Your Health, Your Story:

Inclusive Care for
Whole-Body Wellness

Who I am:
Macayla Richards

I’m a PNW native with a passion for LGBTQ+ care, Body Positive, and Mental Healthcare. My approach combines modern medicine with naturopathic options, based on what works best for each individual. With a warm, open style, I encourage questions to understand your whole story. Outside the clinic, I enjoy life with my wife and our two lively dogs, Lilo and Zelda.

A picture of Doctor Macayla Richards outside, in front of a green-leafed tree. She's wearing a light pink blouse with a burgundy stethoscope around her neck. She has short brown hair, glasses, and a bright smile.

My Services:

  • Preventative Care:

    • Annual Adult and Pediatric Wellness Exams (including annual labs)

    • Vaccines (including delayed schedule)

    • LGBTQ+ Wellness Care

    • Breast Exams & Paps

    • STI Screenings

    • Orders and Referrals for other Preventative Procedures

      • e.g. colonoscopies, mammograms, DEXA scan

    • Contraceptive and Fertility

    Lifestyle Foundations

    • e.g. nutrition, movement & activity, sleep quality, stress management, self-care

  • Trauma-Informed Care

    HAES Practitioner (Health at Every Size)

    Gender-Affirming Care

    • Including HRT for adults and pediatrics age 15+

    Gynecologic Care

    • Body and gender inclusive, trauma-informed

    Menopausal Hormone Therapy

    Acute and Chronic Care

    Mental Health and Wellness (Neurodivergent Care)

    • ADHD

    • Anxiety

    • Autism

    • Bipolar

    • Depression

    • Eating disorders

    • OCD

  • Labs

    • Diagnostic, nutritional status, hormone, and annual labs

    • Genetic testing

      • Includes GeneSight testing for personalized psychiatric medication guidance

      • MyRisk for breast cancer and colon cancer genetic mutations

      • MTHFR and COMT genetic mutations (e.g. metabolic)

      • DUTCH testing for hormones

      • Comprehensive, functional GI panels

    Whole-Patient Prescribing (psychiatric / mental health / physical)

    • The above genetic testing contributes to establishing each patient’s particular needs

    • Evaluate the existing therapies when prescribing

      • Pharmaceuticals, natural herbs, and/or supplements

    • Identifying what medications or herbs may metabolize differently for individual patients

      • Potentially revealing contraindicated medication or best fits

    Discuss both Pharmaceutical and Herbal Treatment options

    • For example:

      • Saffron vs Stimulants vs Non-stimulants for ADHD or similar experiences

      • Lemon Balm vs L-Theanine vs Anxiolytic medications for anxiety, panic disorders, and others

  • Telehealth Visits

    Patient Portal

    • After-visit Summaries

    • Messages - If you have a question, please ask!

      • “There are no silly or stupid questions. You are never a bother if you send in a message/question.”

    Patient Letters

    • Letters for work accommodations:

      • Leave of absence

      • Modified duties, schedule, and/or tasks

    • Letters for school

      • Support for absences

      • Adjusted homework and/or testing requirements

    • Letters supporting transgender rights

      • In school and/or at work

    • ESA letters (emotional support animals)

    • Transgender surgery support letters - WPATH

    • FMLA letters

A collection of small yellow, brown, and green leaves arranged in a circle on green moss, with a small red fruit and a small berry at the center.

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