Naturopathic Appointments: A Comprehensive Guide to What is Included and What to Expect

A Naturopathic Doctor (ND) is an expert in natural medicine. They blend natural, non-toxic therapies under current advancements in the study of health and human systems. They cover all aspects of family health and utilize cutting-edge medical knowledge, research and tools to resolve a client’s health concerns. Naturopathic doctors work alongside their patients as partners, taking the time to listen to their needs and ensuring they are part of the healthcare solution. NDs provide clients with the time, space, and answers they need to show they are cared for and supported.

Below are some commonly asked questions regarding what is included and what to expect in our naturopathic appointments at Richmond Natural Medicine. Please note, we are a Virginia based naturopathic office and some services that are not available here may be available in naturopathic offices in licensed states.

Read More: About Richmond Natural Medicine & Our Practitioners

Do you accept insurance?

Unfortunately, we do not accept insurance for payment of our services. This is because naturopathic medicine is not covered by health insurance in Virginia at this time. The current medical model does not fully recognize the strengths of preventative holistic medicine. Steps are currently being taken here in Virginia and across the country to give more recognition to naturopathic medicine. You may check with your insurance company to see if they offer out-of-network coverage for alternative or complementary care.

Fortunately, those individuals with a HSA (health savings account) or FSA (flexible spending accounts) are often able to use these plans toward naturopathic care. In these cases, we can provide you with necessary paperwork and itemized receipts. You should check with your HSA or FSA Provider for more information and specific rules.

How long is the initial appointment and follow up appointments?

The initial appointment will be 2 hours, and is an in-depth review of your past and present medical history. Over the course of two hours, your practitioner will aim to obtain a full overview of who you are and what your needs are during this time. You can expect a discussion that looks beyond your presenting symptoms to the overall picture of your health, in order to best determine the best possible treatment for you. Your practitioner will inquire about your long-term expectations while working with our clinic, as well as considering your current lifestyle choices and habits.

Follow up appointments are initially 1 hour, and sometimes 30 minutes for a brief check-in if and when needed.

Can my naturopathic doctor be my primary care doctor?

In Virginia, your ND cannot serve as your primary care doctor, however they are trained in primary care medicine. Your ND however can work seamlessly with your PCP when needed to provide you the most holistic, comprehensive care possible over your health journey.

Can my naturopathic doctor order lab work for me?

In Virginia, your ND is unable to order specific lab work for you, however they can do affordable self-referral lab work. Additionally, since your ND works collaboratively with your other health providers, often your PCP or specialist is willing to write for the labs that are needed.

Is my naturopathic doctor a specialist for particular conditions?

A naturopathic doctor approaches treating people – not diseases. Although they are well versed and trained in multiple conditions, they are approaching the entire person – from health history to stress management, to assessing your diet and your barriers to healing – before they are focusing on the condition specifically. They are taking a wide angle approach to your health first, while also considering all of the inputs that have gone into the development of that condition in order to work towards balancing health and increasing patient vitality. Often, they are doing this in collaboration with your other specialists or physicians.

At Richmond Natural Medicine, we are also unique in that we work together as a collaborative team, sometimes putting two or three of our heads together to work on a case that may be a bit more complicated. We also see many complicated cases that have not responded to modern or conventional therapy.

At the core of naturopathic medicine lies the body’s ability to heal itself. Symptoms of any illness serve as an indicator that there is an imbalance within the human body. Your body works to communicate with you that it is not functioning as it should. The imbalance could be cumulative or based on a lack or excess of nutritional factors, daily habits, infection, or environmental issues. Naturopathic medicine works to support the body in dealing with these imbalances in a more comfortable and efficient way. It works with the body, helping to re-balance the issue. The goal is to find the cause of the imbalance and use the symptoms to guide one in finding the cause of the disease.

For more information or to schedule an appointment, please contact us and we will be happy to guide you through our next steps and match you with one of our naturopathic doctors.

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Naturopathic Approach to Candida

With a naturopathic perspective, we look at the symptom picture as a whole, and look for other contributing factors that may lead to the root cause of a candida overgrowth. The presentation of candida symptoms is often different for each person, therefore the treatment plans will vary depending on the individual.

What is candida?

