You hold it all together. You deserve to feel like yourself.
Dr. Allison J. McDade, MD, is a psychiatrist, a mother, and a founder, and from 2020 to 2025 she worked exclusively with women patients. Every visit is with her, from an unhurried first evaluation to each follow-up, by secure video in Texas.
Opens the booking page. A brief screening confirms fit before your first visit.
- Every visit with Dr. McDade
- Women-centered focus
- No referral needed
The answer
Women's mental health care with Dr. McDade is psychiatric care for the woman who keeps everything running and privately carries a lot. She evaluates and treats anxiety, burnout, depression, PTSD, and ADHD. She also treats psychiatric conditions in the context of PMDD, PMOS (polyendocrine metabolic ovarian syndrome, formerly called PCOS), the peripartum period, and perimenopause. She does not prescribe hormonal treatment. Every visit is with her, by secure video in Texas. She builds each plan around your actual life.
If you need help now
If you are in crisis or thinking about suicide, call or text 988 or chat at 988lifeline.org to reach the 988 Suicide and Crisis Lifeline. If you are Deaf or hard of hearing, use your preferred relay service or dial 711, then 988. In an emergency, call 911 or go to the nearest emergency room. This practice does not provide emergency services.
What if you let nothing slip, except yourself?
Many capable women know that feeling. The deadlines get met and the home keeps running, while the things that are only yours slide.
What many women notice first
- Your own appointments keep moving to next month
- Time with friends falls off the calendar
- Exhaustion hides behind "I'm fine"
- Joy fades, and you do not quite feel like yourself
- A quiet voice says you should be able to handle this
Success can look very different from the outside. In Dr. McDade's experience, the difficulty often shows up in the things that depend on self-direction, like your own appointments and time with friends. She asks about them routinely, because they are easy to miss when you look high-functioning.
For the executive, the founder, the physician, the mother quietly needing support. Private telepsychiatry that fits between meetings and school pickups.
High-functioning is not the same as fine.
Who will you see?
Dr. McDade, at every visit. Health & Harmony Psychiatry is a physician-only practice, so every follow-up is with the physician who already knows your story.
Her years caring only for women ran across the lifespan, through monthly cycles, pregnancy and the months after, and perimenopause.
She is a mother and an entrepreneur who built her own practice, so she knows how much one week can hold.
The practice provides psychiatric evaluation, medication management, follow-up, and coordination with the patient's other clinicians. Full recovery is the goal, even if the best path is a referral.
When a woman says she does not feel like herself, that is a finding, not a footnote.
Dr. Allison J. McDade, MDIf you are reading for a child or teen, the child and adolescent psychiatry page explains her care from age 6.
Why does women's mental health deserve its own focus?
Because some conditions are more common in women, and some seasons of life bring changes of their own. Depression is especially common among women, the National Institute of Mental Health explains, because of unique biological, hormonal, and social experiences.
- 23%of U.S. women had an anxiety disorder in the past year, compared with 14% of men
- 10%of U.S. women had a major depressive episode in 2021, compared with 6% of men
- 5%of U.S. women had PTSD in the past year, compared with 2% of men
Figures from the National Institute of Mental Health. The anxiety and PTSD figures come from a national survey fielded from 2001 to 2003, and the depression figure from a national survey in 2021.
The weeks before a period, pregnancy and the months after, and perimenopause can each change how you feel.
Women-centered care, anywhere in Texas.
What if mood, sleep, or focus shifts in perimenopause?
You deserve a physician who looks at all of it. If focus takes more effort at work, or patience runs shorter at home, that change belongs in your evaluation. Perimenopause is the time before menopause when your hormone levels change, the Office on Women's Health explains.
In 2018, guidelines in the journal Menopause called perimenopause a window of vulnerability for depressive symptoms and major depression. Depression in these years often comes alongside hot flashes, night sweats, and poor sleep.
