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Body & Mind

Integrative & Functional Medicine

Integrative & Functional Medicine Integrative & Functional Medicine Integrative & Functional Medicine

Stress, Anxiety & MID-LIFE

A statement from Dr. Parker on Reproductive Psychiatry

"Hormonally driven mood changes are a special area of my practice.  I diagnose and treat hormonally induced conditions which cause anxiety and mood disturbance including:  premenstrual syndrome, premenstrual dysphoria disorder,  perimenopause, menopause, premature ovarian failure and medication side effects including those arising from oral contraceptives aka The Pill.  These are phrases  which women often reveal to me during an initial consultation:


  • "I am on edge for no reason"
  • " My mood swings are out of control"
  • " I have a lot to be grateful for, but inside I feel like Im falling apart"
  • "I am beginning to feel alone even with my friends and family"
  • "Social events make me self-conscious and I need to medicate before going out"


Women in their thirties, forties, fifties & sixties work with me to deconstruct the biochemical gestalt of changes which have begun to thwart their happiness, confidence, autonomy and  purpose.   Helping women gracefully navigate this nuanced transition is by far the most meaningful and inspiring area of my work.  I also work with teens and young women to provide a second opinion regarding  cognitive and emotional health concerns.   Using a collaborative model, I accept referrals from primary care providers, specialists and mental health professionals  in order to support the biochemical aspects of anxiety, depression and life stress such as divorce and career change. 


Being physiologically supported during menopause can offer a well-spring of new life opportunities.  The personalization of one's care within my integrative medicine affords women many options for treatment.  My patients & I collaborate to create a comprehensive program that addresses their concerns, budget and health.    Both holistic and medication-inclusive programs are available to restore my patients' capacity for incredible personal growth and  fortitude for life's changes.  There are cases when medications make a world of difference, and I am happy to prescribe them when deemed appropriate. I  also support tapering of some medications as part of an integrative care team, and refer patients back to their prescribing doctors for the management of controlled substances, as I do not manage tapering of narcotics.   Prescriptions for low-dose naltrexone and oxytocin are provided for specific conditions.   I also prescribe nature, social service and time with animals as transformational aspects of healing. "  

Learn More

 A woman’s body reflects an ever-changing cosmology of creation, nurturance, growth and rebirth.  Hormones are chemical messengers which catalyze this process, and are particularly  impacted by mid-life shifts in female hormones.  First-onset psychiatric diagnosis most commonly occurs for women after age 40, often signifying the first of many hormonally-induced changes to come.   Dr. Parker advocates for women in their 40s and 50s to receive healthcare, including mental health, which is inclusive of a woman's physiology and the impact of hormonal changes across the lifespan.  Women who have advanced into their 60s and 70s may still be impacted by the means in which they navigated their healthcare choices in perimenopause and menopause. 

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GAINING MOMENTUM in MID-LIFE

Neurodiversity in Menopause

Neurodiversity in Menopause

Neurodiversity in Menopause

Women do not experience menopause uniformly. 

Relationship Change

Neurodiversity in Menopause

Neurodiversity in Menopause

"To resist change is to struggle against the current. To embrace change is to sail with the wind"  


    - I Ching

Attention & Concentration

Neurodiversity in Menopause

Attention & Concentration

By combining evidence-based nutrition, hormone balance, and mind-body practices, it helps restore mental clarity and focus, allowing women to thrive in this transformative stage of life.


Copyright © 2024  Dr. Karen Parker ND. LLC & San Juan Integrative Medicine are specialty sub-divisions of Neurevolution Medicine PLLC.   All Rights Reserved.

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