Explore Our Services
Discover our integrated services—therapy, medication management, and specialized care for anxiety, depression, ADHD, OCD, trauma, neurodivergence, and more—designed to help you move forward with confidence, whether in-person in Middleburg or via telehealth across Virginia.
Depression
✳︎
Anxiety
✳︎
ADHD
✳︎
Neurodivergence
✳︎
Medication Management
✳︎
Therapy
✳︎
OCD
✳︎
Trauma Informed Care
✳︎
Depression ✳︎ Anxiety ✳︎ ADHD ✳︎ Neurodivergence ✳︎ Medication Management ✳︎ Therapy ✳︎ OCD ✳︎ Trauma Informed Care ✳︎
Depression treatment in Middleburg, VA at Griswold Integrative Psychiatry LLC is led by Sophia Griswold, a solo provider offering a holistic, whole-person approach to depression. If you live in Middleburg or elsewhere in Virginia, you can access in-person mental health evaluations or convenient telehealth visits. Early, individualized care for depression is key to improving outcomes and helps restore daily functioning.
Depression can look different for everyone. Common symptoms of depression include persistent sadness, loss of interest in activities, changes in sleep or appetite, fatigue, slowed thinking, poor concentration, irritability, and feelings of worthlessness. Physical complaints and social withdrawal are also frequent signs of depression. Recognizing these symptoms and seeking help early reduces the severity and duration of depression episodes.
Untreated depression can have serious consequences. Left unaddressed, depression increases the risk of relationship strain, job or school problems, chronic medical issues, substance misuse, and suicidal thoughts. Prompt assessment and treatment for depression lower these risks and improve quality of life.
At Griswold Integrative Psychiatry Sophia Griswold blends evidence-based psychiatry with integrative interventions tailored to each person’s needs. Benefits of seeing a medical professional for depression here include an accurate diagnosis, medication management when appropriate, therapy referrals, and a personalized plan addressing lifestyle and biological contributors to depression. Sophia emphasizes supplements, nutrition guidance, exercise planning, and optional spiritual support alongside psychotherapy and medication when indicated. This whole-person framework helps address underlying drivers of depression and supports lasting recovery.
When might it be time to seek a medical professional for depression-related symptoms? If depressive symptoms last more than two weeks, interfere with work or relationships, include significant sleep or appetite changes, or involve thoughts of self-harm, seek evaluation promptly. If you experience intense hopelessness, withdrawal, or suicidal ideation, contact emergency services or local crisis resources immediately.
Treatment options for depression at our Middleburg practice include medication management, psychotherapies such as cognitive behavioral therapy, lifestyle and nutrition counseling, supplement recommendations, exercise strategies, and spiritual or meaning-focused care if desired. Combining these approaches often enhances recovery from depression and reduces relapse risk.
Griswold Integrative Psychiatry offers confidential assessments, flexible scheduling, and telehealth appointments across Virginia for depression care. In-person visits are available at our Middleburg office. Whether you prefer local care in Middleburg, VA or virtual appointments statewide, Sophia provides attentive, individualized treatment for depression.
If you’re noticing persistent low mood, loss of interest, increased fatigue, or troubling thoughts, don’t wait. Contact Griswold Integrative Psychiatry LLC in Middleburg, VA to schedule a depression evaluation with Sophia Griswold and begin a personalized, holistic treatment plan designed to help you recover and thrive.
Therapy services in Middleburg, VA at Griswold Integrative Psychiatry LLC are provided by Sophia Griswold, a solo provider who offers compassionate, evidence-based therapy within a holistic, whole-person framework. Whether you prefer in-person therapy in Middleburg or telehealth sessions across Virginia, Sophia provides individualized psychotherapy for adults, adolescents, and families addressing a broad range of concerns.
Clinical areas of focus
Anxiety disorders (generalized anxiety, panic, social anxiety)
Depression and mood disorders
ADHD and executive function difficulties
Neurodivergence support (autism spectrum, sensory and social differences)
Trauma and PTSD-informed care
Obsessive-compulsive disorder (OCD)
Bipolar spectrum care and mood stabilization support
Relationship, life transition, grief, and stress-related issues
Approach to therapy Sophia blends evidence-based psychotherapies—such as cognitive behavioral therapy (CBT), trauma-focused therapies, interpersonal approaches, and coaching techniques—with integrative supports tailored to each person’s needs. Therapy at Griswold Integrative Psychiatry emphasizes treating the whole person: biological, psychological, social, and spiritual domains. Where helpful, sessions incorporate nutrition guidance, supplement recommendations, sleep and exercise strategies, and optional spiritual or meaning-centered work at the patient’s preference.
