Yes, we are currently accepting new patients at both our Carmel (Indianapolis area) and Lafayette locations. We offer same-week appointments for both telehealth and in-person visits. You can schedule online or call our Indianapolis office at 317-886-8118

Yes, we offer telehealth psychiatry appointments throughout Indiana. Our telehealth services include psychiatric evaluations, medication management, ADHD testing, and follow-up care. Telehealth appointments are available 5 days a week from 9:30 AM to 8:00 PM.

We serve patients statewide throughout Indiana including Indianapolis, Carmel, Fishers, Westfield, Noblesville, Zionsville, Greenwood, Bloomington, Lafayette, and West Lafayette. We offer in-person appointments at our Carmel office (550 Congressional Blvd Suite 350) and Lafayette office (833 Park E Blvd), as well as telehealth throughout Indiana, Minnesota, New Jersey, and Washington State.

Yes. Once your initial integrative foundation is set, we offer streamlined 25-minute Tele-Optimization visits. These high-efficiency check-ins allow us to maintain your progress with minimal disruption to your work or school schedule.

Both Dr. Osuntokun (psychiatrist) and Jessica Walsh (psychiatric nurse practitioner) are board-certified, licensed providers who can diagnose mental health conditions and prescribe medications. Psychiatrists complete medical school and psychiatric residency, while psychiatric nurse practitioners complete advanced nursing education with specialized psychiatric training. Both experts have received rigorous training in psychiatry. Both provide comprehensive medication management and psychiatric care. At IN Focus First, you’ll receive expert psychiatric care regardless of which provider you see.

Our multidisciplinary team at IN Focus First ensures every angle of your health is covered. While Dr. Osuntokun and Jessica Walsh manage complex diagnostics and medical treatments, our BSW (Social Worker) provides vital case management and social support, creating a 360-degree care model that is rare in private practice.

Real mental health stability requires a Multidisciplinary Graph. Dr. Osuntokun (MD) provides high-level medical and neurological oversight; Jessica Walsh (PMHNP) specializes in the granular application of integrative and hormonal diagnostics; and our BSW (Social Worker) provides the patient advocacy and case management needed to bridge the gap between the clinic and your daily life. This 360-degree care is the gold standard for complex psychiatric cases in 2026.

Yes. While the Purdue DRC does not provide testing, they require third-party clinical documentation to grant accommodations like extended testing time or distraction-reduced environments. We provide the comprehensive psychiatric evaluations and formal letters necessary to verify your diagnosis (ADHD, Anxiety, Depression) so you can access the support you need to succeed academically.

We understand that academic deadlines don’t wait. Unlike campus services that often face high seasonal demand, we prioritize student intake. We can typically schedule your initial psychiatric evaluation and testing within the same week to ensure your academic standing isn’t compromised.

Yes. We provide the comprehensive psychiatric evaluations required by the Purdue DRC for academic accommodations. Whether you need extended testing time or a distraction-reduced environment, our board-certified team ensures your clinical documentation meets university standards for ADHD, Anxiety, or Autism.

Yes, we offer comprehensive ADHD testing for adults and adolescents at our Indianapolis/Carmel and Lafayette locations. Our ADHD evaluations include clinical assessment, symptom rating scales, and when appropriate, GeneSight testing to optimize medication selection. We specialize in recognizing ADHD symptoms in women, which are often missed by other providers. We are able to provide an adhd assessment for adults.

We use Objective Digital Testing (QbCheck), which provides a high-precision report on focus and impulsivity in under 30 minutes. This eliminates the “subjective guesswork” of traditional surveys. For Purdue students and professionals, this data is the fastest way to secure accurate diagnosis and necessary academic or workplace accommodations.

Yes. In fact, it is crucial. Many students are misdiagnosed with “Depression” when they actually have unmanaged ADHD causing academic burnout. Our multidisciplinary approach distinguishes between primary mood disorders and “ADHD-induced anxiety,” ensuring you aren’t taking medications that mask the wrong problem.

This is the most common misdiagnosis for women. Traditional ADHD is often seen as “physical hyperactivity” (the boy who can’t sit still). In women, ADHD often manifests as internalized hyperactivity—a racing mind, overthinking, and a constant feeling of being overwhelmed. Because you’ve spent years “masking” these struggles to appear organized, the resulting exhaustion is frequently mislabeled as Generalized Anxiety or Depression. We use Metabolic Psychiatry to look at the root of that “racing mind” and determine if it’s fear-based (Anxiety) or dopamine-based (ADHD).