Problems sleeping, mood swings, and hot flashes are common in this transition, the National Institute of Mental Health notes. More extreme irritability, anxiety, sadness, or loss of enjoyment may be signs of depression.
Mood, sleep, anxiety, and attention can shift in the perimenopause years for more than one reason. Dr. McDade evaluates the whole picture, explains what she finds, and manages the psychiatric side of your care.
- Mid- to late 40sWhen perimenopause usually begins
- About 4 yearsIts average length, and it can last up to 10 years
- 60 to 90 minutesYour first evaluation with Dr. McDade, time for the whole picture
Facts from the Office on Women's Health and the practice.
What she looks at
- When your symptoms began, and how long they have lasted
- Changes in mood, sleep, and anxiety
- Attention and focus, including ADHD symptoms
- Medical possibilities as well as psychiatric ones, such as a thyroid problem or anemia
Hormone treatment
Dr. McDade does not prescribe hormonal treatment. Hormone therapy stays with your OB-GYN or primary care clinician, and you can begin care here without one.
The psychiatric side gets a careful look.
Is it burnout, anxiety, or depression?
They can overlap, and from the inside they can feel alike. When work and home both run through you, any of the three can look like exhaustion. A careful evaluation can sort out what is behind what you feel.
- 01Burnout
What it often looks likeExhaustion, distance or cynicism about your job, and feeling less effective at workIts usual patternTied to your work
- 02Generalized anxiety
What it often looks likeWorry that is hard to control, feeling on edge, restlessness, trouble focusing, and poor sleepIts usual patternMost days for at least 6 months, in many parts of life
- 03Depression
What it often looks likeLow or empty mood, lost interest, fatigue, and changes in sleep or appetiteIts usual patternMost of the day, nearly every day, for at least 2 weeks
Adapted from the World Health Organization and the National Institute of Mental Health.
Dr. McDade starts with what is happening in your life, at work and at home. If a significant stressor is going on, she considers adjustment disorder before a diagnosis of anxiety or depression.
She has extensive experience treating ADHD, depression, anxiety, and burnout. She also takes time to tell types of anxiety apart, including OCD, which in her experience can go unrecognized for years.
Understanding what you feel comes before any plan.
You're the one who holds it together. Who holds it for you?
Explore Care That Understands MeCan something you lived through still show up now?
It can. You can lead the meeting and keep the household running while part of you stays on guard.
PTSD can show up as being easily startled, feeling tense or on edge, trouble sleeping, steering around reminders, or memories and dreams that keep coming back, the National Institute of Mental Health explains.
You and Dr. McDade piece together a timeline of your symptoms and what sets them off. You share only what you are ready to share.
The main treatments for PTSD are psychotherapy, medications, or both, the National Institute of Mental Health notes.
The PTSD and trauma page explains her care in more depth.
You can hold everything together and still be hurting.
What about PMDD, pregnancy, and the months after birth?
Each of these seasons can bring changes in mood, and Dr. McDade cares for women through each one.
PMDD is a more intense form of PMS that occurs in the weeks before a period, the National Institute of Mental Health explains, with severe symptoms such as depressed mood, anger or irritability, and appetite changes.
Perinatal depression can begin during pregnancy or after birth, and it can bring extreme sadness, anxiety, and fatigue that may make daily tasks hard. Mild mood changes in the first 2 weeks after birth are common, and changes that are severe or last longer than 2 weeks may be signs of postpartum depression, the National Institute of Mental Health explains.
The concerns below fit this care, and the conditions overview lists the conditions she treats.
Concerns that fit
- PMDD.
- Postpartum and peripartum concerns.
- Perimenopause concerns, including ADHD symptoms that worsen in perimenopause.
- Mood changes with PMOS (polyendocrine metabolic ovarian syndrome, formerly called PCOS).
Not provided here
- Hormone treatment, including hormone replacement therapy.
- Family therapy and relationship counseling.
