If you live with POTS or another form of dysautonomia, you know the routine: you stand up, your heart takes off, the room tilts, and the crash that follows can erase the rest of your day.
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Yet the standard workup keeps coming back "normal," and somewhere along the way someone probably suggested it was anxiety, or deconditioning, or stress.
We hear this story almost every week - and we know how to change its ending.
At Neuroveda Health, dysautonomia and POTS are core specialties. We're one of only three locations in Washington State offering a complete, in-office autonomic nervous system evaluation, which means we can actually test the system that's misfiring, give it a name, and treat it - the whole condition, not just the heart rate.
Seattle clinic with telehealth options for Washington State. We're happy to collaborate with your existing cardiologist or neurologist.
What is dysautonomia?
Dysautonomia is an umbrella term for disorders of the autonomic nervous system - the part of your nervous system that automatically regulates heart rate, blood pressure, digestion, temperature, and sweating. When this system misfires, functions your body should handle without a thought become unreliable, producing dizziness on standing, a racing heart, fainting, gut problems, temperature intolerance, and profound fatigue.
What is POTS?
Postural orthostatic tachycardia syndrome (POTS) is the most common form of dysautonomia we see. In POTS, moving from lying down to upright triggers an abnormal sustained jump in heart rate - typically 30 or more beats per minute in adults - along with lightheadedness, palpitations, brain fog, and exhaustion, without a matching drop in blood pressure.
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Here's what matters most: POTS is real, physical, and treatable. It also disproportionately affects women from their teens through their 40s - exactly the patients most likely to be told it's "just anxiety." You deserve testing, not dismissal.
Common signs of dysautonomia & POTS
If several of these describe your daily life, an autonomic evaluation is worth pursuing:
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A racing heart, dizziness, or near-fainting when you stand up
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Brain fog that rolls in when you're upright and eases when you lie down
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Fatigue that no amount of rest fixes
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Exercise intolerance or crashes after mild exertion
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Heat intolerance, or symptoms that flare in showers and warm rooms
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Nausea, bloating, early fullness, or sluggish digestion
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Tremulousness, adrenaline surges, or unrefreshing sleep
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Blood pooling - feet and legs turning purple or blotchy when you stand still.
POTS rarely travels alone. Your care shouldn't either.
Most clinics treat dysautonomia one symptom at a time - a cardiology referral for the heart rate, a GI referral for the nausea, a shrug for the rest. But POTS commonly arrives with a cluster of interconnected conditions, and treating the cluster is what actually moves the needle.
Hypermobility and Ehlers-Danlos Syndrome (hEDS/HSD) are among the most common companions to POTS - lax connective tissue affects blood vessels and the nervous system, not just joints.
Long COVID and other post-viral illness frequently ignite new-onset POTS - if your symptoms started after an infection, you're not imagining the connection.
Small fiber neuropathy (damage to the tiny nerve fibers that help regulate blood vessels, sweat glands, and organs) underlies many cases of dysautonomia and is missed by standard nerve tests; we detect it with a simple in-office skin biopsy.
MCAS (mast cell activation syndrome) drives flushing, hives, food reactions, and inflammation, and so often rides along with POTS and hEDS that the three are sometimes called a triad.
ME/CFS and post-exertional fatigue overlap heavily with autonomic dysfunction.
And gut dysmotility, craniocervical instability, and migraine each have well-worn paths into the dysautonomia picture.
This is exactly the kind of complexity Neuroveda Health was built for. As an integrative clinic with roots in neurology, we understand how your autonomic nervous system, immune system, and connective tissue talk to each other - so we build one coordinated plan instead of five disconnected referrals.
How we diagnose POTS & dysautonomia
Getting a definitive diagnosis changes everything. In the words of our own testing team: a confirmed dysautonomia diagnosis opens the door to targeted treatment - and for many patients, ends years of being dismissed or misdiagnosed.
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Neuroveda is one of only three locations in Washington State offering the complete, in-office autonomic nervous system (ANS) evaluation - four gold-standard tests performed in about two hours:
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Tilt table testing measures how your heart rate and blood pressure respond as your body moves from lying to upright - the primary diagnostic test for POTS and hyperadrenergic dysautonomia.
