People frequently ask if we offer therapy at Cady Wellness Institute, and while we offer many therapeutic benefits, our approach may not look how you expect it to. Many patients discover that our unique methods are key to overcoming the patterns that have held them back. So, if you are seeking a mental health therapist in Newburgh to solve a difficult issue, consider CWI.

Whether you’re managing an anxiety disorder, feeling inexplicably run down, or helping your irrationally stubborn child, our team offers foundational yet innovative solutions. Our commitment to patient progress, paired with our selection of time-tested therapies, provides a clear path to mental and physical wellness.

How Our Approach Goes Far Beyond Traditional Talk Therapy

To most folks, “getting therapy” means sitting down and talking with a sympathetic and competent human being about clearly defined issues. While that specific form of therapy isn’t our focus, we are confident we can help you with our comprehensive, root-cause focused approach.

We need to share some context about our care philosophy to accurately explain the services we offer. Some of the key underpinnings of our practice at Cady Wellness Institute, in fact, are based around the ideas covered in “On Being Therapeutic,” by the renowned Canadian psychiatrist Stanley Greben. Dr. Cady found this article on talk therapy foundational to our practice.

Dr. Greben compares psychotherapists of every background and approach, identifying 7 crucial qualities that separated successful therapists from those with less favorable outcomes. These characteristics are:

1. Empathy and concern.
2. Personal warmth.
3. Interaction with the client.
4. Reliability and friendliness.
5. The ability to arouse hope.
6. The expectation of improvement in the patient.
7. And the ability “not to despair.”

All of these are critical components of an excellent therapist. Regrettably, it’s not always simple to find an exemplary mental health therapist in Newburgh for a few reasons.

Many people believe that all physicians and psychiatrists these days are going to “drug ’em” and not talk to them (much). Unfortunately, this isn’t an unfounded belief. Thanks to the overuse of medications in mental health care and tightwad insurance companies, it falls to typical psychiatric practitioners to get you better—and in a hurry. Often, this situation results in conventional psychiatric providers trying to smother your symptoms with medicine alone during quick 10-minute appointments.

Here’s where the concept of “mental health therapist” and the integrated, holistic concepts of the way we practice medicine at Cady Wellness Institute come together.

Why We Spend Hours, Not Minutes, to Understand Your Story

The first thing we do when assessing someone’s mental health is gather their complete history. We typically spend 2 hours doing an intake with every new patient—an experience you’re not likely to have with any other mental health therapist in Newburgh or the surrounding Tri-State area.

During this discovery session, our work and focus are grounded in Greben’s concepts of empathy, concern, interaction, and friendliness. We can’t ‘get the database’ we need for informed medical decisions if the patient relationship is based on a rushed intake. When only the patient’s recent symptoms are discussed, without a full understanding of their life experience, important context is missed.

And it is this scrupulous data gathering that, ultimately, allows us to progress to the “ability to arouse hope,” “not to despair,” and the “expectation that the patient’s lot in life will improve.” With the correct data, we can collaboratively make informed decisions about what needs to be considered and needs to be done, including detailed laboratory evaluations and, in some cases, imaging studies.

Dr. Cady once spent 4 hours with a patient to gather all the facts he needed to make his treatment recommendations. Simply put, we can make better treatment decisions by prioritizing empathy and building a strong therapeutic relationship with the patient (or the patient and their family) first.

Without this detail-oriented approach, it’s difficult to have an interaction based on warmth, friendliness, and being non-judgmental. We prioritize this method to ensure you feel comfortable sharing with us just as you would with a traditional mental health therapist in Newburgh.

Plus, we understand it’s easy to forget details, even important ones, when appointments feel rushed. We dedicate sufficient time to understanding your experiences and building trust, ensuring that all treatment choices made from this relationship are sound.

How Advanced Testing Creates Real Hope for Complex Cases

Another key element of Greben’s article that we focus on is the “ability to inspire hope.” After decades of experience in psychiatry, mental health, and functional medicine, our team has encountered several tough cases. Many times, these patients have seemingly tried and failed with all available medications, and the causes of these failures are often unclear to both the patients and their healthcare providers.

If you relate to this experience, maybe you’ve undergone a “cheek swab” to analyze genes linked to psychiatric conditions and medication effects, but the testing wasn’t as comprehensive as it could’ve been. It might never have been fully explained to you because your doctor or nurse practitioner didn’t fully understand what the genes were telling them.

Instead, they ended up prescribing the ‘green drugs’ (the safe options) from the report’s idiot-proof guide, rather than using a comprehensive understanding of how all those genes interact to affect treatment.

Or maybe your doctor dismissed your concerns, saying, “It’s just part of life,” or, “All your labs are fine; there’s nothing wrong with you.” Or perhaps simply talking with your current mental health therapist in Newburgh for “talk therapy” only hasn’t proven effective.

You are our favorite kind of patient! To support our comprehensive, root-cause approach to mental health care, we utilize a wide range of laboratory assessments. These include both standard blood work—which can often be done here in-office at discounted rates—and advanced specialty testing.