- Emergency care. This practice does not provide emergency services.
What happens after you reach out?
Here is each step, from the first call to your first follow-up.
- 01
Online or phone
You reach out
Book on the booking page, or call 832.387.6088.
- 02
Before the visit
A brief screening
A brief screening first confirms that telepsychiatry fits your needs.
- 03
Patient portal
Intake in the portal
You'll complete a few intake forms in the patient portal, then meet with Dr. McDade for a full evaluation.
- 04
Unhurried
Your first evaluation
Dr. McDade hears your story and reviews your history and your health, over 60 to 90 minutes. Understanding relies on context, and some stories need more time.
- 05
Collaborative
A plan built with you
You and Dr. McDade discuss each option in depth. When therapy is the better starting point, she refers to therapists she knows well.
- 06
Steady
Follow-up with Dr. McDade
Follow-up visits run 15 to 30 minutes by secure video.
The psychiatric evaluation page explains what the first visit covers, and the telepsychiatry page explains how video visits work.
Your story comes first.
Questions women ask
Does Dr. McDade prescribe hormone therapy?
No. Dr. McDade does not prescribe hormonal treatment. Hormone therapy stays with your OB-GYN or primary care clinician.
Do I need an OB-GYN or another provider to start?
No. You can begin care here without one.
Does Dr. McDade treat ADHD symptoms in perimenopause?
Yes. She evaluates and treats attention and focus concerns in perimenopause, including ADHD symptoms that have worsened in the setting of perimenopause, and the ADHD page explains her approach.
Will I have to describe a trauma in detail?
Only as much as you choose. Dr. McDade asks about your symptoms and when they began, and you decide how much of what happened to share.
Will labs be part of my care?
They can be. Dr. McDade reviews current medical diagnoses and recent labs with every new patient, and she orders additional labs when something needs to be ruled out.
How long is the first evaluation?
60 to 90 minutes with Dr. McDade. The length follows your age, your symptoms, and your history, and it leaves room to connect and consider.
Will I see the same doctor at every visit?
Yes. Health & Harmony Psychiatry is a physician-only practice, and every visit, from your first evaluation through every follow-up, is with Dr. McDade.
How much does care cost?
Care is cash pay. A new evaluation with Dr. McDade is $465, and follow-up visits with Dr. McDade are $275. You receive a good faith estimate before your first visit.
Does Dr. McDade take insurance?
No. Care is cash pay, with rates set in advance and shared up front. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
Is this an emergency service?
No. Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911.
Sources for the facts on this page.
- Menopause basics, Office on Women's Health, October 19, 2026
- Guidelines for the evaluation and treatment of perimenopausal depression, Menopause, 2018
- Depression in Women: 4 Things to Know, National Institute of Mental Health, 2023
- Perinatal Depression, National Institute of Mental Health, 2023
- Any Anxiety Disorder, National Institute of Mental Health
- Major Depression, National Institute of Mental Health, July 2023
- Post-Traumatic Stress Disorder (PTSD) statistics, National Institute of Mental Health
- Burn-out an "occupational phenomenon", World Health Organization, May 28, 2019
- Generalized Anxiety Disorder, National Institute of Mental Health, 2025
- Depression, National Institute of Mental Health, 2024
- Post-Traumatic Stress Disorder, National Institute of Mental Health, 2023
- Polyendocrine metabolic ovarian syndrome, the new name for polycystic ovary syndrome: a multistep global consensus process, The Lancet, May 2026
The information on this website is for general education and does not constitute medical advice or create a physician-patient relationship. For care, please schedule an appointment.
Care Through Connection
Care that understands you, and a plan built around the life you hold together.
- A first evaluation of 60 to 90 minutes
- A plan you build together
- Every follow-up with Dr. McDade
Book the first visit online, or call 832.387.6088 with questions. A parent or guardian books for anyone under 18, and a brief screening confirms fit before your first visit.
Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911. Ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment.