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Anxiety and Mood Support
Anxiety and Mood Support

Anxiety and Mood Support

Anxiety isn't always caused by a single factor. Alongside life stress and mental health, changes in hormone health, thyroid function, blood sugar and nutrient status may also influence how you feel. We take a comprehensive approach to understanding your symptoms, so your treatment plan reflects the whole picture, not just one piece of it.

Licensed NDs · Registered with CONO · 100% virtual · Covered by most extended benefits

Anxiety symptoms: could physical factors be contributing?

Anxiety can look different for everyone. For some, it feels like constant worry or racing thoughts. For others, it shows up as trouble sleeping, heart palpitations, irritability or feeling overwhelmed by everyday tasks.

While therapy and medication are important treatment options for many people, physical health can also influence how the brain and nervous system function. Understanding these factors may help explain patterns in your symptoms and identify additional opportunities for support.

You may benefit from an assessment if you experience:

  • Persistent anxiety or excessive worry
  • Panic attacks or feelings of overwhelm
  • Difficulty falling or staying asleep
  • Racing heart or unexplained palpitations
  • Brain fog or difficulty concentrating
  • Irritability or mood changes
  • Anxiety that changes throughout your menstrual cycle
  • Anxiety that persists despite previous treatment

What contributes to anxiety and low mood physically?

Hormone Health

Changes in estrogen and progesterone throughout the menstrual cycle, postpartum period and perimenopause may influence mood and anxiety for some women.

Blood Sugar Regulation

When blood sugar drops quickly, your body releases stress hormones to bring it back into balance. This can create symptoms like shakiness, a racing heart and feeling on edge that may feel similar to anxiety.

Thyroid Function

An overactive or underactive thyroid can affect mood, energy, sleep and heart rate.

Nutrient Status

Iron, vitamin B12, vitamin D and other nutrients support healthy brain and nervous system function.

“How you're feeling matters, and you deserve to have that experience taken seriously. We'll look at the full picture including both emotional and physical factors to better understand what’s going on. Most importantly, I want you to feel heard, supported, and understood.”
Dr. Courtney Ranieri, ND, naturopathic doctor at Somewhere Health
Dr. Courtney Ranieri, ND
Naturopathic Doctor · Registered with CONO

2x

Women are approximately twice as likely as men to experience an anxiety disorder

1 in 5

people in Canada experience a mental illness in any given year
Sources: CAMH; Government of Canada.

How is anxiety tested (the physical side)?

Your first appointment focuses on understanding your complete health history, not just your anxiety symptoms. We'll review your medical history, menstrual cycle, sleep, nutrition, stress, previous testing and any treatments you've already tried.

Where appropriate, additional testing may be recommended, including thyroid testing, iron studies, vitamin levels, hormone testing or other investigations based on your symptoms and health history.

How can a Naturopath help with anxiety?

Anxiety is influenced by many factors, including the nervous system, stress load, sleep, nutrition, hormones, and nutrient status. Naturopathic care looks at the bigger picture to identify factors that may be contributing and create a personalized plan. Depending on your needs, this may include nutrition strategies, targeted supplementation, lifestyle support, addressing nutrient deficiencies, and support for hormone or metabolic factors when relevant.

How Somewhere Health helps

Care starts with the bigger picture rather than a single test. If you've already been diagnosed, we build on what you know. If you suspect something deeper but have never had a full workup, we can order the testing that gets you clear answers.

Your first visit is 75 minutes with a licensed naturopathic doctor who has reviewed your full intake. Together you'll create a plan that may include nutrition and lifestyle changes, targeted supplementation, and functional testing where appropriate. Bloodwork happens at any LifeLabs or Dynacare, and specialty panels like the DUTCH test ship to your door.

Appointments are completely virtual, so you can access care from anywhere in Ontario, and visits are covered by most extended health benefits plans.

Our Approach

  • Nutrition and dietary guidance
  • Lifestyle recommendations
  • Stress and sleep support
  • Targeted supplementation
  • Functional or laboratory testing when appropriate
  • Ongoing monitoring and treatment adjustments
  • Collaborative care with your broader healthcare team when needed

How it Works

01
ND Matching Quiz
3D calendar with two highlighted dates: book your online naturopath appointment
No need to guess who to book with. Answer a few questions about your health and goals, and we’ll match you with the right ND. Then, book your appointment online.
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02
Book Online
Retro computer illustration: meet your naturopathic doctor by video
Meet your licensed naturopathic doctor virtually for a 60–75 minute initial appointment focused on the full picture to assess treatment and testing options.
Schedule Your Appointment
03
Treatment Plan
Blue beaded ring: your personalized naturopathic treatment plan
You’ll receive a clear, practical plan built around your body, lifestyle, and goals, with ongoing support and functional testing when it can help us understand the bigger picture.
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Reviewed by Dr. Courtney Ranieri, ND

Dr. Courtney Ranieri is a licensed naturopathic doctor with Therapeutic Prescribing authorization, in practice since 2018. She holds a Doctor of Naturopathic Medicine from the Canadian College of Naturopathic Medicine and an Honours BSc from Western University, and her clinical focus is women's health: hormones, fertility, digestion, pelvic floor and metabolic care. She sees patients across Ontario virtually.

Registered with the College of Naturopaths of Ontario · Registrant #3726 · Last reviewed: July 21, 2026
Can hormones affect anxiety?

They can for some women. Estrogen and progesterone interact with the brain chemistry that regulates mood, which is why anxiety sometimes changes across the menstrual cycle, after giving birth or during perimenopause. If your anxiety follows a hormonal pattern, an assessment can help clarify whether hormones are part of the picture.

Can low iron or vitamin deficiencies contribute to anxiety?

Low iron, vitamin B12 and vitamin D have each been associated with changes in mood, energy and concentration. A deficiency doesn't cause anxiety on its own for everyone, but identifying and correcting one can remove a physical stressor that may be amplifying your symptoms.

Should I stop taking my anxiety medication?

No. Please continue any medication as prescribed. Our role is to work alongside your existing care, not replace it. If your goals ever include changing your medication, that decision belongs with the prescribing doctor, and we can support your health throughout that process.

What tests may be recommended?

Testing is based on your history rather than a standard panel. Commonly discussed options include a complete thyroid panel, iron and ferritin, vitamin B12, vitamin D and, where relevant, hormone testing. Your ND will explain why each test is or isn't worth doing in your case.

Are virtual appointments covered by insurance?

Most extended health plans in Canada that cover naturopathic medicine also cover virtual visits, though coverage amounts vary by plan. We recommend checking your individual policy, and we provide receipts you can submit for reimbursement.