One example is the Genomind lab panel, which provides in-depth information about your genetic makeup and how your body is likely to respond to specific psychiatric medications. It is far more comprehensive than the amateur-level gene testing done at most practices, and is not more expensive.

This kind of testing helps us avoid the frustrating and often ineffective trial-and-error process that many patients face when starting mental health treatment. By understanding how a person metabolizes different medications—or whether they’re likely to respond at all—we can make more personalized, informed, and effective treatment decisions from the very beginning.

This prevents you from becoming disillusioned with therapy over several months and giving up on its potential. Therefore, we foster hope, enhancing the prospects for successful mental health treatment.

When Time & Testing Combine: A Path to Progress

To better illustrate how time and testing elevate our approach to being a mental health therapist in Newburgh, consider a few examples:

Case Study 1: When Clinical History Is All You Need

We’ll start with Johnny, a hyperactive whirlwind whose parents and twin brother share his high spirits. In Johnny’s case, the family history speaks volumes. His relatives are known for being “wild, life-of-the-party” types, several of whom struggled with alcohol misuse over the years.

His twin brother, who was showing signs of falling behind in school, was diagnosed with ADHD not long ago. After starting on a stimulant medication, his brother’s grades and classroom behavior improved dramatically.

So when Johnny comes into our office, bouncing off the walls and attempting to disassemble our knick-knacks during the mental status exam, the picture becomes very clear: Johnny has ADHD-Combined Type, meaning he’s both inattentive and hyperactive-impulsive.

Between the strong genetic history, his brother’s positive response to treatment, and Johnny’s obvious symptoms, starting medication is the straightforward, appropriate choice.

Case Study 2: Genetic Testing Uncovers the Missing Piece

Next, let’s imagine a different scenario for Johnny. Here, his condition is much more subtle, and there isn’t such an obvious family history. However, we learn during his intake that the women in his family have difficulty getting pregnant and carrying babies to term. This indicates the possibility of a common enzyme defect, frequently missed in conventional practices.

We found this defect in Johnny through a cheek swab, which means we can now offer more effective treatment options, starting with nutritional supplementation as a foundation before we even consider psychiatric medication.

Case Study 3: When Menopause Is the Missing Link in Mental Health

Now let’s discuss a completely different patient interested in finding a mental health therapist in Newburgh. Jennifer is a woman in menopause, dealing with depression, insomnia, weight gain, low sex drive, and now, marital conflicts.

A traditional psychotherapist might jump to improving communication in Jennifer’s marriage by focusing on talk therapy alone. At CWI, we acknowledge how the hormonal imbalance may have impacted Jennifer and her marriage, her symptoms stemming from the predictable, well-known hormonal flux of menopause.

We can then identify and correct those hormonal imbalances. As a result, therapy might not even be necessary, because the issues could essentially autocorrect. If therapy is pursued and Jennifer’s hormones balance out, she may feel better overall, and the couple may have breakthroughs.

What many people don’t realize is that estrogen acts as an antidepressant in women’s brains (and in men’s). Estrogen levels in women decline inconsistently before menopause, with a sharp drop occurring during menopause. Women experiencing declining estrogen may encounter depression, mental fog, and bad temper.

This sharp drop often impacts women and how they interact with their partners and colleagues. At that stage, therapy might not be the number one answer to help them “figure out the reasons behind their actions.” Instead, we go on a relentlessly logical and thoughtful exploration of the biological changes that are causing this fluctuation.

We can then joyfully embrace the patient in the therapeutic dance of exploration! By starting with this menopause-based hypothesis and testing different treatment options, we continue to refine Jennifer’s diagnosis and medical interventions as we go.

In her situation, we’ll try various bio-identical medications to balance her hormone therapy at careful, specific dosages to find what works best. The entire relationship becomes a therapeutic exercise that encourages hope rather than confining Jennifer to talk therapy, like a conventional mental health therapist in Newburgh might.

Case Study 4: Why His Energy, Sex Drive, and Mood Took a Dive

Biff is a large, outgoing man in his 50s. Previously, he was a backslapping, go-get’em guy who was the rainmaker at his business. With a beautiful family, financial security, and as he says, “no reason to be depressed.”

Recently, Biff has noticed that his energy is down, and that instead of going to play golf after work, he comes home, plops on the couch, and channel surfs—sometimes with a beer in his hand to relax from the stress of the day. He is understandably gaining weight. And when Biff actually does get to the golf course and looks down past his expanding waistline, he notices that he’s not driving the ball as far as he used to. He feels weak and is upset with his declining performance on the golf course.

His performance at work is also slipping. Deadlines are not getting met. His boss is grumbling about his “underperformance.” He seems to have lost “the juice” for his work.

When Biff comes in for his appointment, he tells us:

“I know there is something wrong with me. I feel sad and depressed, and I’m just not as excited about my work or my life. I feel like I’ve run out of energy. I can’t sleep. I’ve been neglecting my hobbies. Golf just doesn’t seem to ‘do it’ for me anymore.

