Answers to the questions we hear most often from patients considering care

Your first day with us is a full diagnostic evaluation. From there, you move into personalized treatment for the rest of your visit. See our pricing page for details.

No. You can book directly without a referral. However, we will request your relevant medical records so we can review what testing has already been done and avoid duplicating work unnecessarily.

We specialize in complex neurological conditions including POTS and dysautonomia, ME/CFS, post-concussion syndrome, Long COVID, vestibular disorders (dizziness, vertigo, balance problems), chronic migraines, hypermobility-related neurological dysfunction, movement disorders, and neurodevelopmental conditions. Many of the patients we see carry more than one of these diagnoses — the overlap is common, and our evaluation is designed to find the underlying mechanisms regardless of how many labels are involved.

That is more common than not. We have condition-specific pages on our website because people often search by diagnosis, not because we treat each label with a separate protocol. Our testing is designed to understand the underlying mechanisms driving your symptoms, regardless of how many diagnoses you have been given.

You can verify whether your insurer may reimburse you for your care with us by asking them which of our diagnostic and treatment codes they cover. While we're not contracted with any insurance carrier, many patients have out-of-network benefits that make them eligible for reimbursement. You do not need a referral or insurance approval to be treated here, and HSA and FSA funds are accepted.

Not at the beginning. The first phase of care has to happen in person, because we do not build treatment plans from symptoms, diagnostic labels, or guesswork. We need objective testing and in-person treatment to understand what is driving your symptoms and to see how your system responds in real time. Once that work is done, post-visit virtual follow-up is included in your care. That support is built around the findings and progress from your time in clinic.

That is one of the most common concerns we hear, especially from patients who have been mostly housebound or bedridden. Many of our patients were convinced they were too unwell to make the trip — right up until they arrived. They were not wrong to feel that way, and they were not the exception. Our team can help you think through the logistics, timing, and lodging options that make the visit as manageable as possible. And once you arrive, our clinic is set up to meet you where you are — with rest breaks, recliners, and a pace that accounts for the reality of your condition.

Most patients stay 2 to 4 weeks, and some stay longer. Your reservation locks in your first week, and that's the only part you commit to up front. From there we plan the rest of your stay together, based on what your evaluation shows and how you respond. All we need at the start is a ballpark of the time that you can stay. Those weeks are where we find what's driving your symptoms, treat it, and retest so you can see the change while you're still here. You go home with a program built from your own results, and that program is what keeps the progress going.

Our patient care coordinator can help you plan logistics. We work with patients from across the country and internationally — we're experienced in making the process as smooth as possible. We can recommend nearby accommodations and help coordinate your visit schedule. For a full overview of getting here, where to stay, and what to expect, visit our Plan Your Visit page.

We're located in Chelsea, Michigan — about 15 miles west of Ann Arbor and approximately 60 miles from Detroit Metro Airport (DTW). The area has several hotel options for out-of-town patients.

The brain is the most complex system in the known universe. To understand that is to understand that it deserves a thorough, individualized assessment. Conventional neurology's role is to view the brain and nervous system in 2D and 3D, usually through static images designed to detect catastrophic, life-threatening pathology. Functional neurology enters once those findings are ruled out and introduces a 4th dimension: time. It looks at how the brain and nervous system perform, compensate, and break down in real time under moment-to-moment changes in environment.

We will be honest with you. By the time most people find us, they have already been through a lot — physically, emotionally, and financially. The last thing they need is another clinic giving them false hope. If we do not believe our approach is the right fit, we will tell you plainly. And when possible, we will try to help you leave with more clarity than you came in with.

Results can show up in two ways: how you feel, and what we can measure. Some patients notice symptom relief quickly. Others improve more gradually. But we do not rely on symptoms alone to decide whether treatment is working. Unlike most clinics who only use testing to diagnose, we re-test throughout your visit to measure progress. In complex cases the data sometimes improves before your body fully catches up to the difference. Our goal is not just for you to feel better temporarily because you are in a healing environment with attentive doctors. It is to verify that the system underneath your symptoms is moving in the right direction, so those changes can hold when you return home.

Whether you've seen a local cardiologist or traveled to one of the major dysautonomia hospitals, the protocol is often still built around the same basic framework. Standard POTS workups are designed to confirm the diagnosis and manage the presentation, not to fully investigate the mechanism driving it. Our evaluation asks a different set of questions. Instead of stopping at whether you have "POTS," we measure how blood flow to the brain is being regulated under stress, and whether neurological, visual, vestibular, cervical, or other upstream factors are contributing to the breakdown. If you've spent years trying medications, lifestyle changes, and supplements without resolution, exploring these contributors might be the very thing that gets you back to living your life.

We do not ask patients to stop medications abruptly, and any medication changes should be made with your prescribing physician. Our goal is to improve the underlying physiology so your body can regulate itself better over time. As that happens, many patients find they need less medication during care, and many improve enough over time to come off them entirely. Here's how we test whether or not your medications are helping or hurting you.

You're a unique case, so we couldn't be honest if we published a single success rate. Those numbers average together people with different mechanisms, severities, and years of illness. When a study reports improvement, it often reflects how many participants happened to fit a one-size-fits-all protocol. That tells you very little about your own case. If you fit neatly into a bucket, you wouldn't be here still looking for answers.This also asks something of you. Most patients arrive here having spent years working hard to get better, but lacking an aim for that effort. The patients with the best outcomes bring that work ethic, and we give it an aim. We work hard together while you're here, and you leave with what you need to continue making progress at home.