Bal Med Mental Health

At Balance Medical, mental health services are meant to feel approachable. You do not need the perfect words or a clear label before coming in. If something feels off, we start there and talk it through.

What Mental Health Care Looks Like at Balance Medical

Mental health care here is practical and grounded. Visits focus on understanding what you’ve been experiencing and helping you make sense of it.

Some people come in feeling overwhelmed. Some feel flat or exhausted. Some have tried medications before and weren’t sure if they helped. Others are just noticing changes they can’t quite explain.

We take the time to sort through it together and figure out what feels like the right next step.

Concerns We Commonly Help With

Mental health support may help if you’re dealing with:

• Anxiety that feels constant or hard to control
• Depression or low mood that isn’t lifting
• Trouble focusing or managing ADHD
• Trauma or lingering stress responses
• Substance use concerns
• Emotional changes during pregnancy, postpartum, or menopause

You don’t have to fit neatly into a category. If you’ve been carrying something quietly, this is a safe place to bring it up.

How Treatment Decisions Are Made

Care starts with a conversation. We talk about what’s been happening, what you’ve tried before, and what you’re hoping might change.

For some people, medication becomes part of the plan. For others, it doesn’t. If medication is discussed, it’s explained clearly, with time to ask questions and adjust thoughtfully.

If past medications haven’t worked well, genetic testing may be available to help guide better options. The goal isn’t to rush into something new. It’s to make decisions that feel informed and steady.

There’s no pressure to move faster than you’re ready for.

Mental Health as Part of the Bigger Picture

At Balance Medical, mental health isn’t treated like a separate lane of care.

Hormones, stress, weight changes, sleep, and life transitions all overlap. When those pieces connect, we talk about them openly. If something outside our scope would be helpful, we guide that next step carefully.

You’re not left trying to figure it out alone.

Meet Liz Castilla, MSN, APRN, FNP-BC

Mental health services at Balance Medical are led by Liz Castilla.

Liz is a board-certified nurse practitioner with more than 16 years of clinical experience, including over a decade focused specifically on mental health care. She works with adolescents and adults and specializes in psychiatric medication management.

Her background in women’s health gives her additional insight into how pregnancy, postpartum changes, menopause, and hormonal shifts can affect emotional well-being.

Her approach is steady, practical, and centered on helping patients feel informed and supported.

Scheduling and Next Steps

If you’re wondering whether mental health care might help, we’re happy to talk it through.

Appointments are available in person or through telehealth, with early-morning and late-afternoon options to help care fit into your schedule.

Contact our team at Balance Medical to schedule a mental health visit or ask about next steps.