Candida, also known as Candidiasis, is a fungal infection caused by yeast overgrowth that usualy reside in the intestines and can also be spread to the skin, mouth and throat.

There are several reasons why candida may present in the body, and some people may be more susceptible than others for this to occur.

Some of the main causes of yeast overgrowth include underlying blood sugar dysregulation, antibiotic and steroid use, infections, heavy metal toxicity, imbalanced immune function, inflammation in the gut or gut dysbiosis as a result of antibiotic use, and underlying food intolerances. Diet plays a huge role in both the manifestation of candida and also in its successful eradication, and paying close attention to foods is a major area of focus for naturopathic practitioners and nutritionists when addressing a candida issue. Not surprisingly, candida is a complicated and intricate thing to treat, and often requires an in depth look into lifestyle, past medical history, nutrition inputs and blood sugar balance to create a therapeutic and sustainable plan. That’s where working with a naturopathic doctor and nutritionist can be extremely beneficial.

Read more: Naturopathic Approach to Dermatology & Skin Conditions

Symptoms of candida may include:

  • fatigue
  • headaches
  • constipation
  • diarrhea
  • abdominal pain
  • gas
  • bloating
  • rectal itching
  • bad breate
  • White coating on the tongue (called “thrush”)
  • frequent vaginal yeast infections or symptoms of vaginal itching, burning or discharge
  • cystiti
  • anxiety
  • depression
  • sinus issues
  • skin itching or rashes
  • cravings for sugars and carbohydrates.

All of these symptoms are not specific to candida alone, and also present as a result of a number of other imbalances, and with a naturopathic perspective, we look at the symptom picture as a whole, and look for other contributing factors that may lead to the root cause of a candida overgrowth.

At Richmond Natural Medicine, our practitioners take a holistic and thorough approach in dealing with the presentation of candida.

Candida is almost always a symptom of another underlying imbalance, and addressing those underlying imbalances is where our practitioners will target their therapies. Their treatment plans usually consist of determining underlying food intolerances, optimizing digestive function, improving gut, skin and vaginal flora (probiotics), using appropriate topical treatments when necessary, formulating custom compounded herbal formulas, biotherapeutic drainage, and incorporating in homeopathic remedies. 

Is this an area where you may need some support?  Please contact our office at (804) 977-2634 to schedule an appointment with one of our practitioners.

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How to Create a Care Plan for Yourself

Health empowerment is a big part of the naturopathic approach to healing. Putting healing power and health education into the hands of our clients at Richmond Natural Medicine is foundational to our approach, and we always encourage our clients to educate themselves and trust their intuition when it comes to their own health. We find that one of the biggest barriers to healing with our clients is their lack of confidence in their own innate ability to support themselves, and a feeling of disconnection from their own body. This can be due to a lengthy and complicated health journey with unclear answers, an overwhelming amount of available health information, or living a lifestyle that does not allow time or support for their own health needs.

Below are some tools that our practitioners encourage their clients to utilize to begin making a care plan for themselves. A health plan can include everything you feel is affecting your health – including physical health, mental health, spiritual health, and emotional health. Nothing is too big or small to address in your own care plan, and creating a care plan for yourself is an excellent way to observe how your health and wellbeing is changing over the course of the seasons.

Read more: Daily Practices to Support Mental Health

  1. Make a habit of checking in with yourself, every day. It’s easy to get swept away with our day as soon as we get out of bed, and neglect to notice what we need to feel our best that day. Check in first thing in the morning with yourself – How are you feeling? Is there an area of your body that is drawing your attention? Is there a part of your upcoming day that is causing you stress? What are two words that could describe your emotional state this morning?
  2. Write down how you’re feeling to notice patterns. If time permits, quickly journal these thoughts to make them a bit more clear. This is an excellent tool to check back on if you’re finding you have repeated health patterns.
  3. Prioritize your needs. If you notice that you feel overwhelmed with the amount of things you’d like to improve with your health, start with the easiest to implement first and the most difficult last. For example, an easy health improvement may be to commit to eating one more piece of fruit every day, practicing meditation for 5 minutes in the evening, or spending 10 minutes outside each afternoon. More challenging health improvements may be implementing meal prepping each week or exercising for 30 minutes 5 days per week.
  4. Start with one practice every month. Add one more each month for consistency and accountability. Don’t overwhelm yourself with trying to make all of your health changes at once. It takes weeks to form a new habit and the goal of wellness is to make it personal and sustainable for you and your lifestyle.
  5. Be honest and ask yourself, “What’s getting in my way? Why am I not doing this?” Have you tried making some of these health changes in the past and were unsuccessful? Have you yet to begin? Be honest with yourself and notice what was standing in your way to begin or continue. Some things may be within your control, and some may not. Pay attention to when these barriers show up again, and try a different approach.
  6. Ask for help, and seek out those who can support you in reaching your goals. Much of our health may seem out of our scope, and we need a professional to support us in solving our health needs. The doctors at Richmond Natural Medicine are tuned into looking at your entire health picture, and providing support to connect the dots of your wellness needs. For more information or to schedule an appointment, click here.

