If you’ve been searching for answers, you’re in the right place.
We offer root-cause healing to help women feel better, with or without medication.
Virtual Concierge Precision Psychiatry. Serving residents of Oregon, Washington, Montanta, Nevada, Alaska, & Hawaii.
Meet Rachel Robilio, MSN, PMHNP-BC
If you’ve been doing everything you’re supposed to — the therapy, the supplements, the breathwork, the wellness routines — but still feel flat, anxious, foggy, or not fully like yourself, Rachel understands where you are.
She works with women who often feel like they’re doing everything right, but something deeper still feels unsettled underneath. With advanced genetic testing, nervous system support, functional psychiatry, and highly personalized care, Rachel helps you finally get to the root of why your brain, body, and emotions feel out of sync.
Before specializing in mental health, Rachel spent nearly a decade as a critical care nurse, where she saw how deeply emotional pain and physical health are connected. Her own personal healing journey — navigating grief, burnout, and life transitions — allows her to meet clients with deep empathy, clinical expertise, and genuine partnership.
Many of the women who find Rachel have already:
Tried multiple medications that left them numb, wired, or flat
Spent years in therapy without fully resolving the deeper patterns
Followed countless wellness routines, but still feel exhausted and overwhelmed inside
Rachel offers something different. She takes the full story — your biology, your history, your nervous system — and designs a completely individualized plan to restore balance.
Her clients describe what it feels like when things finally start to shift:
Thriving, not just surviving
Clear, calm mind
Restful sleep, waking up refreshed
Better memory and sharper focus
Nervous system finally steady
Free from the weight of medication side effects
A true night-and-day difference
Fully able to enjoy life again — peaceful, present, and happy
If you’re ready to feel steady, clear, and fully like yourself again, Rachel brings both the science and the support to help you get there.
Why choose precision psychiatry?
If you’ve ever felt like your only path to better mental health was medication, you’re not alone.
At Grounded Psychiatry, we take a root-cause approach — helping you heal from the inside out by addressing the underlying factors that impact your mental well-being.
THE DIFFERENCE
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At Grounded Psychiatry, we believe your symptoms are signals—not the whole story.
That’s why we use advanced functional and genetic testing to gently uncover what’s happening beneath the surface, from nutrient depletions and hormonal shifts to inflammation and nervous system imbalances.
This deeper insight allows us to personalize your care with clarity and compassion—so your treatment plan truly reflects your body’s unique needs.
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Food is medicine — let’s optimize yours!
The foods you eat directly impact your mood, energy, and cognitive function.
We help you make simple, sustainable swaps to support your brain health and reduce inflammation, without restrictive dieting or unrealistic food rules.
Please note: This does not replace working with a registered dietician.
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We thoughtfully recommend supplements to support your mental health—often guided by your genetic testing and lab results.
These targeted nutrients can help fill in gaps, support brain chemistry, and offer a gentle, individualized alternative to prescription medications.
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Your hormones and gut health play a powerful role in how you feel—emotionally and physically.
We take a whole-body approach by exploring and supporting your hormone balance and microbiome, helping to restore clarity, calm, and overall well-being.
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This is all about making small, meaningful changes —
like improving your sleep, movement, and light exposure —
that help ensure you're working with your mind and body, not against them. -
We teach you how to regulate your nervous system using breathwork, vagus nerve support, and practical mindset tools — so your body can finally learn it’s safe again.
These science-backed practices help calm your stress response, build emotional resilience, and bring you back to a place of grounded clarity — even when life feels overwhelming.
Gentle Deprescribing & Medication Tapering
For those wondering if they still need to be on medication, or feeling overmedicated and dismissed, we offer a compassionate, step-by-step process to taper safely — with support every step of the way.
Brain Health Optimization & Genetic Testing
Struggling with brain fog, poor memory, or low energy? We use genetics and root-cause testing to build a personalized, brain-nourishing wellness plan designed to help you feel clear, steady, and fully like yourself again.
ADHD & Focus Support
Trouble finishing tasks or feeling mentally cluttered? We offer a functional approach to attention and executive function, with or without medication, so you can feel focused, calm, and clear again.
Anxiety & Panic Support
Whether you're carrying constant worry, sudden waves of overwhelm, or a nervous system that just won’t settle, you're not alone. Our approach blends root-cause testing, nervous system care, and personalized emotional support to help you feel steady, grounded, and safe in your own body again.
Insomnia & Sleep Restoration
Sleep shouldn't feel like a nightly battle. We help uncover the biological and emotional drivers that disrupt rest, guiding you toward deep, restorative sleep — without relying on long-term sleep aids — so you can wake up clear, refreshed, and fully restored.
