Seventh Pillar Psychiatry offers thoughtful, comprehensive care for adults with ADHD, with a special focus on the intersection of ADHD and binge eating.
Many adults living with ADHD also carry a chronic sense that they have not reached their full potential, or that the success they have achieved has come at too high a cost.
You deserve clear, effective support that helps life feel more manageable, not more overwhelming.
We offer expert diagnosis, treatment, and support designed to help you think more clearly, feel less overwhelmed, follow through more consistently, and move through daily life with greater ease.
We prescribe medication when appropriate, alongside support for binge eating, sleep, stress, emotional regulation, routines, burnout, and the day-to-day challenges that often come with ADHD.
You will feel heard, understood, and supported as we work together toward greater focus, steadier emotions, and more trust in yourself in daily life.
Support is here.
BEGINThe 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.
Thank you for taking the first step. This private consultation is a space for us to talk honestly about where you are right now. The overwhelm, the exhaustion of holding everything together, and the patterns with focus, with food, and with your own sense of yourself that may have gone unexplained for years.
Your current reality: What has been the hardest to manage, and how you want your days to feel instead.
Our clinical approach: How we combine precise diagnosis, medication when appropriate, and targeted strategies to help you regain control of your days.
The architecture of care: How the practice operates, pricing, and your exact next steps.
This conversation ensures our approach is the right match for your needs. I will call you directly at your chosen time.
If the booking window does not load, you can also book directly at this link.
Seventh Pillar Psychiatry exists to help adults with ADHD better understand their minds, reduce overwhelm, and build lives that work with their nervous system, not against it.
The practice has a special focus on the intersection of ADHD and binge eating, which often co-occur and can deeply affect daily life, emotional wellbeing, and your relationship with food.
We provide psychiatric care that combines thoughtful medication management with whole-person support, actively addressing emotional regulation, anxiety, depression, burnout, and the day-to-day challenges that often accompany ADHD.
Seventh Pillar Psychiatry was founded by Felicity Tsikiwa, PMHNP-BC, bringing more than 20 years of nursing experience and specialized training in adult ADHD. Felicity is passionate about helping people move beyond survival mode and toward steadier, more meaningful lives rooted in clarity, dignity, and wellbeing.
You have spent years trying to figure this out on your own. We provide the unwavering support you need to finally take back control of your days.
Felicity Tsikiwa, PMHNP-BC
Psychiatric-Mental Health Nurse Practitioner, Board Certified
Specialized ADHD training includes:
From the Blog
Read the Blog JournalMany people struggling with binge eating have been blamed, misunderstood, or reduced to questions of willpower, when the reality is often more complex and deeply human. This page gathers trusted, evidence-based resources that support dignity, understanding, and compassionate care.
Binge eating is often a complex neurobiological response, deeply tied to how our brain manages dopamine, stress, and trauma—not a moral failing or lack of self-control.
It is often a nervous system's profound attempt to find safety, soothe emotional distress, or manage overwhelming environmental stimulation when other tools are unavailable.
Healing begins when shame is removed. You deserve compassionate care that respects your humanity, honors your story, and addresses root causes rather than judging symptoms.
NEDA
Free BED psychoeducation, screening tools, and support group directories.
Why it matters: Provides a safe, shame-free starting point for understanding your experience.
Visit Resource →Centre for Clinical Interventions
Evidence-based, step-by-step self-help worksheets focused on behavioral roots.
Why it matters: Offers practical alternatives to restrictive dieting without relying on shame.
Access Modules →Recovery Record App
CBT-based tracking for meals, mood, and behavior to uncover emotional patterns.
Why it matters: Helps identify emotional triggers and nervous system dysregulation.
View App →ANAD
Free, peer-led support groups meeting multiple times a week. No insurance required.
Why it matters: Connects you with others who truly understand, reducing isolation and the burden of shame.
Read Source →National Alliance for Eating Disorders
A free helpline staffed by licensed eating disorder therapists offering referrals to all levels of care.
Why it matters: Offers compassionate, professional guidance to help you find respectful care.
Visit Resource →Crisis Text Line
Free, confidential crisis support via text (Text NEDA to 741741) for immediate help.
Why it matters: Ensures you have a safe, private outlet when feeling overwhelmed.
Text NEDA to 741741
Mayo Clinic
A clear, trustworthy overview of BED, its diagnosis, causes, and integrative treatments.
Why it matters: Helps separate the clinical, biological reality of BED from societal misconceptions.
Read Source →Validated Screening Tool
A brief, validated tool utilized globally in outpatient psychiatric settings.
