An Integrative Psychiatric Practice
Healing the Brain.
Restoring the Person.
Harnessing Innovative Strategies
We don't stop at the diagnosis.
A diagnosis should truly open the door to better questions—not close it.
Our mission is to uncover the root causes behind brain and body health challenges through integrated, whole-person care—giving individuals and families the answers, understanding, and path forward they need to create lasting change, reclaim their health, and rediscover hope for what’s possible
Together we can turn complex symptoms into a clear direction by identifying what is actually driving them in the first place and then giving you a personalized road map
Our Core Values
1. Relentless Curiosity
We never stop asking why. We look beyond symptoms, challenge assumptions, connect the dots, and keep searching for answers when others have stopped looking.
2. Whole-Person Care
We see the person, not a diagnosis. We recognize that brain, body, nutrition, hormones, lifestyle, environmental exposures, and lived experience are all interconnected—and we care for the whole, not isolated parts.
3. Hope
We believe people are more than their symptoms or diagnoses. We create space for possibility, progress, and the belief that meaningful change is possible. We also track changes!
4. Compassion
We listen deeply, lead with empathy, and make people feel heard, understood, and respected. Every person deserves care that honors their story.
5. Empowerment
We give people understanding, agency, and practical tools to participate in their own healing. Our goal isn't dependence on epoH—it is helping people become confident advocates for their own health.
My integrative approach is designed for people who want to understand what is contributing to their symptoms and explore ways to improve how their brain functions.
Together we can understand and address your root causes, not just the symptoms. We have several programs, but our signature Hoʻōla Brain Blueprint Method (Hoʻōla in Hawaiian means to heal, restore, and give life) this is the most comprehensive.
The Hoʻōla Brain Method™ is a highly personalized and coordinated brain restoration program, a road map designed specifically for you that integrates functional psychiatry, advanced brain mapping, neurofeedback, metabolic health and other complementary wellness approaches to support cognitive performance, emotional resilience, sleep, and whole-person health.
Our personal philosophy in delivering holistic care is to take a total mind-body approach, to move beyond labels, to examine the emotional, biological, epigenetic, energetic, and environmental forces that create obstacles at a cellular level. These obstacles can manifest as signals. My work is centered on the belief that our mind and body are one and are always searching for and seeking balance and restoration.
epoH Wellness also helps parents of autistic children who are struggling with significant behavioral, cognitive, learning, or physical challenges—and who feel dismissed or out of options—we look beyond the diagnosis, investigate the whole picture, and develop a personalized, practical path forward. We understand that nervous system dysregulation maybe influenced by a variety of factors including chronic inflammation, nutrition, sleep, toxins, metabolism, stress and trauma, hormones, infections, genetics……areas others may not examine all together or dismiss.
I believe symptoms are signals, not personal failures!
You are not missing something—something has probably been missed.
We look at the foundation & network driving behavior, emotions and function.
Healing the Brain. Restoring the Person. Harnessing Innovative Strategies
Where did this name come from? Hope spelled backward is… epoH! We use evidence-based and evidence informed integrative and functional medicine practices, to flip things around and provide answers. We all deserve a system where we can get answers, and transformational changes. epoH is also an acronym for Epigenetic Program Optimizing Health, which is just one of our many modalities for helping you or your child heal by working at the cellular and energetic levels, not just focusing on neurotransmitters, but what impacts them.
If you have been told your labs are fine, or your symptoms are in your head, or your child will outgrow "behavioral issues”, I am the PMHNP who keeps looking for answers for you. Instead of stacking another prescription on top of unanswered questions, I help families uncover foundational issues -the biological, energetic, nutritional, neurological and environmental causes which may have been missed, or the dots may have never been connected during previous visits.
We want you or your loved one to finally get the comprehensive targeted, personalized care you deserved all along.
