Integrative Psychiatry
Whole person psychiatric evaluation and collaborative treatment planning.
Learn moreGreenwich, CT · NYC · Boston MA · San Francisco CA
Elevae Psychiatry & Therapy.
Integrated psychiatry and psychotherapy for anxiety, OCD, trauma, insomnia, and women's mental health.
Structured, personalized psychiatric and psychotherapeutic care designed to improve how you think, feel, and function. Treatment integrates therapy, coaching, lifestyle interventions, and medication when indicated, applied within a whole system framework that addresses biology, behavior, relationships, and environment.
We work across conditions, patterns, and performance, including relationships, self esteem, life transitions, and cognitive performance, using evidence based approaches tailored to your individual needs.
For those seeking a more defined approach, structured programs are also available.
Free consultations and insurance billed sessions book through Headway or Alma.
Dr. Tami McManus, DNP, PMHNP-BC
Integrative Psychiatry
Talk Therapy
Medication Management
Pharmacogenomics
Women's Mental Health
Performance Coaching
The Elevae Approach
Care built around five questions, not one.
Most mental health care asks one question. Standard psychiatry asks which medication. Standard therapy asks how you are feeling this week. Integrative care asks five questions, mind, biology, lifestyle, relationships, and meaning, and builds your plan from all of them.
01
Mind
Thorough psychiatric evaluation. Diagnosis, history, cognitive and emotional patterns.
02
Biology
Labs, hormones, nutrient status, and pharmacogenomic testing to guide precise, evidence based prescribing.
03
Lifestyle
Sleep, nutrition, movement, alcohol, and screens. The underused interventions that change outcomes.
04
Relationships
The systems around you. Work, family, community. And which parts you can actually change.
05
Meaning
Sometimes symptoms are signals that life is out of alignment with values. That work happens here too.
Many patients come to Elevae for therapy only. Others come for psychiatric evaluation and medication management. Some combine both. The five question framework shapes the work either way. Therapy at Elevae draws on cognitive behavioral, schema, insight oriented, ACT, and exposure based approaches, chosen for the presentation rather than applied by default.
Services
Individually, or bundled together.
Start with any service, or begin with a free consultation and we'll recommend where to begin.
Talk Therapy
Depth oriented therapy for identity, relationships, and the transitions that reshape a life.
Learn moreMedication Management
Thoughtful prescribing, and when appropriate, deprescribing. Grounded in evidence.
Learn morePharmacogenomic Testing
Genetic insight into how your body metabolizes psychiatric medications.
Learn moreNutrient & Mood Support
Targeted nutrition and supplement protocols for mood, focus, and energy.
Learn moreWomen's Mental Health
PMDD and PCOS related mental health care.
Learn morePerformance Coaching
Integrative coaching for founders, executives, and creatives.
Learn moreWellness Products
Expert guided supplement protocols for anxiety, focus, sleep, and mood support. Launching soon.
Join the waitlistThe Collective
A small group community for current clients and Reset alumni.
Join the waitlistFlagship program
The 18 Day Reset.
A structured integrative program to reset sleep, mood, focus, and energy. In less time than a month. Two five day intensives, a recovery week, and a written maintenance plan at the finish.
Built for founders, executives, and professionals who want a defined protocol with a start, a middle, and a finish.
Learn about The ResetDays 1 to 5
Reset I, Foundation
Intake, labs, pharmacogenomic testing, sleep and nutrition baseline, daily check ins.
Days 6 to 13
Integration week
Protocol carried into real life. Two structured check ins. Community support through The Collective.
Days 14 to 18
Reset II, Consolidation
Deeper therapy and coaching. Review of what's sticking. Written maintenance plan.
Meet your clinician
Dr. Tami McManus, DNP, PMHNP-BC.
Board certified Psychiatric Mental Health Nurse Practitioner. Tami built Elevae to deliver the kind of care she wanted her own friends and family to receive.
I don't think psychiatry should start with a prescription pad. It should start with a good conversation, a careful history, and a plan that accounts for sleep, food, movement, relationships, and what you're actually trying to build with your life.
Locations
Where we see clients.
Virtual care across New York, Connecticut, Massachusetts, and California. In person available in New York City and Greenwich, CT.
Start here
A free 15 minute consultation. We'll tell you honestly if we're the right fit.
We'll listen, answer questions, and either welcome you in or point you somewhere better.
Book a consultation