Integrative Psychiatry

Integrative Psychiatric Services

The Pacific Quest integrative psychiatric model combines psychiatric care with naturopathic medicine and individualized clinical care. Our integrative psychiatry team is led by Dr. Doug Emch and PQ’s Medical Director, Dr. Britta Zimmer. If medication management or psychiatric services are warranted, the student—along with their Primary Therapist—will meet with the integrative psychiatry team for a comprehensive evaluation.

How It Works

Upon enrollment, our psychiatrist, medical team, and Primary Therapist conduct a thorough review of the student’s file. With initial observations, the team collaborates with the family and home treatment providers to initiate an individualized treatment plan at PQ. The integrated plan is developed further with the student’s self-evaluation and involvement. Throughout the program, the entire team meets regularly to update and evaluate the treatment plan, outcomes, and goals.

When the student meets with the integrative psychiatry team, we gather current and past medical history, complete an initial evaluation, and devise a treatment plan. We also implement a medical wellness plan to assess and improve nutrition, sleep, and physical activity as appropriate.

Recommendations may include medication changes (if warranted), naturopathic supplements, and lifestyle changes compatible with Pacific Quest’s ​overall medical wellness model.

What Is Integrative Psychiatry?

Integrative psychiatry uses both conventional and complementary therapies to address individual treatment needs. Our psychiatrist, medical team, and primary therapist collaborate with the student and their family to develop personalized treatment plans to reduce symptoms and build self-efficacy strategies.

benefits of Integrative psychiatry

Medication Management

Pacific Quest’s integrative psychiatric model allows for the therapeutic streamlining and optimization of medication regimens in a controlled setting. Our approach to medication incorporates a cautious philosophy that strives to avoid dependence, side effects, and the superficial management of symptoms.

To reduce risk, support true health, and maximize time in residential care, we may recommend vitamins and/or supplements as part of our treatment recommendations. These are natural products with a very low risk of adverse effects or dependence that have scientific evidence of effectiveness. We evaluate and treat each case individually.

Google Reviews

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L Loucks profile picture
L Loucks
April 13, 2026
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After 3 years of school avoidance, residential and hospital stays, screen addiction and risky behavior, we didn't know how to help or talk to our 16 year old daughter. Pacific Quest seemed different from other programs we had considered for her, so we were hopeful for some positive change when we sent her 5 thousand miles away. After the first few weeks it was clear that the program and clinical staff were even better than we had hoped. Their holistic approach to health, emphasizing healthy diet, sleep, exercise and time in nature, balancing meds and supplements had an immediate positive impact. The care, kindness and respect that the highly qualified clinical team showed our daughter, allowed her to trust and be vulnerable in her individual therapy as well as our family sessions. She learned so much about herself, her emotions and how to manage them, while we learned about better ways to communicate with her, within our family and how to repair broken trust. She is now attending an alternative boarding school, and for the first time in a long time, we are optimistic for her future. Hawaii is a magical place, and all the staff at PQ, the therapists, medical team and program team make Pacific Quest a truly magical healing place. I highly recommend it.
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N Dalton profile picture
N Dalton
February 26, 2026
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Our teen is currently in his 8th week at Pacific Quest and we have been very happy with the care and support he has received so far. We have seen significant progress since he first started the program. His therapist is a good fit and we receive feedback each week about our son's progress. I am glad that we chose this program with the help of an educational consultant.
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D Custin profile picture
D Custin
February 2, 2026
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Pacific Quest is a blessing, a God-send. At first I was against an RTC placement & the long distance from mainland USA. However, PQ has a team of exceptional, experienced, well-trained, & loving personnel. In about 90 days, they achieved clear & immense progress for my child & me. Where once I had little to no hope for a positive relationship with my child, now hope is clear for our short-term & long-term relationship. PQ is a blessing & well-worth the costs, aka investment.
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Marg profile picture
Marg
January 15, 2026
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Highly reccomend Pacific Quest for families with kids with behavioral issues. I dont believe in miracles, but how they ve helped us with my child and whole family dynamics is close to a miracle.
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K Patruznick profile picture
K Patruznick
December 18, 2025
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Overall, we were satisfied with the level and type of treatment our daughter received at PQ. This was a necessary step after we had tried many other avenues to help her stabilize. We appreciated the holistic approach to medicine, food and supplements to help support a healthier way of living. The therapy and group interaction was also very helpful. Aside from our daughter's treatment, we, as parents were also following a parallel process to rethink the family dynamic. It was almost as much about our daughter as it was about us. Lots of parent groups, calls and family therapy to change our approach and learn how to handle situations in a better way. About 2/3 of the way thru the 90 day program, we attend the Family Program (Fam Pro) 3 day intensive. It turned out to be a very valuable use of time and allowed our family to connect and understand each other much differently. We really connected with Dr. Rob Gent and this provided a path to deeper understanding of our daughter and her mindset. There were a few bumps in the road and not everything PQ did was perfect. Nobody is, I suppose. But we provided feedback to them and hopefully they can learn new ways as well. We all can...