Integrative Psychiatry | Virginia
A holistic psychiatry practice offering personalized, solution-focused care to help you regain control of your mental well-being.
Now accepting new patients!
The mind’s strength is the body’s foundation.
Hi, I’m Lesley Grzybowski, PMHNP-BC
As a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I help solution-oriented adults and first responders – like military personnel and healthcare workers – overcome depression, anxiety, PTSD, stress, and burnout. I offer practical solutions that foster resilience and long-term transformation, improving overall quality of life, work performance, and stronger familial and romantic relationships.
I also support those experiencing the challenges of life transitions like divorce, loss, and remarrying and help them restore their self-image, regain confidence, and find a clear path forward in their lives.
I specialize in working with individuals who are motivated for change and ready to tackle their struggles and challenges head-on. My approach is straightforward and collaborative – I don’t just listen; I partner with you to create actionable treatment plans that lead to real healing and measurable results. Together, we’ll cut through the noise and focus on what works, moving beyond passive conversations to meaningful progress.
I offer traditional medication management (if indicated), psychotherapy, laboratory testing, functional nutritional testing, pharmaceutical grade supplements, lifestyle coaching, nutrition, specialty referrals, and mind body approaches such as breathing techniques, mindfulness and meditation.
I came to this practice after seeing firsthand how traditional treatments alone often fall short in addressing the deeper aspects of mental health. After working with individuals in various settings, I realized that combining evidence-based psychiatry with a personalized, holistic approach offers the most effective way to create lasting change. My goal is to empower my patients to not only manage symptoms but to thrive in their daily lives.
My Areas of Focus
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Do you feel stuck in unhealthy patterns that are not benefiting you?
Do you get easily overwhelmed when making decisions?
Are you frustrated with traditional mental health care, which relies too heavily on medications?
Are you looking for real-life solutions?
Have you felt that you walk away from previous appointments without a clear picture of what the medications are supposed to be doing or why your plan of care changed?
Do you feel empowered after an appointment or confused as to how the plan is meant to help you?
I work with patients to develop clear, actionable strategies that drive lasting personal and professional change. My approach combines structure with flexibility, allowing us to tailor a plan that suits your unique needs and goals. As we work together, you’ll gain improved confidence in your decision-making and problem-solving abilities, helping you navigate challenges with greater ease. Ultimately, my goal is to empower you to feel self-sufficient and in control of your mental well-being so you can live a more balanced, fulfilling life.
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Do you feel emotionally exhausted and suffer from chronic stress from a high-pressure work environment?
Do you feel isolated to the point where your personal and/or professional life is suffering?
Does the stigma of mental health interfere with you seeking professional help?
Are you worried about side effects of medications?
As a psychiatric provider who understands the unique mental health challenges of your profession, I offer practical coping strategies to help you manage stress, trauma, and work-life balance. I provide a safe, confidential space where you can process your experiences without judgment, allowing for open and honest reflection. Through our work together, you’ll gain tools to improve emotional regulation and strengthen relationships, ultimately helping you feel more grounded, resilient, and in control of your mental health.
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Are you experiencing guilt, regret, or fear due to the past?
Are you having trouble finding yourself after a new life transition?
Is the fear and uncertainty of the future limiting your current quality of life?
Are you having a hard time communicating in an effective way with others (ex-partners, new partners, children)?
I offer tools to help you manage grief, anxiety, and self-doubt, along with strategies to improve communication and boundary-setting skills. By working together, you’ll gain a sense of stability and confidence as you navigate new roles or chapters in life. Our work will provide you with the clarity, emotional resilience, and ability to embrace change with confidence, empowering you to move forward with greater peace of mind.
My Approach
I believe in treating the whole person, not just the symptoms. I empower my patients by giving them the knowledge and tools to take an active role in their care. My goal is to help them achieve lasting success and a true sense of autonomy rather than dependency.
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Medication Management
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Psychotherapy
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Laboratory Testing & Functional Nutritional Testing
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Pharmaceutical Grade Supplements
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Lifestyle Coaching
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Nutrition
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Meditation & Mindfulness
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Specialty Referrals for Advanced Treatments (TMS, Spravato)
What My Patients are Saying…
(Please note: identifying details have been changed to ensure patient privacy. However, these are all real comments from my patients.)
Schedule a Free Consultation
I offer a free 15-minute consultation call to learn more about you and your treatment goals to see if we would be a good fit. Please be sure to read over my services page to learn more about my appointment types and fees before booking your call.