background logo image

Build A Care Team

Find clinicians, programs, and resources to help you explore metabolic therapies with the right support.

Getting Started

Exploring metabolic approaches to mental health can feel overwhelming, especially when it’s hard to know where to start. The right support can make a meaningful difference in helping you move forward with clarity and confidence.

At Metabolic Mind, we bring together trusted research, clinical expertise, and lived experience to guide you. This page helps you find the people, tools, and resources to build a care team that supports your journey.

Getting Started

A Community-Inspired Framework

There is no one right way to employ metabolic strategies to improve mental and physical health, and personalization is key. Our team at Metabolic Mind created THINK+SMART as a community-sourced tool that includes personal stories and strategies to help you in your journey.

The usual paradigm in medicine has been that you start with a drug and if that doesn’t work you add more drugs. I think it would be better for us as a community to look at the brain more holistically. Could a dietary intervention that is metabolism-based affect the processes in the brain that produced the disease to begin with?

Author Image

Dr. Jong Rho

Chief of Neurology at Rady Children’s Hospital-San Diego

Do I Need A Psychiatrist?

Metabolic psychiatry is a growing field, with clinicians, researchers, and advocates working to expand access to metabolic therapies. While barriers like cost and insurance coverage still exist, there are emerging pathways to support. If you or a loved one are navigating these challenges, this article offers practical strategies and hope to help you take the next step toward better outcomes, regardless of your financial situation.

Read More

Featured Metabolic Mental Health Practices

The practitioners listed in these directories offer clinical services that support the use of ketogenic metabolic therapies for the management of mental health conditions. This list is for information purposes only and does not imply endorsement of any provider.

The approach at my Stanford clinic integrates non-pharmacological metabolic methods—nutritional and lifestyle therapies—with medication. The good news is we are seeing encouraging improvements in mental health after treating metabolic conditions in this way. ”

Author Image

Dr. Shebani Sethi

Founding Director, Stanford Metabolic Psychiatry Clinic

General Questions

What is the connection between metabolic health and mental health?

Many people are surprised to learn that numerous studies indicate that those with poor metabolic health, including impairments like insulin resistance, metabolic syndrome, pre-diabetes, or type 2 diabetes, have a significantly increased risk of serious mental illness such as bipolar disorder, major depression, or schizophrenia.

The correlation holds in the opposite direction as well; those with serious mental illness have a higher likelihood of having metabolic dysfunction. Clinical experience and emerging evidence suggest that improving metabolism through ketogenic diets–as well as smart approaches to nutrient deficiencies, sleep, exercise, and stress reduction–can create mental health. This is the connection we explore at Metabolic Mind.

What are metabolic therapies for mental health?

Metabolic therapies for mental health are interventions or treatments that improve systemic metabolic and mitochondrial function to prevent, reduce, or eliminate symptoms of psychiatric illness. Typical therapies include nutritional ketosis, sleep management, movement/exercise, substance use management, meditation, and mindfulness. In addition, medications that improve insulin resistance are sometimes used to address psychiatric symptoms.

What mental illnesses can be helped by metabolic therapies?

At Metabolic Mind, we are primarily focused on the most serious mental illnesses like major depressive disorder, bipolar disorder, schizophrenia, schizoaffective disorder, and anorexia nervosa. But in his book Brain Energy, Dr. Chris Palmer posits that if mental illness results from metabolic and mitochondrial dysfunction of the brain, then any disorder caused by disordered energy metabolism could benefit from these therapies. According to Dr. Palmer, the scientific literature has identified mitochondrial dysfunction in the following psychiatric conditions:

  • schizophrenia
  • schizoaffective disorder
  • bipolar disorder
  • major depression
  • autism
  • anxiety disorders
  • obsessive-compulsive disorder (OCD)
  • post-traumatic stress disorder (PTSD)
  • attention deficit/hyperactivity disorder (ADHD)
  • anorexia nervosa
  • alcohol use disorder (alcoholism)
  • marijuana use disorder
  • opioid use disorder
  • borderline personality disorder
  • Alzheimer’s disease

What is ketogenic therapy for mental illness?

Ketogenic therapy for mental illness is a sustained dietary strategy that improves metabolic function by inducing therapeutic nutritional ketosis to prevent, reduce, or eliminate symptoms of psychiatric illness.

There can be many different components of ketogenic therapy, but it often includes selecting a low-carb dietary strategy (what and what not to eat), establishing a target macronutrient ratio (typically 60% calories or more from fat), measuring ketones daily, and restricting timing of eating (when and when not to eat). Ketogenic therapy can also include tracking metabolic and mental health measures (see our sample lab order here), and supplementing with electrolytes, MCT oil, exogenous ketones, carnitine, Vitamin D, B12, and other nutrients.