SEVENTH PILLAR
Seventh Pillar Psychiatry hero image
NYC in person · New York State telehealth
Seventh Pillar Psychiatry

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.

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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 take insurance?

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

Start

  1. 1Brief consultation
  2. 2Comprehensive evaluation
  3. 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.

About

Care for adults who have spent years masking, pushing through, and holding everything together.

Portrait

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.