OUR PRACTICE
Why We Built Steady State Health
A Better Way to Care for Women in Perimenopause, Menopause and ADHD
Traditional Care Separates These
We treat them together — because in real life, they always were.
Hormones
Estrogen, progesterone, cortisol, testosterone — and how they shift in perimenopause and menopause.
Brain Health
ADHD, focus, mood, anxiety, and the dopamine connection most providers overlook in midlife women.
Metabolism
Weight, blood sugar, insulin resistance, and energy — all connected to your hormonal landscape.
“In real life, hormones, mental health, and metabolism are deeply connected. We treat them that way.”
What Was Missing
Too many women were navigating perimenopause, menopause, and ADHD symptoms while seeing multiple providers and still not getting clear answers.
The problem was never the patient. It was the system.
There was no clear place to go for whole-person care that actually connected the dots. So we built one.
- Menopause care online that looks at the full picture
- ADHD evaluation and medication management for women
- Weight management for menopause and metabolic health
- A personalized health plan based on real data, not guesswork
- A provider who has time to listen and actually believes you
WHO IS THIS FOR
Built for Women Who Have Been Dismissed
You feel off but your labs keep coming back normal.
You are navigating perimenopause or menopause and want real answers.
You struggle with focus, overwhelm, or ADHD symptoms that have gotten worse.
You have tried to lose weight but feel like your body is working against you.
You want a provider who connects the dots instead of handing you a referral.
“You are not broken. Your symptoms are not random. And you shouldn’t have to figure this out alone.”
— The Steady State Health Philosophy
STEADY STATE HEALTH • MEET YOUR PROVIDER
About me
Hi! I'm Josie Cowburn, DNP, FNP-C
As a doctorally prepared nurse practitioner, I’m committed to listening deeply, believing my patients, and applying advanced, evidence-based care to uncover the full story behind their symptoms — so they receive the answers and outcomes they deserve.
I founded Steady State Health because I’ve been that patient. My own perimenopause symptoms were dismissed. My ADHD went undiagnosed for years. And the complexity of conditions like hypermobile Ehlers-Danlos syndrome and MTHFR were things I had to connect myself.
Those experiences shaped how I practice. Every patient gets time, clinical depth, and a provider who takes their symptoms seriously. I specialize in perimenopause and menopause care, ADHD in women, and metabolic health — and I practice telehealth across Oregon and Washington.
If you’ve been told your labs are normal but you don’t feel normal, you’re in the right place.
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Years Experience
Cared For
degrees Countless hours learning
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my credentials:
- Doctorate in Nursing Practice from Frontier Nursing University
- Masters in Family Practice Nurse Practitioner from Frontier Nursing University
- Completed Rachel Rubin’s course: Hormone Therapy For Early Adopters
- Member of The Menopause Society
- Member of Ehlers-Danlos Society
- Member of CHADD
- Member of International Society for the Study of Women's Sexual Health
get to know me:
- I love skiing, scuba diving, backpacking, and rafting and most of all, spending time with my family.
- Originally from the East coast, long time OR and WA resident, love both coasts!
- I have two grown children that make me a proud Mom everyday.
- I love being a part of healthcare, watching my clients get better gives me goosebumps.
