Whether you're struggling with PMDD, PMS, Body Image Concerns, Postpartum Depression, Relationship Issues, Binge-Eating Disorder, or Codependency, you deserve to get the help you need and to start feeling better today
Dr. Sheenie Ambardar, MD is an award-winning female psychiatrist, psychotherapist, and coach who serves patients throughout California and New York via telehealth. Dr. Ambardar specializes in the diagnosis and treatment of adult women and men with Depression, Anxiety, ADHD, Panic Disorder, Trauma, Bipolar Disorder, OCD, Binge-Eating Disorder, and a host of other common mental health concerns.
Are you experiencing any of these conditions? Integrative psychiatry may be the solution you need. At The Happiness Psychiatrist®, we address the root causes of these issues—and many more—as well as give you the resources to build a fuller, happier life.
Join us as we explore the benefits of working with a female psychiatrist, as well as discuss common conditions frequently treated by holistic female doctors
Women may feel more comfortable discussing sensitive issues like body image, relationships, and menstrual mood changes with female psychiatrists. This level of comfort can help build trust and enable patients to achieve better overall health outcomes.
Additionally, female psychiatrists may have a deeper understanding of the societal pressures and expectations that many women face. This awareness can help us tailor treatment plans to address not only your individual symptoms but also the external factors that may be contributing to women's mental health struggles.
"I believe in empowering women to take control of their mental health and to live their best lives. By providing a safe, supportive environment and evidence-based treatments, I help my patients navigate life's challenges and find lasting happiness." ~ Dr. Sheenie Ambardar, MD
The bottom line? Feeling comfortable with your psychiatrist is crucial. If a female physician feels like a good fit, go for it!
Studies show that women are more likely to experience depression, anxiety, PTSD, body image issues, and eating disorders compared to men. Whether this is due to the fact that women are more likely to seek out mental health treatment has yet to be determined. However, we do know that the unique biological, psychosocial, hormonal, and societal influences women face can strongly impact their mental health and happiness.
Compared to men, women are more likely to experience:
It's easy to feel overwhelmed and alone in these struggles and to think you're the only one suffering, but remember: you're not. So many women go through similar experiences and there's no shame in reaching out for help. Whether it's talking to a friend, joining a support group, or seeking professional help, you deserve to prioritize your mental health and find the resources you need to thrive.
Many mental health conditions disproportionately affect women.
As part of our comprehensive and holistic approach to women's mental health care, we offer:
🩸 Advanced functional lab testing
🥦 Nutritional medicine
🧬 Gene Testing
💊 Medication management &
🍎 Pharmaceutical-grade supplements
💖 All to help you feel better and thrive...
If you're an adult patient in California or New York, I invite you to reach out today to schedule a virtual consultation with our practice. Together, we can develop an integrative treatment plan that empowers you to feel your best 💪✨
Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Syndrome (PMS) are two related but distinct conditions that affect many women during their reproductive years.
PMS is a common condition, with approximately 50% of menstruating women experiencing some level of physical or emotional suffering in the days leading up to their period (Direkvand-Moghadam et al., 2014).
PMDD, on the other hand, is a more severe form of PMS that affects approximately 3-8% of women of childbearing age. While the exact causes of PMDD and PMS are not fully understood, research suggests that these conditions are related to increased sensitivity to the natural hormonal fluctuations that occur during the menstrual cycle, particularly the rise and fall of the female hormones estrogen and progesterone.
Recent studies have also implicated the role of neurotransmitters, such as serotonin, in the development of PMDD symptoms. Symptoms of PMDD can significantly impact a woman's daily functioning and quality of life. These symptoms often emerge in the 1-2 weeks before the onset of menses, improve within a few days after the period starts, and largely dissipate the week after menstruation is over.
Common symptoms of PMDD include: 🩸
Treatment for PMDD may include a combination of pharmacological, lifestyle, and therapeutic interventions, such as:
Depression is a prevalent mental health condition that affects millions of people worldwide, with women being disproportionately impacted. According to the National Institute of Mental Health, women are nearly twice as likely as men to experience depression.
