What is the Connection Between Mood Disorders and Physical Health?

What is the Connection Between Mood Disorders and Physical Health?
Last updated: August 21, 2026 | Written & Reviewed by OCP Team

We all feel emotional ups and downs sometimes; it’s a normal part of life. But if it’s impacting a person’s daily life, work, and relationships, it can be a mood disorder.

A Mood disorder is a complex mental health condition that greatly impacts a person’s emotional well-being and disturbs the ability to function in daily life. It is a disconnection between actual life circumstances and the person’s state of mind or feelings. This condition can have serious consequences in all aspects of life, from personal to professional. It encompasses a range of conditions, including depression, bipolar disorder, and various other mood swings that can affect one’s overall mental and emotional state.

The Deep Link Between Brain and Body

As we have already discussed, mood disorders affect our overall mood and disturb our overall quality of life. Its psychiatric condition is marked by prolonged emotional disturbances and impaired functional behavior. A person in this state has no energy to do the tasks that they tend to enjoy. You might be thinking Why does this happen? That’s because the mind and body are entirely connected; they both give signals to each other and work collaboratively. Our brain controls stress and the important aspects of life through different hormones, such as cortisol and adrenaline, which are known to be stress hormones.

So people who have been through stress for a longer period of time have hormone levels that remain too high, which ultimately affects the body as well. This is because people with mental health conditions feel lethargic and low at work and are unable to concentrate.

What are the Effects of Mood Disorder on Physical Health?

This condition can also be associated with physical symptoms that affect everyday functioning and quality of life. Here is how it affects physical health:

What are the Types of Mood Disorders

  • Trouble sleeping or sleeping too much.
  • Changes in appetite or drastic changes in weight.
  • Lowered energy and frequent physical complaints, such as headache, stomachache, or tiredness, that don’t get better with treatment.

These physical signs can make it harder for a person to function normally, as they can negatively affect their ability to function normally and can have serious consequences in everyday life.

What is the Prevalence of Mood Disorders?

Mood disorders affect people of all ages, including all genders. About 1 in 7 people experience depression after the birth of a baby, postpartum depression—recently renamed “perinatal depression”.The World Health Organization ranks both major depressive disorder (MDD) and bipolar disorder (BD) among the top 10 leading causes of disability worldwide. As of 2021, an estimated 37 million people (or 0.5% of the world population) struggle with bipolar disorder. Moreover, conditions like MDD and BD carry a high risk of suicide, as estimated 25%–50% of people diagnosed with BD will attempt suicide at least once in their lifetimes (Goodwin & Jamison, 2007).

If you or someone else is in danger or experiencing thoughts of suicide, call or text 988 for the Suicide & Crisis Lifeline.

What are the Physical Symptoms Associated With Mood Disorders?

Depending on age and the type of this disorder, a person may have different symptoms when they become depressed. So, it’s harder to diagnose this condition as it causes several symptoms that may signal other conditions. Also, it’s a hazard to diagnose in children, as they can’t always express how they feel, and symptoms may look different in children from how they look in adults. Physical symptoms have been found to increase the duration of depressed mood.

Physical Symptoms Associated With Mood Disorders

The following are the most common symptoms:

  • Lethargy
  • Digestive disorders, heart disease, and obesity
  • Frequent physical complaints, such as headache, stomachache, or tiredness, that don’t get better with treatment
  • Loss of concentration.
  • Less able to make decisions.
  • Not interested in normal activities or activities that were once enjoyed.
  • Chronic pain such as back pain, arthritis, and fibromyalgia pain.

These symptoms can interfere with someone’s interest in family, friends, community, or work.

How Do Mood Disorders Affects Physical Well-Being?

Mood disorders are complex and debilitating conditions that severely impact our physical health. This condition is linked with other health conditions such as cancer, injuries, infections, and chronic illnesses, which can also lead to the symptoms of depression.

Mood Disorders Affects Physical health

Here is how it affects physical health:

Sleep

As we know, mood disorders lead to depression and bipolar disorder. Depression may severely affect the sleep cycle and lead to excessive sleeping or insomnia. Whereas bipolar disorder can also affect sleep, it can be during the manic or hypomanic episodes. In these episodes, an individual may need much less sleep without feeling tired. However, this disruption and changes in the sleep cycle can worsen concentration on work and make one remain irritated most of the time.

Appetite and Weight

Individuals struggling with this state have issues with managing weight. They don’t feel any food cravings, and they may find it difficult to maintain meals. However, all these changes may lead to an increase in weight, loss of weight, or nutritional deficiencies. It may ultimately be worse for the people who are going through diabetes and high blood pressure.

