*PLEASE NOTE: DR. SETHI is not ACCEPTING NEW PATIENTS at this time*

Integrative Medicine for Women In Midlife

Because you deserve to be seen and heard fully— to balance hormonal shifts and body composition, clear your brain fog, sleep better and optimize your mental health. Hormonal transitions do not have to be chaos, you can (and deserve) to reclaim ease in your body again.

Your health can shift today  

My approach honors the depth and breadth of my training and over 25 years of frontline experience, including 24+ years as a primary care physician caring for women from childhood through pregnancy and beyond.

I blend my expertise in Integrative and Functional, Mind-Body, Ayurvedic, Culinary, Botanical, and Psychedelic medicine-pairing them with the profound wisdom of nature and food, the ways our bodies move, and our deep need for connection and belonging. What this means for you is a credible expert who not only sees and hears you but knows how to guide you to thriving instead of surviving.

New Patient Consultations: 

All patients start here, with a comprehensive consultation that honors where you have been in your journey and the next best steps with food, movement, herbs, medications including HRT if needed, lifestyle changes or mind body medicine. I use my depth of expertise and training to create a plan that will best address your needs.

Not Accepting New Patients

  • The kinds of questions I will explore:

    • Are your circadian rhythms optimized, not only to nature and the seasons but to your personal routines and needs?

    • How is your heart coping with loss or a need for belonging in the world?

    • How are you able to move your body and are there ways to optimize this for greater health and longevity?

    • Are you able to access nourishing food and use it in a way that aligns with your body’s needs but also to optimize your vitality, down to a cellular level?

    • What are your strategies for coping with inevitable stress and tending to your body, heart, and nervous system?

    • Are you optimizing your body’s metabolic, detoxification, endocrine, neurologic and immune systems?

    • Do you have genetic variants that can be supported to amplify healing?

    • What might you be putting into your body or mind that does not serve you, from food to relationships and limiting beliefs and all in between?

    • Depression and anxiety

    • Fatigue, insomnia, or brain fog

    • Women navigating peri-menopause/menopause

    • Safe and careful tapering of anti-depressant medications

    • Loss of Joy and meaning in life, including burnout

    • Spiritual disconnection

    • Imbalances in gut health

    • Chronic stress

    • Individuals struggling to integrate profound loss or trauma healing into their lives and find meaning again

    • End-of-life angst/anxiety

frequently asked questions

  • In the initial visit, I will be assessing your health from a comprehensive, integrative perspective, which means that in addition to any physical symptoms, I will do an assessment of your toxin exposure, sleep habits, nutrition, medications and supplements, stress levels and coping strategies, daily habits, and so on. In essence, I will be assessing what could be contributing to an imbalance and what we can do to start on the path to healing. You will end that visit with the initial recommendations for a plan that will take into context not only what your body needs but what is realistic for you within your individual context. Usually, the imbalance occurs over a longer timeline and so there is not often a quick fix as we are used to in Western approaches alone. But the commitment to addressing your health from a holistic context can result in greater lasting change.

  • Most individuals need and desire some follow up to continue and refine their treatment plan. The most lasting change comes from this kind of commitment. But of course, the choice is always yours and some people benefit from a consultation to form a plan with their medical team.

  • You will have email access to communicate with me for quick questions, but if the messages are too complex, I ask you schedule a 15-30 minute appointment instead.

  • No, but I am happy to provide a superbill for reimbursement to your insurance carrier. Fees are taken at the time of service. Info on fees available when you schedule your consultation.

  • I have been practicing Integrative Family Medicine for 25+ years, including delivering babies and doing hospital medicine for over 22 of those years, teaching resident physicians, writing textbook chapters and speaking nationally.

    I have been fellowship trained in Integrative Medicine through Andrew Weil’s program at the University of Arizona, certified in Functional Medicine through the Institute of Functional Medicine and am senior faculty at the Center for Mind Body Medicine in Washington, DC. I created and directed the only Integrative Medicine fellowship program in Washington State, do research at the University of Washington where I am a Clinical Professor and am certified through the Menopause Society.

    You can see a much more extensive list of my experience on this page.

    Aside from resume credibility, what really matters is I have been on the frontlines taking care of women like you for over a quarter century. And I am honored to partner with you now.

  • Yes, I value a team approach and spent the first 25 years of my career as a primary care physician. I am happy to communicate and collaborate with other providers. I require that you have an established primary care physician in place, as I do not provide that care any longer and respect the value of this critical role in your health care.

  • Yes, I can offer both of these. We will decide together which is appropriate given where we are in your treatment process.

  • I am licensed to see patients in Washington only.

  • I appreciate your curiosity. There are many other ways to work together.