Consultation-Liaison psychiatry (C-L psychiatry) is a specialized field that bridges physical and mental healthcare, focusing on the psychological aspects of medical conditions and the medical aspects of psychiatric disorders. As part of her training at Harvard Medical School and University of Chicago, Dr. Greenlee gained extensive experience in this specialty, which now informs her integrative approach at Bloom and Build.

C-L psychiatrists work in medical settings, collaborating with healthcare teams to address the complex interplay between physical and mental health. This training is particularly valuable for understanding how chronic medical conditions, hormonal disorders, and other physical health issues impact mental wellbeing—knowledge that's especially relevant when treating women's mental health concerns.

For Black women and women of color, who often face disparities in both medical and mental health treatment, Dr. Greenlee's C-L psychiatry background enables her to:

1. Advocate effectively within the broader healthcare system
2. Recognize when symptoms might have undiagnosed medical causes
3. Understand medication interactions and side effects comprehensively
4. Provide truly integrated care that doesn't artificially separate mind and body

This expertise is particularly valuable when addressing reproductive mental health concerns, stress-related physical symptoms, and the mental health impacts of chronic conditions that disproportionately affect women of color.

Family systems theory is a therapeutic framework that views individuals as inseparable from their family networks, recognizing that family dynamics significantly influence mental health and behavior patterns. This approach is fundamental to Dr. Greenlee's practice at Bloom and Build Integrative Psychiatry, particularly when working with women navigating complex cultural and familial expectations.

The theory understands families as interconnected emotional systems where changes in one part affect the entire system. Key concepts include:

1. Multigenerational transmission: How patterns, beliefs, and behaviors are passed down through generations—especially relevant when addressing intergenerational trauma in communities of color
2. Emotional triangles: The tendency to involve a third person when tension exists between two people—often seen in relationship challenges
3. Differentiation of self: Developing a healthy sense of self while maintaining meaningful family connections—particularly important for women balancing cultural expectations with personal aspirations

Family systems perspectives are valuable for understanding how cultural values, immigration experiences, and adaptation to systemic challenges shape mental health. This approach helps identify strengths and resilience factors within families while addressing patterns that may contribute to depression, anxiety, or relationship difficulties.

Cultural psychiatry is a specialized field that examines how cultural factors shape the experience, expression, and treatment of mental health conditions. At Bloom and Build Integrative Psychiatry, cultural psychiatry principles are fundamental to providing effective care for diverse clients, especially in a diverse state like California.

This approach recognizes that culture significantly influences:

1. How symptoms are experienced and expressed: For example, depression may manifest more through physical complaints in some cultural contexts than through explicit sadness.
2. Help-seeking behaviors: Cultural beliefs about mental health, spirituality, and community support can affect when and how individuals seek professional help.
3. Treatment preferences and effectiveness: What works in one cultural context may not be appropriate or effective in another.

The primary difference between a psychiatrist and a psychiatric nurse practitioner (NP) lies in their training, scope of practice, and approach to mental healthcare.

A psychiatrist like Dr. Greenlee at Bloom and Build Integrative Psychiatry is a medical doctor (MD) who completed:

• 4 years of medical school
• 4 years of psychiatric residency
• Often additional fellowship training (Dr. Greenlee completed specialized training in cultural psychiatry, consultation-liaison psychiatry, and reproductive psychiatry)

This extensive medical training enables psychiatrists to:

• Conduct comprehensive diagnostic evaluations that consider complex medical factors
• Understand the intricate relationship between physical health and mental health
• Treat complex and treatment-resistant conditions
• Prescribe medication in all 50 states without supervision
• Provide psychotherapy (though not all psychiatrists offer this)

A psychiatric nurse practitioner typically has:

• A nursing degree plus 2-3 years of specialized psychiatric training
• A valuable focus on holistic care and patient education
• In some states, requirements for physician supervision or collaboration
• The ability to prescribe medications (with varying levels of independence by state)

At Bloom and Build Integrative Psychiatry in San Jose, Dr. Greenlee's medical background is particularly valuable for addressing the complex needs of women experiencing hormonal influences on mental health, those with co-occurring medical conditions, and those requiring sophisticated medication management.

Both professionals can provide care, but their different training backgrounds make them suited for different types of cases and treatment approaches.

Yes, psychiatrists can offer therapy, though not all choose to do so. As a psychiatrist trained in multiple therapeutic modalities, Dr. Greenlee at Bloom and Build Integrative Psychiatry provides both medication management and therapy as part of her comprehensive care approach.

This integrated model offers several advantages:

1. Seamless coordination: With one provider managing both therapy and medication (when needed), there's no risk of communication gaps between separate providers.
2. Comprehensive understanding: Your psychiatrist develops a deeper understanding of your experiences, which informs both therapeutic interventions and medication decisions.
3. Efficiency: Combined sessions save time and reduce the emotional labor of repeating your story to multiple providers.
4. Holistic perspective: A psychiatrist-therapist brings medical knowledge to therapy sessions and psychological insights to medication management.

For women of color seeking mental healthcare in the Bay Area, working with a culturally attuned psychiatrist who also provides therapy can be particularly beneficial. This approach allows for treatment that addresses both biological factors and the psychological impacts of lived experiences, including racial trauma and cultural stressors, within a single therapeutic relationship.