Many neurodivergent adults are misdiagnosed with Generalized Anxiety or Bipolar Disorder before discovering they are on the Autism Spectrum. We specialize in “Late-Diagnosed” assessments that look beyond childhood stereotypes and focus on how you process sensory input, social nuances, and executive function as an adult.

Masking is the subconscious effort women make to hide their ADHD symptoms to fit societal expectations of being “composed” and “reliable.” You might spend 3x more energy than your peers just to keep your calendar straight or stay quiet in a meeting. This leads to “The ADHD Crash” at the end of the day. In our 2026 care model, we don’t just treat the focus; we treat the burnout by identifying the metabolic and hormonal stressors that make masking so draining.

We specialize in Integrative ADHD management. This includes non-stimulant medications, ADHD coaching, and metabolic testing to see if nutrient deficiencies or sleep issues are mimicking ADHD symptoms. We work with students to find a focus strategy that aligns with their long-term health goals.

This is a biological reality, not your imagination. Estrogen is a key regulator of dopamine. When estrogen drops during your luteal phase (the week before your period), your dopamine levels plumment with it, often making ADHD medications feel less effective. Jessica Walsh specializes in Hormone-Informed ADHD care, using DUTCH testing to see if your “medication failure” is actually just a hormonal gap that requires a cyclical treatment adjustment.

Yes. We specialize in diagnosing and supporting neurodivergent adults and adolescents. Our approach focuses on Executive Functioning support and integrative strategies that respect your neurobiology while managing the daily challenges of ADHD or Autism.

While a PCP can prescribe and a Psychologist can diagnose, a Psychiatrist (MD) or Psychiatric Nurse Practitioner (PMHNP) is typically the best “gold standard” for ADHD. This is because ADHD is a neurodevelopmental disorder involving complex brain chemistry. A psychiatric specialist understands how ADHD interacts with your biology—including sleep, hormones, and other conditions like anxiety—and can manage the delicate “titration” of medications that a general doctor may not have the specialized training to oversee.

Yes, but they usually focus on the “hardware” of the brain (seizures, tics, or brain injuries). A Psychiatrist focuses on the “software”—the neurochemistry of focus, motivation, and emotional regulation. For most students and adults, a psychiatric specialist is more equipped to handle the behavioral and emotional aspects of living with ADHD.

Absolutely. We offer neuro-affirming care that combines traditional management with integrative tools like NutrEval and OAT testing to address the executive dysfunction and sensory sensitivities often associated with neurodivergence in adults and adolescents.

High-pressure environments like Purdue can lead to Academic Burnout, which often looks like depression. We distinguish between the two by looking at your HPA-axis (stress response) and metabolic markers, ensuring we treat the root exhaustion, not just the mood.

Stopping medications abruptly can lead to severe withdrawal or relapse. Our Clinical Deprescribing service, led by Dr. Osuntokun and Jessica Walsh, PMHNP, provides a medically supervised, gradual tapering protocol. We use your biological data and clinical history to ensure your brain and body adjust safely during the transition.

Yes. Clinical Deprescribing is a cornerstone of our practice. Dr. Osuntokun provides medically supervised tapering protocols that prioritize safety and brain stability, helping you reduce or eliminate medications while monitoring your metabolic and psychiatric wellness.

Yes, treatment-resistant depression is one of our specialties. We use a metabolic psychiatry approach to identify underlying factors like inflammation, mitochondrial dysfunction, hormonal imbalances, or genetic variations that may be interfering with treatment response. We also offer GeneSight testing to determine which medications are most compatible with your genetics.

Metabolic psychiatry addresses how metabolism, mitochondrial function, inflammation, and nutritional factors affect mental health. Jessica Walsh specializes in this emerging field, which recognizes that many psychiatric symptoms stem from metabolic dysfunction rather than just chemical imbalances. This approach can be particularly effective for treatment-resistant depression or anxiety, cognitive symptoms like brain fog, and medication side effects related to metabolic issues.

