Kate Engbert

Approach · December 2025 · 4 min read Working alongside your therapist, OB, and primary care provider isn't a bonus feature of good psychiatric care it's the foundation of it. Here's what that coordination actually looks like in practice. Mental health care works best when it doesn't happen in silos. One of the core principles behind At Home Psychiatry is that psychiatric medication management is most effective when it's embedded in a network of coordinated care — not handed off in a...

ADHD · January 2026 · 6 min read Many women reach their 30s, 40s, or even 50s before receiving an ADHD diagnosis. The reasons have far more to do with how the condition was defined than with the women themselves. She was the quiet girl in the back of the classroom the one who read ahead but forgot her homework. The one described as "bright but scattered," "could do better if she applied herself." She developed elaborate systems to compensate: color-coded planners, arriving early to...

Sleep · February 2026 · 5 min read Most sleep advice assumes you have some control over when and how long you sleep. When a newborn is in the picture, the standard tips fall apart. Here's what actually moves the needle. Every sleep hygiene list says the same things: maintain a consistent schedule, avoid screens before bed, keep your bedroom dark and cool, don't lie awake in bed. These are genuinely good recommendations. They also assume a basic degree of control over your sleep environment...