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Heart rate deep breathing evaluates the autonomic control of your heart rate through controlled breathing cycles.
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The Valsalva maneuver reveals the integrity of your sympathetic and parasympathetic reflexes.
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And QSART (quantitative sudomotor axonal reflex testing) evaluates small-fiber nerve function through your sweat response, detecting nerve damage standard studies can't see.
Depending on your story, we may also add a skin biopsy for small fiber neuropathy (a 30-minute in-office procedure), targeted lab work for MCAS, nutrition, and inflammation drawn from our full specialty testing menu, and genetic testing such as the Invitae connective tissue panel when hypermobility is part of your picture.
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You don't need to arrive with a diagnosis, and you don't need to have figured anything out first. That's the work of the consultation - and we do it together.
Integrative treatment for dysautonomia & POTS
There's no single pill for POTS - but there is real, layered, effective treatment. Our approach combines evidence-based modern medicine with Ayurveda and Chinese medicine to steady your circulation, calm the misfiring stress response, and treat the conditions driving your dysautonomia.
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Every plan is personalized, because no two autonomic nervous systems misbehave the same way.
Stabilize:
rebuilding your circulation's foundation
The first wins in POTS care usually come from supporting blood volume and vascular tone:
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structured hydration and electrolyte protocols
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compression strategies
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paced recumbent reconditioning
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and medication management when it's the right tool - prescribed and monitored by providers who treat POTS every day.
For faster relief on hard days, IV therapy delivers fluids and nutrients directly - especially valuable in POTS, where blood volume matters - in our dedicated IV lounge.
Regulate:
retraining a stuck stress response
Living in a body that sounds false alarms keeps your nervous system on high alert, which worsens tachycardia, sleep, and fatigue. We help you downshift with the Safe and Sound Protocol (SSP), a non-invasive auditory intervention that improves vagal tone and emotional regulation; vagal nerve stimulation and breath-based practices; and acupuncture & Chinese herbal medicine for sleep, pain, and system-wide balance.
Release:
gentle hands-on care your body can tolerate
Fascial Counterstrain is a gentle, non-forceful manual therapy that releases protective tension patterns in fascia, nerves, vessels, and the autonomic system itself. POTS is one of the conditions it's best known for helping, and it's a favorite among our patients whose bodies can't tolerate aggressive bodywork.
Treat the drivers:
the conditions underneath the POTS
Lasting improvement usually means treating what's fueling the autonomic dysfunction: targeted evaluation and treatment for MCAS; hypermobility care and regenerative joint therapy when hEDS/HSD is part of your cluster; post-viral and long COVID support; and Therapeutic Plasma Exchange (TPE) for select patients whose picture includes significant immune-driven illness - offered at Seattle's longest-running private TPE clinic.
Restore:
nourishing the whole system
Rounding out the plan: Ayurvedic consultation, bodywork, and Panchakarma with diet and lifestyle medicine matched to your constitution, plus functional nutrition support for the gut symptoms that so often accompany dysautonomia.
Care from people who truly get it.
Dysautonomia and POTS care at Neuroveda is provided by a team that treats these conditions every day - and understands, from both clinical depth and lived experience, what it takes to get better.
ND, LAc
is a naturopathic physician and acupuncturist specializing in dysautonomia, hypermobility spectrum disorders (HSD/EDS), craniocervical instability, and MCAS/immune dysregulation. Dr. Squires also heads our Therapeutic Plasma Exchange program.
provides complex chronic care management for POTS, EDS, MCAS, and long COVID, alongside myofascial pain treatment.
PA-C, FNTP, MMS
treats POTS, MCAS, and hEDS through a functional medicine lens, with deep expertise in the gut and hormonal threads of complex illness.
DMSc, PA-C, ATC
brings extensive experience in POTS, dysautonomia, MCAS, and hEDS - and as a person living with hypermobile EDS herself, her insight shapes how our whole program cares for dysautonomia patients. (Currently not accepting new patients.)
LMFTA, MA Psyc, LMT
provides trauma-informed Fascial Counterstrain for POTS, chronic pain, and the emotional weight of chronic illness.
Behind them stands our full integrative team: functional medicine, Ayurveda, Chinese medicine, and integrative neurology. Because complex conditions deserve more than one set of eyes.