Traditional psychiatry focuses on brain chemistry (neurotransmitters). Metabolic Psychiatry treats the brain as an energy-demanding organ. By using advanced diagnostics like NutrEval and OAT (Organic Acids Test), we identify if metabolic dysfunction, insulin resistance, or mitochondrial issues are the root cause of symptoms like depression or “brain fog.

Many mental health symptoms are fueled by mitochondrial dysfunction or gut-brain inflammation. By addressing your metabolic health, we treat the biological environment of the brain, providing relief for patients who haven’t found success with standard medications alone.

Many patients experience a “trial and error” approach to meds. GeneSight® Pharmacogenomic testing analyzes how your specific DNA metabolizes psychiatric drugs. This reduces the risk of side effects and helps us select the most effective medication for your unique genetic profile from the start.

We use GeneSight® to map your genetic response to psychiatric medications and DUTCH testing to identify hormonal imbalances that mimic mental health issues. This data-driven approach allows Dr. Osuntokun and Jessica Walsh to skip the “trial and error” phase and move directly to what your body actually needs.

GLP-1 agonists impact the dopaminergic pathways and gut-brain signaling. We provide specialized Metabolic Psychiatry support for patients on these medications, monitoring for “GLP-1 blues,” anxiety shifts, and ensuring that your metabolic health supports stable brain chemistry.

Emerging data in 2026 shows that GLP-1 agonists interact with dopamine reward pathways in the brain. Some patients experience “GLP-1 blues” or changes in motivation. We provide specialized oversight to ensure your metabolic medications and your mental health meds are working in synergy, not at cross-purposes.

Over 90% of serotonin is produced in the gut. Through advanced stool and metabolic testing, we analyze the Microbiome-Gut-Brain axis to see if intestinal permeability (“leaky gut”) or bacterial overgrowth is driving neuroinflammation and exacerbating symptoms of OCD, anxiety, or depression.

Yes. In 2026, clinical research increasingly points to neuroinflammation as a driver for treatment-resistant conditions. Inflammation in the brain can disrupt the Microbiome-Gut-Brain axis, causing symptoms that traditional SSRIs may not fully resolve. We use metabolic markers and gut-health diagnostics to treat the inflammatory fire, not just the psychiatric smoke.

Research in 2026 shows that Autism and OCD share common genetic roots. Both involve a need for predictability and repetitive behaviors. However, while autistic rituals are often ego-syntonic (provide comfort or joy), OCD rituals are ego-dystonic (driven by distressing intrusive thoughts). Distinguishing between the two is vital for effective treatment.

Histamine Intolerance or Mast Cell Activation (MCAS) can cause systemic flushing, heart palpitations, and intense anxiety that feels like a panic attack but is actually a biological reaction. By testing for these “histamine spikes,” we can often resolve anxiety that has been misdiagnosed for years.

High histamine levels can cross the blood-brain barrier, triggering “Histamine Anxiety” and neuroinflammation. Our integrative approach looks for Mast Cell triggers and gut dysbiosis that may be causing physical symptoms to manifest as psychiatric distress.

Absolutely. Hormonal shifts in cortisol, estrogen, and testosterone can mimic or worsen anxiety and mood disorders. We utilize DUTCH (Dried Urine Test for Comprehensive Hormones) to map your hormonal landscape, allowing us to treat the underlying biological driver rather than just the symptom.

Perimenopause rage refers to sudden, intense bursts of irritability or anger triggered by fluctuating estrogen levels. As estrogen declines, it destabilizes neurotransmitters like serotonin (mood regulation) and GABA (calming). This “hormonal rollercoaster” can amplify stress responses, making everyday frustrations feel overwhelming. Our integrative approach uses DUTCH testing to map these shifts and provide targeted stabilization through nutrition, lifestyle, and hormone-informed care

Hormones act as powerful neuromodulators. Fluctuations during the menstrual cycle, postpartum, and perimenopause can significantly impact serotonin and GABA levels in the brain. We use DUTCH hormone mapping to correlate your mental health symptoms with your hormonal timeline, providing targeted support for conditions like PMDD and hormonal depression.

PMDD (Premenstrual Dysphoric Disorder) is a severe, often debilitating neurobiological reaction to normal hormonal shifts. Unlike standard PMS, PMDD can cause intense suicidal ideation, rage, and physical inflammation. Our team specializes in distinguishing PMDD from other mood disorders to provide hormone-sensitive treatment plans.