At epoH Wellness, we believe people deserve more than symptom management—they deserve concrete answers. Born from a deeply personal journey through misdiagnosis, uncertainty, urgency and the search for healing, epoH was created to bring hope back into healthcare. We integrate psychiatric care, functional medicine, neuro-regulation tools, nutrition, and lifestyle medicine because true wellness cannot be separated into isolated parts. We believe the brain and body work together, symptoms tell a story, and healing begins when people feel heard, understood, and empowered. Through relentless curiosity, compassion, and a commitment to uncovering root causes, we help individuals and families reclaim their energy, restore brain health, and rediscover hope for what's possible
I offer an integrative and functional psychiatry approach specializing in personalized, root-cause care for children with Autism and ADHD, the families who love them, and adults ready to think outside the box regarding their own mental health. We want you and your children to thrive. I also help successful veterans and professionals with anxiety, depression, ADHD, or brain fog uncover the biological root causes affecting their performance so they can regain clarity, emotional resilience, and confidence without guessing what's wrong.
I believe symptoms are signals, not a weakness. In many people, behavior and symptoms drive diagnosis, but what drives those?
Hidden physiological imbalances. The body has an innate and exquisite ability to adapt, but it shows you signals.
Healing is possible once we find what is standing in its way.
You and your family are precious!
We can figure this out together!
Our families are our worlds! I would like to offer your family:
Integrative and functional psychiatric care for children with autism, ADHD, and neurodevelopmental challenges
Whole-body support for parents and caregivers navigating life with a special-needs child
Root-cause work for adults with ADHD, depression, anxiety, panic, trauma, insomnia, and burnout
Cognitive performance, longevity, and brain optimization for adults who want to reach their full potential and be their best self
Care for veterans, military families, and first responders who carry the unspoken weight of trauma and stigma associated with asking for help
Mental health symptoms tied to hidden environmental exposures, including mold, heavy metals, and effects from water contamination
You don’t have to navigate this alone.
If you’ve been searching for answers and are ready for a deeper, more personalized approach using cutting edge diagnostic tools and treatment techniques, we are….
Now accepting new patients.
Think outside. No box required.
I invite you to be open, next take small steps, privately take an on-line course, book a consult, or jump all in and consider our signature
Hoʻōla Brain Blueprint program!
Do you...
…Lie awake at 3am asking yourself, "What is going on with my child?", knowing in your gut something is off, even after being told their labs are fine, they will outgrow it, or they're "just a behavioral teen" or that is “normal, especially for young boys”.
…Wonder if you're a good parent, while quietly carrying the weight of appointments, frustrating waitlists, meltdowns (theirs and yours), and a system that keeps sending you home without real answers or you are not seeing any positive changes?
…Wish someone would finally look at the why behind your child's symptoms instead of handing you another prescription?
…Feel like this dark cloud over your family won't lift, and you're running on four hours of sleep, trying to keep it together, dealing with chaos?
…Worried you did something wrong as a parent, shutting out those who give you unsolicited parenting advice?
…Are you personally struggling to keep it all together, feeling anxious, sad, snapping at the people you love for no reason?
…Wish someone could tell you why you feel so terrible, so off, when every provider you've seen says nothing is wrong or just asks you if you want to try a medication for “your stress”? Wondering if you can get ever get back to your best self?
…Want a provider who will sit with you long enough to actually listen, not dismiss you, but treat you as a partner in your own healing journey, and never recommend something she wouldn't try or do for her own family?
If any of this feels like part of your story, you are exactly the person I am here for. I listen and believe you, always.
I would like to offer integrative care and for more complex issues, a 5-step restorative framework to help you
or your loved one be their best self again.
Aloha!
I’m Denise Pronesti, MSN, APRN, PMHNP-BC
I am an integrative psychiatric nurse practitioner who believes symptoms are signals, not a weakness, not a lack of willpower, and they are not just “in your head”. There is always a reason for our emotional state, our energy and behavior. The body has an innate ability to adapt, but to truly heal we need to uncover any roadblocks & obstacles standing in its way.