This increased risk may be attributed to a complex interplay of biological, psychological, and social factors, such as hormonal fluctuations, societal pressures, and exposure to trauma or gender inequality.
Symptoms of depression in women can include: 💌
Treatment for depression in women may involve a multi-faceted approach that combines pharmacological, psychological, lifestyle, and holistic interventions, such as:
Anxiety disorders, including generalized anxiety disorder (GAD), panic disorder, and specific phobias, are more prevalent among women compared to men.
According to the National Institute of Mental Health, past year prevalence of any anxiety disorder is higher for females (23.4%) than for males (14.3%).
This gender disparity may be attributed to a combination of biological, psychological, and sociocultural factors, such as hormonal fluctuations, increased vulnerability to stress, and societal pressures.
Recent research has provided further insights into the unique manifestations and risk factors for anxiety disorders in women. For example, a study by Vesga-López et al. (2008) found that women with anxiety disorders were more likely to experience comorbid depression and eating disorders compared to men with anxiety disorders.
Additionally, women may be more susceptible to developing anxiety during certain life stages, such as during pregnancy and the postpartum period (Fairbrother et al., 2016).
Symptoms of anxiety disorders in women can include: 🚨
Treatment for anxiety disorders in women involves a personalized approach that can combine pharmacological, psychological, lifestyle, and holistic interventions, such as:
Seasonal Affective Disorder (SAD) is a subtype of depression characterized by a recurring seasonal pattern, most commonly occurring during the fall and winter months when there is a decrease in natural sunlight exposure.
SAD affects approximately 5% of adults in the United States in a given year, with women being four times more likely than men to be diagnosed (Kurlansik & Ibay, 2012). This gender disparity may be attributed to hormonal differences, particularly the influence of estrogen on serotonin levels.
Recent research has provided further insights into the prevalence and risk factors associated with SAD in women. Younger women, especially those in their reproductive years, are more susceptible to developing SAD compared to older women. (Melrose, 2015).
Symptoms of SAD in women include: ❄️
Treatment for SAD in women may involve a multi-modal approach that combines pharmacological, psychological, lifestyle, & complementary interventions, such as:
Relationship issues can have a profound impact on women's mental health and overall well-being. Difficulties in romantic partnerships, within families, or in friendships can contribute to feelings of stress, anxiety, fear, and depression.
The impact of relationship issues on women's mental health can be further compounded by societal pressures and gender role expectations.
Additionally, women in unhealthy or abusive relationships may face certain challenges, such as fear of retaliation if they leave, financial dependence, or concerns about the well-being of their children.
Symptoms of relationship issues women may face include: 👩❤️👨
Treatment for relationship issues may involve a combination of individual and couples-based interventions, such as:
Ready to take the next step in your mental health journey? Dr. Ambardar offers a complimentary 15-minute phone consultation to discuss your specific needs and treatment options. Contact us when you're ready to explore personalized care ☎️
While women and men experience trauma at around the same rate, women are more likely to develop PTSD compared to men. Studies have shown that women in the U.S. are 2-3 times more likely to develop PTSD symptoms following a traumatic event, with a lifetime prevalence of 9.7% compared to 3.6% in men.
The National Intimate Partner and Sexual Violence Survey indicates that 20% of women in the United States will experience completed or attempted rape during their lifetime, with half of female victims of rape being raped by an intimate partner and 40.8% by an acquaintance.
These deeply traumatic experiences are just one example of the kinds of trauma and suffering that can contribute to the development of PTSD, a debilitating mood disorder characterized by a range of distressing symptoms.
Symptoms of PTSD in women include: ⛑️
Recent research has also highlighted the complex interplay between PTSD and other mental health conditions in women patients such as depression, anxiety disorders, and substance abuse disorders. These findings underscore the importance of comprehensive, gender-sensitive treatment approaches that address the unique needs of women patients with trauma histories.
Treatment for PTSD in women may include:
Body image issues are a pervasive concern for many women, with societal pressures and media portrayals of the ideal body type contributing to feelings of inadequacy, low self-esteem, and the development of eating disorders.