Yes. The “hormonal chaos” of perimenopause often triggers the first instance of clinical anxiety or cognitive “fog” in women. By combining Metabolic Psychiatry with hormone optimization, we help stabilize the brain during this transition, treating the biological root rather than just prescribing a generic sedative.

The primary difference is cyclical timing. PMDD (Premenstrual Dysphoric Disorder) symptoms are strictly tied to the luteal phase (the 1–2 weeks before your period) and typically resolve within days of menstruation starting. Bipolar Disorder involves mood episodes (mania or depression) that occur independently of the menstrual cycle and can last for weeks or months. Because symptoms like mood swings and sleep changes overlap, we emphasize daily symptom tracking over two cycles to distinguish between a hormone-based sensitivity (PMDD) and a neurological mood disorder (Bipolar).

This is often “Hormonal Anxiety,” driven by the sharp drop in progesterone and its metabolite, allopregnanolone, which normally acts as a natural sedative for the brain. When these levels fall, the nervous system becomes hyper-reactive. By investigating the HPA-axis (stress response) and using functional testing, we can identify if your anxiety is a biological reaction to these shifts, rather than a generalized anxiety disorder, and treat it with hormone-supporting protocols.

This is often “Treatment-Resistant Depression,” which may be driven by underlying neuroinflammation or a genetic metabolic mismatch. We use GeneSight® to check your medication compatibility and NutrEval to see if a biological “energy gap” is preventing your brain from responding to therapy. Additionally, a reassessment to revisit the original diagnosis could likely be warranted.

Yes. The brain is the body’s most energy-intensive organ. If your mitochondria (the powerhouses of your cells) are struggling due to oxidative stress or nutrient deficiencies, standard SSRIs may not work. We use NutrEval and OAT testing to identify these “cellular energy” gaps.

This is often Metabolic Burnout. High-stress academic environments can deplete mitochondrial energy and trigger neuroinflammation. We look beyond standard “talk therapy” to check for nutrient deficiencies and HPA-axis (stress response) dysfunction that may be making you feel physically and mentally exhausted.

Your brain is the most energy-intensive organ in your body. If your mitochondria (cellular powerhouses) are underperforming due to oxidative stress or nutrient gaps, you will experience “mental fatigue” regardless of how much you sleep. Our Metabolic Psychiatry approach identifies these energy gaps to fuel your brain at a cellular level.

Yes. For students who haven’t responded to traditional antidepressants, we use GeneSight® Pharmacogenomics. This tells us how your body metabolizes specific medications, allowing us to skip the “trial and error” phase and find a treatment that works with your biology, not against it.

Yes. Many adults “mask” their autistic traits for decades, leading to immense internal stress. This chronic nervous system strain can manifest as OCD-like rituals (compulsions) used to regain a sense of control over a world that feels overwhelming.

“Just Right” OCD is a subtype where an individual feels a profound sense of incompleteness unless an action is performed perfectly. This heavily overlaps with the autistic need for sameness and symmetry.

In professionals, autism often looks like extreme burnout, “social hangovers” after meetings, a hyper-focus on specific systems or logic, and a high sensitivity to office environments (lighting, noise). We use neuro-affirming diagnostics to help you understand your brain’s unique “user manual.”

It is often a “bidirectional” relationship. Poor sleep (specifically a lack of REM or Deep Sleep) prevents the brain from processing emotional stress, which fuels anxiety and depression. Rather than just prescribing a sleeping pill, we use Circadian Psychiatry to evaluate your biological clock and HPA-axis, treating sleep as a core pillar of your mental health rather than a secondary complaint.

Most doctors treat ADHD only with stimulants. An Integrative Psychiatrist looks at the whole person. We investigate if nutrient deficiencies (Iron, Zinc, Vitamin D) or gut-brain inflammation are making your symptoms worse. By combining traditional medicine with metabolic support, we often achieve better focus with lower medication doses and fewer side effects.

Yes. Women with ADHD have a much higher sensitivity to the estrogen drop during the luteal phase (the week before your period). Since estrogen helps regulate dopamine, this drop hits ADHD brains twice as hard, often triggering PMDD (Premenstrual Dysphoric Disorder). If your “ADHD meds stop working” and your mood crashes every month, you are likely experiencing this specific hormonal-neurodivergent intersection.

