Clinical Focus

Dr. David Kirk is a licensed naturopathic doctor whose clinical focus is the treatment of complex neurologic and mood conditions, including intractable migraines, Alzheimer’s, dementia, multiple sclerosis, bipolar I and II disorders, OCD, cyclothymia, treatment-resistant depression, and anxiety. His work centers on patients whose conditions are longstanding, multifaceted, or have not responded adequately to conventional approaches.

Care is designed for adults seeking comprehensive, individualized treatment rather than brief or protocol-driven visits. Initial consultations are conducted in person to allow for a thorough assessment, with telemedicine follow-ups available when appropriate. This practice emphasizes depth, continuity, and careful clinical decision-making over time.

Chronic Migraine & Neurological Conditions

Dr. Kirk works with adults experiencing complex neurologic conditions, including cognitive decline, memory impairment, and chronic migraines. Many patients who seek care have been told that their symptoms are progressive, irreversible, or simply something they must learn to live with.

In select cases of cognitive decline, Dr. Kirk has helped patients achieve meaningful improvements in memory, clarity, and daily functioning by identifying and addressing underlying contributors such as inflammation, metabolic dysfunction, nutrient deficiencies, and chronic stress physiology. This work is highly individualized and often pursued when conventional options have been exhausted or stalled.

Chronic migraine is another area of focus. Rather than viewing migraines as isolated headache disorders, Dr. Kirk approaches them as neurologic signals pointing to deeper systemic imbalance. Through a comprehensive evaluation of inflammatory drivers, neurologic sensitivity, metabolic factors, and environmental stressors, many patients have experienced substantial reduction — and in some cases sustained resolution — of migraine frequency and severity, often with reduced reliance on ongoing medications.

Neurologic function and mood are deeply interconnected. Cognitive fog can contribute to irritability or depression. Sensory hypersensitivity can amplify anxiety. Chronic fatigue can destabilize emotional resilience. Likewise, longstanding mood disorders can drive neurologic and physiologic dysfunction over time. For this reason, neurologic symptoms are often explored as part of a broader investigation into complex psychiatric presentations.

Dr. Kirk specializes in complex and refractory cases that require layered, individualized care. There is no single intervention that works for every patient. This practice is best suited for individuals who are motivated to explore root causes, willing to engage in a comprehensive process, and interested in optimizing long-term brain and nervous system health. If your goal is symptom suppression alone without deeper investigation, a conventional insurance-based model may be a better fit.

Bipolar Spectrum & Complex Mood Disorders

Dr. Kirk works with adults experiencing bipolar I disorder, bipolar II disorder, cyclothymia, and other complex mood presentations that have not responded adequately to standard psychiatric treatment. This includes patients with longstanding symptoms, mixed features, medication sensitivity, or incomplete relief despite multiple treatment trials.

Bipolar spectrum conditions are an area of particular clinical focus. When appropriate, Dr. Kirk incorporates individualized homeopathic and integrative therapies aimed at stabilizing mood, reducing intensity of symptoms, and improving overall nervous system regulation. Care is highly personalized, with close attention paid to each patient’s unique symptom patterns, sensitivities, and triggers.

Dr. Kirk also treats obsessive-compulsive disorder and related anxiety conditions. Conventional approaches often rely on psychotherapy and SSRI medications, which can be effective for some individuals. From an integrative perspective, additional therapeutic options may help address underlying contributors to obsessive thoughts, compulsive behaviors, and nervous system hyperreactivity. Many patients seek this care after finding conventional treatments only partially effective or poorly tolerated.

Mood disorders with mixed features — where symptoms of depression and mania or hypomania coexist or alternate rapidly — require especially nuanced care. Treatment often involves addressing sleep disruption, stress physiology, catecholamine imbalance, impulsivity, agitation, and attentional dysregulation. By identifying and stabilizing these underlying contributors, some patients experience meaningful improvements in mood stability and daily functioning.

Treatment-resistant depression and severe anxiety disorders are also common among patients in this practice. Individuals in these categories are often highly sensitive to medications or experience diminishing benefit over time. Naturopathic and integrative medicine offers additional avenues for investigation, including physical medicine, hormonal evaluation, gastrointestinal health, and targeted nutritional and botanical therapies, allowing for continued progress when conventional options have plateaued.

