The silence was the best part, wasn’t it? For months, the medication turned down the volume on the constant mental chatter around food. But now that the medication has stopped, the noise hasn’t just returned—it feels louder than ever. This isn’t a failure of willpower; it is simply what happens when we treat a hormone without treating the underlying neurology.
Seventh Pillar Psychiatry offers discreet, whole-person psychiatric care for adults navigating ADHD, anxiety, depression, binge eating, burnout, and emotional overwhelm.
Care is individualized and built around your real life, combining thoughtful prescribing with lifestyle psychiatry, nervous system support, and sustainable behavioral change.
Feel more rested, clearer, emotionally regulated, and more like yourself again.
Approach
- Whole-person psychiatry
- Lifestyle psychiatry
- Built around your real life
Focus
- ADHD
- Anxiety & depression
- Binge eating & food noise
Access
- NYC in-person
- New York telehealth
- Private pay & superbills
We exist to help you reclaim the mental real estate that anxiety, depression, and ADHD have taken.
Learn about the approach, explore services, read the FAQ, or start with a consultation.
A complete approach to psychiatric care
Our approach combines thoughtful medication management with whole-person support. Medication is one tool. Care also considers sleep, nutrition, stress, nervous system regulation, and the realities of everyday life.
What integrative psychiatry means
Integrative psychiatry means we consider the full picture: symptoms, medication, sleep, stress, nervous system regulation, nutrition, daily rhythms, and the life you are actually trying to live.
Whole-person psychiatric care
Medication + behavioral + lifestyle support
Nervous system regulation
Sleep / stress / nutrition support
Philosophy of care
(Many of the adults who find their way here have spent years holding everything together while quietly feeling overwhelmed. Some begin to wonder whether ADHD or AuDHD was missed earlier in life. Most are simply looking for thoughtful care that feels calm, structured, and sustainable.)
Services
ADHD & AuDHD
Anxiety & Burnout
Binge Eating & Food Noise
Depression
Emotional Overwhelm
ADHD care
Anxiety & depression care
Binge eating & food noise care
Evaluation + follow-up structure
FAQs
Do you prescribe ADHD medication?
Are visits virtual?
Do you see patients in person?
What is integrative psychiatry?
Integrative psychiatry means we consider the full picture: symptoms, medication, sleep, stress, nervous system regulation, nutrition, daily rhythms, and the life you are actually trying to live.
What if I am not sure I have ADHD?
How are visits structured?
Who is this practice for?
Many of the adults who find their way here have spent years holding everything together while quietly feeling overwhelmed. Some begin to wonder whether ADHD or AuDHD was missed earlier in life. Most are simply looking for thoughtful care that feels calm, structured, and sustainable.
Blog
The silence was the best part, wasn’t it? For months, the medication turned down the volume on the constant mental chatter around food. But now that the medication has stopped, the noise hasn’t just returned—it feels louder than ever. This isn’t a failure of willpower; it is simply what happens when we treat a hormone without treating the underlying neurology.
The Hidden Overlap: Binge Eating and ADHD in High-Achieving WomenBlogFor decades, ADHD was treated as a disorder of hyperactive boys, leaving a generation of successful women to quietly absorb the mental toll of a misdiagnosed brain. Your calendar might be a masterpiece of productivity, but behind closed doors, your exhausted nervous system is reaching for the fastest dopamine available. It is time to look at the intersection of your success and your secret.
The 9 PM Wall: Why Your ADHD Brain Demands a Binge After a Day of ‘Doing It All’BlogDo you find yourself standing in front of the pantry at 9 PM, eating peanut butter straight from the jar, wondering where your willpower went? You aren’t lacking discipline. By the time the evening rolls around, your executive function is completely depleted. The nighttime binge isn’t a character flaw—it is a tired brain demanding its missing dopamine.
Start
- 1Brief consultation
- 2Comprehensive evaluation
- 3Ongoing care
First, we start with a brief consultation to see whether this approach feels like the right fit. If it does, we schedule a comprehensive evaluation and build a plan around your history, symptoms, goals, and real life. Ongoing care is carefully paced, with thoughtful medication strategy when appropriate and support that does not ask you to become someone else.
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Care for adults who have spent years masking, pushing through, and holding everything together.
We exist to help you reclaim the mental real estate that anxiety, depression, ADHD, and food noise have taken. Founded by Felicity Tsikiwa, PMHNP-BC, Seventh Pillar offers thoughtful psychiatric care that combines careful medication management with whole-person support.
With more than 20 years of nursing experience, Felicity is passionate about helping people move beyond survival mode and toward steadier, more meaningful lives rooted in clarity, dignity, and wellbeing.
The Hunger Came Back: Why GLP-1 Rebound Requires an Integrative Strategy
The Hidden Overlap: Binge Eating and ADHD in High-Achieving Women
For decades, ADHD was treated as a disorder of hyperactive boys, leaving a generation of successful women to quietly absorb the mental toll of a misdiagnosed brain. Your calendar might be a masterpiece of productivity, but behind closed doors, your exhausted nervous system is reaching for the fastest dopamine available. It is time to look at the intersection of your success and your secret.
The 9 PM Wall: Why Your ADHD Brain Demands a Binge After a Day of ‘Doing It All’
Do you find yourself standing in front of the pantry at 9 PM, eating peanut butter straight from the jar, wondering where your willpower went? You aren’t lacking discipline. By the time the evening rolls around, your executive function is completely depleted. The nighttime binge isn’t a character flaw—it is a tired brain demanding its missing dopamine.