My sex life is shot. I’m having problems with erections. I have no desire for my wife, and she’s beautiful. We’ve had a great sex life before. It’s causing problems in our marriage. She has suggested that I go ‘talk to someone,’ like a mental health therapist in Newburgh. I don’t know what’s the matter with me.

I went to see my doctor about this, and she put me on an antidepressant. That just killed my sex drive, and now I can’t get it up at all. She tried another one, and it didn’t work either. So she sent me to a mental health therapist to explore what might be bothering me. I’ve gone in and talked to him twice a month for the past three months and I’m no better. I don’t know what’s the matter with me. The drugs and talk therapy aren’t working.”

What Biff most likely needs is testosterone. He’s manifesting classic symptoms of what most men experience in middle and older age: a steady, insidious drop in the hormone that, in both men and women:

• Increases energy
• Gives joy
• Improves stamina
• Burns fat
• Builds muscle & strength
• Supports mood

Unfortunately for Biff, the slippage of testosterone levels in men is not as obvious as it is in women, because there’s nothing that changes (like, no more periods). Moreover, general doctors don’t often check men’s testosterone levels. When patients like Biff have brief appointments, the only apparent issue is “depression,” leading to medication or a referral to a therapist.

Instead, we recommend a thorough check of his testosterone levels. Other labs to consider include a complete blood count, full thyroid panel, and DHEA-sulfate level, along with a dietary review—does he eat enough red meat, and could he be anemic? We also need to check if he’s trending toward pre-diabetes and what’s happening with his cholesterol.

At CWI, we focus on the foundational, biological aspects of wellness. In Biff’s case, that likely starts with addressing a predictable drop in testosterone. Once that’s corrected, he may still benefit from a mental health therapist in Newburgh to work on areas he’s let slide—improving his relationship with his wife, rebuilding self-discipline at work, increasing activity, regaining strength, and managing weight.

Plus, modern medicine often removes the need for shots in the backside with a needle. There are several oral medications that he can take to bring up his testosterone naturally, without shrinking his family jewels and making him dependent on injections.

But all this requires the type of comprehensive bio-medical and biopsychosocial workup that we do at CWI. First, we gather the complete database, including lab studies if needed, so we can pinpoint exactly what needs to be addressed.

Dr. Cady’s Journey: Raising the Bar in Mental Health Care

Here is a reflection from Dr. Cady, sharing his own history and how it developed into CWI’s current method of being a mental health therapist in Newburgh.

In Greben’s psychotherapy-focused article, he wrote about how most mental health therapists have a “floor” and a “ceiling” for their capabilities. Over the course of the years as a practicing physician, I have endeavored to “raise my ceiling” and that of every other practitioner who we have had at CWI.

When I arrived in Evansville in 1993, I was really good at slinging Prozac and Haldol. I was totally ignorant of the intricacies of the thyroid axis, as well as the intricacies of hormones in women’s health in terms of mood, focus, concentration, and general overall function. I was totally unaware of the MTHFR polymorphism, which was first cited and published in the peer-reviewed medical literature in 1996—three years after I left Mayo.

Notably, therefore, everyone else at Mayo in 1993 was ignorant of the MTHFR gene abnormalities, too. It hadn’t been discovered or published! So, a key point is that learning is never over, even if you’ve had the best possible training. It’s the responsibility of every physician, clinician, and mental health therapist to continue trying to “raise their ceiling.”

The training I received at Mayo was wonderful, but it was not sufficient up to the present day because things are always changing. It is the physician’s and therapist’s duty to keep up—our own therapeutic ceiling is our responsibility.

Many things stuck with me from my training at Mayo. The two sons of William Worrall Mayo, MD, affectionately known as Dr. Will and Dr. Charlie, are always worth quoting. Here’s a quote that has stuck with me from Dr. Will:

“Perhaps the ability not only to acquire the confidence of the patient, but to deserve it, to see the patient’s desires and needs, comes through the sixth sense we call intuition, which, in turn, comes from wide experience and deep sympathy for—and devotion to—the patient, giving to the possessor the remarkable ability to achieve results.”

It is this “wide experience and deep sympathy for—and devotion to—the patient” that underlies everything we do here at CWI.

And I believe it is profoundly responsible for the results that we have been able to achieve.

So, whether it is truly a mental health therapist in Newburgh you need or a foundational, integrated, and complete solution to issues which might be affecting you or a loved one, please consider coming here for evaluation and treatment. It would be our joy and privilege to assist you.

Dr. Cady

Ready for a Different Kind of Mental Health Help? Let’s Talk.

If you find yourself in a cycle of mental hardship, trying our fresh approach at CWI—instead of the typical mental health therapist in Newburgh—could be just the thing you need. Regardless of whether you’re dealing with everyday challenges or a serious psychological issue, our services can provide valuable support.

Book your session to experience our distinctive mix of classic therapeutic approaches, established medications, and advanced treatment methods.

Request Appointment