Fatigue and Reduced Activity

People experiencing mood disorders have excessive fatigue, and lead to difficulties in managing day-to-day life. People experiencing depression or bipolar disorder remain less motivated to do any kind of physical activity, which may ultimately contribute to muscle issues, changes in weight, poorer sleep, and issues with heart health. Moreover, fatigue can also make it harder for one to attend appointments with the doctor and remain consistent with the treatments, or to maintain social connections.

Pain and Digestive Symptoms

Mood disorders such as depression and bipolar disorder may lead to several aches and digestive problems. People in this state experience severe headaches, muscle pain, abdominal discomfort, constipation, diarrhea, or other physical symptoms that are unexplained. The physical pain associated with this disorder is real and cannot go on its own, as people may experience overlapping neurological and psychological processes.

Cardiovascular and metabolic health

Individuals may also experience physical symptoms like heartaches and metabolic health problems. But a question arises in our minds: how can a mood disorder increase the risk of cardiovascular diseases? It can be because of sleep disruption, excessive stress, less activity, smoking, excessive substance intake, poor diet, or medication side effects. That is why regular medical monitoring, especially when you experience excessive changes in weight, blood pressure, and cholesterol.

What are the Types of Mood Disorders?

There are different types of mood; each one has different causative factors and symptoms. The most common types include:

1. Major Depressive Disorder (MDD)

Major depressive disorder is described as endless sadness and loss of interest in daily activities. It leads to a range of physical and emotional symptoms, including fatigue, changes in appetite, and suicidal thoughts. This condition greatly affects personal and professional life.

2. Bipolar Disorder

Bipolar Disorder involves extreme mood shifts between manic (elevated or irritable mood) and depressive episodes. Bipolar I is marked by manic episodes, while Bipolar II features hypomanic episodes and depression. A study by Merikangas et al. in 2007 found that 4.4% of the population experiences bipolar disorder.

3. Cyclothymic Disorder

Cyclothymic Disorder is also a condition where individuals experience frequent mood swings between hypomania and mild depression. While the symptoms don’t meet the criteria for full manic or depressive episodes, the mood instability is ongoing and impairs functioning over time.

4. Persistent Depressive Disorder (Dysthymia)

Persistent Depressive Disorder is characterized by chronic, mild depressive symptoms lasting for at least two years. Symptoms are less severe than in major depression but last longer, affecting daily life and productivity. Individuals often struggle with low mood for much of their lives.

5. Seasonal Affective Disorder (SAD)

Seasonal Affective Disorder occurs with seasonal changes, often in winter, due to reduced exposure to sunlight. This type of depression causes symptoms like low energy, sadness, and social withdrawal, which are treated with light therapy or antidepressants.

6. Substance-induced Mood disorder

This condition leads to changes in mood that are triggered by alcohol, cocaine, medications, or exposure to toxins, which lead one towards anxiety and depression.

What are Risk Factors of Developing Mood Disorders?

Risk factors include life experiences and stressful life events that increase the risk of certain types of mood disorders. This condition may occur along with neurological disorders and affect the brain and the nervous system. For example, depression is common among people with multiple sclerosis, dementia, traumatic brain injury, stroke, and epilepsy. Depression also often occurs in people who have movement disorders like Parkinson’s disease and those who have other long-term health conditions.

Here are some of the risk factors associated with this condition:

  • Family history of depression or bipolar disorder.
  • Previous depressive, manic, or hypomanic episodes.
  • Trauma, abuse, bereavement, or prolonged stress.
  • Chronic pain or long-term medical illness.
  • Sleep disruption or major changes in routine.
  • Alcohol or drug use.
  • Pregnancy, postpartum changes, menopause, or other hormonal changes.
  • Social isolation or limited access to support.
  • Certain medications or neurological conditions.

Professional Diagnosis

Mood disorders are serious conditions, as the symptoms may seem like other conditions or mental health problems. Always talk with a healthcare provider for a diagnosis. A mental health expert uses the DSM-5 TR in order to diagnose this condition. They may ask questionnaires, check your history, and meet with the caregivers and parents in order to know the exact cause. This condition cannot always be prevented, but early diagnosis and treatment can reduce the severity of symptoms. It can also enhance the person’s normal growth and development and improve their quality of life.

Treatment and Management

Understanding the various types of mood disorders, their causes, and available treatment options is essential for fostering a compassionate and informed approach. Without treatment, symptoms can last for weeks, months, or years. Treatments for these disorders include medications and therapies. Long-term, ongoing treatment helps people improve overall health and manage symptoms.

