Who Danielle helps and what she assesses

• Trouble concentrating, distractibility, impulsivity, hyperactivity — ADHD (Attention-Deficit/Hyperactivity Disorder) in adults and adolescents

• Persistent low mood, loss of interest, fatigue, sleep changes, suicidal thoughts — MDD (Major Depressive Disorder)

• Extreme mood swings tied to menstrual cycles, irritability, anxiety, and physical symptoms — PMDD (Premenstrual Dysphoric Disorder)

• Depression and mood changes after childbirth, anxiety about parenting — PPD (Postpartum Depression)

• Generalized anxiety, chronic worry, restlessness, tension — GAD (Generalized Anxiety Disorder)

• Panic attacks, sudden intense fear, heart palpitations, avoidance behaviors — Panic Disorder

• Social anxiety, fear of social situations, avoidance of public interactions — Social Anxiety Disorder

• Obsessive thoughts, compulsive behaviors, intrusive repetitive patterns — OCD (Obsessive-Compulsive Disorder)

• Trauma-related symptoms, flashbacks, hypervigilance, nightmares — PTSD (Post-Traumatic Stress Disorder)

• Bipolar spectrum symptoms: depressive episodes, hypomania or mania, mood cycling

• Sleep disturbances, insomnia, hypersomnia, circadian rhythm concerns

• Irritability, anger management issues, emotional dysregulation

• Memory complaints, brain fog, cognitive slowing possibly related to mood or medication

• Substance use concerns and co-occurring mental health disorders

• Emotional symptoms associated with chronic medical conditions, chronic pain, or hormonal changes

• Suicidal ideation, self-harm thoughts, crisis assessment and safety planning

• Medication side effects, polypharmacy concerns, and need for medication optimization

• Neurodiversity-related concerns (autism spectrum, executive functioning differences)

• Eating concerns, appetite changes, body image distress, disordered eating patterns

• Grief, adjustment problems after life transitions, work or relationship stress

• Perinatal mood and anxiety disorders, fertility-related emotional distress

What to expect in a psychiatric consultation with Danielle

• Comprehensive symptom review and mental health history, including family history and prior treatments

• Medical and medication reconciliation to identify interactions, side effects, or contributors to symptoms

• Screening and assessment for ADHD, PMDD, PPD, MDD, anxiety disorders, trauma, bipolar disorder, and other conditions

• Use of validated screening tools as appropriate (e.g., ADHD, depression, anxiety scales)

• Diagnostic clarity: distinguishing overlapping symptoms (e.g., ADHD vs. anxiety vs. mood disorder)

• Personalized treatment recommendations: medication options, psychotherapy referrals, lifestyle and sleep interventions, hormone or menstrual-related strategies, and integrative approaches

• Coordination with your primary care or specialty providers for holistic care and follow-up plans

• Safety planning and crisis resources when needed

Why choose Danielle Fitch for psychiatric consultation

• Special expertise in ADHD, PMDD, PPD, and MDD, with skill in distinguishing complex or overlapping conditions

• Integrative, patient-centered approach that considers medical, hormonal, lifestyle, and psychosocial contributors

• Focus on clear diagnosis, practical treatment plans, and coordination of care to reduce confusion and restore function

• Support for medication management, treatment optimization, and referrals to therapy or specialty services

If you’re struggling with unclear symptoms — whether it’s attention problems, low mood, severe premenstrual mood shifts, postpartum changes, anxiety, panic, trauma-related issues, or a combination — Danielle Fitch’s psychiatric consultations aim to provide clarity, actionable recommendations, and compassionate support to help you move forward. Book an appointment to get a thorough evaluation and a clear path toward better mental health.

What Danielle offers

• Comprehensive medication reviews: Evaluate all prescriptions, over-the-counter drugs, and supplements to identify interactions, duplications, and opportunities to simplify regimens.

• Individualized deprescribing plans: Safely reduce or discontinue medications when clinically appropriate, with close monitoring and gradual tapering to minimize withdrawal and relapse risk.

• Collaborative care coordination: Work with primary care providers, specialists, and mental health clinicians to align medication strategies with broader treatment goals.

• Risk and side-effect management: Monitor adverse effects, adjust dosing, and choose safer alternatives to improve tolerability and adherence.

