Careful psychiatric care, in step with your hormone care.
When mood, sleep, anxiety, or attention shift in perimenopause, after a birth, or with each cycle, Dr. McDade starts with onset and duration, rules out medical causes first, and manages the psychiatric side. She does not prescribe hormonal treatment.
Opens the referral page. Email the referral, and the practice confirms fit before scheduling the evaluation. Hormone treatment stays with you.
- Ages 6 to 70
- Texas
- Secure video visits
The answer
Refer for PMDD, postpartum and peripartum concerns, and perimenopause concerns, including ADHD symptoms that worsen in perimenopause. From 2020 to 2025, Dr. McDade worked exclusively with women across the lifespan. She starts with onset and duration, rules out medical causes such as sleep apnea, and assesses the self-directed parts of life where capable women can quietly struggle. She does not prescribe hormonal treatment. The psychiatric side gets a careful look, and hormone care stays with you.
Which concerns fit a referral?
The concerns below fit a referral. Dr. McDade also treats anxiety, depression, ADHD, bipolar disorder, PTSD, schizophrenia, and related concerns, and the conditions overview covers each one.
Concerns that fit
- PMDD.
- Postpartum concerns.
- Peripartum concerns.
- Perimenopause concerns, including ADHD symptoms that worsen in perimenopause.
Not provided here
- Hormone treatment. Dr. McDade does not prescribe hormonal treatment, and the practice does not provide hormone replacement therapy.
- Family therapy and relationship counseling.
- Emergency care. This practice does not provide emergency services.
Hormone treatment
Dr. McDade does not prescribe hormonal treatment. Hormone care stays with you, and she coordinates on the psychiatric side.
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.
How does Dr. McDade assess without assuming everything is hormonal?
Every first evaluation starts with onset and duration, so the psychiatric picture comes into focus before any single explanation.
- 01
Onset and duration
When the symptoms began, and how long they have been going on.
- 02
Medical causes ruled out
She rules out medical causes such as sleep apnea, and looks at sleep hygiene and stressors.
- 03
The self-directed parts of life
Making and following up on medical appointments, scheduling time with friends, and keeping up with laundry and household tasks.
Onset and duration come first.
Why can a capable woman's distress go unseen?
Struggles are easy to overlook when someone presents as high-functioning, so Dr. McDade assesses the self-directed parts of life routinely.
Success can look very different from the outside.
Some women do well at work, where there's built-in structure, but struggle once they're home and the structure disappears.
Dr. Allison J. McDade, MDA careful psychiatric look for your patient, with hormone care left with you.
Refer for a Careful LookHow do we coordinate?
Coordination works the same way as with any physician. With a signed release of information, Dr. McDade sends information about the diagnosis and her treatment plan, and she asks for information from you when she needs it.
After the evaluation
- Information about the diagnosis, sent to you.
- Her treatment plan, sent to you.
- A request for information, when she needs it.
Along the way
To reach Dr. McDade about a shared patient, email a brief note to Admin@
You both know the plan.
Which patients can Dr. McDade see, and how?
Dr. McDade sees patients ages 6 to 70 by secure video in Texas. Certain medications, including some controlled substances, may only be prescribed to patients residing in Texas. The telepsychiatry page explains how video visits work.
- 2020 to 2025Years spent exclusively with women patients
- TexasBy secure video
- 60 to 90 minutesThe first evaluation, depending on age
Facts from Dr. McDade and the practice.
Questions women's health clinicians ask
Which concerns fit a referral?
PMDD, postpartum concerns, peripartum concerns, and perimenopause concerns, including ADHD symptoms that have worsened in the setting of perimenopause.
Does she prescribe hormonal treatment?
No. Dr. McDade does not prescribe hormonal treatment. Hormone care stays with you.
How does she tell hormonal change from other causes?
She starts with onset and duration, when the symptoms began and how long they have been going on. She then rules out medical causes such as sleep apnea, and looks at sleep hygiene and stressors.
What if my patient seems to be doing well?
Success can look very different from the outside. Some women do well at work, where there is built-in structure, and struggle at home when the structure disappears, so she routinely assesses appointments, time with friends, and household tasks.
How do we coordinate care?
The same way as with any physician. With a signed release of information, Dr. McDade sends information about the diagnosis and her treatment plan, and asks for information from you when she needs it.
How do I reach Dr. McDade about a shared patient?
Email a brief note with your concerns to Admin@
What experience does she bring to women's mental health?
From 2020 to 2025, she worked exclusively with women patients across the lifespan, including perimenopause, the peripartum period, and menses.
What ages and states does Dr. McDade see?
Patients ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment. Telepsychiatry may not be appropriate for everyone; a brief screening determines fit. Certain medications, including some controlled substances, may only be prescribed to patients residing in Texas.
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.
Does a referral share records automatically?
No. A signed release of information comes first, and then you can send a summary.
Care Through Connection
A careful look for your patient, and a plan you both know.
Email the referral, or call 832.387.6088 to talk it through. With a signed release, you can send records and receive the plan, and a brief screening confirms fit before the first evaluation.
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.