According to the National Eating Disorders Association, approximately 30 million Americans will struggle with an eating disorder at some point in their lives, with women being twice as likely as men to be affected (NEDA).
In the United States, 69-84% of women experience body dissatisfaction and wish to be a lower weight than they currently are.
Symptoms of body image issues in women can include: 👥
Treatment for body image issues in women may involve a multi-faceted approach that addresses both the psychological and behavioral aspects of the problem, such as:
Eating disorders are mental health conditions that can have serious consequences if left untreated. While anorexia nervosa and bulimia nervosa are well-known eating disorders, binge eating disorder (BED) is actually the most common, according to the NIH.
Research suggests that women are three times as likely as men to be impacted by Binge-Eating Disorder.
Binge-Eating Disorder is characterized by recurrent episodes of consuming large amounts of food in a short period of time, often accompanied by feelings of loss of control, shame, and guilt.
Unlike bulimia nervosa, individuals with BED do not engage in compensatory behaviors, such as self-induced vomiting or excessive exercise, to counter the effects of binge eating.
The impact of BED on women's physical and mental health can be significant, with research showing associations between BED and type 2 diabetes, cardiovascular disease, depression, anxiety, and decreased quality of life.
Symptoms of BED in women include: 🍿
Treatment for BED in women involves a multi-disciplinary approach that addresses both the psychological and physiological aspects of binge-eating such as:
Are you struggling with Binge-Eating Disorder, Relationship issues, PMDD, or Depression? Reach out today to Dr. Ambardar at The Happiness Psychiatrist®, a Leading Telehealth Practice for Women's Mental Health in California and New York
PCOS, which stands for Polycystic Ovary Syndrome, is the most common hormone disorder in females, affecting approximately 10% of women of reproductive age (Bozdag et al., 2016).
While primarily associated with reproductive and metabolic health, PCOS can also have a significant impact on mental well-being and quality of life.
Recent research has highlighted the increased prevalence of mental health concerns among women with PCOS, with studies suggesting that they are at a higher risk of experiencing depression, anxiety, and stress compared to the general population (Cooney et al., 2017; Damone et al., 2019).
Women with PCOS may experience a range of physical symptoms, such as irregular menstrual cycles, excessive hair growth, acne, and challenges with maintaining a healthy weight.
However, the emotional and psychological effects of PCOS can be equally challenging and may include: 🧘🏻♀️
Treatment for PCOS may involve a multi-disciplinary approach that addresses both the physical and emotional aspects of the condition, such as:
Postpartum depression is a serious and prevalent mental health condition that affects approximately 15% of women after giving birth.
While up to 70% of new mothers may experience the baby blues (short-lived feelings of sadness or mood swings that usually subside 2 weeks after delivery), postpartum depression is more severe and can persist for weeks or months after giving birth.
Recent research has shed light on the complex interplay of biological, psychological, and social factors that can contribute to the development of PPD.
Women with a history of depression, anxiety, or trauma are at a higher risk of experiencing postpartum depression, highlighting the importance of screening and early intervention for women with pre-existing mental health conditions.
If you think you might have PPD and would like a diagnosis, you may want to complete the Edinburgh Postnatal Depression Scale (EPDS) and present the results to your doctor.
Symptoms of postpartum depression include: 🍼
Treatment for PPD may involve a comprehensive approach that addresses both the psychological and physiological aspects of the condition, such as:
The transition to menopause, known as perimenopause, typically lasts 4-10 years and can be a challenging time for many women.
Hormonal fluctuations during perimenopause can contribute to the development of depression, as well as mood swings, irritability, anxiety, and insomnia.
According to a study by Bromberger et al. (2011), the risk of experiencing a major depressive episode is significantly higher during perimenopause compared to the premenopausal period.
Symptoms of perimenopausal depression include: 🩸
Treatment for perimenopausal depression involves a multi-disciplinary approach that addresses both the hormonal and psychological aspects of the condition, such as:
Codependency is a tendency to devalue the Self and place excessive focus on the needs and perceptions of others. It is a complex emotional and behavioral condition that impacts many women and is inversely correlated with self-confidence.
