You Don't Have To Keep Holding It All Together Alone
Comprehensive psychiatric care for professionals and young adults navigating anxiety, depression, ADHD and life’s biggest transitions.
Medication. Therapy. Lifestyle.
Integrative care — all in one place.
In person in Montclair, New Jersey
Online throughout New Jersey and Pennsylvania
I Work With People Who Are Thoughtful, Intelligent, and Carrying More Than Most People Realize
The Professional Who Can't Slow Down
You are successful, responsible, and dependable. Colleagues admire your work ethic. Friends come to you for support.
But underneath the surface, you are anxious, overwhelmed, perfectionistic, and running on fumes.
You may have become accustomed to functioning in survival mode without realizing there is another way to live.
The Woman Wondering: ADHD, Perimenopause, or Both?
Many women arrive in my office around age 35-50 asking:
“Why does everything suddenly feel harder?”
You may be experiencing:
- Increased forgetfulness
- Difficulty focusing
- Emotional overwhelm
- Burnout
- Irritability
- Trouble managing competing demands
For some women, these changes are related to hormonal shifts. For others, they uncover ADHD that had been masked for decades by intelligence, determination, and compensatory strategies.
My approach considers both possibilities and helps you understand what is truly driving your symptoms.
The Over-Functioning Child of Emotionally Immature Parents
You learned early that your needs came second.
You became the responsible one, the helper, the fixer, and the peacekeeper.
As an adult, this may show up as chronic anxiety, people-pleasing, difficulty setting boundaries, perfectionism, or feeling responsible for everyone else’s emotions.
Together, we can explore patterns that once helped you survive but may no longer be serving you.
The Adult Wondering: ADHD, Autism or Both?
You’ve built a successful life, yet you still wonder why everyday tasks seem harder than they should.
You’ve spent years blaming yourself for struggles with focus, organization, emotional regulation, or sensory sensitivities.
Or you’ve developed elaborate coping strategies that leave you exhausted and questioning why life feels more difficult for you than for others.
My role is to help you understand how your brain works. Through a neurodivergent-affirming approach, we’ll identify your unique strengths and challenges and develop strategies that work for you.
The Gifted Young Adult in Burnout
You were always told how smart you were.
School may have come easily—until it didn’t.
Now you find yourself struggling with motivation, procrastination, anxiety or a profound sense of exhaustion.
Many gifted and neurodivergent young adults reach a point where intelligence alone is no longer enough to compensate for burnout.
Treatment focuses on helping you build a sustainable life rather than simply pushing yourself harder.
Start your journey to feeling better today.
You're a professional adult...
You are plagued with anxiety. You're overwhelmed and have trouble focusing. Racing thoughts keep you up at night. You aim for perfection and always feel you're falling short. You're not eating well and can't get around to exercising.
or
You're a young adult...
You are struggling to figure out who you are and find your place in an unpredictable world. You're overwhelmed by school stress, relationship problems and career decisions. On social media, your life looks great but in reality, you find it hard to connect with others. You feel empty inside and worried about the future.
Dr. Sarah Fajgenbaum-Teslja
Board Certified Psychiatrist
I’m Dr. Sarah Fajgenbaum-Teslja, a Board Certified Psychiatrist and founder of Integrative Psychiatric Services, a boutique private practice which pairs high-quality, personalized mental health care with comfort and convenience. I’ve named the practice Integrative Psychiatric Services, because I offer the full range of tools to help you manage stress, improve your mood, focus better and feel healthy.
I have over a decade of experience treating adults and older adolescents with anxiety, depression and ADHD. I provide a blend of modern medicine, talk therapy, lifestyle coaching and complementary treatments. I will take the time to assess you thoroughly, make an accurate diagnosis and design a treatment plan specifically for you. Over the course of treatment, I will work closely with you to ensure your success!
Meet Dr. Sarah Fajgenbaum-Teslja
Trusted psychiatric care for thoughtful, intelligent people navigating complex lives.
You have spent years helping others, meeting expectations, solving problems, and pushing through challenges.
When life starts feeling overwhelming, many high-achieving people struggle to find a health care provider who understands both their strengths and their struggles.
As a board-certified psychiatrist and psychotherapist, I provide comprehensive, collaborative care that combines medication management, psychotherapy, lifestyle interventions, and complementary approaches.
My goal is not simply to treat symptoms, but to help you better understand yourself and build a sustainable, meaningful life aligned with who you are.
Benefits of Working With Me
Choosing a psychiatrist is more than finding someone who can prescribe medication. My goal is to provide thoughtful, personalized care that helps you better understand yourself and move toward meaningful change.
