Depression and Anxiety in Women

Depression and anxiety do not always look the way people expect. Many women continue to work, care for others, exercise, manage households, and meet responsibilities while privately feeling anxious, depleted, irritable, emotionally flat, overwhelmed, or unable to rest.

Dr. Laura McLafferty provides thoughtful psychiatric evaluation and treatment for adults experiencing depression, anxiety, or related symptoms, with attention to mood, worry, sleep, concentration, hormones, medical factors, relationships, stress, and treatment goals.

You may be here because…

  • You keep meeting responsibilities but feel anxious, tense, depleted, or unlike yourself inside.

  • You cannot quiet racing thoughts, overthinking, or constant worry.

  • You feel emotionally exhausted, irritable, flat, or less able to recover after stress.

  • You appear calm and capable but feel driven by fear of dropping something important.

  • You have difficulty relaxing even when nothing urgent is happening.

  • You are sleeping poorly, losing motivation, withdrawing, or finding that everyday tasks feel harder than they used to.

  • You wonder whether anxiety, depression, ADHD, perfectionism, burnout, hormonal changes, sleep disruption, or medical factors may be contributing.

  • You want careful evaluation rather than quick reassurance, reflexive medication, or a narrow symptom checklist.

Why careful psychiatric evaluation matters

  • Depression and anxiety can be easy to miss when life still looks organized from the outside. Many patients continue to perform well at work, care for others, and meet responsibilities while privately experiencing significant distress. Functioning does not mean symptoms are mild, and success does not mean symptoms should be ignored.

  • A careful psychiatric evaluation looks beyond the surface. Anxiety and depression can overlap with ADHD, burnout, sleep problems, medical issues, medication effects, hormonal transitions, trauma-related symptoms, and the effects of sustained stress. In high-functioning patients, symptoms may also be masked by compensation, perfectionism, over-preparation, or the ability to keep going despite feeling internally depleted.

  • Evaluation may include discussion of mood symptoms, worry patterns, panic or physical symptoms, sleep, concentration, energy, irritability, functional impact, medical history, medication history, hormonal or reproductive context when relevant, prior treatment response, safety, and treatment goals.

  • The goal is not to pathologize ambition, competence, or achievement. The goal is to understand what is driving the distress and what type of treatment may help.

Treatment approach

Treatment is individualized and depends on the clinical picture. Care may include medication management when indicated, psychotherapy-informed strategies, attention to sleep and lifestyle factors, and coordination with an existing therapist or physician when appropriate.

Medication can be helpful for some patients, but it is not the entire treatment plan. Psychiatric care may also involve identifying patterns that maintain anxiety or depression, improving sleep and recovery, clarifying the relationship between mood and concentration, and addressing medical, hormonal, or life-stage factors that may be contributing.

This is not a life-coaching practice or a weekly psychotherapy practice. Psychiatric visits may include psychotherapy-informed interventions, but the primary focus is physician-led evaluation, diagnosis, treatment planning, and medication management when appropriate.

Coordinating with your healthcare team

With permission, Dr. McLafferty may coordinate with therapists, primary care physicians, OB/GYNs, or other clinicians when collaboration supports diagnosis or treatment planning.

Many patients already have a therapist and do not need to stop therapy to receive psychiatric care. Collaboration can be especially helpful when symptoms involve anxiety, depression, sleep disruption, concentration problems, mood changes, reproductive transitions, medical concerns, or prior treatment that has not fully addressed the patient’s experience.

This practice is appropriate for outpatient psychiatric evaluation and treatment. It is not designed for same-day prescribing, therapy-only care, crisis management, or coaching.

Is this practice a good fit?

This practice may be a good fit for adults experiencing depression, anxiety, or related symptoms that affect quality of life, relationships, sleep, concentration, emotional well-being, or the ability to feel like themselves.

It may also be a good fit if you want a careful evaluation that considers depression and anxiety alongside possible contributing factors such as ADHD, burnout, sleep disruption, hormonal changes, medical issues, medication effects, trauma-related symptoms, or sustained stress.

This practice is not a good fit for patients seeking life coaching, weekly psychotherapy as the primary service, same-day controlled-substance prescribing, or a rapid prescription without comprehensive evaluation.

This practice does not provide emergency psychiatric services, crisis intervention, intensive outpatient treatment, partial hospitalization, inpatient care, or 24-hour coverage. If you are experiencing thoughts of harming yourself or someone else, psychosis, mania, active substance use requiring specialized treatment, severe mood instability, inability to care for yourself, or any urgent safety concern, call 911, call or text 988, or go to the nearest emergency department.

Frequently Asked Questions

Taking the next step

Depression and anxiety can be difficult to recognize when you are still functioning, still showing up, and still doing what needs to be done. A careful psychiatric evaluation can help clarify what is contributing to your symptoms and what treatment options may be appropriate.

Educational and emergency disclaimer

The information on this page is for educational purposes only and is not medical advice. Reading this page or submitting an inquiry does not establish a physician-patient relationship. This practice does not provide emergency psychiatric services, crisis intervention, or after-hours coverage. If you are experiencing a medical or psychiatric emergency, call 911, call or text 988, or go to the nearest emergency department.