Welcome to
Your Integrative Mental Health Journey

Welcome to our whole health initiative, where both your mind and body are equally important parts of your healing and growth journey. Here at IMHC we strive to integrate different therapeutic modalities that are geared toward your personal struggles. We offer a collection of resources for your journey, including psycho-educational tools and trainings, book recommendations, and neurotransmitter testing. We are here to support you on your path to total body and mind wellness.

Learn more

Insurances accepted:

Aetna, BCBS (NC, all other states must be PPO plan), Cigna (Evernorth), ComPsych, , Lucet EAP (FL Blue), Multiplan/ PHCS, UHC (Optum/ UMR/ First Health),

Who we are

Mandi R. Sjogren Duggan

Florida: LMHC -QS, LMFT-QS

North Carolina: LCMHCS, LMFT

Washington: LCMHC

New York: LMHC

Certified Integrative Mental Health Professional (CIMHP)

ADHD- Certified Clinical Services Provider (ADHD-CCSP)

Certified Clinical Anxiety Treatment Professional (CCATP)

Certified Mood Disorder Professions (CMDP)

Certified Menopause Coach

Certified Clinical Trauma Professional Level II (CCTP-II)

Perinatal & Postpartum Mood Disorder Trained (PSI)

NCC, CCMHC, ACS National Credentials

As a therapy / counseling practitioner for over 20 years, I have seen a variety of clients. I work with adults over the age of 18 and couples.  If you are thinking you have ADHD and have not yet been diagnosed, recent adult ADHD diagnosis, or part of a couple with ADHD (you, your partner or both), I can help get you get a proper diagnosis and tools to cope with the myriad of symptoms ADHD presents. Often times for women ADHD symptoms can worsen during times of hormone changes (menstrual cycles, pregnancy, postpartum, and peri/menopause). Learning coping skills and how to talk with your existing providers on how to manage these symptoms can be a valuable tool.

As a provider and trainer for the Prepare/ Enrich Couples therapy, I can help evaluate your couple strengths at any stage - preparing for marriage, preparing for children, and the empty nest. The Prepare/ Enrich program is a structured assessment with guided sessions on 12 areas of marriage that matter most. This program focuses on strengths and building upon what is already working for you.

If you are looking to support these areas with a more holistic approach, I can provide education on nutrition, exercise, and supplements that support a healthier mental state. It’s not just your emotions that matter for mental health success.

Learn More About Integrative Mental Health with Our Mini Client Educational Trainings

How Whole Body Focus Can Improve Mental Health

Embark on an enlightening journey to better health through our online course, designed to educate you on balancing your mental health needs through nutrition, exercise and supplements. The brain gut connection is stronger than you think. Balancing your life, gut, and brain can foster resilience in improve mental health conditions including ADHD, anxiety, depression, and bipolar. Lifestyle changes can be hard. This quick educational course is designed for clients to have a better understanding of that brain gut connection and strive to build better habits and resilience.

COMING SOON

It all begins with nutrition. How you start your day will determine if that 3:00 PM slump hits you hard. Suddenly you realize you haven’t eaten and your HANGRY, and the first thing you go for is quick, loaded with salt, sugar, and fat processed food resulting in less satiation and the “I shouldn’t have ate that” feeling later. Learn how to manage protein, complex carbs (YES CARBS), and essential fats to create not just gut balance, but brain balance for a happier you.
I said it, the E word. This means something different for everyone. Certain times of the day are better than others to sustain focus and energy throughout the day. As we age, the exercise that worked at 20, no longer does the job at 40. Learn to adjust your exercise routine for maximum physical and mental benefits.
Support comes in various ways. It can be helping build a plan for lasting change, providing feedback on goals and strategies, as well as therapy for coping skills. Everyones relationship with food is different. Learning about cravings and how this affects dopamine can help create lasting change.

Learn More About ADHD at Different Life Stages

ADHD is not just difficulty concentrating, poor memory, procrastination, hyper behavior, or inability to keep track of time. It’s difficulty regulating emotions, hyper-focus, difficulty handling rejection, mismanaging finances, executive dysfunction, communication difficulties, feeling overwhelmed to paralyzation, it’s depression and anxiety about being “different.” It’s feeling “dumb,” being tired of being told what to do, it’s questioning every decision, and it’s exhausting.

Women are least likely to be diagnosed as children and mask symptoms better then men. Hormonal changes during menstruation, pregnancy, perimenopause, and menopause can exacerbate symptoms initiating an evaluation for ADHD in adult life. Symptoms are often dismissed or simply deemed “normal” for hormonal changes.

While no two people’s ADHD look identical, neither are their needs. A diagnosis helps educate and create a plan of action to recognize symptoms and create new routines. This does not automatically mean medications; however, for many, medications and lifestyle changes have made a profound impact on their lives and relationships.
As women age, beginning in their mid 20’s estrogen begins to drop. Estrogen decline is linked to changes and decline in all areas of a women’s body, from physical hair, skin and nails to metabolism, to brain function. Studies show direct links with estrogen fluctuations and increase in ADHD symptoms, sometimes requiring different medication dosages before and during menstruation. You’re not crazy, these changes and symptoms are real.
Studies show that routines are important for the ADHD brain. Breakfast choices, exercise schedules, medication and/ or supplements can significantly reduce symptoms and increase quality sleep.