Integrative Psychiatry at Orama Residential Treatment Center
Seeing the whole picture. Treating the whole person.
Many families come to us after trying multiple medications and therapies without meaningful improvement. It’s not because anyone has failed — it’s often because the full picture hasn’t been understood yet.
Dr. Knox leads integrative psychiatry at Orama Residential Treatment Center, providing thoughtful, whole person psychiatric care that goes beyond symptom management. Her holistic approach considers how emotional health is shaped by biology, trauma history, family dynamics, lifestyle, and daily routines, not just diagnosis alone.
At Orama, we take a different approach
We Start by Asking a Better Question: “WIGOH?” WIGOH — What Is Going On Here?
Before adjusting medications, we step back and look at the whole child:
- Underlying medical conditions
- Nutritional, metabolic, or hormonal contributors
- Sleep and circadian rhythm
- Trauma and attachment patterns
- Co-occurring psychiatric conditions
- Environmental and relational stressors
We don’t guess. We investigate thoughtfully and systematically.
Why We’re Called Orama
Orama (ὅραμα) means “vision.”
For us, that holds two meanings:
- Seeing your teen more clearly than they’ve been seen before: Biologically, psychologically, relationally, and developmentally.
- Helping teens see themselves differently: Not as a diagnosis or a collection of symptoms, but as a person full of resilience and possibility.
Comprehensive Lab Testing
(Typically covered by insurance)
Our baseline medical panel goes far deeper than traditional psychiatric assessments and may include:
These data points give us a precise clinical foundation.
Advanced Diagnostics
(Optional, offered at cost with no markup)
For families seeking deeper insight — and only when clinically useful — we may offer:
These tools help us personalize care even further but are never required.
What Integrative Psychiatry Feels Like at Orama.
Our psychiatric care is:
We don’t rush. We don’t guess. We don’t default to “try another medication.” We approach your daughter’s needs with precision, compassion, and clarity.
Evidence-Based Therapies.
Alongside integrative psychiatry, girls participate in therapies such as:
Therapy is individualized and evolves as girls progress.
Experiential & Somatic Healing.
At Orama, healing is experienced, not just talked about.
Girls participate in:
- Art therapy & expressive therapies
- Yoga & mindfulness
- Equine-assisted therapy (with Biscuit & Honey)
- Movement-based emotional regulation
- Nature walks and outdoor grounding
- Therapeutic recreation and skill-building
These modalities help teens regulate their nervous systems and connect with themselves in safe, embodied ways.
Relationship-Based, Moment-to-Moment Healing.
Every interaction — meals, transitions, group activities, chores — is an opportunity to practice:
- Emotional regulation
- Safe vulnerability
- Communication
- Asking for help
- Repairing conflict
- Building healthy peer relationships
Our staff model warmth, boundaries, and consistency so teens experience corrective attachment moments throughout the day.
Healing That Lasts Beyond Treatment.
We prepare families for life after Orama through:
- Aftercare planning
- Relapse prevention & skill generalization
- Family coaching
- Transition coordination
- School reintegration support
Our goal is not just stabilization — it’s sustained growth and meaningful change.
Healing Begins With Being Seen.
Integrative psychiatry + a relational, experiential, evidence-based environment = a model that sees your daughter fully and supports her healing from the inside out. We would be honored to walk alongside your family.