Some of the common treatments include:

Medications

Mental health professionals recommend medication after looking at the severity of the symptoms. The medicines work very well, especially when combined with psychotherapy. There are some antidepressants that also prove beneficial in controlling depression. People should not start, stop, or change psychiatric medication without medical guidance.

Psychotherapy

Psychotherapy is one of the best options for managing this disorder and other related conditions that are associated with mood disorders. Most commonly, cognitive-behavioral therapy or interpersonal therapy is best for managing this condition. It focuses on identifying and restructuring negative thought patterns that drive depressive and anxious behaviors and helps to enhance relationship skills.

Here are some other therapies:

  • Dialectical Behavior Therapy (DBT): This therapy combines acceptance and change strategies to decrease emotional dysregulation and self-harming behaviors.
  • Interpersonal Therapy (IPT): It is a type of therapy that focuses on behaviors related to you and the people. It improves mood by dealing with unresolved sorrow, social role conflicts, and interpersonal deficiencies.
  • Psychodynamic Therapy: Psychodynamic therapy investigates senseless conflicts, early childhood experiences, and emotional repression contributing to chronic mood symptoms.
  • Group Therapy: Group therapy facilitates support from family and friends, shared experiences, and social learning to decrease loneliness and improve management strategies.
  • Mindfulness-Based Cognitive Therapy (MBCT): MBCT combines mindfulness practices to decrease the chances of relapse in individuals with recurrent depression.
  • Behavioral Activation Therapy: BAT facilitates engagement in activities that are positive for the mind, and it also helps equalize avoidance behaviors and anhedonia.
  • Family-Focused Therapy: Family-focused therapy focuses on family communication patterns and dynamics to stabilize mood symptoms, especially in adolescents with bipolar disorder.
  • Emotion-Focused Therapy (EFT): Emotion-focused therapy focuses on understanding, acceptance, and transformation of core emotional occasions affecting mood states.
  • Support groups: Support groups provide peer-based connection. Group participation enhances engagement, reduces stress, and offers practices to cope with mental health conditions over time.

Conclusion

Mood disorders can affect both mental and physical well-being. Trouble sleeping or sleeping too much, changes in appetite or weight, decreased energy, headaches, stomachaches, and tiredness can occur with this condition. This condition is most often treated with medicine, psychotherapy, cognitive behavioral therapy, family therapy, or a combination of medicine and therapy. When correctly diagnosed and treated, people with this disorder can live stable, productive, healthy lives.

Seek professional Help at Orange Coast Psychiatry

It’s important to remember that mood disorders are mental health conditions. As with all mental health issues, seeking help as soon as symptoms appear is very important to reduce their impact on your physical health. At Orange Coast Psychiatry, we offer treatments that help you recover from mood disorders and their impact. Our highly expert team of mental health professionals will help you regain control of your life and maintain your long-term physical health. We cover a wide range of insurance plans so you don’t have to worry about the bills and reimbursements. You can also get treatment with ease from the comfort of your home through our telephysician appointments.

Book your consultations now!

Frequently Asked Questions

Yes, people may feel empty inside when they have a mood disorder. It is because of sustained emotional instability and psychological detachment. It may cause low energy states and impaired affective processing.

The biological causes of this condition are directly linked to neurotransmitter imbalances, genetic inheritance patterns, hormonal fluctuations, and abnormalities in brain structure and function. Neurotransmitters such as serotonin, dopamine, and norepinephrine regulate emotional processing; dysregulation in these chemicals results in prolonged depressive or manic states.

Depression affects the overall body. It affects the brain chemistry, decreases energy, and leads to physical pain. These physical symptoms lead to sleep problems and stomach problems through stress hormones and inflammation.

Yes, this condition can lead to several physical health issues, including digestive issues.

Yes, if the physical health issues are occurring because of this disorder, treating it can ultimately help in managing physical health.

Yes, they are directly connected with sleep, as conditions like depression and bipolar disorder change brain neurotransmitters and hormones. This ultimately leads to issues with falling asleep, staying asleep, or sleeping too much.

Yes, they are closely linked to inflammation. Most of the individuals with these conditions show the symptoms of low-grade, long-lasting physical inflammation.

Yes, this therapy can be really helpful in reducing stress and improving physical health. In this therapy, a mental health professional trains the mind to focus on the present moment and helps in accepting thoughts. This therapy helps in managing the body’s “fight-or-flight” response and promotes overall well-being.

