About Dr. Matthew Narlesky, DO — New Hampshire Psychiatrist
Matthew Narlesky, DO
Board-Certified Psychiatrist · Fellowship-Trained Subspecialist
Licensed in New Hampshire
I became a psychiatrist because I believe mental health care should be thorough, thoughtful, and genuinely collaborative. Many patients come in feeling like prior care was rushed or overly narrow — brief visits, surface-level assessments, treatment that never quite got to the bigger picture. That’s not how I practice.
I take the time to understand the full picture — not just symptoms, but history, medical context, prior treatment, relationships, and the day-to-day realities affecting how you feel. Meaningful improvement in mental health rarely comes from medication alone. It comes from building an accurate understanding of what’s going on and addressing that systematically.
As a New Hampshire psychiatrist, I see patients across the state through secure video visits. Whether you’re managing depression, anxiety, bipolar disorder, or the lasting effects of trauma, my goal is the same: a thorough evaluation, a clear clinical understanding, and a treatment plan built around you — not a protocol.
Training & Credentials
Residency & Fellowship
I completed my psychiatry residency at Unity Health in Arkansas, where I served as chief resident and received consecutive Medical Knowledge Awards for the highest scores on the national in-service exam. I then completed an addiction psychiatry fellowship at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire — one of the region’s leading academic medical centers.
My fellowship training deepened my understanding of neuroscience, brain chemistry, and the biological mechanisms behind mood, anxiety, and behavior. While my current practice focuses on depression, anxiety, bipolar disorder, and trauma rather than addiction treatment specifically, that training shows up in how I approach complex cases and how carefully I think through diagnosis and treatment.
Board Certification
I am board-certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). I am also board-certified in addiction psychiatry, reflecting the depth and range of my clinical training.
Research & Publications
My clinical work is informed by a genuine interest in the science behind psychiatry. I have authored and co-authored peer-reviewed research published in medical journals, including work on psychopharmacology, neuropsychiatric conditions, and complex clinical presentations.
That interest in research helps me think carefully about diagnosis, treatment options, and when a more individualized approach is warranted — not just following standard protocols, but understanding the evidence behind them.
Beyond the Clinic
Outside of medicine, I’m the author of four published children’s books — something most patients don’t expect to learn about their psychiatrist. I also play guitar, bass, and mandolin, and I train in Brazilian jiu-jitsu.
I mention this because it shapes how I think about the work. People are more than symptoms and diagnoses, and good psychiatric care should reflect that.
My Approach — What to Expect
If you become a patient, here’s what working with me looks like:
Your first appointment is a comprehensive psychiatric evaluation — typically 60 minutes. I’ll review your history, current symptoms, prior treatment, medications, and relevant medical and personal background. You’ll leave with a clear understanding of my clinical impressions and an initial plan for moving forward.
Follow-up visits include genuine clinical conversation alongside medication management when appropriate. I don’t practice assembly-line psychiatry — every appointment is a chance to reassess and adjust. Most patients are seen monthly or as clinically indicated.
Medication is one tool, not the default. Whether medication is appropriate depends entirely on your evaluation. When I do prescribe, I explain my reasoning — what I’m targeting, what to expect, and what we’re watching for.
Who I Work With
My practice is best suited for adults 18 and older managing depression, anxiety, bipolar disorder, or trauma who want ongoing outpatient psychiatric care with a physician who takes the time to understand their situation.
As a small solo practice, I’m not currently the right fit for patients in acute psychiatric crisis, those needing inpatient or intensive outpatient-level support, or those with frequent or ongoing safety-related needs — such as recurrent suicidal thoughts or self-injury — that require more support than a practice like mine can consistently provide. I’m also not able to take on patients who are currently prescribed a benzodiazepine or seeking benzodiazepine treatment, and my practice doesn’t include standalone psychotherapy, forensic or disability evaluations, or addiction treatment as a primary concern. I’m only able to see patients located in New Hampshire at the time of their appointment.
If you’re not sure whether this practice is the right fit, you’re welcome to submit the new patient inquiry form describing your situation, and I’ll let you know either way.
Credentials
Matthew Narlesky, DO
- Board-Certified, Psychiatry (ABPN)
- Board-Certified, Addiction Psychiatry (ABPN)
- Fellowship — Dartmouth-Hitchcock Medical Center
- Residency — Unity Health (Chief Resident)
- Doctor of Osteopathic Medicine — Western University of Health Sciences
- Licensed New Hampshire psychiatrist
- In-Network: Anthem BCBS · Aetna · Cigna · Carelon · Point32 · Providence
- Peer-Reviewed Medical Publications
Currently Accepting New Patients Across New Hampshire
New patient appointments are available on a rolling basis. All visits are conducted via secure, HIPAA-compliant video — accessible from anywhere in New Hampshire.
An estimated session cost based on your insurance benefits will be provided before your first appointment.