Why it matters: Offers a starting point to view symptoms objectively through a clinical, rather than critical, lens.
Read Source →Families Empowered and Supporting Treatment
Provides a Caregiver Skills Toolkit, a 30-day program, and a 24/7 moderated forum.
Why it matters: Equips your support system to provide a calming, informed, and safe environment.
Visit Resource →Overeaters Anonymous
Free community support for compulsive eating, available in-person and online worldwide.
Why it matters: Provides structured community relief for those seeking ongoing connection and shared experience.
Find a Meeting →Book by Dr. Christopher Fairburn
The gold-standard CBT-E self-help program, highly effective alone or with guided support.
Why it matters: Directly challenges the willpower myth and provides a proven, structured path forward.
Read Source →NAADAC
A 15-session evidence-based manual focusing on meal normalization and cue restructuring.
Why it matters: Focuses on building new neural pathways rather than relying on restrictive, shame-based dieting.
Read Source →These resources provide general information and are not medical advice or emergency care. If you are in crisis, call 988, call 911, or go to the nearest emergency room.
Whether you are seeking answers for the first time or ready for ongoing support, there are two ways to begin.
Step One
Thoughtful assessment, diagnosis, and a clear roadmap forward.
Begin with ClarityStep Two
Calm. Capable. Consistent.
Ongoing support to help you build momentum, follow through more consistently, and feel more confident in daily life.
Explore the 90-Day Reset
The ADHD Clarity Evaluation
Seen. Heard. Understood.
90 minute, in-depth ADHD evaluation for adults who want real answers, not rushed care.
This is for adults who may look capable on the outside but privately feel overwhelmed, and are looking for an evaluation after years of missed deadlines, strained relationships, burnout, or constantly feeling like they are dropping balls despite trying hard.
You are exhausted by constant masking. You may look successful on the outside, but behind the scenes you are battling disorganization, inconsistency, overwhelm, and the strain of holding everything together.
You carry a heavy emotional toll. You suspect undiagnosed ADHD may be contributing to binge eating, burnout, anxiety, emotional reactivity, or a persistent sense that daily life feels harder than it should.
You want real answers. You are looking for a careful, holistic evaluation and a comprehensive treatment plan that considers your whole life, not just a rushed medication check.
A Thoughtful Answer, Either Way
Not every evaluation results in an ADHD diagnosis. Sometimes ADHD is confirmed. Sometimes something else is more central. Either way, you leave with more clarity and a thoughtful next step.
An unhurried assessment where your experience is heard, understood, and taken seriously.
Expert feedback on whether ADHD appears to be contributing to the struggles you have been experiencing.
A clear, jargon-free explanation of your patterns, symptoms, and clinical recommendations.
Personalized next steps tailored to your daily life, responsibilities, and specific areas of difficulty.
When appropriate, recommendations may include medication. You also may receive recommendations for natural supplements, functional lab testing, sleep support, and practical strategies to help improve focus, emotional steadiness, energy, and recover from chronic stress.
We’ll start by understanding what you are looking for and whether this evaluation is the right next step.
BEGIN
ADHD SERVICES
A 90-day plan designed to help you build greater clarity, stability, and confidence in your work, relationships, and daily life.
This is where diagnosis becomes action. Together, we translate insight into practical change, helping you better understand yourself, feel less overwhelmed by everyday life, follow through more consistently, and create a life that feels more manageable, sustainable, and aligned with what matters most to you.
A careful, unhurried assessment so you have the time to be truly heard and understood.
A clear, jargon-free roadmap of your treatment plan so you know exactly what your next steps are.
Active monitoring of your medication and habits so you never have to struggle alone with side effects or stalled progress.
Same week appointment availability, face to face visits, direct messaging between visits so you get clinical answers quickly, without frustrating phone tag.
A whole-person approach to your sleep, stress, and burnout so you regain your edge.
We measure your treatment progress using Ivy-League backed research so we have numerical proof you’re getting better.
Because this 90-day reset provides intensive, personalized guidance and direct access, it requires a significant investment of my clinical time.
Let me be clear: Living with ADHD, I expect you to make mistakes, drop new routines, and struggle with change. That is a normal part of the process, and I am here to help you navigate it without judgment.
If you are looking for a quick fix where you don't have to engage in your own care, this pathway is not for you. But if you are willing to simply show up, even on the days when it feels messy or you’ve fallen completely off track and honestly partner with me in your treatment, these 90 days will change your life.
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.
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.
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.