 

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Winter Health
Winter Fluctuations: Weight, Emotions and Sleep Support

As we enter into another winter season, we want to remind everyone that with every season comes fluctuations and change, both externally and internally. Just like the changing seasons, our bodies go through seasonal rhythms and adjustments in order to stay in alignment with our environment. This includes changes in our weight, our sleep patterns, our diet, and perhaps even our emotional health.

Be gentle with how you hold yourself this season. Winter is a time of rest, inward reflection, and intentional transformation. 

Winter Fluctuations: How Your Body May be Responding

Seasonal Affective Disorder (SAD) is a common imbalance that many people experience due to shorter days, lack of sunlight and lower vitamin D levels. This year especially, when many people are experiencing unprecedented loneliness and lack of physical connection, our emotional health may be taking a toll. Check in with your emotional needs each day – what does your body and mind need to feel more balanced today? Are you feeling like you need extra support to tend to these needs? The doctors at Richmond Natural Medicine can help you to navigate the best outlets for your emotional health – whether through improved diet, support with sleep, a referral to a trusted local counselor, or personalized herbal or homeopathic recommendations to suit your needs.

Read more: How Words & Thoughts Contribute to Emotional Inflammation 

Changes in your weight. Each of us have different ways that we present with weight. At the beginning of every year, we all hear things like “Resolve to lose that holiday weight!”, and this year in particular fretting about or being hyper sensitive about your weight may cause extra stress and despair that is not necessary. So many things contribute to how we hold on to weight. Stress thyroid function, sleep quality, food choices, movement and exercise, blood sugar balance, inflammation, and even our emotional health play a role. You needn’t feel pressured to rapidly lose weight after not only a very stressful previous year, but also lack of outlets to do so.

The doctors and nutritional experts at Richmond Natural medicine can help you to navigate this in a healthy positive way, finding solutions to suit your needs and current state of health.

Read More: Optimizing Weight Through Holistic Nutrition

Sleep Imbalance. Winter provides us the longest nights with the shortest days. This adjustment to earlier darkness along with a change in our daily schedule may be throwing off our sleep patterns. If you find yourself having trouble staying asleep or experiencing daytime sleepiness, this may be due to the seasonal shift (among other things). Good quality and quantity sleep is so important for the winter months, as our immune system is impacted by the amount of rest we experience. There are several solutions to achieving a good night’s sleep including adjustments to diet, exercise, nervous system and stress support, and sleep environment enhancements.

Read More: Winter Solstice: Are you Sleeping?

Being patient and gentle with self talk

Remember that this year – and the previous year – may look very different than what you are normally used to. You are your biggest ally in how you approach each day, and that includes how you approach yourself. Make an intention this year to speak kindly to yourself, and be patient with how your body is responding to the situations that arise.

The practitioners at Richmond Natural Medicine are here to support you and your health through these changing seasons, and create a care plan for you that can guide you confidently through whatever may be changing or challenging for you. To schedule an appointment with one of our practitioners click here.

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Phone 804-977-2634

Fax - 804-980-7876

Office Hours

Monday: 8:00 AM-5:30 PM
Tuesday: 8:00 AM-5:30 PM
Wednesday: 8:00 AM-5:30 PM
Thursday: 8:00 AM-5:30 PM
Friday: 8:00 AM-5:30 PM

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