Telehealth Psychiatric Care for Adults in Michigan
New patients seen within 3 days
Most Michigan insurances plans accepted
100% telehealth — seen from home via Zoom
What Skye Treats in Adults
Adult psychiatric care is too often treated as one-size-fits-all — a diagnosis, a prescription, and a five-minute check-in every few months. At Skye, we focus on the conditions that are most commonly missed, misdiagnosed, or dismissed in adults, and we take the time each one actually requires.
1. Adult ADHD — with a focus on late diagnosis in women
ADHD in adults, and especially in women, frequently goes undiagnosed for decades. Many women were never identified as children because their symptoms didn't match the hyperactive, disruptive presentation often associated with ADHD in boys.
Instead, they internalized their symptoms — chronic disorganization, difficulty finishing tasks, mental exhaustion from masking or overcompensating, and a persistent sense of underachieving relative to their effort.
A late diagnosis, often arriving in a woman's 30s, 40s, or later, can be the first explanation that finally makes sense of a lifetime of self-blame. We evaluate adult ADHD carefully, distinguishing it from anxiety, depression, or burnout, and build a treatment plan around how ADHD is actually showing up in your life.
2. PMDD (Premenstrual Dysphoric Disorder)
PMDD is a severe, cyclical mood disorder tied to the menstrual cycle — not "bad PMS," but a condition that can bring on intense depression, irritability, anxiety, or hopelessness in the days before menstruation, severe enough to disrupt work, relationships, and daily functioning.
It is frequently misattributed to general stress or mood instability, delaying appropriate treatment for years. We evaluate the cyclical pattern specifically and treat PMDD as the distinct psychiatric condition it is.
3. Perimenopausal, menopausal, and postmenopausal psychiatric symptoms
The hormonal shifts of perimenopause and menopause can bring on new or worsening anxiety, depression, irritability, brain fog, and sleep disruption — symptoms that are frequently dismissed as "just menopause" rather than evaluated and treated.
We take a psychiatric approach to these symptoms specifically, working alongside what your primary care or gynecologic provider is already managing rather than in place of it.
We don’t provide Hormone Replacement Therapy (HRT) as that should be managed only by your OB-GYN.
4. Anxiety, Depression, PTSD, and Trauma
Anxiety, depression, PTSD, and trauma-related symptoms are among the most common reasons adults seek psychiatric care, and also among the most likely to be undertreated when addressed only in a brief primary care visit.
We provide a full evaluation, an actual treatment plan, and ongoing, attentive follow-up to see whether treatment is working and adjust it when it isn't.
Signs You Shouldn't Ignore
1. A lifelong pattern of "almost" — almost organized, almost on time, almost finished.
If you've spent years feeling like you're working twice as hard as everyone else just to keep up, and you were never evaluated for ADHD as a child, that pattern deserves a real look now. Late-diagnosed ADHD in women is common, not rare.
2. Mood symptoms that show up like clockwork before your period.
If anxiety, irritability, or depression consistently arrives in the one to two weeks before your period and lifts once it starts, that cyclical pattern is a hallmark of PMDD — not something to write off as "just PMS."
3. New or worsening anxiety, depression, or irritability starting in your late 30s, 40s, or 50s.
Mood changes that emerge alongside other perimenopausal symptoms — irregular cycles, hot flashes, sleep disruption — are frequently hormonally driven and warrant psychiatric evaluation, not just a wait-and-see approach.
4. Persistent low mood or loss of interest lasting more than two weeks.
Depression that lingers, rather than lifting on its own, is a treatable condition regardless of what else is going on in your life at the time.
5. Worry or anxiety that has become constant, physical, or hard to control.
When anxiety starts producing physical symptoms, disrupting sleep, or making it hard to function day to day, it has crossed from ordinary stress into something treatable.
6. Hypervigilance, flashbacks, or a nervous system that won't settle.
Feeling constantly on edge, easily startled, or unable to relax even in safe situations can point to unresolved trauma or PTSD, whether or not you've connected it to a specific event.
7. Brain fog or memory lapses that started alongside hormonal changes.
Cognitive symptoms during perimenopause and menopause are real and can be psychiatric in nature, not just "getting older."
8. Sleep that has significantly changed with no clear explanation.
Difficulty falling or staying asleep, especially alongside mood changes, is a common and treatable symptom across ADHD, anxiety, depression, and hormonal transitions alike.
9. Feeling like something is wrong but being told your labs are "normal."
Normal bloodwork doesn't rule out a psychiatric explanation for what you're experiencing. Many of the conditions above aren't detected by standard lab panels.
10. A previous diagnosis or medication that never quite fit.
If you've been treated for anxiety or depression but something has always felt slightly off, an underlying condition like ADHD, PMDD, or a perimenopausal component may not have been considered.
Questions? Text us at 248-587-8267
Frequently Asked Questions
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Yes. ADHD in adults, especially in women, is frequently missed in childhood and identified for the first time in a person's 30s, 40s, or later. A late diagnosis is common, not unusual.
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Many women don't present with the hyperactive, disruptive symptoms typically associated with ADHD in boys. Instead, symptoms show up as chronic disorganization, mental exhaustion, and difficulty finishing tasks, which are easier to overlook or misattribute to anxiety or stress.
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PMDD (Premenstrual Dysphoric Disorder) is a severe, cyclical mood disorder tied to the menstrual cycle, causing intense depression, irritability, or anxiety in the days before menstruation, severe enough to disrupt daily functioning. It's a distinct, treatable psychiatric condition, not just heightened PMS.
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Yes. Hormonal shifts during perimenopause and menopause can bring on new or worsening anxiety, depression, irritability, and brain fog. These symptoms are often dismissed as "just menopause" rather than properly evaluated and treated.
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Yes. Skye's psychiatric care for perimenopausal and menopausal symptoms is meant to work alongside what your primary care or gynecologic provider is already managing, not replace it.
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Skye treats adult ADHD (with particular attention to late diagnosis in women), PMDD, perimenopausal and menopausal psychiatric symptoms, and anxiety, depression, PTSD, and trauma.
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Possibly. An underlying condition like ADHD, PMDD, or a hormonal component is sometimes overlooked when treatment focuses only on anxiety or depression as a standalone diagnosis.
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Yes. Normal lab results don't rule out a psychiatric explanation. Conditions like ADHD, PMDD, and perimenopausal mood symptoms aren't detected by standard blood panels.
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New patients are typically seen within 3 days, and all appointments are conducted from home via Zoom.