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“Never have I been listened to so deeply in all my 36 years.”
What your first visit looks like
Connect.
Fill out our inquiry form and tell us your story. We'll match you with the right provider and confirm scheduling and pricing up front.
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Deep-dive consultation.
Your initial visit is a real evaluation - your whole history, your symptoms, what you've tried, and what questions most need answering. No 12-minute appointments here.
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A personalized plan.
Every first visit ends with a collaboratively-determined assessment and treatment plan - autonomic testing to schedule, treatments to begin, and a clear path forward. You stay in the driver's seat.
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We see patients in person at our Seattle clinic and via telehealth for Washington State residents. Many patients travel to us for autonomic testing and evaluation, then continue much of their care from home.
Frequently asked questions about dysautonomia & POTS treatment
What is the difference between dysautonomia and POTS?
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Dysautonomia is the umbrella term for any disorder of the autonomic nervous system, which controls automatic functions like heart rate, blood pressure, digestion, and temperature.
POTS (postural orthostatic tachycardia syndrome) is one specific - and very common - type of dysautonomia, defined by an abnormal sustained heart rate increase on standing. Other forms include orthostatic hypotension, neurocardiogenic (vasovagal) syncope, and hyperadrenergic patterns. Our autonomic testing distinguishes between them, because they're treated differently.
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How is POTS diagnosed?
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POTS is diagnosed with autonomic testing - most importantly a tilt table test showing a sustained heart rate increase of 30 or more beats per minute within 10 minutes of becoming upright (40 in adolescents), without a significant drop in blood pressure, alongside chronic orthostatic symptoms.
We perform the full four-test autonomic evaluation in-office - tilt table, heart rate deep breathing, Valsalva, and QSART - as one of only three locations in Washington State offering the complete panel.
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Can POTS be treated? Can it go away?
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Yes, POTS is treatable - and many patients improve dramatically. Treatment layers blood volume support, compression, structured reconditioning, medication when appropriate, nervous system regulation, and treatment of drivers like MCAS, hypermobility, or post-viral inflammation.
Some patients, especially after post-viral onset, see their POTS improve substantially over time; others manage it long-term the way you'd manage any chronic condition. Either way, "you'll just have to live with it" is not a treatment plan - and not one we accept.
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Do POTS, EDS, and MCAS really go together?
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Yes - so often that they're sometimes called a triad. Lax connective tissue (hEDS/HSD) affects blood vessels and nerves, mast cell activation drives inflammation that irritates the autonomic system, and each condition amplifies the others. If you have more than one, treating them together is far more effective than treating them separately - and that's exactly how we work.
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Can long COVID cause POTS?
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Yes. Post-viral onset is one of the most common POTS stories we hear, and long COVID has made it dramatically more common. If your dizziness, racing heart, and fatigue began after COVID or another infection, an autonomic evaluation can determine whether POTS or another dysautonomia is part of your picture - which opens the door to targeted treatment rather than guesswork.
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Do I need a diagnosis or referral before booking?
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No referral and no diagnosis needed. Many of our patients come to us suspecting POTS without any formal workup, or after years of unexplained symptoms. Evaluation is part of what we do. If you already have a diagnosis, we'll build on it rather than starting over - and we're happy to work alongside your existing cardiologist or neurologist.
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Do you offer telehealth for POTS care?
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Yes. We're licensed to treat patients located in Washington State, with telehealth available pending provider availability. In-office services like autonomic testing, skin biopsy, IV therapy, and Fascial Counterstrain take place at our Seattle clinic - many patients combine periodic in-person visits with telehealth follow-up.
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Will insurance cover my care?
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Neuroveda is a direct-pay clinic; we provide Superbills and billing codes so you can seek reimbursement from your insurer. For autonomic testing, payment is due at time of testing and we provide a Superbill for insurance reimbursement. We keep pricing transparent so you can plan ahead; provider rates are listed on each provider's page.
You deserve answers, not another shrug
You've spent enough time being told your labs are normal while your body tells you otherwise. Whether you're newly suspicious that POTS explains your symptoms, or you're years into a dysautonomia diagnosis and need a team that can actually treat it - we're here for all of it. We're here for you.