Depression & Emotional Numbness
If life feels flat, dull, or unmotivating, we go far beyond the surface. Our process looks deeper than a diagnosis to uncover the root causes — helping you shift from surviving to truly thriving, with energy, clarity, and a sense of calm you can finally trust.
Concierge Psychiatry Rooted in Precision
Virtual Mental Health Care in WA, OR, MT, NV, AK, & HI
From one-time consults to our signature 6-month program, The Precision Reset™, we offer high-touch, root-cause care with personalized follow-ups — all delivered through secure, private virtual sessions designed to help you feel like yourself again.
PRICING & PROCESS
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This is a brief but intentional call designed to get to know you and explore whether our holistic approach aligns with your needs and goals. We’ll take a few moments to understand what you’re looking for, answer any questions, and ensure we’re the right fit before moving forward with care.
Please note: we are a private pay, out-of-network practice and do not accept insurance. However, we partner with Thrizer to help eligible clients access out-of-network reimbursement benefits with ease.
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Unlike quick visits with conventional doctors, this is a deep dive into your symptoms, history, and lifestyle — so we can truly understand what’s going on beneath the surface.
Once we have a full picture of your mental and physical health, we may recommend targeted lab testing to help identify what imbalances could be contributing to how you feel.
You’ll walk away with a personalized wellness plan designed to support your mind, body, and long-term healing.
Investment: $600
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Finally, answers that make sense — and a plan that actually supports healing.
If you’ve felt dismissed, overmedicated, or stuck in a cycle of trial and error, this is where things begin to shift.
We use advanced functional labs and genetic testing to uncover what’s happening beneath the surface — nutrient depletions, inflammation, detoxification blocks, neurotransmitter imbalances, and more. These hidden patterns often explain why symptoms persist, even when labs look “normal.”
Instead of guessing, we build a precise, personalized wellness plan rooted in your biology. This may include:
Medical-grade supplements tailored to your needs
Nutrition and lifestyle shifts that support real change
Nervous system regulation tools like breathwork, movement, light therapy, and more
This is not a one-size-fits-all protocol. It’s a guided path to clarity, calm, and lasting relief — starting with your body’s own data.
All supplements are recommended through Fullscript with a 20% client discount.
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In the first few months, we typically meet every 2–3 weeks to build momentum and fine-tune your care plan. After that, sessions are spaced out to every 1–3 months, depending on your progress and preferences.
These visits are designed to check in on your symptoms, track what’s improving, and adjust your treatment plan as needed — whether that means refining supplements, reviewing labs, or supporting your nervous system with new tools.
Need something sooner?
We also offer a 15-minute Quick Check-In for brief support between standard sessions — perfect for a few focused questions or updates that just can’t wait.Investment:
15 minutes: $100
30 minutes: $200
45 minutes: $300 -
An exclusive, high-touch concierge experience for individuals ready to optimize their mental health through root-cause healing and precision psychiatry.
Designed for those who are done with surface-level care — The Precision Reset combines functional labs, genetic insights, expert guidance, and personalized support to help you feel like yourself again: clear, calm, and grounded from the inside out.
What’s Included:
2-Hour Initial Consultation
(5) Monthly 45-Minute Follow-Up Sessions
Unlimited Direct Messaging with your Concierge Nurse
Comprehensive Functional Lab Review
Genetic Testing & Review
1-Year Function Health Membership ($499 value)
Oura Ring, 4th Generation ($349 value)
Exclusive Discounts on supplements and advanced functional testing
Investment: $5,500
Payment plans available upon requestOnly 2 spots available per quarter
Next Steps for Oregon Clients…
Book Your 15-Minute Mental Wellness Consultation with Rachel
If you’re located in Oregon and ready for a more holistic, root-cause approach to mental health, Rachel is currently accepting a limited number of new clients through Grounded Psychiatry.
Choose a time below to schedule your 15-minute virtual consultation. This isn’t just a quick meet-and-greet—it’s a focused, intentional conversation to see if our concierge-style care aligns with your goals, values, and needs.
How to Prepare
Take a few thoughtful moments to complete the brief application questions. Your answers help us personalize your experience and give you the highest level of care right from the start.
Come ready to share your goals—this is a focused strategy session, not just a quick intro call.
Review the FAQs
If you haven’t already, take a few minutes to explore our FAQ page. It covers our approach, pricing, and what makes Grounded Psychiatry so different from traditional care—so you can feel confident going into your consultation.
After We Chat
If we decide together that it’s a strong fit, we’ll walk you through next steps and share our premium care options.
We only open a few new client spots each month. If you’re serious about transforming your mental health with personalized, root-cause care, we’d love to speak with you.