Assessment and treatment planning Therapy begins with a comprehensive assessment of symptoms, history, strengths, and functional goals. Sophia collaborates with each patient to create a clear, measurable treatment plan with short- and long-term goals. For conditions like ADHD, neurodivergence, OCD, bipolar disorder, and trauma, the plan may include a combination of psychotherapy, behavioral strategies, skills training, and coordination with medical management when appropriate.
Therapy modalities and session options
Individual therapy (short-term and long-term)
Brief skills-based coaching and CBT-focused sessions
Trauma-informed care and stabilization work
Parent and family consultation for neurodivergent children and adolescents
Collaborative care with prescribers for integrated treatment plans
In-person sessions in Middleburg, VA and secure telehealth across Virginia
Who may benefit Therapy is helpful for anyone feeling stuck, overwhelmed, or unable to function at their desired level. People struggling with persistent anxiety, depressive episodes, attention and organizational problems, trauma-related symptoms, mood instability, obsessive thoughts or behaviors, or challenges related to neurodivergence can all benefit from tailored psychotherapy. Early intervention improves outcomes; consult a provider if symptoms are affecting work, relationships, school, or daily functioning.
Why choose Griswold Integrative Psychiatry As a solo provider and owner, Sophia Griswold offers focused, personalized care with consistent follow-up and continuity. Her integrative mindset ensures that therapy addresses not only thoughts and behaviors but also lifestyle, nutrition, supplements, sleep, movement, and spiritual needs when desired. Telehealth availability across Virginia expands access for those who live outside Middleburg or prefer virtual visits.
Getting started To begin therapy in Middleburg, VA or via telehealth statewide, contact Griswold Integrative Psychiatry LLC to schedule an intake with Sophia Griswold. You’ll receive a confidential assessment, a collaborative treatment plan, and attentive, individualized psychotherapy designed to help you build skills, reduce symptoms, and improve overall well-being.
Neurodivergence care in Middleburg, VA at Griswold Integrative Psychiatry LLC is provided by Sophia Griswold, a solo provider who takes a whole-person, strengths-based approach. Whether you prefer in-person visits in Middleburg or telehealth appointments across Virginia, Sophia offers comprehensive assessment, individualized supports, and practical strategies for autistic people, those with ADHD, and others who identify as neurodivergent.
What we treat Services address a range of neurodivergent presentations including autism spectrum differences, ADHD and executive function challenges, sensory processing differences, social communication needs, learning-related difficulties, and co-occurring mood or anxiety concerns. Care is tailored for adults, adolescents, and school-aged children (in collaboration with families and schools as needed).
Assessment and diagnosis Accurate neurodivergence assessment begins with a detailed developmental and medical history, direct interview, standardized rating scales, and collateral information from family, teachers, or other providers when available. Sophia evaluates cognitive and functional strengths, sensory patterns, executive skills, social communication, mental health symptoms, and medical contributors. Diagnosis and recommendations emphasize practical supports, accommodations, and a strengths-focused formulation.
Benefits of professional neurodivergence care
Clarifying diagnosis and understanding individual neurotype and needs
Personalized treatment plans that blend behavioral strategies, coaching, and medical management when appropriate
Coordination with schools, employers, therapists, and families to implement accommodations and supports
Integration of holistic interventions: nutrition guidance, targeted supplements, exercise plans, sleep optimization, and optional spiritual or meaning-focused care
Skill-building for executive function, social communication, emotional regulation, and sensory modulation
Medication management when indicated for attention, mood, sleep, or anxiety symptoms
Treatment approach Sophia uses evidence-informed interventions combined with integrative supports. Typical elements include psychoeducation, cognitive-behavioral strategies adapted for neurodivergent learners, executive-function coaching, parent or family guidance, environmental and sensory modifications, and collaborative care with other specialists. When medication may help (e.g., for ADHD, anxiety, or mood), careful medication management is offered alongside non-pharmacologic supports.
When to seek an evaluation Consider an evaluation if differences in attention, learning, sensory reactivity, social communication, or behavior cause persistent challenges at home, school, or work; if accommodations are needed; or if mental health symptoms (anxiety, depression, sleep problems) are compounded by neurodivergent traits. Early clarification and supports improve functioning and reduce secondary difficulties.
