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Welcome. I’m so glad you’re here.

I’m Dr. Rose Sivilli, and I believe that mental health is about more than just treating symptoms – it's about empowering you to lead a fulfilling and meaningful life.

My approach to psychiatry is integrative, which means that I draw on a range of modalities and techniques (including therapy, nutrition/supplementation, mindfulness practices, sleep analysis and medication management when appropriate) to help my patients achieve their goals. 

I believe in addressing both the biological and psychosocial factors that contribute to mental health conditions, and I’ll work closely with you to develop a thoughtful, personalized treatment plan that reflects your unique needs and preferences.

Psychiatrist Dr. Rose Sivilli of Wildflower Psychiatry

Who I work with:

If you’re looking for high quality mental health care— a psychiatrist who will deeply listen to you and all of your challenges while also supporting you to create a deep, meaningful change— you’re in the right place.

I commonly work with people who are dealing with depression, bipolar, anxiety, trauma, ADHD, OCD, and more. I also have specialized training in reproductive and women’s mental health, and I support people through infertility, PCOS, PMDD, and menopause. I love helping people through big life transitions— whether it’s starting college, navigating relationships, becoming a parent, affirming your authentic gender identity, or finding your way through a loss.

If you’re struggling and you don’t have words for what you’re experiencing, that’s completely okay. I’m here to support you, and we can figure it out together.

I know that seeing a psychiatrist, especially for the first time or if you haven’t had great experiences with mental health providers in the past, can feel daunting. But, I promise it doesn’t have to be.

When you have the guidance of a holistic psychiatrist who really sees you, understands what you’re going through, and gives you personalized support, you can move in the direction you want to go.

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What Our Patients Are Saying

  • “What I love the most is how personal it is.

    So many psychiatrists and therapists seem to have a kind of "one size fits all" promise, but I really feel like I'm not getting a formulaic treatment plan that should work for me just because it works for other people... my treatment plan feels super customized to my unique needs as well as my unique lifestyle and attitudes about medications, therapy, behavior change, etc. Plus, I'm really confident that what we're doing is actually getting at the roots of what I've been struggling with and working to create a sustainable positive change for me, not just managing the surface-level issues.”

  • "I feel more confident and capable and like I deserve to live a life that makes me happy, which is a very, very big change from where I was to start with.

    I feel less anxious and more focused. I'm a lot kinder to myself. I'm not having self-harming impulses or a feeling that ‘it would be better if I was dead’ for the first time in years. More than anything else, I feel hopeful for what my life is going to look like going forward.”

  • "I’m proud of myself for reaching out when I did, but I wish I did it years before.

    I was hesitant for years about reaching out for therapy because I was raised in an environment that looked down on it and felt a sense of embarrassment for needing it. I let my mental health suffer because of this. With therapy, my mental health has improved greatly. I still have depression and anxiety symptoms, but they are manageable with medication and also with strategies I’ve learned through therapy. My biggest accomplishment is being able to set boundaries for myself in terms of work, family, and friends, which has improved my quality of life tremendously because for once I’m putting my own health above others.”

  • "I am finding so much more joy and gratitude in my day to day life. I'm much more present.

    I felt such depression and despair before finding Wildflower Psychiatry. I was living in the past and speaking to myself poorly. Now I speak to myself in a much kinder and more compassionate voice. I am changing the dialogue in my head from hyper critical and unforgiving to a voice that is gentler and loving. This has allowed me to begin healing and stop punishing myself. Overall, I like myself more and I feel much more capable to go through life because of what I have gained.”

Here’s how I help:

  • A thorough initial assessment

    I take at least 2 hours to look at your health history, psychological history, relationships, and lifestyle to make a well-considered assessment. It’s a big investment of time and energy up front, but ends up being more efficient because it can save you from months of trying unhelpful approaches. I treat you like you’re complex and unique, because you are.

  • Comprehensive lab testing, when it’s helpful

    We can gather useful information from well-chosen lab tests. There’s no standard panel that I order for everyone, and I don’t order tests without a clear reason. I look for the information that’s most likely to be relevant and impactful for you.

  • Sleep health

    Sleep health is the foundation of brain health. It affects every part of your life, and it’s often overlooked. I help you make gradual changes to optimize your sleep-wake cycle and get into a rhythm of restful, restorative sleep.

  • Practical nutritional guidance

    I look at your eating patterns and see if there are any small, easy, sustainable changes that would be worth your while to make. I don’t tell everyone to cut out the same food groups or follow a strict elimination diet. I support you in developing a more attuned relationship with your body and with food, so you can give yourself the nutrition you need.

