What mental health conditions do you treat?

We treat adults 18 and over for anxiety, depression, ADHD, OCD, perimenopausal and postpartum mood changes, trauma-related symptoms, sleep issues, and burnout.

Do you offer therapy or just medication management?

We offer medication management and supportive therapy strategies, and we collaborate with therapists when needed.

Do you prescribe stimulants for ADHD?

Yes. Stimulants may be prescribed after a comprehensive evaluation, required testing and screening, and with mandatory safety monitoring.

What insurance do you accept for mental health care?

We accept insurance for mental health visits for Nebraska patients. We are in-network with Aetna, Blue Cross Blue Shield, UnitedHealthcare (including UMR), Midlands Choice, and Nebraska Total Care (Medicaid). Self-pay is $300 initial visit, $150 follow-up. Coverage varies by plan and participation can change; being listed does not guarantee payment.

How soon can I get an appointment?

Most new patients are scheduled within 1 to 2 weeks. Appointments are offered in-person in Papillion or via secure telehealth anywhere in Nebraska.

Do you offer telehealth mental health care outside Nebraska?

Mental health services are currently licensed in Nebraska only. Our other services (medical weight loss, hormone therapy, and online prescriptions) are available via telehealth across 16 states.

Do you continue benzodiazepine prescriptions from other providers?

For patient safety, we do not continue or assume daily benzodiazepine prescriptions initiated elsewhere. Benzodiazepines may be considered short-term when clinically appropriate, while working toward safer long-term options.

Can we address weight loss or hormones during my visit?

Yes, we care about your whole health. During a mental health visit, we may discuss hormones, weight, sleep, or metabolic health if they affect your mood, focus, or well-being. However, medical treatment, prescriptions, or dose changes for weight loss or hormone therapy must be handled through a separate self-pay medical visit, as insurance does not allow those services to be billed under mental health coverage.

Prescription Estriol Facial Cream

Compounded estriol cream for menopausal skin changes.

Custom-compounded estriol 0.3% with vitamin C 1% and hyaluronic acid 0.5% in a 30g pump. Supports skin hydration, texture, and tone as estrogen levels decline.

Low Cost

$50

service fee · pharmacy
cost separate

Quick

1–2

business days
clinician review

Easy

appointments
online intake

How It Works

$50 service fee · ~$75 compounding pharmacy · 30g lasts 2–4 months · 16 states

12-Month Annual Prescription

A real clinician. Not an algorithm.

$50 one-time clinical fee. Your prescription includes 11 refills for 12 months of compounded estriol face cream. Evaluated and prescribed by Kim Wohlwend, MSN, APRN — dual ANCC board-certified Family and Psychiatric-Mental Health Nurse Practitioner.

Compounded estriol skincare requires a real clinical evaluation. Many online services use chatbot intake and template formulations. We review your skin history, hormone status, and goals individually, and remain available through the patient portal if questions come up during the year.

What It Does

Menopausal skin needs more than moisturizer.

As estrogen declines, the skin loses collagen, hydration, and elasticity faster than general moisturizers can replace. Topical estriol supports skin thickness and elasticity during and after menopause. Combined with vitamin C (antioxidant brightening) and hyaluronic acid (deep hydration), this custom-compounded cream supports healthy, resilient skin.

Thin, Crepey Skin. Estrogen loss accelerates collagen breakdown. Estriol supports dermal thickness and elasticity.

Persistent Dryness. Aging skin retains less moisture. Hyaluronic acid (up to 1,000× its weight in water) restores hydration.

Uneven Tone. Vitamin C brightens, evens tone, and protects against environmental damage.

Overall Quality. Many patients report firmer, smoother skin within 8–12 weeks of consistent nightly use.

Active Ingredients

Three evidence-based actives.

🌿

Estriol 0.3%

The weakest naturally occurring estrogen, with primarily local action. Supports skin thickness and elasticity as estrogen levels decline.

🍊

Vitamin C 1%

Antioxidant that brightens skin tone and offers environmental protection against free radical damage.

💧

Hyaluronic Acid 0.5%

Humectant that draws water into the skin, restoring hydration and improving surface plumpness.

📏

30g Pump with Refill

30 grams with one refill included. Typical use: 1 pump nightly lasts ~4 months, 2 pumps nightly lasts ~2 months.

~$75 compounding pharmacy cost

How to Get Your Prescription

Async intake. Clinician review.

Online Intake

Secure questionnaire covering medical and skin history. 5–10 minutes.

Clinician Review

Licensed clinician reviews your request. Typically 1–2 business days.

Prescription Sent

Sent to the compounding pharmacy. You pay the pharmacy directly (~$75) separately from our $50 service fee.

About Custom-Compounded Estriol Cream

This cream is custom-compounded by a licensed compounding pharmacy based on individual prescriptions. Compounded medications are not FDA-approved as commercial products. Estriol is a prescription ingredient; we evaluate each request individually.

We do not prescribe to patients with active or recent estrogen-sensitive cancers, during pregnancy or breastfeeding, or in patients under 18. Please disclose your medical history fully during intake.

Important Safety Information

Before starting estriol facial cream, please read.

Not FDA-approved; compounded medication. Estriol is not currently approved by the U.S. Food and Drug Administration for any indication. Estriol is prescribed in the United States only through compounded formulations dispensed by state-licensed 503A compounding pharmacies based on patient-specific prescriptions. Compounded medications have not undergone FDA review of safety or efficacy for specific indications, and may not be interchangeable with FDA-approved products.
Pregnancy and breastfeeding. Estriol facial cream is not for use during pregnancy or breastfeeding. Tell us before starting if you are pregnant, could be pregnant, trying to conceive, or breastfeeding.
Personal and family history. Tell us about any personal history of breast cancer, endometrial cancer, undiagnosed abnormal bleeding, thromboembolic disease, liver disease, or known hypersensitivity to estrogens. Topical estriol has much lower systemic absorption than oral or transdermal estrogen, but absorption is not zero.
Off-label dermatologic use. The use of topical estriol for facial skin health is off-label. Off-label prescribing is legal and supported by a growing body of peer-reviewed literature, but you should understand the indication is not FDA-approved.

See our full prescribing and safety terms, including the off-label prescribing disclosure and compounded-medications disclosure.

Common Questions

Estriol facial cream, answered.

$50 service fee + approximately $75 from the compounding pharmacy. One 30g pump typically lasts 2–4 months depending on use. Not covered by insurance (compounded).

Hydration improvements typically appear within 2–3 weeks. Skin texture and firmness changes develop over 8–12 weeks of consistent nightly use.

Apply 1 pump (or 2 if you prefer more coverage) to clean, dry skin nightly after cleansing. Avoid the eye area. Pairs well with a daily morning sunscreen.

Yes, many patients use tretinoin + estriol facial cream together. We typically recommend alternating nights at first, then combining as tolerance builds.

No. This is a custom-compounded medication prepared by a licensed pharmacy based on individual prescription. Compounded medications are not FDA-approved commercial products.

We do not prescribe to patients with active or recent estrogen-sensitive cancers through this async service. Please discuss topical estriol options with your oncologist first.

Ready to support
your menopausal skin?

$50 service fee. Custom-compounded estriol + vitamin C + hyaluronic acid. Available in 16 states.

131 N Washington St, Suite A · Papillion, NE 68046 · Info@midwestmindandbodyhealthcare.com

Please do not send protected health information (PHI) by email. For secure communication about your care, use our patient portal after booking.

If you are experiencing a mental health crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.