
Mandeville, Louisiana
Heading somewhere better.
Thoughtful, individualized psychiatric care for children, adolescents, and young adults across Louisiana.
Our philosophy
A thoughtful approach to moving forward.
Trajectory Psychiatry offers meaningful psychiatric care for children, adolescents, and young adults in Louisiana. Every plan starts with listening — taking the time to understand each person, their history, and what matters to their family.
We keep our practice focused so care can be thorough and accessible, with shorter wait times and direct communication with us between appointments.
Care for every stage of growing up.
Dr. Henke is board certified in child, adolescent, and adult psychiatry.

Children
Care that meets kids where they are — and partners closely with the parents and caregivers who know them best.
Adolescents
A steady, respectful space for teens navigating the pressures of growing up, with families kept part of the conversation.
Young Adults
Support through the transitions of early adulthood — school, work, independence — at a pace that fits.
Psychiatric services
What care can look like.
We are not in the network of any commercial or governmental insurer. After each appointment, you'll receive an invoice with the information needed to submit for reimbursement.
All services- Psychiatric Assessment
- A comprehensive evaluation focused on building rapport and understanding the full picture — history, present symptoms, and the biological, psychological, and social factors at play.
- Psychotherapy
- Setting goals and working on target symptoms over time, drawing on approaches such as supportive therapy, cognitive-behavioral therapy, and motivational interviewing.
- Medication Management
- Careful exploration and oversight of evidence-based medication options.
- Pharmacogenomic Testing
- Non-invasive genetic testing that can offer insight into medication choices, responses, and side effects.
- Parenting Consultation
- Practical parent-management and behavior strategies to help with challenges in behavior and emotion regulation.

Michael Henke, MD
Get to know Michael.
Dr. Henke is a board-certified child, adolescent, and adult psychiatrist from Lafayette. He earned a B.S. in biology from Millsaps College, then spent nine years in New Orleans at LSU Health Sciences Center — completing medical school, residency in adult psychiatry, and fellowship in child and adolescent psychiatry.
Today he lives in Madisonville with his wife Michelle, their children Olivia and Luke, and a lively household of dogs and cats. He enjoys time with family and friends, cooking, traveling, and exercising.
The journey forward
Progress begins with being heard.
Listen
Time to understand the whole person and family.
Plan
Goals shaped around each individual.
Move forward
Steady, collaborative care over time.
Your next step starts here.
Reach out to ask a question or begin the process of becoming a patient. We'll follow up to talk through next steps together.
Our office1305 West Causeway ApproachMandeville, LA 70471









