initiation. Please include the child’s age and primary concern in the Contact Us message.

We Give You Time

Our appointments are significantly longer, ensuring you never feel rushed. We dedicate this time to listening to your full story, answering your questions, and building a genuine therapeutic relationship.

We Seek the Root Cause

We don’t just put a bandage on symptoms. Our functional psychiatry evaluation is a deep-dive investigation into the origins of your distress. Lab-informed insights allow for precise, personalized treatments that go beyond guesswork.

We Offer a Compassionate and Confidential Setting

We have cultivated a warm, private, and non-judgmental environment. Your comfort and safety are our highest priorities.

We Provide Convenient, Statewide Access

While we serve the local communities of Dallas, Fort Worth, Arlington, and the greater DFW Metroplex, our secure telepsychiatry platform enables us to provide care to clients throughout Texas, Louisiana, and Florida.

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Your Partner in Health throughout the Dallas Fort Worth Metroplex and across Texas, Louisiana, and Florida

Willow & Stone proudly serves clients in Arlington, Dallas, Fort Worth, Mansfield, and the greater DFW Metroplex. Our physical office is conveniently located and easily accessible. We also offer our full suite of services via a secure, HIPAA-compliant telepsychiatry platform to individuals located anywhere in Texas, Louisiana, and Florida.

Disclaimer: This website provides general information and is not a substitute for professional medical advice, diagnosis, or treatment. The content is for informational purposes only. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

In case of a mental health crisis or emergency, please call 911 or go to your nearest emergency room.

Request Your Integrative Psychiatric Evaluation—Where Evidence Meets Empathy.

You deserve a healthcare partner who sees and hears you. You deserve answers that lead to real, sustainable change. Take the first step toward a new chapter of health and clarity.

Common Questions

What happens during an integrative psychiatric evaluation?

A comprehensive, unhurried intake reviewing your history, symptoms, lifestyle, and relevant physical factors — building a whole-person picture rather than a rushed diagnosis.

How long is the evaluation?

The initial evaluation is a comprehensive appointment — far longer than the typical 15-minute insurance visit — so nothing important is missed.

Do you take insurance?

Willow & Stone is a cash-pay practice and provides superbills for possible out-of-network reimbursement.

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Where We Serve

Willow & Stone provides integrative, cash-pay telehealth psychiatry to patients across Texas and New Mexico — from major metros to rural communities with few local providers.

Popular areas: Dallas · Fort Worth · Houston · Austin · San Antonio · Plano · Albuquerque · Santa Fe · Las Cruces · Rio Rancho

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    Booking for a child or teen? Please include the child’s age, the primary concern and note that the appointment is for a minor.