I came to this work the long way around. I started in healthcare in 1986 working in many roles in acute care hospitals, community based primary care centers and the military. I served 27 years in the Air Force Reserves as a flight nurse and retired as a Lieutenant Colonel. I sharped my sword with numerous deployments, including to Europe, Asia, Southwest Asia, Africa including Operation Desert Storm and saw combat in Mogadishu, Somalia. I have always been drawn to the rooms where the stakes are highest and the mission intense.
My life turned upside down and my career trajectory changed when my own child was diagnosed with autism, PANDAS and intellectual disability. I lived daily with the sense of urgency to find a reason for his illness and sought numerous treatments. Shockingly, It took years and we were dismissed, turned away and even discharged from practices. I spent 16 years learning functional medicine, turning over every rock to find the answers that the conventional system missed, or dismissed or would not order. I learned about nutrigenomics, toxic environmental exposures (mold, heavy metals, lead, and fuel contamination), nutritional and cellular deficiencies, gut health, and how all of these can impact the mitochondria and neuroimmune pathways. I was navigating as a mom and a clinician- but many times felt alone and abandoned. That long road gave me an advanced lens I apply to you and your loved ones, and a very simple promise to every patient who sits across from me: I will uncover answers for you and will never recommend something I would not do for my own family or myself. I looked outside the box and found extraordinary answers. I encourage you to consider uncovering the data and treatments you are looking for; so together we can work for the best health you or your loved one deserves and create that healthy future!
Every person on this earth deserves the chance to live their best life.
You and your family really are worth it!
Clinical Areas of Focus
Autism spectrum disorder, neurodevelopmental or sensory challenges
ADHD, anxiety, behavioral concerns, and learning struggles in children and teens
Support for parents and caregivers of special-needs children
Depression and anxiety, unexplained sleep issues
Early cognitive decline and family support around early memory loss
Mental health symptoms tied to gut dysbiosis, environmental exposures, including mold, heavy metals, fuel and pesticide contamination
Hormonal, thyroid, gut, and nutrient-driven mood and cognitive issues
Cognitive performance, longevity, and brain optimization for adults & children
Mental health support for veterans, military families, and first responders
Lifestyle and nutritional coaching toward your unique genetic makeup
How I Help
Every care plan I build is highly personalized. These are some of the tools I reach for to help you and your child finally feel seen, heard, and on your way to healing.
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Real conversation, real time. We work on the thoughts, traumas, and family dynamics living alongside the biology, sometimes during a telehealth session, to save you time, and sometimes during an in-office visit (all initial intakes).
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Real data, not guesses. We look at gut health, nutrient deficiencies, inflammation, hormones, thyroid function, nutrigenomics so we can stop chasing symptoms and start treating root causes that are leading to your symptoms.
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Your unique genetic blueprint, decoded. Once we see how your body handles things like Vitamin D, glutathione, and histamine, we can match the right supports to your biology instead of guessing and help your body's detoxification systems.
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When medications are the right tool, I prescribe them carefully and explain the why. Never a one-size-fits-all script, never stacking pills to chase side effects.
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Mold, heavy metals, fuel and chemical exposures, including, in Hawaii, the Red Hill fuel contamination. I have lived this with my own family and I know how to test for it and walk you through clearing it out of your body.
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Medical-grade, precision-matched to your labs and your story. Every supplement has a reason to be there, and we adjust as you do.
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With QEEG we can see which parts of the brain are out of rhythm and train them, with at-home options for busy families and outer-island patients, tools include: neurofeedback, and interactive metronome and personalized neuro sensory and integration programs.
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When deficiencies, infections, or toxic burdens are high and overwhelming your system, IV therapy may help you feel meaningfully better, faster. We can even do psychotherapy while it runs, because your time matters.
Symptoms are signals.
Together, we listen to them, decode them,
and help you and your family thrive!
LET’S CONNECT
I offer a complimentary 15-minute consultation to hear what is weighing on you or your child or loved one. Let’s see if my approach is the right fit for your healing journey.
Before booking, I invite you to take a look at the services page, so you have a clear picture of appointment types, fees, and what to expect when we sit down together.
You have already been fighting hard for answers. Let's see what we can uncover when someone is finally willing to look totally outside the box with you.