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Frequently Asked Questions

Yes, people may feel empty inside when they have a mood disorder. It is because of sustained emotional instability and psychological detachment. It may cause low energy states and impaired affective processing.

The biological causes of this condition are directly linked to neurotransmitter imbalances, genetic inheritance patterns, hormonal fluctuations, and abnormalities in brain structure and function. Neurotransmitters such as serotonin, dopamine, and norepinephrine regulate emotional processing; dysregulation in these chemicals results in prolonged depressive or manic states.

Depression affects the overall body. It affects the brain chemistry, decreases energy, and leads to physical pain. These physical symptoms lead to sleep problems and stomach problems through stress hormones and inflammation.

Yes, this condition can lead to several physical health issues, including digestive issues.

Yes, if the physical health issues are occurring because of this disorder, treating it can ultimately help in managing physical health.

Yes, they are directly connected with sleep, as conditions like depression and bipolar disorder change brain neurotransmitters and hormones. This ultimately leads to issues with falling asleep, staying asleep, or sleeping too much.

Yes, they are closely linked to inflammation. Most of the individuals with these conditions show the symptoms of low-grade, long-lasting physical inflammation.

Yes, this therapy can be really helpful in reducing stress and improving physical health. In this therapy, a mental health professional trains the mind to focus on the present moment and helps in accepting thoughts. This therapy helps in managing the body’s “fight-or-flight” response and promotes overall well-being.

Reference and Footnotes

Trivedi, M. H. (2004). The link between depression and physical symptoms. https://pmc.ncbi.nlm.nih.gov/articles/PMC486942/

Colomer, L., Anmella, G., Vieta, E., & Grande, I. (2020). Physical health in affective disorders: a narrative review of the literature. Brazilian Journal of Psychiatry, 43(6), 621–630. https://doi.org/10.1590/1516-4446-2020-1246

Carlson, K., Mughal, S., Azhar, Y., & Siddiqui, W. (2025, January 22). Perinatal depression. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK519070/

Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M. A., Petukhova, M., & Kessler, R. C. (2007). Lifetime and 12-Month Prevalence of Bipolar Spectrum Disorder in the National Comorbidity Survey Replication. Archives of General Psychiatry, 64(5), 543. https://doi.org/10.1001/archpsyc.64.5.543

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Dennis Ly Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly

Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly is a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering compassionate, evidence-based, and holistic care. With eight years of nursing experience in emergency medicine, Dennis gained extensive experience working with patients in acute crisis, including those with psychiatric and behavioral health needs. These experiences fostered his passion for mental health and shaped his ability to remain calm, empathetic, and collaborative when supporting patients during their most vulnerable moments.

He earned his Master of Science in Nursing from Capella University and completed his Post-Master’s PMHNP certificate at National University, where he received advanced training in psychiatric assessment, psychopharmacology, and therapeutic interventions for children, adults, and geriatric patients. His clinical focus includes the treatment of anxiety, depression, bipolar disorder, schizophrenia, and ADHD.

In addition to medication management, Dennis integrates therapeutic modalities such as cognitive behavioral therapy (CBT), motivational interviewing, and patient-centered therapy into his practice, tailoring care to each individual’s goals and values. He approaches treatment with a holistic and collaborative philosophy, meeting patients where they are and empowering them to build resilience through personalized care.

Outside of work, Dennis enjoys exercising, eating sushi and Korean BBQ, and traveling.

Leemarie Lewis

Psychiatric-Mental Health Nurse Practitioner-BC

Leemarie Lewis is a Board-Certified Psychiatric Mental Health Nurse Practitioner with over six years of experience in emergency medicine, community health, and psychiatric care. She earned her Master of Science in Nursing from West Coast University, where she completed focused training in psychiatric assessment, psychopharmacology, and evidence-based therapeutic modalities across the lifespan. Her clinical interests include the treatment of anxiety, mood disorders, ADHD, OCD, trauma-related conditions, and substance use disorders.
She began her healthcare career at UCLA Health as a nursing assistant, where she frequently served as a one-to-one observer for patients in acute psychiatric crisis. This experience sparked her deep interest in mental health. She went on to provide care for unhoused individuals in Los Angeles, supporting both physical and psychiatric needs while advocating for underserved populations. Much of her clinical background was spent as an emergency department nurse at a Level 1 trauma and county facility, where she gained valuable experience managing complex psychiatric and medical emergencies with empathy and precision.
Leemarie is committed to delivering equitable, inclusive, and culturally responsive care. She emphasizes the importance of creating a collaborative, patient-centered environment where individuals feel heard, supported, and empowered in their mental health journey. She integrates preventive care, patient education, and individualized treatment planning into her practice.
Outside of work, Leemarie enjoys staying active, practicing self-care, and spending time with family and friends. She also loves traveling and trying new experiences that bring joy and balance to her life.

