Psychiatry for the complexity of being human.
Evidence-based integrative psychiatry that looks for why symptoms developed and builds care around what we find. Telehealth across New Hampshire and Maine.
Precision psychiatry, personalized to you.
Symptoms rarely have a single cause. We look for the ones that matter for you.
See our approach →Investigated systematically
Your full story first, then targeted testing only when it's relevant. No standard protocols, no unnecessary tests.
Explained clearly
You'll understand the reasoning behind every recommendation, and decisions are made with you.
Measured objectively
Validated measures show what's working, so progress is visible rather than assumed.
Understanding the whole picture.
Many factors shape mental health, often more than one at once. Our job is to figure out which ones actually matter for you.
Learn more: What we look at
Depending on your circumstances, an evaluation might touch on neurobiology, trauma, sleep, nutrition, physical health, inflammation, metabolism, hormonal health, genetics, and the gut-brain connection. Care can also include referrals to therapy and recommendations around mind-body practices like breathwork and mindfulness, and attention to purpose and spiritual wellbeing — areas that conventional psychiatric care often overlooks but that we consider essential. Not every factor applies to every patient. We're not trying to check every box; we're trying to ask the right questions for you.
Relationships, sleep, nutrition, exercise, environment
Genetics, hormones, neurological health, inflammation, the gut-brain connection
Trauma, chronic stress, thought patterns, beliefs
Therapy, mind-body practices, purpose and spiritual wellbeing, identity, values
"Symptoms are signals. Rather than silencing them, we work to understand what they're pointing toward."
Who we help.
Cairn is for people 16 and older who want understanding, not just symptom management. Many of our patients recognize themselves in one of these:
"Don't just give me a diagnosis. Help me understand it."
You're analytical and you ask good questions. You've been offered solutions without explanations, and you sense something is missing from your story. We have a framework, and you'll understand not just what we find, but why we looked for it.
"Treatment helped some. Something else is being missed."
Medication, therapy, or lifestyle changes got you partway, maybe 60–70% better. You suspect another piece: inflammation, hormones, sleep, nutrition, unprocessed stress. Rather than more random tweaking, we investigate what, systematically.
"I'm functioning. I shouldn't feel this bad."
You carry real responsibility at work and at home, and from the outside it's working. Inside there's brain fog, fatigue, and low motivation. Often it's unsustainable demands meeting real biological strain. We look at both, and help you rebuild rather than just telling you to meditate.
"I want care that sees the whole person."
Purpose, values, connection, and spiritual wellbeing are part of how you understand health. Here they aren't a wellness add-on. Biology, psychology, and life context are considered together, never just brain chemistry.
Conditions we treat
Anxiety Disorders
Excessive worry, panic, or persistent unease that interferes with daily life
Depression
Including partial improvement or recurring symptoms on prior treatment
ADHD
Comprehensive evaluation, not stimulant management alone
Trauma & PTSD
Understanding trauma's interaction with biology
Mood Disorders
Mood changes that don't fit a single pattern, evaluated carefully and treated individually
OCD
Intrusive thoughts and compulsive patterns, addressed without judgment
Women's Mental Health
Perimenopause, menopause, pregnancy planning, postpartum
Burnout
The exhaustion that builds when demands outpace resources, evaluated alongside its physical and psychiatric roots
Diagnostic Clarity
For patients who've seen multiple providers and still don't have a clear picture of what's contributing to how they feel
Built on a different belief.
Before psychiatry, I studied microbiology at McGill and worked in infectious disease research. That habit of following the evidence, together with formal training in integrative and functional psychiatry, shapes how I practice: careful investigation, clear reasoning, and care built around you.
I have more than nine years in psychiatric practice and more than a decade in the behavioral health field, across outpatient, inpatient, and clinical leadership roles, including as a behavioral health medical director.
Read My Full StoryBuilt to find the why.
This is investigation-centered psychiatry, not a standard intake repackaged. Each step is shaped by your clinical picture, explained as we go, and measured over time.
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01
Understand
We start by listening. A free fit conversation, then a comprehensive evaluation of your history, records, and what you have already tried.
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02
Investigate
We rule out sleep and medical contributors first. Testing then follows your clinical picture, not a standard panel. We explain why each test matters, and every test is optional.
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03
Integrate
Results are reviewed with you, not to you, in the context of your whole picture. Together we identify the actionable targets most likely to make the biggest difference.
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04
Refine
Progress is tracked with validated measures like the PHQ-9 and GAD-7, along with wearable or home data when useful, so it is visible rather than assumed. Your plan evolves with your response.
Support begins right away, including medication when it's appropriate, along with sleep, nutrition, therapy referrals, and mind-body practices. You never wait on lab results to start feeling better. Testing refines your plan; it doesn't replace it.
Visits are by secure video, with limited in-person availability in Conway and Fryeburg.
Simple, transparent pricing.
The planning visits after your evaluation, where we review testing recommendations and your treatment plan, are scheduled as extended follow-ups.
Cairn is a direct-pay practice, which means your appointment time goes toward your care, not insurance paperwork. That means longer visits and more flexibility. A superbill is available if you'd like to seek out-of-network reimbursement. A credit card is kept on file at intake.
You have the right to a Good Faith Estimate of expected charges in writing before your appointment.
FAQ
Do you accept insurance?
Cairn is a direct-pay practice. A superbill can be provided if you'd like to seek out-of-network reimbursement.
Do you prescribe medication?
Yes, when it's clinically appropriate, alongside other evidence-based treatment options.
How is this different from a typical psychiatric evaluation?
Instead of matching symptoms to a diagnosis and a standard algorithm, we look for why symptoms developed. That means a comprehensive psychiatric evaluation and, where your history points to it, targeted biomarker testing such as inflammatory markers, nutrient status, hormones, or metabolic health, interpreted in clinical context. Testing is always optional and never a standard panel.
Do you recommend supplements?
Only when your history or testing supports them, never started blindly. When a supplement is recommended, you can order professional-grade products through our Fullscript dispensary, or buy them wherever you prefer.
Is care in person or online?
Most care is by secure video, and you will need to be located in New Hampshire or Maine at the time of each video visit. Limited in-person appointments are available in Conway, New Hampshire and Fryeburg, Maine.
What ages do you see?
Cairn sees patients 16 and older.
Do you work with my primary care provider?
Yes. We ask that each patient have a primary care provider for general medical care, and we coordinate with them when it helps your treatment.
What if I am in crisis?
This practice does not provide emergency or crisis services and messages are not monitored around the clock. If you are in crisis, call or text 988, call 911, or go to your nearest emergency department.
Begin with understanding.
You don't need another rushed appointment. You deserve a thoughtful evaluation and a partner who's genuinely curious about your health.
Join the WaitlistIf you are in crisis or thinking about harming yourself, call or text 988 for the Suicide & Crisis Lifeline, call 911, or go to your nearest emergency department. This practice does not provide emergency services and messages are not monitored around the clock.