  • Medications

    Medications can be wonderful tools and they deserve thoughtful consideration in the context of a larger, more comprehensive approach. If I think medications could be helpful, I’ll explain why and what options are available. We’ll go through the pros and cons together and you’ll be supported in making a decision that feels right for you.

  • Help reducing or stopping medication

    There’s an art and a science to this, and it really helps to have expert support to taper off medications. I can help you decide if this is a good way to go, and I can set you up for the best chances of a smooth and successful experience.

  • Supplements and botanicals

    I’m thoughtful about supplements— you won’t get a long list of pills to take with dubious benefit. Instead, I help you select appropriate supplements, herbs, and botanicals that have established safety and evidence to support their use. I help optimize your regimen, and provide you with access to high-quality, professional-grade products.

  • Psychotherapy

    I can assess which types of therapy may be a good fit for you and explain what they entail. If I think you’d benefit from a type of therapy that I offer, then we can do that together. If you already have a therapist, I’m happy to collaborate. My guidance to you is always informed by psychotherapeutic principles.

  • Mind-body skills

    I draw from meditation, breathing techniques, guided imagery, somatic practices, biofeedback, journaling, creative arts, and intentional movement. If it resonates for you and works, I’ll help you incorporate these skills into your life in a practical way.

  • Tracking progress

    I use rating scales and journals at regular intervals to track how your experience changes over time so that you can measure your progress, see how far you’ve come, and realign when needed.

  • Direct messaging with me

    You can reach me directly through the secure online messaging portal with any questions or concerns that come up between sessions.

  • Support with insurance reimbursement

    If you’re using out-of-network benefits, I’ll set you up with an app that streamlines your reimbursement.

HOW IT WORKS

01

  • You’ll fill out a quick form and have a brief phone call with me. If it feels like a good fit, you’ll schedule your Comprehensive Intake appointment.

02

  • You’ll fill out an extensive questionnaire and send that back to me a week ahead of your appointment so I can prepare.

03

  • SESSION LENGTH: 2 HOURS

    This is where you’ll share your story and I’ll be listening and asking nuanced questions. I’ll want to know more about what you’re struggling with, your health history, the important people in your life, your nutrition and physical activity, what really matters to you, and what you’re looking for now. You’ll leave this session with a personalized plan, which might include lab tests, written logs to track symptoms, and recommendations on lifestyle, nutrition, mind-body practices, psychotherapy, supplements, and medications.

04

  • SESSION LENGTH: 30 or 45 MINUTES

    (Weekly, every other week, or monthly)

    These are sessions where we’ll look at what’s come up and how you’ve been feeling since we last met. We’ll do psychotherapy and we’ll also review any lab results, medications, supplements, etc. I’ll consider what’s working well for you and what isn’t, and refine your plan.

  • Comprehensive Intake (includes 2 hours of session time, plus preparation): $1250

    Follow-up Session fees range from $250-500 depending on the service provided.

  • I provide my patients with a high level of personalized care. In order to offer my best work to you, I don’t directly work with any insurance companies.

    If you have out-of-network benefits, you may be reimbursed for a percentage of the fees after you meet your deductible.

  • "My only hesitation was cost, however since receiving care I fully feel confident that I’m paying for the highest level of care.

    I am better able to cope with the fluctuations my brain creates, because I am receiving proper treatment. It’s also a relief to know someone is checking in and genuinely cares about my health.”

  • "The way I feel now-- and the progress I have made-- is what I would wish for someone I care about to have, if they felt like I did at the start.

    I have had such a positive experience. And it has made such a huge difference.”

  • "It is energizing to have a treatment plan and be observing myself with new eyes.

    Emotionally, I am feeling clearer on the outline of my mental health struggles in life, and appreciative that I have someone to advise me.”

Our Values

  • We’re here to accept you, no matter what. You’re inherently worthy, and you always deserve compassion, respect, and dignity. We listen to your story without judgment, and we help you access your own self-compassion so you can find the hidden gems– the gifts you carry inside that can carry you forward. We’re here to listen and help, not label and judge.

  • It’s not easy to look for what’s true, with clear vision and an open heart. To turn towards the parts of yourself that are hurting, or hurting others. To stay with yourself through doubt and uncertainty, and stay curious about new possibilities. To lose your way, and try again. We’re here to support your small, brave, everyday acts of courage.

  • We’re here to help you take responsibility for yourself so you can contribute your gifts to the greater good. When you’re connected to yourself, you're better able to connect with other people and serve the communities and causes that matter to you.

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READY TO GET STARTED?

Book your intro call

To inquire about working with me, fill out this quick form and schedule your free, no-pressure introductory phone call.

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