Services - FxMed Mental Health

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Advanced Tests

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Intake Sessions

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Expert Clinicians

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Personalized Roadmap

Who We Help

Conditions We Support

Treatment-resistant often means undertested. Our assessment uncovers what standard care has missed.

Treatment-Resistant Conditions

When conventional psychiatry hasn't worked, we look deeper. Advanced testing reveals what medications alone can't fix.

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Treatment-Resistant Depression

When antidepressants haven't worked, it's rarely because depression is untreatable — it's usually because the biological drivers haven't been identified. Inflammation, gut dysfunction, hormone imbalances, nutrient deficiencies, and genetic variants can all sustain depression beneath the surface. Our testing reveals what's been missed.

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Treatment-Resistant Anxiety

Anxiety that persists despite well-implemented medication and therapy usually has biological signal underneath. GABA-glutamate imbalance, HPA axis dysregulation, gut-derived neurotransmitter shifts, COMT genetics, histamine intolerance — any of these can sustain anxiety that won't respond to neurochemistry-targeted treatment alone.

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Treatment-Resistant ADHD

Stimulants worked, then they didn't — or the side effects got harder to tolerate. ADHD that doesn't respond fully to medication often has underlying biology no one's tested for: iron deficiency without anemia, zinc and omega-3 depletion, food sensitivities, gut-brain dysregulation. We investigate what's actually driving the focus issue.

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Treatment-Resistant OCD

Obsessive-compulsive symptoms that resist SSRIs and ERP often have biological underpinnings — neuroinflammation, autoimmune triggers like PANS/PANDAS, glutamate dysregulation, gut-immune dysfunction. When the standard tools aren't enough, we investigate what's driving the biology.

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Treatment-Resistant PTSD

Trauma reshapes the HPA axis, gut microbiome, and immune system in ways therapy alone can't fully repair. When EMDR and medication leave residual symptoms — hypervigilance, sleep disruption, gut issues, fatigue — functional medicine investigates the biology trauma left behind.

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Treatment-Resistant Bipolar

Mood cycling that persists despite medication often involves mitochondrial dysfunction, gut dysbiosis, nutrient depletion, and inflammatory patterns standard psychiatry doesn't test for. Bipolar disorder requires expert psychiatric management — functional medicine works alongside it, addressing the metabolic terrain.

Other Conditions We Support

Beyond treatment-resistant presentations, we work with a wide range of complex mental health conditions where biology has been overlooked.

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Eating Disorders & Disordered Eating

Eating disorders involve real biological dysregulation alongside the psychological dimensions — microbiome shifts, nutrient depletion, neurotransmitter and hormonal disruption. Dr. Wiss founded Nutrition in Recovery and has published extensively on the food-brain connection, ultra-processed food addiction (UPFA), and the role of trauma in disordered eating. Functional medicine that complements your treatment team.

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Substance Misuse & Addiction

Recovery from substance use is more than abstinence. Years of substance use leave the gut, the neurotransmitter systems, the nutrient stores, and the HPA axis profoundly dysregulated — and that dysregulation can sustain cravings, anxiety, and post-acute withdrawal long after the substance is gone. We test and address the biology of recovery.

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Complex Trauma

Complex trauma — repeated, prolonged, or developmental — reshapes biology in ways acute single-incident PTSD doesn't. The HPA axis, gut, immune system, and autonomic nervous system all carry the imprint, often for decades. We investigate what therapy alone can't reach.

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Autism Spectrum Presentations

Autism is not a disease to cure. But many autistic individuals experience real, treatable physical health challenges that affect quality of life — gut issues, sensory overwhelm, sleep disruption, immune dysregulation, nutrient deficiencies. Our work supports the physical health of autistic individuals while honoring neurodivergent identity.

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Brain Fog & Cognitive Issues

Brain fog isn't a diagnosis — it's a signal that something biological is interfering with cognition. Thyroid, hormones, gut function, blood sugar, inflammation, nutrient status, and post-viral effects can all produce the experience of mental cloudiness. We investigate what's actually causing it.

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Chronic Fatigue & Burnout

When fatigue persists despite rest, the cause is rarely "you need more sleep." HPA axis dysregulation, mitochondrial dysfunction, thyroid issues, gut dysfunction, hidden infections, and nutrient depletion can all sustain exhaustion that won't lift. We test the systems conventional medicine overlooks.

Advanced Diagnostics

Specialty Lab Testing Approach

Standard labs miss what matters most for mental health. Our 7-panel suite examines every system driving your symptoms.

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DUTCH Hormone Testing

DUTCH Plus is the most comprehensive hormone test available — dried urine analysis mapping cortisol rhythms across four daily timepoints, the cortisol awakening response, full sex hormone metabolites, and HPA axis function. Reveals the hormonal patterns driving mood, energy, sleep, and cognition that conventional bloodwork can't see.

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3x4 Genetic Analysis

3x4 Genetics analyzes the genetic variants most relevant to mental health — methylation (MTHFR, MTR, MTRR), neurotransmitter metabolism (COMT, MAO, GAD), detoxification pathways, and nutrient processing. Your DNA shapes how your body processes everything from folate to medications. Personalization starts here.