Working with me offers several advantages:
- Board-certified psychiatrist: You receive care directly from a physician with specialized training in the diagnosis and treatment of psychiatric conditions.
- Specialized expertise in neurodivergence: I have over a decade experience working with adults with ADHD, autism, and AuDHD, especially those whose symptoms have been overlooked or misunderstood.
- Extended appointment times: Longer appointments allow for a more thorough understanding of your history, symptoms, strengths, and goals, rather than a rushed evaluation.
- Collaborative treatment planning: Recommendations are tailored to your unique needs, preferences, and values, with an emphasis on shared decision-making.
- Continuity of care: I offer ongoing treatment and support, allowing us to build a therapeutic relationship over time.
- Thoughtful and conservative prescribing: Medication decisions are made carefully, with attention to potential benefits, risks, and long-term wellbeing.
- Convenient access: In-person appointments are available in Montclair, with telehealth visits offered throughout New Jersey and Pennsylvania.
My aim is to create a space where you feel understood, respected, and empowered to better understand how your mind works and what supports your wellbeing.
Comprehensive Mental Health Care Under One Roof
Many patients come to me after feeling frustrated by fragmented care.
One provider for medication.
Another for therapy.
My approach integrates your care into one cohesive treatment plan.
Your treatment may include:
- Comprehensive Assessment
- Medication Management
- Psychotherapy
- Lifestyle Coaching
- Nutritional and Complementary Interventions
- ADHD and Autism Assessments
- Neurodivergent-affirming Support
Coming Soon
- Hormone Replacement Therapy
- ADHD Coaching
Psychiatric
Evaluation
We’ll begin with a thorough evaluation to understand your unique concerns and challenges. Together, we’ll work to identify the root causes of your symptoms and develop a comprehensive treatment plan.
Medication Management
If necessary, I offer medication management to help balance brain chemistry, improve mood, and reduce symptoms of anxiety and ADHD. I work closely with you to ensure the best treatment plan for your individual needs.
Talk Therapy
Talk therapy plays an essential role in helping you navigate life’s challenges. I offer personalized therapy sessions to help you address negative thought patterns, manage stress, and build healthier coping strategies.
Lifestyle Coaching and Stress Management
A healthy lifestyle is key to managing mental health. Through lifestyle coaching, I’ll help you integrate stress management techniques, healthy habits, and self-care practices into your routine to support your overall well-being.
Complementary Treatments
In addition to traditional therapies, I offer complementary treatments that support mental and emotional health, including light therapy, and nutritional supplements.
ADHD and Autism Assessments
I provide detailed assessments to ensure that you receive an accurate diagnosis. This includes screening for frequently missed diagnoses such as adult ADHD, bipolar spectrum disorders, autism spectrum disorders, complex PTSD and personality disorders.
Who I Treat…
- Professional Men and Women
- Older Teens and Young Adults
How I Can Help…
- Manage stress and improve your mood
- Optimize your work and school performance
- Enhance your relationships
- Get restful sleep and better health
Let's Get Started
It's Simple with My 3-Step Plan For Success
1. Understand the Whole Picture
Thorough assessments designed to identify root causes rather than simply assigning a diagnosis.
2. Create a Personalized Plan
Medication, therapy, lifestyle interventions, and complementary treatments tailored to your needs.
3. Build a More Sustainable Life
Together we’ll help you move from surviving to thriving.
Benefits of working with me
In-Depth Assessments
I take the time to assess you thoroughly in order to make an accurate diagnosis.
Personalized Care
I consider your unique genetics, health history and lifestyle as well as your life experiences, and thinking patterns to formulate an individualized treatment plan that works for you.
An Integrative Approach
I offer you the full range of tools to ensure long-term success. This includes medication and talk therapy, lifestyle coaching, and complementary treatments like light therapy, breathing techniques and nutritional supplements.
Comfort and Convenience
I’m available to meet with you in person or via tele-health. I offer evening and weekend appointments to fit your schedule.
Accessibility
My secure patient portal is available 24/7 for you to message me, and access appointment and billing information. Message me directly and get a response within 1 business day.
Your comfort is important to me.
I am available to talk with you directly via secure web meetings.
New office is now open in Montclair, NJ
The doors are now open, I invite you to come visit my new office!
How I Can Help
Featured Services
Here For You
Conditions Treated
New Jersey Online Psychiatric Appointments With Dr. Sarah Fajgenbaum-Teslja Board Certified Psychiatrist
I know that finding quality mental healthcare is a challenge. Your mental health matters and I’m here to help. I’m a board-certified psychiatrist with over a decade of experience helping adults and older adolescents feel their best.
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