Mental Health Care for Children, Teens and Adults
Mood, worry and focus affect everything else: school, work, sleep and relationships. Brooke cares for depression, anxiety and ADHD in children, teens and adults by telehealth, for patients located in Utah, with counseling referrals and medication when appropriate.
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Mental Health Care in Primary Care
Depression, anxiety and ADHD are common, and many people are first diagnosed and treated by their primary care provider. Getting care from someone who already knows your health history, and often your family, can make it easier to start the conversation.
Brooke Tuttle, FNP-C, is a board-certified family nurse practitioner who has practiced family medicine since 2017. She cares for depression, anxiety and ADHD in children, teens and adults, often alongside the physical concerns that come with them, such as sleep problems, headaches, stomach aches, fatigue and weight changes.
Most mental health care works well by telehealth: talking through symptoms, using standard screening questionnaires, building a treatment plan and following up. Treatment may include counseling, lifestyle steps and medication when appropriate. When someone needs more specialized care, such as a therapist, a psychiatrist or psychological testing, we help with the referral. Sagebrooke starts as a telehealth practice, and an in-person clinic is planned in Cache County, Utah.
Reasons people reach out
- Feeling down, hopeless or empty most days, or losing interest in things you used to enjoy
- Worry, nervousness or panic that is hard to control
- Trouble sleeping, or sleeping much more than usual
- Trouble focusing, staying organized or finishing tasks at school, work or home
- A child or teen with concerns from teachers about attention, behavior or mood
- Irritability, anger or pulling away from friends and family
- Wanting to start, continue or adjust medication for depression, anxiety or ADHD
- Mood changes after having a baby
What to Expect
- A telehealth visit with time to talk, for adults, teens, and children with a parent or guardian
- Standard screening questionnaires for depression, anxiety and ADHD
- A treatment plan that may include counseling referrals, lifestyle steps and medication when appropriate
- Labs at a local lab when a physical cause, such as a thyroid problem or low iron, needs to be ruled out
- Regular follow-up to see how treatment is working and adjust it
Our Approach to Mental Health Care
Listen and Screen
We listen to what you are experiencing and how long it has been going on. Standard questionnaires, input from parents and teachers for children, and labs when needed help us understand what is happening and rule out physical causes.
Build a Plan Together
Treatment is matched to the person. It may include counseling, sleep and activity changes, school or work supports, and medication when appropriate. We explain the options, including benefits and side effects, and decide together.
Follow Up Closely
Treatment for depression, anxiety and ADHD takes adjustment. We check in regularly, especially after starting or changing a medication, and adjust the plan as needed.
Benefits
Care for the Whole Family
Children, teens and adults can see the same provider, which helps when mood or attention concerns run in a family.
Mind and Body Together
Sleep, thyroid, iron, weight and other physical factors are part of the picture.
Private Visits From Home
Video visits make it easier to talk about personal topics from a comfortable, private space.
Connected to Specialists
When more support is needed, we help connect you with therapy, psychiatry or testing, and stay involved in your care.
How Care Usually Unfolds
First Visit
We talk through symptoms, history, sleep, stress and goals, and complete screening questionnaires. For children, a parent or guardian joins, and we may ask for input from teachers.
Weeks 2 to 6
Labs and any rating scales come back and we agree on a plan. If a medication is started, we check in on how you are doing and on any side effects.
Months 2 to 3
Many treatments take several weeks to show their full effect. We review progress and adjust doses or approaches as needed.
Long Term
Ongoing check-ins keep treatment on track through school years, life changes and new seasons, and we revisit whether treatment is still needed.
Depression and anxiety
Depression and anxiety are medical conditions, not a personal weakness. Treatment may include counseling, such as cognitive behavioral therapy, regular activity, sleep routines and, when appropriate, medication. We start with a careful history, check for physical causes, and follow up closely after any medication change.
For children and teens, we look at school, friendships, sleep, screen time and family stress, and we work with parents. Antidepressants in children, teens and young adults need close follow-up, especially in the first weeks, and we explain what to watch for.
ADHD in children, teens and adults
ADHD can look different at different ages: trouble sitting still or following directions in a young child, missed assignments or impulsive choices in a teen, and disorganization, restlessness or trouble finishing tasks in an adult. Evaluation includes a careful history and standard rating scales, often from parents and teachers for children. Some people need further psychological testing, and we help arrange it.
Treatment may include behavior strategies, school or work supports and medication. ADHD stimulant medications are controlled medications. When medication is appropriate, it is prescribed following the federal and Utah rules that apply, which may include an in-person visit, along with regular follow-up. Nonstimulant medications are another option for some people.
If you are in crisis
If you or someone you love is thinking about suicide or self-harm, or is in emotional distress, call or text 988 to reach the Suicide and Crisis Lifeline, any time of day or night. If someone is in immediate danger, call 911 or go to the nearest emergency room. Sagebrooke is not a crisis service, so please do not wait for a scheduled visit.
Common Questions About Depression, Anxiety and ADHD Care
Can depression and anxiety be treated by telehealth?
Yes, for many people. Talking through symptoms, screening, starting treatment and follow-up work well by video. When someone needs more specialized care, we help with referrals to therapy or psychiatry.
Can you prescribe ADHD medication by telehealth?
We cannot promise it. ADHD stimulants are controlled medications, and they are prescribed only when appropriate and following the federal and Utah rules that apply, which may include an in-person visit. Nonstimulant medications and strategies without medication are also options we can discuss.
Do you see children and teens for ADHD and depression?
Yes. We care for children, teens and adults. For children, a parent or guardian joins the visit, and teens may have time to talk privately when appropriate, within what Utah law allows. We involve parents whenever there is a safety concern.
Do I need to see a therapist, too?
Counseling is often one of the most helpful parts of treatment for depression and anxiety, and it can help with ADHD as well. We can help you find a therapist and work alongside them.
What if I already take medication from another provider?
Bring your current medication list and, if you can, records from your previous provider. We review what has worked and what has not, and we can continue or adjust care when appropriate, following the same rules for controlled medications.
What should I do in a mental health crisis?
Call or text 988 to reach the Suicide and Crisis Lifeline, any time. If someone is in immediate danger, call 911 or go to the nearest emergency room.
Does insurance cover mental health visits?
Sagebrooke Family Medicine is an insurance-based practice, and we are in the process of joining insurance plans. What you pay depends on your plan, including any copay, deductible or coinsurance. Contact the practice to check whether your plan is accepted, and check with your insurer about coverage for medications, labs and imaging.
Related Services
Condition
Depression
Low mood, loss of interest and changes in sleep, at any age.
Condition
Anxiety
Worry, nervousness and panic, and the treatments that help.
Condition
ADHD
Attention, focus and behavior concerns in children, teens and adults.
Condition
Insomnia
Trouble falling or staying asleep, and a plan to sleep better.
Service
Pediatric and Adolescent Care
Care for newborns, kids and teens, including mood and attention concerns.
Service
College Student Care
Telehealth care for students near Utah State University.
Ready to Talk About How You Are Feeling?
Reach out through our contact page to ask a question, check whether your insurance plan is accepted, or request a telehealth appointment. If you are in crisis, call or text 988, or call 911.
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