Research shows a significant overlap between PCOS and neurodivergence. Higher levels of androgens (like testosterone) and insulin resistance in PCOS can alter brain signaling related to attention and emotional control. This metabolic-hormonal environment often mirrors or amplifies ADHD symptoms. At IN Focus First, we treat PCOS as a “Metabolic Psychiatry” case, recognizing that stabilizing your blood sugar and hormones is a key step in managing your focus. We pick up the gap in care that your OBGYN, PCP, and endocrinologist forgot to collaborate about.

Inflammation and insulin resistance are the “fuel” for both PCOS and PMDD. By using Metabolic Psychiatry tools—like the NutrEval or OAT tests—we can identify if your body is struggling to process the energy your brain needs to stay stable. Addressing these metabolic gaps often reduces the severity of hormonal mood swings and improves the effectiveness of ADHD treatments.

This is a classic “silo” error. Many birth control pills lower testosterone or stabilize estrogen in a way that—while good for the uterus—can “tank” dopamine levels in an ADHD brain. We bridge this gap by providing Hormone-Informed Psychiatry, ensuring that your reproductive treatments don’t inadvertently disable your brain’s ability to focus and regulate emotion.

PCOS is a metabolic brain disorder as much as a reproductive one. Insulin resistance—common in PCOS—starves the brain of steady glucose, leading to “Metabolic Brain Fog” and executive dysfunction. Furthermore, the elevated androgens in PCOS can interfere with dopamine receptors. While an endocrinologist focuses on your A1c or fertility, we focus on how those metabolic shifts are sabotaging your mental clarity and mood.

Frequently, yes. This is the Neuroinflammation Gap. Conditions like Mast Cell Activation (MCAS) or Histamine Intolerance (often seen alongside autoimmune markers) trigger systemic inflammation. This inflammation crosses the blood-brain barrier, manifesting as “physical anxiety” or panic that doesn’t respond to standard therapy. Jessica Walsh collaborates across disciplines to see if your “psychiatric” anxiety is actually a secondary symptom of an overactive immune system.

Yes. In Mast Cell Activation Syndrome (MCAS), your immune cells release a flood of “mediators” like histamine into your system. When these mediators reach the brain, they cause neuroinflammation, which can manifest as sudden panic, intense “wired but tired” anxiety, or severe brain fog. If you have a history of hives, gut issues, or “fragile” health alongside psychiatric symptoms, your immune system may be the primary driver of your mental distress.

Regular anxiety is often tied to life stressors or thought patterns. Histamine Anxiety is a biological “spike” caused by your body’s inability to break down histamine (often due to gut issues or genetic snips). This feels like a physical “adrenaline dump”—racing heart, flushing, and doom—that happens without a psychological trigger. Jessica Walsh specializes in identifying the Immune-Neuropsychiatric Connection from these inflammatory spikes using advanced testing, helping patients stop “treating a thought” when the problem is actually a “biological surge.”

Inflammation is the common denominator. Systemic inflammation from PCOS or high-stress environments “primes” the brain’s immune cells (microglia), known as microglial priming. During your luteal phase (before your period), the drop in estrogen further weakens the blood-brain barrier, allowing that inflammation to flood the brain. This “synergy” is why your focus and mood don’t just “dip”—they crash. We use Metabolic Psychiatry to lower systemic inflammation, providing a stable foundation that traditional ADHD meds cannot achieve on their own.

While a PCP can refill a script, our team provides Medication Optimization. We ensure you are on the lowest effective dose with the fewest side effects by cross-referencing your prescription with your metabolic profile. We make standard maintenance easy, efficient, and safer than general practice.

Absolutely. We provide objective testing to see where your focus stands compared to the baseline. For many, a simple adjustment in circadian hygiene or targeted supplementation identified through our screening is enough to enhance performance without a lifelong commitment to stimulants.

Yes. Many of our patients aren’t in crisis; they are high-achievers looking to optimize their cognitive load. We use Genetic Testing, Functional Testing, Advanced Labs, and Metabolic Screening to identify the subtle biological gaps that cause “afternoon brain fog” or executive fatigue. This allows us to fine-tune your focus and energy levels using a data-driven, efficient approach.

A specialized psychiatric evaluation saves time and money by accurately diagnosing conditions, enabling targeted treatment plans, reducing unnecessary tests or therapies, and improving overall treatment efficiency.