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Food Sensitivity Testing

KBMO FIT 176 measures immune-mediated reactions to 176 foods, while the Gut Barrier Panel reveals intestinal permeability ("leaky gut"). Together they identify dietary triggers of neuroinflammation, mood instability, and cognitive symptoms that conventional allergy testing misses entirely.

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Gut-Brain Axis Assessment

Complete stool analysis mapping microbiome composition, digestive enzyme output, gut inflammation, immune function, and short-chain fatty acid production. Your gut directly influences your brain chemistry.

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Comprehensive Blood Panels

Extended bloodwork beyond standard panels: thyroid function, vitamin and mineral levels, inflammation markers, metabolic health, hormones, and immune indicators that conventional testing routinely misses.

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NutrEval: Nutrient Analysis

Blood and first-morning urine testing revealing amino acid levels, organic acids, B-vitamin status, mitochondrial function, and detoxification capacity at the cellular level. The deepest nutrient panel available.

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Environmental Toxicant Profile

A comprehensive assessment of environmental chemical exposures, mold-derived mycotoxins, glyphosate, and toxic heavy metals — alongside organic-acid markers of how your body is metabolizing it all. These hidden exposures can drive neuroinflammation, fatigue, brain fog, and mood instability that standard testing never looks for.

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Optional Add-on Tests

TIER 1: Advanced neuro-immune testing for cases where the immune system may be involved: neural autoantibodies that flag whether the body is reacting against brain and nerve tissue, plus a broad autoimmune and inflammatory profile across multiple organ systems. Helpful when there's treatment-resistant depression or psychosis, sudden personality changes, a history of infections, or autoimmune patterns in you or your family. We recommend it on a case-by-case basis when immune involvement is suspected.

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Optional Add-ons Tests

TIER 2: Two focused panels that sharpen a complex picture: a blood-brain barrier ("leaky brain") assessment measuring antibodies to barrier proteins, and a urinary neurotransmitter panel mapping serotonin, dopamine, GABA, and related metabolites. Helpful after failed medication trials, with persistent brain fog, post-concussion or post-viral symptoms, or when fine-tuning amino acid and nutrition support. We recommend it case by case alongside your core results.

Specialized Services

Integrated Care Beyond the Roadmap

For our members, we offer specialized services that deepen and complement the functional medicine approach.

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Nutritional Psychiatry

Nutritional psychiatry is the evidence-based use of food and targeted nutrients to support mental health. Mediterranean dietary patterns reduce depression risk by 33%. Omega-3 EPA matches some antidepressants. We translate the science into protocols built on your testing — not a generic "eat better" message.

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Psychedelic Consultation

Functional medicine preparation and integration support for legal psychedelic-assisted therapy. The metaplasticity window these medicines open is real, but it lands on whatever biological terrain it finds. Optimizing gut, methylation, neurotransmitter precursors, and HPA axis function before the journey shapes the depth and durability of the work that follows. Specialty testing and biological foundations are an underdeveloped frontier in psychedelic medicine.

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Integrative Psychiatry Referrals

When medication is part of the picture, we connect you with trusted psychiatric providers who share an integrative philosophy — and we coordinate closely with them. Your roadmap, lab findings, and supplement plan are shared so medication decisions are made with the full biological context, and so nothing falls through the cracks between providers.

How It Works

Your Journey to Root-Cause Resolution

We offer thoughtful, cutting-edge mental health consultation designed to support root-cause healing and personal development.

Chat

Free 15-minute consultation to discuss your situation and determine if we're a good fit.

Test

7-test panel examining gut, hormones, genetics, nutrients, immune function, food sensitivities, and environmental toxicants.

Roadmap

Custom nutrition, supplement, and lifestyle plan built from your unique biology — not a generic template.

Support

Regular check-ins, roadmap adjustments, and coordinated support for those that continue as members.

Why FxMed

Why Choose Us

We offer compassionate, personalized support in a safe container so you feel heard and understood at every step of the journey.

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Comprehensive Testing

Seven advanced lab panels examine what standard bloodwork misses: gut health, hormones, genetics, nutrients, food sensitivities, environmental toxicants, and metabolic function.

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Coordinated Care

Multidisciplinary experts communicate regularly about your case. We do not work in silos and provide appropriate referrals when indicated.

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Root Cause Focus

We don't mask symptoms indefinitely. We identify the biological dysfunctions driving your condition, then support changes needed to address them.

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Personalized Roadmap

No generic treatment plans. Your roadmap is built from your lab results, your genetics, your history — because your biology and story is unique.

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Mental Health Specialty

We're not generalists who dabble in mental health. Treatment-resistant depression, anxiety, and complex cases have characterized our careers.

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Dimensional Thinking

We see the complex human, not the diagnostic label. Your symptoms exist across multiple biological dimensions — we examine all of them.

Background

Ready to Find Your Root Cause?

You deserve answers. You deserve to feel better. Let's find out what's really going on.

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