• Integrative alternatives and adjuncts: Incorporate nutrition, exercise, sleep hygiene, stress reduction, and evidence-based supplements to support symptom management and reduce medication dependence.

• Patient education and shared decision-making: Empower patients with clear information about benefits, risks, and realistic expectations so they can make informed choices about their medication use.

Who benefits

• Adults seeking to reduce polypharmacy and medication burden

• Patients managing chronic conditions (e.g., pain, anxiety, depression, metabolic disease) who want integrative options

• Individuals starting new medications who want a thorough review and safety plan

• Families and caregivers needing coordination across multiple prescribers

Why choose Danielle Fitch

• Integrative, whole-person approach that treats medication as one tool among many

• Emphasis on safety, evidence-based deprescribing, and preserving quality of life

• Personalized plans rooted in patient values and long-term wellness goals

• Local, accessible care in Des Moines with coordinated follow-up

Book an appointment with Danielle Fitch for integrative medication management that prioritizes safety, minimizes unnecessary medication burden, and supports sustainable, holistic health.

What to expect

• Comprehensive assessment of behavior, routines, triggers, and strengths

• Individualized behavior plans tailored to age, diagnosis, and family goals

• Skills training: cognitive-behavioral techniques, emotion regulation, executive function supports, and parent coaching

• Lifestyle and integrative recommendations: sleep hygiene, nutrition, exercise, and stress reduction

• Coordination with primary care and specialists; medication management available when appropriate

• Ongoing monitoring with measurable goals and adjustments over time

Benefits

• Reduced disruptive behaviors and improved daily functioning

• Better coping skills for anxiety, mood dysregulation, and attention difficulties

• Practical tools for parents, caregivers, and teachers to support consistent progress

• Holistic care that combines behavioral strategies with medical oversight when needed

Ideal for

• Families seeking non-pharmacologic approaches first

• Patients who prefer a combined approach using therapy and medication management

• Children with school-related behavior or attention issues

• Teens and adults struggling with anxiety, mood, or executive function challenges

Danielle offers compassionate, integrative behavioral management grounded in clinical expertise and family-centered care. Her collaborative approach emphasizes measurable outcomes, practical strategies you can use at home and school, and careful coordination of medication management only when it supports long-term wellness.

Book an appointment with Danielle Fitch to develop a customized behavioral plan that fits your family’s needs — with or without medication management.

What we offer

• Ketamine troches (sublingual) for at-home dosing under clinical supervision, ideal for patients seeking flexibility and gradual dosing.

• Spravato (esketamine) nasal spray administered in-office for rapid symptom relief with monitored post-dose observation.

• Comprehensive pre-treatment evaluation including medical history, medication review, mental health assessment, and cardiovascular screening.

• Personalized dosing protocols tailored to diagnosis, symptom severity, and prior treatment response.

• Integration with psychotherapy, lifestyle interventions, and adjunctive integrative therapies to support lasting recovery.

• Ongoing monitoring of efficacy, side effects, and safety with clear relapse prevention planning.

Benefits

• Rapid reduction in depressive symptoms and suicidal ideation for many patients after initial treatments.

• Alternative for individuals who have not responded to traditional antidepressants.

• Potential improvements in anxiety, PTSD symptoms, and certain chronic pain conditions when used as part of a comprehensive plan.

Safety and monitoring: Danielle emphasizes safety: treatments are administered or prescribed after careful screening, with appropriate cardiovascular monitoring and post-dose observation for in-office Spravato sessions. Potential side effects such as dissociation, dizziness, nausea, and transient blood pressure increases are discussed upfront, along with clear instructions for at-home troche use and emergency guidance.

Who it's for: Adults with treatment-resistant mood disorders, persistent depressive symptoms, or PTSD who are seeking rapid-acting, integrative options and who can participate in required monitoring and follow-up care.

Why choose Danielle Fitch at IFM

• Integrative medicine perspective that addresses medical, psychological, and lifestyle contributors to mental health.

• Individualized protocols combining cutting-edge ketamine options (troches and Spravato) with psychotherapy and holistic supports.

• Patient-centered communication, thorough safety practices, and coordinated care.

Request a consultation to determine if ketamine therapy (troches or Spravato) is an appropriate, safe option for your condition.