Vivienne Peng

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Mandarin Chinese)

Vivienne Peng is a board certified Psychiatric-Mental Health Nurse Practitioner with over 10 years of nursing experience working in the mental health field. Fluent in both English and Mandarin Chinese, she brings a culturally responsive, person-centered care that honors each individual’s unique background and walks of life.

Vivienne’s clinical expertise spans crisis de-escalation, therapeutic communication, and evidence-based treatment modalities. She draws on a mix of techniques such as psychotherapy-based interventions, integrative care models, medication management, psychoeducation, and complimentary approaches in her care. She has worked with individuals ages 6 and above across a variety of settings. She supports individuals with mental health challenges including depression, anxiety, mood disorders, PTSD, Schizophrenia, and more. She is committed to provide compassionate, empathetic, individual-focused care, always meeting individuals where they are with respect, authenticity, and clinical skills.
Vivienne’s Practice emphasizes on creating a safe and judgement free environment where individuals feel supported and empowered on their mental health journey towards healing and growth. Drawing from the foundation of nursing, trauma-informed, and holistic care, Vivienne collaborates with individuals to develop personalized treatment plans grounded in current research, best practices, and the individual’s own goals and values.

Outside of work, Vivienne enjoys traveling, discovering new restaurants, watching movies and visiting museums. She genuinely enjoys meeting new people and feels inspired everyday by the strength and resilience of those she serves.

Dr. Grawert

Psychiatrist

Dr. Lauren Grawert is a double board-certified psychiatrist with the American Board of Psychiatry and Neurology and Addition Psychiatry. She is an integral part of the team of Supervising Psychiatrists for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast Psychiatry.
In previous roles, Dr. Lauren Grawert was the founder of LHG Telemedicine LLC, as well as Chief of Psychiatry (Northern Virginia) for the Mid-Atlantic Permanente Medical Group; she has also worked in private practice specializing in general psychiatry, substance use disorders, and medically assisted treatment (MAT). Dr. Grawert has served as an expert for the San Diego Community Response to Drug Overdose Task Force; the Addiction subcommittee leader for Kaiser Permanente National Mental Health & Addiction Leadership Organization; and a Professor of Psychiatry at Penn State College of Medicine. She received her medical and psychiatric training at Medical University of South Carolina.
Dr. Grawert is also experienced with a variety of behavioral healthcare models through both private practice and leadership roles at Kaiser Permanente and other organizations.

Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
In his role at Orange Coast Psychiatry, Jackson leads clinical operations while ensuring regulatory compliance and delivering high-quality care. His core competencies include psychiatric assessment, evidence-based interventions, crisis management, clinical leadership, and risk mitigation. Above all, Jackson strives to make mental health care accessible and effective for everyone, supporting individuals in making meaningful progress, improving their quality of life, and achieving lasting well-being.

May Faustino

Psychiatric-Mental Health Nurse Practitioner-BC

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

M.D. – Psychiatrist

Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Nicole Leonce

Doctor of Nursing Practice & Psychiatric Mental Health Nurse Practitioner-BC

Nicole Leonce is a Board-Certified Psychiatric-Mental Health Nurse Practitioner with over five years of experience in psychiatry and a strong medical background. She earned her Doctor of Nursing Practice degree from the University of San Francisco and is a proud member of the Sigma Theta Tau International Honor Society of Nursing. Nicole has a special emphasis in Trauma-Informed Care and is deeply committed to providing compassionate, patient-centered, and culturally responsive treatment.

Her clinical expertise includes the diagnosis and management of depression, anxiety, bipolar disorder, trauma-related conditions, ADHD, OCD, substance use disorders, and mood disturbances. She also provides care for individuals navigating grief, life transitions, and relationship stressors. Nicole integrates evidence-based approaches such as psychodynamic therapy, motivational interviewing, and solution-focused techniques, along with medication management, to help her clients achieve balance and emotional well-being.

Nicole believes that every patient’s story deserves to be heard and validated. She strives to create a safe and supportive environment where individuals feel empowered to explore their challenges and reach their full potential.

Outside of her practice, Nicole enjoys reading, traveling, exploring museums, cooking, and dining with friends and family. She also loves spending time with her miniature poodle, Nico.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.