Accessibility and care options Griswold Integrative Psychiatry provides in-person visits in Middleburg, VA and secure telehealth across Virginia to increase access. As a solo provider, Sophia offers consistent, individualized follow-up and coordination with other professionals to ensure practical, sustainable supports.
Get started To schedule a neurodivergence assessment or consultation in Middleburg, VA or via telehealth statewide, contact Griswold Integrative Psychiatry LLC. Sophia Griswold will collaborate with you to build a personalized, holistic plan that honors strengths, reduces barriers, and supports long-term well-being.
ADHD treatment in Middleburg, VA at Griswold Integrative Psychiatry LLC is provided by Sophia Griswold, a solo provider who uses a holistic, whole-person framework for ADHD care. Whether you prefer in-person visits at our Middleburg office or telehealth appointments across Virginia, comprehensive ADHD evaluation and individualized treatment are available to help you improve focus, organization, and daily functioning.
ADHD can present differently across the lifespan. Common ADHD symptoms in adults and children include difficulty sustaining attention, distractibility, poor organizational skills, forgetfulness, impulsivity, restlessness, trouble following through on tasks, and time-management problems. Many people with ADHD also experience comorbid anxiety, depression, sleep disruption, or executive function challenges. Accurate ADHD diagnosis begins with a thorough clinical assessment that considers developmental history, medical contributors, and co-occurring conditions.
Untreated ADHD can have significant consequences. Left unmanaged, ADHD may lead to inconsistent work or school performance, strained relationships, increased accident risk, low self-esteem, and higher rates of substance misuse. Early assessment and treatment of ADHD reduce these risks and support better academic, occupational, and social outcomes.
Benefits of seeing a medical professional for ADHD at Griswold Integrative Psychiatry include an accurate diagnosis, personalized medication management when appropriate, behavioral strategies, and integrative support that addresses lifestyle and biological contributors. Sophia emphasizes combining evidence-based ADHD interventions with supplements, nutrition guidance, exercise planning, sleep optimization, and optional spiritual or meaning-focused support if desired. This whole-person approach helps target attention and executive function challenges while supporting overall well-being.
When to seek a medical professional for ADHD-related symptoms? Consider evaluation if attention problems, impulsivity, or organizational difficulties are persistent, cause functional impairment at work, school, or home, or begin to affect relationships. If you or your child struggle with chronic procrastination, frequent missed deadlines, driving hazards, or worsening mood tied to attention problems, schedule an assessment. For severe impairment, safety concerns, or co-occurring mood or anxiety symptoms, seek prompt professional care.
Treatment options for ADHD at our Middleburg practice include stimulant and non-stimulant medication management when indicated, cognitive-behavioral techniques for organization and time management, coaching strategies, lifestyle interventions, and integrative supports. Nutrition counseling, targeted supplement recommendations, exercise plans that promote focus, and sleep hygiene are frequently incorporated into ADHD care. Sophia works collaboratively with patients and families to create sustainable routines, environmental modifications, and coping strategies tailored to each individual’s needs.
Griswold Integrative Psychiatry offers confidential ADHD assessments, flexible scheduling, and telehealth appointments throughout Virginia in addition to in-person care in Middleburg, VA. As a solo provider, Sophia Griswold provides attentive, personalized follow-up to monitor progress, adjust treatment, and support long-term success with ADHD.
If persistent attention problems, impulsivity, or organizational challenges are affecting your life or your child’s functioning, contact Griswold Integrative Psychiatry LLC in Middleburg, VA to schedule an ADHD evaluation and begin a personalized, holistic treatment plan.
Popular
Trauma-informed care in Middleburg, VA at Griswold Integrative Psychiatry LLC is provided by Sophia Griswold, a solo provider offering compassionate, evidence-based treatment within a holistic, whole-person framework. Whether you prefer in-person visits at our Middleburg office or telehealth appointments across Virginia, Sophia provides trauma assessment and individualized care designed to restore safety, resilience, and daily functioning.
What is trauma? Trauma refers to the emotional, psychological, and physiological impact of frightening, overwhelming, or life-threatening events. Trauma can result from single incidents (accidents, assaults, natural disasters), repeated or chronic stressors (abuse, neglect, bullying), or systemic and developmental traumas. Responses to trauma vary widely and can affect mood, cognition, relationships, physical health, and nervous system regulation.
