Can you relate to any of the following?
- I want a personalized, precise approach to help me feel better
- I have not fully recovered and want to feel better as soon as possible
- My current treatment is not working as well as I had hoped
- I am not responding that well to medication, supplements, or nutritional and lifestyle changes
- I feel like giving up
Imagine you could…
- Be provided a precise treatment roadmap based upon cutting-edge science
- Partner with a psychiatrist and a nutritionist who will do whatever it takes to help you achieve a full recovery
- Avoid a “trial and error” approach to restoring your health
- Optimize your current treatment to achieve better results
- Be prescribed medication based upon the latest genetic testing
- Be recommended supplements, nutrients, and lifestyle modifications tailored to your personal genetic, cellular, molecular, and microbiome-related makeup
- Feel hopeful that your dedicated team of practitioners can and will provide answers and solutions
Thanks to cutting-edge science, you don’t have to imagine it. Discover Root Cause Psychiatry and begin a healing journey with us that is evidence-based and uniquely yours.
What is Root Cause Psychiatry?
Despite a significant movement to end the shame and stigma surrounding it, emotional illness is all too often equated with personal failure. Individuals suffering from symptoms of depression, anxiety, cognitive difficulties, and the challenges of meeting the demands of daily life still ask themselves, “What is wrong with me?” These feelings are frequently deepened when one has responded poorly to prior treatment. At Potomac Psychiatry, our mission is to shift our patient’s point of view from one of disappointment or hopelessness to one of great potential—and Root Cause Psychiatry is our roadmap for getting you there.
Root causes do not originate in our personalities alone—far from it. Rather, they lie in a multiplicity of biological and environmental factors, from our DNA to our gut health, from the air we breathe to the food we eat, from the childhood we survived to the people with whom we surround ourselves. These root causes are constantly creating and re-creating our experience of the world and our place in it—and thanks to incredible new scientific discoveries, your clinical team has the tools to discern these causes, assess the impacts they have on your mental health, and create a personalized roadmap to recovery—a treatment plan completely unique to you.
What Clinical and Scientific Resources Would Support My Treatment?
Your Root Cause Psychiatry clinical team will be comprised of psychiatrist Bruce Alan Kehr, MD, and functional nutritionist Julie Wendt, MS, LN, CNS.
Dr. Kehr is a national award-winning psychiatrist, best-selling author, #2 ranked psychiatric blogger in the U.S., and is the Founder and President of Potomac Psychiatry, awarded “Best Psychiatric Care Provider in Maryland” by Global Health & Pharma.
Julie is a highly accomplished functional nutritionist who is certified by the Institute for Functional Medicine as a Recode (reverse cognitive decline) practitioner; certified as a Brain Longevity Teacher Trainer; has authored or co-authored numerous articles and book chapters related to brain and gut health; and has actively blogged in the field of integrative nutrition and gut health.
Throughout your program participation, Dr. Kehr and Julie will be actively collaborating to enhance your recovery.
In addition, throughout your journey you will be supported by Emily Wang, our Diagnostic and Assessment Specialist.
Dr. Kehr and Julie will also collaborate with other practitioners depending upon your clinical needs such as internists, endocrinologists, and other specialists.
You will be recommended to read certain blogs and will have searchable access within our deep and expanding blog library that will help you better understand each of your root causes and how they impact your mental health—information that will make you a more informed partner in your recovery.
Every two weeks, Potomac Psychiatry’s “Brain Science Breakthroughs” in-service educational program continuously updates our entire staff on the latest information regarding mental health science. This ensures our practice, and your treatment, remains on the cutting edge of scientific advancements in our field.
Finally, we have extensive contacts among experts in the field of psychiatric genomics, nutrigenomics, functional neurology, and other fields who we may call upon to brainstorm how best to help you.
How Does Root Cause Analysis Create a Precise Treatment Roadmap?
Step One: Build a Blueprint
Rapidly advancing knowledge emerging from the fields of genetics, microbiome science, nutrition, and computational biology suggest there is a series of root causes that can be specified and built upon to form an entirely new architecture of the mind and the Self. Root Cause Psychiatry—Your Blueprint to Build Mental Health—will endow you with the knowledge, information, and power to become the architect of your mental health destiny. Together, let’s begin this amazing journey.
