
If you’ve been searching for answers, you’re in the right place.
We practice root-cause psychiatry for people who want healing — not just another prescription.
Virtual Concierge Holistic Psychiatry. Serving residents of Oregon, Washington, Montanta, Nevada, Alaska, & Hawaii.
Why choose a holistic psychiatric approach?
If you’ve ever felt like your only path to better mental health was medication, you’re not alone.
At Grounded Psychiatry, we take a root-cause approach — helping you heal from the inside out by addressing the underlying factors that impact your mental well-being.
THE DIFFERENCE
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At Grounded Psychiatry, we believe your symptoms are signals—not the whole story.
That’s why we use advanced functional and genetic testing to gently uncover what’s happening beneath the surface, from nutrient depletions and hormonal shifts to inflammation and nervous system imbalances.
This deeper insight allows us to personalize your care with clarity and compassion—so your treatment plan truly reflects your body’s unique needs.
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Food is medicine — let’s optimize yours!
The foods you eat directly impact your mood, energy, and cognitive function.
We help you make simple, sustainable swaps to support your brain health and reduce inflammation, without restrictive dieting or unrealistic food rules.
Please note: This does not replace working with a registered dietician.
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We thoughtfully recommend supplements to support your mental health—often guided by your genetic testing and lab results.
These targeted nutrients can help fill in gaps, support brain chemistry, and offer a gentle, individualized alternative to prescription medications.
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Your hormones and gut health play a powerful role in how you feel—emotionally and physically.
We take a whole-body approach by exploring and supporting your hormone balance and microbiome, helping to restore clarity, calm, and overall well-being.
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This is all about making small, meaningful changes —
like improving your sleep, movement, and light exposure —
that help ensure you're working with your mind and body, not against them. -
We teach you how to regulate your nervous system using breathwork, vagus nerve support, and practical mindset tools — so your body can finally learn it’s safe again.
These science-backed practices help calm your stress response, build emotional resilience, and bring you back to a place of grounded clarity — even when life feels overwhelming.
Meet the Founder
Hello, I’m Jessica Kettell.
Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) | Functional Psychiatry Fellowship with Dr. James Greenblatt
Mental health isn’t just brain chemistry — it’s deeply tied to your entire system. Your genetics, nutrition, hormones, lifestyle, and lived experiences all impact how you feel.
At Grounded Psychiatry, we do things differently. We take the time to look beneath the surface — identifying the root causes of anxiety, depression, fatigue, sleep issues, poor focus, or emotional flatness — and build a personalized plan for healing.
Whether you’re a parent looking for answers beyond medication, someone ready to safely taper off prescriptions, or simply wanting to prevent mental health challenges before they start — you’re in the right place.
We believe healing should be precise, thoughtful, and sustainable. Together, we’ll uncover what’s holding you back and help you move toward clarity, calm, and lasting wellness.
We’ll be here with you until we figure it out.
Gentle Deprescribing & Medication Tapering
Brain Health Optimization & Genetic Testing
Depression & Emotional Numbness
Anxiety & Panic Support
Insomnia & Sleep Restoration
ADHD & Focus Support
You’re Meant to Thrive—Not Just Cope
Our specialties include:
Gentle Deprescribing & Medication Tapering
For those wondering if they still need to be on medication, or feeling overmedicated and dismissed. We offer a compassionate, step-by-step process to taper safely—with support every step of the way.
Brain Health Optimization & Genetic Testing
Struggling with brain fog, anxiety, or low energy? We use genetics and root-cause testing to build a personalized, brain-nourishing wellness plan.
ADHD & Focus Support
Trouble finishing tasks or feeling mentally “cluttered”? We offer a functional approach to attention and executive function, with or without medication, so you can feel focused, calm, and clear again.
Anxiety & Panic Support
Whether it’s constant worry, sudden overwhelm, or a nervous system that won’t settle—our approach blends root-cause testing, nervous system care, and emotional support to help you feel safe and steady.
Insomnia & Sleep Restoration
Sleep shouldn’t be a struggle. We help you uncover the biological and emotional drivers of poor sleep and guide you toward deep, restorative rest—without relying on long-term sleep aids.
Depression & Emotional Numbness
If everything feels dull or unmotivating, you’re not alone. We look deeper than a diagnosis to help you reconnect to joy, clarity, and purpose through evidence-based, personalized care.

CLIENT LOVE
“I started seeing Jessica early last year and told her that I truly wanted to come off of my depression medication safely if at all possible. Jessica is well educated in the use of natural vitamins and lifestyle changes to treat my depression, mood swings and at times anxiety. What impressed me most was Jessica’s willingness to provide resources to educate me about what to expect and at NO time pressured me to convert to vitamins from medication. Every time we met, I would advise Jessica of how I was feeling and she always listened and offered multiple options of how we could best get me to a better place. Currently, I am on no medications ONLY vitamins and I have honestly never felt better.”
Ready to get to the root of it?
Click below to apply.
We’ll walk through it together and see if we’re the right fit. ♡
We CAN HELP YOU
Mental Health Lab Testing:
A Personalized Approach to Wellness
Getting the right lab tests is essential to uncovering the root causes of mental health.
Download our list of key lab tests for mental health
Take this list to your next doctor’s appointment and ask them to screen you for these tests to uncover any imbalances that may need attention.