Common symptoms of trauma
Re-experiencing: intrusive memories, flashbacks, nightmares
Avoidance: steering clear of reminders, places, or people linked to the event
Hyperarousal: hypervigilance, exaggerated startle response, irritability, sleep disturbance
Negative cognition and mood: persistent shame, guilt, numbing, hopelessness, emotional withdrawal
Somatic symptoms: chronic pain, gastrointestinal complaints, tension, dysregulated sleep
Dissociation: feeling detached from self or reality, memory gaps, zoning out
Relationship and functioning problems: mistrust, difficulty with intimacy, work or school impairment
Consequences of untreated trauma When trauma goes unaddressed, symptoms often persist or worsen, increasing risk for PTSD, depression, anxiety, substance misuse, chronic health problems, and impaired relationships. Physiological dysregulation can contribute to sleep disruption, pain syndromes, immune dysfunction, and ongoing stress responses. Early and appropriate trauma treatment reduces long-term impairment and improves quality of life.
Benefits of seeing a medical professional for trauma
Comprehensive assessment to differentiate PTSD, complex trauma, dissociation, and co-occurring conditions
Evidence-based therapies tailored to trauma recovery (e.g., trauma-focused CBT, EMDR, stabilization work)
Medication management when appropriate to reduce comorbid depression, anxiety, or sleep problems
Nervous-system–based interventions and skills for emotion regulation and grounding
Integration of lifestyle strategies—nutrition, exercise, sleep hygiene—and targeted supplements to support recovery
Coordination of care with therapists, primary care, and community supports for holistic healing
When to seek help Seek professional evaluation if trauma symptoms persist beyond a few weeks, cause functional impairment, or worsen over time. Contact a provider if you experience severe hyperarousal, frequent flashbacks, intrusive memories that interfere with daily life, dissociation that impairs safety, or thoughts of self-harm. For imminent danger or safety concerns, use emergency services or crisis resources immediately.
Trauma treatment approach at Griswold Integrative Psychiatry Sophia Griswold provides trauma-informed, phased care emphasizing safety and stabilization first, followed by processing and integration when the person is ready. Treatment may include:
Stabilization and skills training (grounding, emotion regulation, sleep and pain management)
Trauma-focused therapies (trauma-focused CBT, prolonged exposure, EMDR where appropriate)
Medication management for comorbid symptoms (depression, anxiety, sleep)
Somatic and nervous-system interventions, movement/exercise, and lifestyle supports
Optional spiritual or meaning-centered work as requested by the patient
Telehealth and in-person options for accessibility across Virginia
Getting started To schedule a trauma-informed evaluation in Middleburg, VA or via telehealth statewide, contact Griswold Integrative Psychiatry LLC. Sophia Griswold will provide a confidential assessment and collaborate with you on a personalized, holistic treatment plan to promote safety, resilience, and healing.
OCD treatment in Middleburg, VA at Griswold Integrative Psychiatry LLC is provided by Sophia Griswold, a solo provider who offers compassionate, evidence-based care within a holistic, whole-person framework. Whether you prefer in-person visits in Middleburg or telehealth appointments across Virginia, tailored OCD evaluation and treatment are available to help reduce distress and restore daily functioning.
Understanding OCD Obsessive-compulsive disorder (OCD) involves recurrent, intrusive thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) performed to relieve anxiety. OCD can take many forms: contamination fears with excessive washing, checking rituals, intrusive violent or sexual thoughts, hoarding tendencies, perfectionism with time-consuming checking or ordering, or mental rituals such as repeated counting. OCD often co-occurs with anxiety, depression, ADHD, or trauma-related symptoms and can significantly impair daily life.
Common symptoms of OCD
Recurrent intrusive thoughts that feel unwanted or distressing
Compulsive behaviors or rituals performed to reduce anxiety (checking, washing, counting, repeating)
Time-consuming rituals that interfere with work, relationships, or daily routines
Recognition that obsessions or compulsions are excessive (insight varies)
Avoidance of places or situations that trigger obsessions
Significant anxiety, guilt, or shame tied to intrusive thoughts or behaviors
Consequences of untreated OCD When OCD is left untreated, symptoms often worsen or become more entrenched. Untreated OCD can lead to impaired occupational or academic functioning, strained relationships, social isolation, increased risk of comorbid depression and substance use, and reduced quality of life. Severe OCD may make basic activities impractical and increase safety concerns. Early assessment and intervention for OCD improve long-term outcomes and reduce chronic impairment.