Many patients who seek care have received multiple diagnoses over time and are uncertain which truly reflects the root cause of their symptoms. Dr. Kirk approaches diagnosis carefully and emphasizes functional understanding over labels alone. While psychiatric medications are sometimes necessary, many patients pursue integrative care with the goal of improving stability, resilience, and overall function — and, when appropriate, working collaboratively with their prescribing clinicians to reduce medication burden over time.

Complex mood conditions often require sustained, longitudinal care. Dr. Kirk typically works with patients over a period of one to two years, allowing adequate time for stabilization, healing, and optimization. After this phase, care is often transitioned to an as-needed basis as patients regain confidence in their mental and emotional health.

Complex & Treatment-Resistant Cases

Dr. Kirk’s practice is dedicated to individuals with severe, complex, or treatment-resistant conditions who have not found adequate relief through standard models of care. Many patients who seek this work have been told their case is “too complicated,” have experienced diminishing benefit from prior treatments, or have disengaged from care after repeated partial results.

These patients often arrive after years of navigating multiple treatment strategies that helped somewhat, but never fully addressed the root of their symptoms. Frustration, burnout, and loss of trust in the medical system are common. Some individuals have spent long periods simply enduring their symptoms, while others have attempted to self-manage with limited success.

A frequent concern among patients is the impact of long-term psychotropic medication use on quality of life. While medications can be essential for safety and stabilization, many individuals report ongoing side effects, emotional blunting, or a sense that they are functioning below their true capacity. In these cases, integrative and naturopathic approaches may offer additional support aimed at improving overall resilience, nervous system regulation, and daily functioning.

Conventional neurologic and psychiatric care often focuses on symptom control and slowing progression. Naturopathic medicine seeks to complement this by identifying and addressing underlying contributors that influence long-term outcomes. For some patients, this broader approach allows for improved stability, reduced symptom burden, and — when appropriate — gradual reduction in reliance on medications under careful clinical guidance.

This work requires patience, commitment, and a willingness to engage in a comprehensive process. Dr. Kirk’s practice is best suited for individuals who are motivated to pursue deeper investigation, tolerate complexity, and prioritize long-term health over quick fixes.

Who This Practice Is For

This practice is designed for individuals who value depth over speed and are willing to engage in a comprehensive, thoughtful approach to care. The focus is on identifying underlying contributors to illness and building long-term stability, rather than pursuing short-term symptom suppression or quick fixes.

Care is provided in a private, consultative setting with structured follow-up visits that reflect the anticipated trajectory of healing and stabilization. While patients often experience early improvements, meaningful and lasting change typically unfolds over time. This practice is not a primary care clinic and does not offer brief or episodic medication management.

Most patients who seek care here are looking to better understand their condition, improve overall function, and, when appropriate, reduce reliance on medications through a careful, individualized process. This work requires commitment, patience, and active participation. If you are seeking a single-visit solution or rapid intervention without deeper evaluation, this practice is unlikely to be the right fit.

Sound like a good fit? Explore working with Dr. Kirk by sending him a message.

How Care Is Structured

The initial consultation is an extended, in-depth visit, typically lasting three to four hours. This appointment is designed to allow for a comprehensive review of medical history, symptom patterns, prior treatments, and contributing factors that may be influencing current concerns. Particular attention is paid to features that are most distinctive to each individual, rather than relying solely on diagnostic labels.

Whenever possible, initial consultations are conducted in person to allow for the most thorough assessment. For patients who are unable to travel to the office, telemedicine and, in select cases, at-home appointments are available. Following the initial visit, an individualized treatment plan is developed outlining early therapeutic priorities as well as anticipated phases of care over the coming months.

Follow-up visits are most often conducted via telemedicine. At each visit, progress is carefully reviewed and treatment is adjusted as needed to support continued stabilization and improvement. This iterative process allows care to evolve in response to the patient’s physiology, tolerance, and response over time.

Because complex conditions require adequate time and continuity, many patients engage in care for approximately one year, with two years being common for more involved cases. The goal throughout is not simply symptom control, but sustained improvement and long-term optimization.

Learn more about Dr. Kirk’s background and approach to care on the About page.