(317) 742-5255
Psychiatric Care in Carmel That Starts With Your Concerns
The right place to begin may be an evaluation, a review of a treatment that is not meeting your expectations, or a discussion about emotional changes during a hormonal transition. Dr. Greta L. Krause provides psychiatric services that bring these concerns into one clinical conversation.
Care at Krause Wellness combines standard psychiatric treatment with consideration of relevant hormonal, nutritional, and metabolic factors. Your history, current symptoms, and goals help determine which options are worth exploring.
Help With Attention and Emotional Health
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ADHD evaluation and care
Difficulty sustaining attention, managing tasks, or following through can have several explanations. Dr. Krause evaluates ADHD concerns in the context of your history and current functioning rather than assuming that trouble concentrating establishes a diagnosis.
Sleep problems, anxiety, depression, and other health concerns can cause similar symptoms. A careful evaluation helps inform the diagnosis and treatment discussion. An appointment does not guarantee a particular diagnosis or prescription.
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Anxiety and depression
Worry that is hard to set aside or low mood that affects daily life deserves a thoughtful assessment. Dr. Krause reviews what you are experiencing, how it affects you, and any treatment you have already tried.
The discussion may include medication options and relevant physical-health considerations. If your current treatment provides limited benefit or causes troublesome effects, medication review gives those concerns focused attention.
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Mood concerns during PMS PMDD and menopause
Changes in mood or anxiety around your menstrual cycle or menopause can raise questions about both psychiatric and hormonal health. Krause Wellness offers evaluation of these concerns, including PMS, premenstrual dysphoric disorder (PMDD), and menopause-related difficulties.
The assessment considers your symptom pattern and broader health history. It does not assume that every mood symptom has a hormonal cause or that hormone treatment is appropriate for everyone.
Psychiatric Evaluation and Diagnosis
An evaluation is an opportunity to explain what has changed, what you have already tried, and what you want help addressing. Dr. Krause reviews mental and physical-health concerns before discussing potential treatment directions.
You can also seek an evaluation when you want a clearer understanding of an existing diagnosis or have questions about your current care. The aim is an informed plan that reflects the clinical assessment and your priorities.
Care for Bipolar and Trauma Related Concerns
Dr. Krause also works with adults experiencing bipolar disorder and trauma-related concerns, including PTSD. These areas of care call for an individual assessment and a discussion of current symptoms, treatment history, and appropriate next steps.
Psychotherapy as Part of Psychiatric Care
Dr. Krause uses cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and supportive psychotherapy. These approaches can provide space to work with thoughts, behaviors, and difficult experiences alongside other elements of care.
Ask how psychotherapy may fit your treatment plan and which appointment format is appropriate for your needs.
Medication Decisions You Can Discuss Openly
Review benefits side effects and unmet expectations
Medication review considers your experience with current and previous psychiatric medications. What has helped? What remains difficult? Are side effects affecting everyday life? These details matter when considering whether to continue or adjust treatment.
Dr. Krause offers medication evaluations and follow-up as part of psychiatric care. Decisions depend on your individual assessment rather than a predetermined prescription.
Consider medication reduction with clinical supervision
If you would like to reduce or discontinue a psychiatric medication, Dr. Krause can assess whether a supervised change is appropriate. Continuing treatment may remain the best option for some patients.
Do not stop or change psychiatric medication on your own. Any change requires a plan with your prescriber that accounts for withdrawal effects, symptom recurrence, and follow-up needs.
Testing With a Clear Clinical Purpose
Laboratory assessment and review
Laboratory assessment may be considered to investigate relevant nutritional, hormonal, or metabolic concerns. Results are interpreted alongside your symptoms, history, and existing medical information. Testing is not a substitute for psychiatric evaluation.
Pharmacogenetic testing
Pharmacogenetic testing examines selected genetic factors that may affect how your body processes certain medications. Where clinically relevant, it can add information to a medication discussion.
It cannot identify a guaranteed best medication or predict every benefit or side effect. Dr. Krause considers results alongside other clinical information, including your previous treatment response.
Functional gastrointestinal testing
Functional gastrointestinal testing is among the assessments offered by Krause Wellness. If digestive concerns are relevant to your overall health, you can discuss what a proposed test measures, its limitations, and whether the findings could inform care.
A gut test does not establish the cause of a psychiatric condition or guarantee an effective treatment. Testing decisions should have a clear purpose within your assessment.
Supplement Review Alongside Your Treatment Plan
Bring the supplements you take into the conversation, including vitamins and nonprescription products. Dr. Krause reviews supplements as part of your overall care rather than treating them as separate from prescription medication.
The discussion considers why you take each product and its relevance to your needs. Natural products are not automatically risk-free or substitutes for indicated psychiatric treatment.
Ketamine Treatment Requires Individual Assessment
Krause Wellness offers ketamine treatment. If you are interested, ask Dr. Krause about the treatment offered by the practice, the assessment required, potential risks, and available alternatives.
Ketamine use for psychiatric conditions is off-label; ketamine is not FDA-approved to treat psychiatric disorders. Suitability requires individual medical evaluation. Requesting an appointment does not establish eligibility or guarantee treatment.
Follow Up on the Details That Matter
A plan needs to be reviewed against your experience. Follow-up allows you to discuss changes in symptoms, medication tolerability, and relevant health findings with Dr. Krause.
In-office appointments take place in Carmel. Telehealth is also offered when appropriate and available for the patient's location; contact the practice to confirm your options.
Questions Before You Request Care
Talk Through Your Next Treatment Decision
You do not have to choose a test or treatment before asking for help. Request an evaluation or call (317) 742-5255 to discuss scheduling.
Learn more about Dr. Krause's whole-person approach.
For immediate danger or a medical emergency, call 911. For mental health crisis support in the U.S., call or text 988. Do not use appointment requests or email for urgent help.