Step Two: Assess Root Causes of Your Suffering Self, Beginning with DNA
Where does your “Self” reside, and how is it created and maintained? What about your “Identity?” Do these originate in your brain? Your heart? Your gut? Do they emanate from your 130 trillion human and microbial cells? From your 100 billion neurons and their 10,000 trillion synaptic connections? Inside our bodies, at the molecular, atomic, and subatomic levels, everything is constantly changing at unbelievably fast speeds. With constant change comes a continuous opportunity to stabilize or destabilize these events—to improve or worsen the underlying health of our cellular and mental processes. Life is a highly organized process that within each of us unfolds over months and years—and DNA is its driving factor. It is for this reason that DNA is also a fundamental key to understanding Root Cause Psychiatry—and at Potomac Psychiatry, we use it to help you build better mental health.
Step Three: Restore Your Health by Addressing Damaged DNA, Anomalous Atoms, and Molecular Mistakes
Perhaps a Self you once recognized and deeply identified with now feels dead and gone. Now you experience unremitting suffering, deep in your heart, permeating your Soul. What happened? A suffering Self, a Soul in searing pain, has been traumatized in one way or another. These may be “macrotraumas” such as surviving physical or sexual abuse, or “microtraumas” that affect the very fabric of your biological being, including a variety of environmental, atomic, and sub-atomic influences that impact your DNA, the molecules within your cells, and the very cells themselves. Thankfully, damaged DNA and traumatized cells can be restored to health. Once we have assessed your DNA; gut health; cellular, molecular, and nutrient status; and blood screening studies, we can pinpoint specific areas in need of restoration and create targeted treatments to heal your body and your mind from the inside out.
Our Twelve-Month Core Root Cause Psychiatry Program
The First Three Months
Your personalized roadmap to recovery begins with a 90-minute consultation with Dr. Kehr and a separate 90-minute consultation with Julie Wendt. During these initial consults, we will conduct a full evaluation to get a baseline of where we want to head and how we can get there. The psychiatric evaluation includes an assessment of your chief mental health concerns, family history, past and current medications including responses and side-effects, and a variety of mental-health assessment tools such as the Beck Depression and Anxiety Inventories, the Mood Disorder Questionnaire, the ADHD Screening Instrument, the Cognitive and Physical Functioning Scale, and more. The nutritional consultation includes standardized questionnaires as well to determine your nutritional and lifestyle baseline.
After these initial consultations, we will dig deeper by implementing state-of-the-art tests to determine your brain, cellular, and gut microbiome health, including the following core assessments:
Mandatory Core Diagnostic Tests
The following tests provide your Root Cause Analysis team with a core biological baseline from which we can begin to build your desired mental health outcomes. Each provides critical information your team will need to move forward—and thus we require them of each of our Root Cause Psychiatry patients:
- Genomind’s Professional PGx genetic test
- Genova’s GI Effects stool test
- Genova’s NutrEval FMV nutrient test
- Personalized, comprehensive blood testing through LabCorp or Quest
- Your health insurance may cover a significant portion of the cost of each of these tests, and we can help you determine your total out-of-pocket cost. For patients with Medicare or Tricare, these tests are all free of charge to you. For patients with other commercial insurance, the patient copays for the PGx, GI Effects, and NutrEval combined range from $350- $750. The out-of-pocket cost without insurance for these three tests is $2,800.
Optional Core Diagnostic Tests
The following tests can provide your Root Cause Analysis team with additional insights. IntellxxDNA illuminates genetic vulnerabilities that can be addressed through the targeted use of supplements; and KBMO identifies dietary sources of systemic and brain inflammation that promote chronic emotional distress. Because these tests are not covered by insurance, they are optional add-ons:
- IntellxxDNA’s Mental Wellness genetic test
- Mental Wellness Panel: $900
- Mental Wellness + Brain Optimization Panels: $1400
- Mental Wellness + Brain Optimization + Medical Overview Panel - $1700
- KBMO Diagnostics’ FIT Test for Food Sensitivities - $375
While these tests are self-pay, they may be paid for under many Healthcare Savings Accounts (HSAs).
Once your test results are back, your psychiatrist and nutritionist will spend 90 minutes collaborating on a detailed review and analysis of all the root causes these tests have uncovered. They will blueprint these causes in a proprietary software framework created by Potomac Psychiatry’s experts, and document how they will address each and every one of the root causes of your emotional distress by creating a treatment roadmap.