Codependency is characterized by a pattern of unhealthy relationships where an individual prioritizes the needs and desires of others above their own, often at the expense of their personal well-being and happiness.
Research has highlighted the significant impact of codependency on mental health, with studies showing strong associations between codependency and depression and low self-esteem.
Symptoms of codependency in women may include: 🥀
Treatment for codependency in women involves addresses both the psychological and interpersonal aspects of the condition, and includes:
Pharmacokinetics is all about how our bodies handle drugs: how medications are absorbed, distributed, broken down, and eliminated from the body.
It's worth noting that women's bodies can process medications differently than men's, which can affect how well a drug works and the likelihood of experiencing side effects. It's important to keep up with the latest research and prescribe medication in a way that takes into account women's unique pharmacokinetics.
As one example, women eliminate the sleep medication Ambien more slowly than men, leading the FDA to recommend that female patients start on lower Ambien doses compared to male patients.
It's also vital to consider how hormonal changes during the menstrual cycle can impact medication processing. For instance, during the luteal phase of the menstrual cycle, when progesterone levels are high, certain enzymes that break down medications may be more or less active. This cyclical fluctuation can lead to changes in how well medications work and whether side effects are experienced.
Women also tend to have a higher percentage of body fat compared to men, which can affect the distribution of medications in the body. This difference in body composition can result in altered drug concentrations in various tissues, potentially influencing both the therapeutic effects and adverse reactions experienced by women. Understanding these nuances is important for optimizing treatment outcomes in female patients.
Did you know that estrogen and progesterone, the main female hormones, play a big role in regulating mood and mental well-being? This happens because estrogen and progesterone interact intimately with brain and gut neurotransmitters like serotonin and dopamine. Thus normal changes in estrogen and progesterone levels during the menstrual cycle, pregnancy, and menopause can bring about significant changes in mood, including mood swings, anxiety, and depression.
Estrogen, for example, can boost serotonin production, which helps with positive emotions. Progesterone, however, can lower serotonin levels, which might lead to irritability or anxiety.
A knowledgeable female psychiatrist understands these intricate connections and can create a personalized treatment plan that takes these factors into consideration.
In summary, choosing a female doctor who is knowledgeable about women's mental health can offer many benefits on your healing journey. Female psychiatrists often bring unique perspectives to their work, drawing from their own experiences as women in a society that may present gender-specific stressors and challenges. This personal insight can create a deeper connection and understanding between the psychiatrist and patient, fostering a more empathic and supportive therapeutic relationship.
Additionally, female psychiatrists may be more attuned to issues such as gender disparities in mental health treatment and societal expectations that can impact women's overall well-being.
Female psychiatrists who specialize in integrative psychiatry and mental health also incorporate a range of complementary modalities into their treatment plans. These may include advanced functional lab testing, nutritional medicine, gene testing, psychotherapy, and spiritual practices that address the interconnectedness of mind, body, and soul.
By taking a holistic approach to mental health care, female psychiatrists can help patients not only manage their symptoms but enhance their overall well-being, happiness, and quality of life.
Whether you're struggling with PMDD, PMS, Body Image Concerns, Postpartum Depression, Relationship Issues, Binge-Eating Disorder, or Codependency, you deserve to get the help you need and to start your healing journey today.
Dr. Ambardar works with adults, ages 18 and older, and provides concierge psychiatry, psychotherapy, medical weight care, and coaching services including:
Ready to begin your own therapeutic journey towards happiness and mental well-being? Contact The Happiness Psychiatrist® today and discover how award-winning integrative psychiatrist Dr. Sheenie Ambardar MD can help put you on the path to your best, happiest self.
Want to learn more about integrative psychiatry and concierge psychiatry? Read these pieces next from The Happiness Psychiatrist® blog: 👇
What to Expect from a Concierge Psychiatrist: A Guide to Personalized Mental Health Care
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