Mental Health, Stress & Burnout

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Mental health, anxiety, and burnout are often driven by biological factors such as stress hormones, inflammation, metabolic dysfunction, and nervous system overload—not just psychology. An integrative medical approach evaluates both brain and body to identify and treat root causes.

At Patients Medical in NYC, physicians treat mental health conditions as medical conditions, not character flaws.

A Medical, Integrative Psychiatry Approach

Anxiety, emotional exhaustion, brain fog, and burnout are among the most common reasons patients seek care—yet they are also among the most misunderstood.

Many patients are told:

“It’s just stress”
“Try therapy”
“You need antidepressants”
“This is normal in NYC”

But when symptoms persist, worsen, or affect physical health, something deeper is often happening.

Why Mental Health Symptoms Are Often Not “Just Psychological”

Mental health symptoms frequently reflect biological dysregulation, including:

Cortisol rhythm disruption
Nervous system imbalance
Hormonal shifts
Inflammation
Blood sugar instability
Mitochondrial fatigue

Treating the mind without addressing the body often leads to partial or temporary relief.

Symptoms We Commonly See

Patients seeking integrative mental health care often experience:

These symptoms are real, measurable, and treatable.

What Burnout Really Is (And Is Not)

Burnout IS:

✔ A neuro-hormonal stress condition
✔ A nervous system survival response
✔ A metabolic and inflammatory state

Burnout IS NOT:

✖ Weakness
✖ Laziness
✖ Lack of resilience
✖ “Just work stress”

Burnout reflects physiological overload, not personal failure.

The Role of Cortisol & Stress Hormones

Chronic stress alters:

Cortisol rhythm (not just levels)
Adrenal signaling
Blood sugar regulation
Sleep-wake cycles
Immune response

Over time, this leads to:

Anxiety
Exhaustion
Brain fog
Weight gain
Mood instability

Standard labs often miss this.

Why Standard Mental Health Care Falls Short

Traditional psychiatry often:

Focuses on symptom labels
Prescribes without metabolic context
Ignores inflammation and hormones
Separates mental and physical health

This leaves many patients medicated but unwell.

Our Integrative Psychiatry Approach at Patients Medical

At Patients Medical, we treat mental health conditions using medical + integrative evaluation, including:

Advanced Testing May Include:

Cortisol rhythm testing
Inflammatory markers
Hormonal panels
Metabolic and insulin testing
Nutrient deficiencies
Thyroid signaling
Mitochondrial stress markers

Testing guides treatment — not guesswork.

Conditions We Commonly Evaluate

Anxiety disorders
Depression with physical fatigue
Burnout & executive dysfunction
Stress-related insomnia
Emotional fatigue
Brain fog & cognitive overload
Post-viral mental health changes
Hormonal mood instability

Case Example (Typical NYC Patient)

Patient: 42-year-old executive
Symptoms: Anxiety, poor sleep, brain fog, fatigue

Previous Care:
Therapy + SSRIs → partial relief

Patients Medical Findings:

Cortisol rhythm disruption
Insulin resistance
Inflammatory markers elevated

Outcome:
Targeted medical treatment improved mood, focus, sleep, and energy.

Who Benefits Most From This Approach?

This model is ideal for patients who:

Feel “wired but tired”

Have normal basic labs

Want answers beyond prescriptions

Prefer physician-led care

Are seeking cash-pay, comprehensive medicine

Why Patients Choose Patients Medical

Physician-led (not protocol-driven)
Integrative, evidence-based care
Advanced diagnostics
Time to listen and connect patterns
Located in NYC
Experienced with complex, high-functioning professionals

Frequently Asked Questions

Is this therapy or psychiatry?

This is medical integrative psychiatry, addressing biological drivers alongside emotional health.

Do you prescribe medications?

When appropriate — but never as the only solution.

Do you accept insurance?

We help patients understand out-of-network benefits, but care is not insurance-restricted.

Final Call

If anxiety, stress, or burnout are affecting your life, you deserve a medical explanation—not dismissal.

At Patients Medical,
Dr. Rashmi Gulati, MD and Dr. Stuart Weg, MD treat mental health as a whole-body condition.

📞 Call 1-212-794-8800 to schedule your appointment.

BLOG

Why Anxiety Is Often a Hormonal Issue
The Cortisol–Anxiety Connection
Burnout vs Depression: How to Tell the Difference
Why High Performers Burn Out First
Brain Fog, Anxiety & Inflammation
Why Therapy Alone Isn’t Always Enough
Stress, Blood Sugar & Mood Swings
Sleep Deprivation and Emotional Regulation
Post-COVID Anxiety & Nervous System Dysfunction
Why SSRIs Don’t Work for Everyone

Emotional Fatigue Explained
Anxiety With Normal Labs: What’s Missing
Executive Burnout in NYC Professionals
Panic Attacks Without Panic Disorder
Hormonal Mood Changes After 40
The Gut–Brain Axis and Anxiety
Why Burnout Feels Physical
Mental Health Symptoms Caused by Inflammation
Nervous System Overload & Modern Stress
When Anxiety Is a Medical Signal

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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