Once we have that roadmap in place—typically by the end of the first month if you promptly perform the core diagnostic tests we ordered—your psychiatrist and nutritionist will meet with you for 90 minutes in a three-way Zoom meeting to explain their findings and recommendations and present a detailed treatment roadmap for the next two months. To closely monitor your progress, the following additional visits will be scheduled. These visits will enable your psychiatrist and nutritionist to actively collaborate behind the scenes to further optimize the results of your treatment based on your initial response:
With Your Psychiatrist
- Month One: 30 minute visits at weeks two and four following initial evaluation
- Month Two: 30 minute visit at week six
- Month Three: 30 minute visit at week ten
With Your Nutritionist
- Month One: 60 minute visits at weeks two and four following initial evaluation
- Month Two: A total of 90 minutes of visits
- Month Three: A total of 60 minutes of visits
Weekly Team Meetings
Each week during these first three months, Dr. Kehr, Julie Wendt, and Emily Wang will have a care coordination meeting, to review any questions or concerns that you may have raised with them in the preceding week, and to enable a prompt, team-based response back to you.
Upon the conclusion of your first three months of treatment, your psychiatrist and nutritionist will meet with you once again for 90 minutes in a three-way Zoom meeting to review your progress. Among other topics, we will discuss the initial treatment interventions, any challenges you’ve encountered, and possible reinterpretations of the root cause analysis data based on your initial response. We will conclude by presenting a recommended treatment roadmap for the next three months. Depending upon your response and newly emerging science, we may also recommend additional diagnostic tests. The total cost of the first three months is $15,000, not including the diagnostic tests. Many of these visits may be covered by out-of-network benefits, and we can provide you the CPT procedure codes used to help you determine your insurance coverage.
Months Four through Twelve
As your treatment advances, Dr. Kehr and Julie will continue our collaboration on your behalf, and will schedule formal meetings each month to review your progress and further refine your treatment regimen. At each of these 60-minute visits, the first 30 minutes will be devoted to updating one another on your progress, and in the remaining 30 minutes we will check in with you and present recommended modifications to your treatment plan. The NutrEval and GI Effects tests will be repeated at months six and twelve. The cost to you for these services will be $1600 per month plus the costs of the tests. Many of these visits may be covered by out-of-network benefits, and we can provide you the CPT procedure codes used to help you determine your insurance coverage.
Why Twelve Months?
Your mental health is dependent upon a highly complex, interrelated ecosystem of genetic, epigenetic, cellular, and microbiome-related influences. Not uncommonly, patients who enter our Root Cause Psychiatry Program suffer from undiagnosed problems involving each of these systems. As declining mental health typically takes place over months or years, it cannot be reversed overnight. Our goal is to enable you to feel somewhat better at the end of three months, substantially better at the end of six to nine months, and strive toward a complete recovery by the end of twelve months.
What Do We Need from You to Optimize the Results?
We recognize that committing to a journey like this, at a time when you are not feeling well, may feel quite daunting. Added to that is the expense of this kind of comprehensive approach. We will strive to be your supportive, healing companions throughout this journey, and work incredibly hard to help you achieve a full recovery. What we ask from you is that you not lose hope and give us the time we need. Work alongside us as an active partner to faithfully implement our treatment recommendations. Be candid with us about how you are feeling and functioning. Learn about your personal root causes of emotional distress that we uncover from the diagnostic tests by reading from our extensive, searchable blog library. Have determination and grit, and don’t give up. We promise we won’t give up on you!
Healing Your Complex Mental Health Ecosystem
At Potomac Psychiatry, we will do whatever it takes to identify and treat the root causes of your emotional distress to help you feel better, recover your health, improve your love relationships, and determine your destiny.
You deserve a more joyful existence, to feel your very best, and to actualize all of the potential inside you in order to live the fullest life possible. We can help you create a blueprint of the building blocks of life inside your body and brain: atoms, molecules, genes, and more, all working together harmoniously to produce good mental health as opposed to creating a “noisy environment” that brings about mental illness, including symptoms of depression and anxiety.
To learn more about our Root Cause Psychiatry Program, we offer a no-cost 15-minute consultation with Dr. Kehr and our functional nutritionist, so please give us a call at 301-984-9791, or fill in the form on this page and we will promptly reach out to schedule a time for you to speak with them.