Psychiatry, wherever you are.
Brain Bath provides adult telehealth psychiatry across five states. Select your state to learn more about care where you live.
Meet the Founder
Noah Freiburger DNP, PMHNP-BC, CBIS
FOUNDER
Noah Freiburger is a board-certified Psychiatric Mental Health Nurse Practitioner and Certified Brain Injury Specialist. He founded Brain Bath with the vision of creating a mental health practice that blends evidence-based care with a human-centered approach.
Noah’s clinical experience spans inpatient psychiatry, outpatient care, substance use treatment, and work with individuals experiencing severe and persistent mental illness. This diverse background allows him to tailor treatment to the unique needs of each patient, whether the focus is ADHD, anxiety, depression, or complex psychiatric conditions.
In addition to leading Brain Bath, Noah serves as the Medical Director for Mid Michigan Recovery Services (MMRS) and is on staff at Stanford’s Lucile Packard Children’s Hospital. His approach is collaborative, transparent, and rooted in evidence-based practice, with an emphasis on helping patients feel informed, empowered, and supported throughout their mental health journey.
Conditions We Treat
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Depression often presents as persistent low mood, fatigue, and a lack of motivation or interest in activities you once enjoyed. It may interfere with sleep, appetite, concentration, and your ability to function at work or in relationships. Many people also experience irritability, guilt, or feelings of worthlessness.
Common symptoms of depression may include:
Feeling sad, numb, or empty most of the day
Losing interest in activities you used to enjoy
Fatigue or lack of energy
Trouble sleeping or sleeping too much
Changes in appetite or weight
Difficulty focusing or making decisions
Feelings of worthlessness or guilt
Thoughts of death or suicide
If these symptoms resonate, click here to schedule a consultation.
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Anxiety can involve excessive worry, restlessness, and a constant sense of unease, often accompanied by physical symptoms like muscle tension, rapid heartbeat, or gastrointestinal issues. It may affect your ability to focus, sleep, or feel calm in day-to-day situations.
Common symptoms of anxiety may include:
Constant or excessive worry
Restlessness or feeling “on edge”
Trouble sleeping or staying asleep
Muscle tension or body aches
Difficulty concentrating
Irritability or feeling easily overwhelmed
Racing heart or stomach discomfort
If these symptoms resonate, click here to schedule a consultation.
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OCD involves unwanted, intrusive thoughts that trigger anxiety, and repetitive behaviors or mental rituals performed to reduce that anxiety. These cycles can be time-consuming, distressing, and interfere with your day-to-day life.
Common signs of OCD may include:
Repetitive thoughts or fears (e.g., about germs, harm, or mistakes)
Compulsions like excessive cleaning, checking, or counting
Feeling like you have to do certain actions “just right”
Spending an hour or more each day on rituals
Temporary relief after rituals, but anxiety quickly returns
Difficulty focusing due to intrusive thoughts
If these symptoms resonate, click here to schedule a consultation.
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ADHD in adults often goes unnoticed but can significantly affect daily life. You might struggle with time management, staying organized, finishing tasks, or managing emotions. It can feel like your brain is always moving in a hundred directions, leaving you burnt out or frustrated.
Common symptoms of adult ADHD may include:
Trouble focusing or paying attention
Frequently losing items or missing deadlines
Feeling easily distracted or forgetful
Difficulty starting or completing tasks
Impulsive decisions or interrupting others
Emotional reactivity or low frustration tolerance
Restlessness or constant mental noise
If these symptoms resonate, click here to schedule a consultation.
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Trauma can have lasting effects on the brain and body, even years after the event. Whether from childhood experiences, abuse, accidents, medical trauma, or loss, symptoms can show up as hypervigilance, emotional numbness, nightmares, or feeling constantly “on edge.”
Common trauma-related symptoms may include:
Flashbacks or intrusive memories
Nightmares or disturbed sleep
Avoidance of people, places, or reminders
Feeling detached or emotionally numb
Hypervigilance or easily startled
Trouble concentrating or relaxing
Feelings of shame, guilt, or helplessness
If these symptoms resonate, click here to schedule a consultation.
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Personality disorders affect how you see yourself and relate to others. You might notice patterns of intense emotions, difficulty trusting people, fear of abandonment, or unstable relationships. These patterns can feel hard to break, but with the right support, they can change.
Possible signs of a personality disorder may include:
Trouble maintaining stable relationships
Intense emotional reactions or mood swings
Chronic feelings of emptiness or identity confusion
Fear of being abandoned or rejected
Distrust of others or difficulty opening up
Impulsive actions that feel hard to control
Self-harm or suicidal thoughts during emotional distress
If these symptoms resonate, click here to schedule a consultation.
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Mood disorders, such as bipolar disorder, involve shifts in energy, mood, and activity levels that affect your ability to function. You may feel deeply depressed at times, and at other times, unusually energetic, talkative, or impulsive. These changes can impact sleep, relationships, and judgment.
Signs of a mood disorder may include:
Periods of very low energy, sadness, or hopelessness
Loss of interest in usual activities
Periods of unusually high energy or feeling “wired”
Needing little sleep but still feeling energetic
Racing thoughts or rapid speech
Impulsive or risky behavior
Mood swings that feel hard to control
If these symptoms resonate, click here to schedule a consultation.
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Substance use can start as a way to cope with stress, pain, or emotion — but over time, it can become harder to control and start interfering with your relationships, work, and sense of self. Even if you’re not sure it qualifies as a “problem,” you deserve judgment-free support in exploring your relationship with substances.
Signs that substance use may need attention include:
Using alcohol or drugs more often than intended
Trouble cutting back or stopping
Using to cope with stress, sleep, or emotions
Feeling guilty or hiding use from others
Changes in mood, energy, or health
Impact on work, relationships, or responsibilities
If these symptoms resonate, click here to schedule a consultation.
FAQs
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Yes, supportive therapy is integrated into medication visits as appropriate. If you need weekly psychotherapy, we can coordinate with a therapist while we manage medications.
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Currently, Brain Bath only sees patients living in the state of Michigan, California & Washington. Check back soon as we work on expanding our services.
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If medication is recommended as part of your treatment plan, we send prescriptions electronically to the pharmacy of your choice — no paper scripts, no extra steps. Most medications can be sent to any retail pharmacy. Some controlled medications (such as stimulants for ADHD) may have additional regulations depending on the state you live in and the pharmacy’s stock. We’ll review these details with you during your appointment so there are no surprises.
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Our services are focused on adults, generally age 18 and older. If you’re looking for care for a child or teen, we can recommend trusted pediatric psychiatry and therapy resources in your area.
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If you’re already on a psychiatric medication and are looking to transfer care, we’ll review your history and may request past records from your previous provider. In most cases, we’ll still need to complete an initial assessment before sending any refills. This helps us ensure the medication is appropriate, safe, and part of a treatment plan that fits your current needs.
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You’ll need a phone, tablet, or computer with a camera and microphone, plus a stable internet connection. We recommend using headphones for privacy and better audio quality. Before your first appointment, you’ll receive a secure video link through our client portal — simply click it at your scheduled time to join. There’s no need to download any special software.
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Brain Bath is not an emergency service and we are not able to provide crisis intervention outside of scheduled appointments.
If you are experiencing thoughts of harming yourself or others, feeling unsafe, or are in urgent distress, please use one of the following resources:988 Suicide and Crisis Lifeline – Call or text 988 (U.S.)
988lifeline.org – Live chat support
Emergency – Call 911 or go to your nearest emergency department
If you are outside the U.S., you can find international hotlines here: https://findahelpline.com
You are not alone, and help is available 24/7.
