INTRODUCING...

CHOICE BALANCE LAB

BALANCE YOUR WORLD

Mood • Sleep • Weight • Energy

These central homeostatic systems are intrinsically connected.

Choice Balance Lab provides comprehensive and multidimensional analysis to understand relevant overlaps and shared sources of dysfunction.

Imbalances can be related to biology, life stress, trauma, medical treatments (steroids, oncology meds), hormonal changes (thyroid, ovaries), inflammatory processes, aging, or other.

Overactivated states include physical anxiety, pain, insomnia, weight loss, lack of appetite, diarrhea, increased blood pressure or heart rate, and shortness of breath.

Deactivated states include hypersomnia, chronic fatigue, weight gain, increased appetite, and constipation.

Rebound cycles between activation and deactivation can occur from diet, substance use, medications, inherent physiology, or behavioral patterns.

Weight issues include the disease of obesity, anorexia/bulimia, obsessive or restricted eating, medication side-effects, primary medical problems (gastrointestinal, hormonal, or orthopedic imbalances), and indirect repercussion of mood, sleep (chronology), or energy challenges.

Treatment- overview of options includes an individualized risk-benefit discussion and consideration of unique goals, priorities, and values.

We initiate an action-plan that feels empowering and integrates multiple approaches:

• Medication management

• Holistic and functional solutions

• Mind-body consideration

• Cognitive and behavioral problem solving

• Prevention strategies- maximizing support, sleep hygiene, nutrition and exercise/activity planning

Athletes

Struggles to achieve optimal balance include managing motivation versus rest, protecting restorative sleep, and maximizing efficient weight, nutrition, energy, stamina, strength, and flexibility.

As a certified yoga teacher, four-time Ironman athlete, and Boston marathoner, Dr. Trettin has extensive personal experience setting and achieving lofty athletic goals. Her background includes an appreciation for competitive personalities, expertise in many areas of cross-training, double board certification in Psychiatry/Neurology and Obesity Medicine, and the ability to move fluidly between medical analysis, therapeutic considerations, motivational coaching, and athletes’ specific challenges and strengths.

Choice Balance Lab offers a unique space to explore persistent imbalances and achieve maximal athletic success.

ADHD/executive functioning

Attention-Deficit/Hyperactivity Disorder is commonly misunderstood to be a deficiency of focus. It is, in fact, a surplus of focus. Distraction happens when we are unsuccessful in managing those extra units of attention. When we use techniques, tools, and medical solutions to hone those additional units, so they all have a place, we are remarkably creative, effective, and successful. The extra units of focus become a superpower.

Choice Balance Lab helps individuals to optimize and manage their additional units of focus to be most productive and fulfilled. We prioritize an individualized approach to consider personal values/goals, related challenges, and learning/processing differences. Supportive options include medication management, navigation coaching, and custom coding executive functioning tools.

INTAKE

(one session)

70 min. - $460

This meeting is for us to establish our relationship, cover background information, and structure an overview of individual challenges and goals.

ANALYSIS

(number of sessions flexible)

55 min. - $410

This phase is for us to thoroughly analyze different dimensions of the struggles and formulate steps of our action-plan. Upon the completion of these sessions, Dr. Trettin provides a written summary of analysis and plan.

PROCESS

(number of sessions flexible)

40 min. - $360

Once our initial analysis and formulation is complete, we move forward together through the steps of accomplishing individual goals. Flexibility is key and our approach is iterative. This phase, therefore, includes openness to shift our understanding and planning as needed. To reflect these potential shifts, Dr. Trettin provides updated written summaries.