Kate Swartz, PMHNP-BC

Depression affects people differently. Some experience persistent sadness; others feel numb, exhausted, or struggle to find motivation. I look at the full picture: sleep, energy, appetite, concentration, and how depression is affecting your daily life.

My approach: We'll discuss what you've tried before and what hasn't worked. I consider medication when appropriate, but also look at sleep patterns, exercise, therapy options, and life circumstances. Many patients benefit from medication plus therapy together.

What to expect: Most people see some improvement within 2-4 weeks of starting medication, though finding the right fit sometimes takes adjustment.

Anxiety shows up in many forms: constant worry, panic attacks, social fear, or physical symptoms like racing heart and tension. I treat generalized anxiety, panic disorder, social anxiety, and stress-related conditions.

My approach: Medication can reduce the intensity of anxiety, making it easier to engage in therapy and daily life. I often recommend combining medication with therapy (especially CBT) for best results. We'll also discuss lifestyle factors that affect anxiety, like caffeine, sleep, and exercise.

What to expect: Some medications work quickly for acute symptoms; others take a few weeks for full effect. I'll explain the options and we'll decide together.

I see ADHD in both children and adults. In children, it often shows up as difficulty focusing in school, impulsivity, or hyperactivity. Adults frequently describe lifelong struggles with organization, procrastination, and feeling like they're not reaching their potential.

My approach: Proper diagnosis is essential because ADHD can look like anxiety, depression, or sleep problems. I take a thorough history and may ask for input from teachers or partners. Treatment often includes stimulant or non-stimulant medication, plus strategies for organization and focus.

What to expect: If ADHD is the right diagnosis, most people notice a clear difference with medication. We start low and adjust based on your response.

Bipolar disorder involves shifts between depression and elevated mood states. Some people have dramatic episodes; others experience subtler patterns. Accurate diagnosis matters because the treatment differs significantly from depression alone.

My approach: I take a detailed history of mood patterns over time. Mood stabilizers are typically the foundation of treatment. I work closely with patients to recognize early warning signs and maintain stability.

What to expect: Finding the right medication balance takes patience. Regular follow-ups are important, especially early on.

Poor sleep affects everything: mood, focus, energy, physical health. I evaluate whether sleep problems are primary or connected to another condition like depression, anxiety, or ADHD.

My approach: I start with sleep hygiene and behavioral strategies. When medication is needed, I prefer approaches that support natural sleep rather than creating dependence. Sometimes treating an underlying condition resolves sleep issues.

What to expect: Sleep often improves within a few weeks of addressing the underlying causes.

I also work with patients experiencing:

• Emotional dysregulation
• Trauma-related symptoms (not trauma therapy, but medication support)
• Life transitions causing mental health challenges
• Persistent stress

If you're unsure whether I can help with your specific situation, book a consultation and we'll discuss it.