Benefits of seeing a medical professional for OCD Working with a trained clinician for OCD provides accurate diagnosis, evidence-based treatments, and safety planning when needed. Benefits include:
Access to exposure and response prevention (ERP), the gold-standard behavioral treatment for OCD
Cognitive strategies to address unhelpful beliefs about obsessions
Medication management when indicated (SSRIs and adjunctive options) with careful monitoring
Assessment and treatment of co-occurring conditions (anxiety, depression, ADHD)
Integration of lifestyle supports—sleep, nutrition, exercise, and targeted supplements—within a whole-person plan
Coordination of care with therapists, primary care, and specialists as needed
When to seek help for OCD-related symptoms Seek professional evaluation if obsessions or compulsions cause distress, take up significant time, or interfere with work, school, or relationships. If rituals prevent you from leaving home, lead to dangerous behaviors, or are accompanied by severe hopelessness or thoughts of self-harm, contact a provider immediately or use emergency services. Early help is especially important when symptoms escalate or co-occurring mood symptoms appear.
Treatment approach at Griswold Integrative Psychiatry Sophia Griswold uses a combination of ERP, cognitive-behavioral techniques, medication management when appropriate, and integrative supports tailored to the individual. Treatment addresses biological, psychological, social, and spiritual factors where desired, incorporating nutrition guidance, exercise strategies, supplement recommendations, and telehealth convenience across Virginia.
To schedule an OCD evaluation in Middleburg, VA or via telehealth statewide, contact Griswold Integrative Psychiatry LLC to begin a personalized, evidence-based plan to reduce compulsions, manage obsessions, and improve quality of life.
Medication management in Middleburg, VA at Griswold Integrative Psychiatry LLC is led by Sophia Griswold, a solo provider offering a thoughtful, whole-person approach. Whether you prefer in-person visits at our Middleburg office or telehealth appointments across Virginia, individualized medication management is integrated with counseling, lifestyle interventions, and holistic supports like supplements, nutrition, exercise, and optional spiritual guidance.
What is medication management? Medication management means careful assessment, evidence-based prescribing, and ongoing monitoring to ensure medications are safe, effective, and aligned with your treatment goals. At Griswold Integrative Psychiatry, medication management is not a standalone service — it’s coordinated with psychotherapy, behavioral strategies, and integrative interventions to address underlying contributors to mood, anxiety, attention, and other psychiatric conditions.
Benefits of working with a medical professional for medication management
Accurate diagnosis and medication selection tailored to your condition and medical history.
Dose optimization to maximize benefit and minimize side effects.
Coordination with primary care and specialists to address medical interactions and overall health.
Regular safety monitoring, lab testing when indicated, and side-effect management.
Education about expected benefits, timeline for effect, and what to do if problems arise.
Integration of medication with nutrition, supplements, sleep, exercise, and stress-reduction strategies for better outcomes.
Conditions commonly managed Medication management in Middleburg, VA covers a range of conditions including depressive disorders, anxiety disorders, ADHD, bipolar disorder, insomnia, and other psychiatric concerns. Sophia provides careful assessment for co-occurring medical issues and substance use, and tailors plans accordingly.
Our medication management process
Comprehensive intake: review of psychiatric history, medical conditions, medications, supplements, and lifestyle factors.
Collaborative treatment planning: discussion of medication options, risks, benefits, and alternative or adjunctive approaches.
Initiation and titration: starting medications at appropriate doses and adjusting based on response and tolerability.
Ongoing follow-up: scheduled visits and secure telehealth check-ins to monitor symptom improvement, side effects, and adherence.
Long-term planning: discontinuation strategies, relapse prevention, and coordination of care with therapists or primary care providers.
Safety and monitoring Safety is central to our medication management practice. We review potential drug interactions, contraindications, and health conditions that affect medication choice. When needed, we arrange lab monitoring, ECGs, or consultations with other specialists. For controlled medications or complex cases, Sophia follows state regulations and standard best practices to ensure patient safety.
Telehealth and accessibility Griswold Integrative Psychiatry offers medication management via telehealth across Virginia, making follow-up and monitoring convenient for patients outside Middleburg. In-person visits are available at our Middleburg, VA office for initial evaluations or when physical exams or testing are required.
Getting started If you’re considering medication management in Middleburg, VA, contact Griswold Integrative Psychiatry LLC to schedule a comprehensive evaluation with Sophia Griswold. Together you’ll develop a personalized, holistic plan that combines medication with lifestyle, nutritional, and therapeutic supports to help you feel better and function at your best.
2025
New York
The Atlast Project →
“Communication was top-notch and the final outcome was even better than we imagined. A great experience all around.”
Former Customer