About
Maine Street Medicine is a collaborative medical and mental health practice grounded in relationship, dialogue, and whole-person care. We offer integrated medical, psychiatric, and psychotherapeutic services that attend not only to symptoms, but to the stories, communities, and lived experiences that shape health and healing.
Our work brings together conventional medicine, psychiatry, psychotherapy, and integrative healing approaches within a framework that honors mind–body connection, cultural context, and the meaning people make of their lives. We are especially committed to care that is relational, respectful, and responsive to complexity—whether that complexity shows up as chronic illness, psychological distress, trauma, or life transition.
Maine Street Medicine serves individuals, families, and communities across the lifespan, as well as clinicians seeking consultation, education, and deeper clinical frameworks. Care is offered in person and through telehealth, supporting access across multiple U.S. states.
Maine Street Medicine was founded by Lewis Mehl-Madrona, MD, PhD, and Barbara Mainguy, LCSW, whose shared work spans medicine, psychiatry, psychotherapy, narrative healing, and community-based care.
Together, they bring decades of clinical, academic, and teaching experience, united by a commitment to dialogue-centered healing and the integration of story, culture, and relationship into medical and mental health practice.
Our Approach
At Maine Street Medicine, we understand healing as something that unfolds in relationship—with oneself, with others, and within community. Our approach integrates medical and psychiatric care with narrative, dialogical, and mind–body perspectives, allowing us to work flexibly across physical health, mental health, and emotional well-being.
We are particularly known for our work with complex and severe mental health conditions, including psychosis, chronic pain, and long-standing distress, and for approaches that emphasize dignity, meaning-making, and collaboration rather than reduction to diagnosis alone. When appropriate, care may include family members, support networks, or group settings, reflecting our belief that healing is rarely an isolated process.
Who We Serve
Maine Street Medicine serves people seeking thoughtful, relational care for physical health, mental health, and emotional well-being, including those navigating complex or long-standing conditions. We also work closely with families, communities, and clinicians interested in narrative, dialogical, and integrative approaches to care.
Whether you are seeking medical treatment, psychotherapy, psychiatric care, or professional consultation, we aim to meet you with respect, curiosity, and a commitment to healing that honors your full humanity.
Meet the Founders
Lewis Mehl-Madrona, MD, PhD
Lewis is a physician trained in family medicine, psychiatry, and clinical psychology. He completed his medical training at Stanford University School of Medicine and his residencies in family medicine and psychiatry at the University of Vermont College of Medicine. He has served on the faculties of several medical schools, most recently as Associate Professor of Family Medicine at the University of New England.
Lewis has worked extensively with Indigenous and Aboriginal communities to support the development of culturally grounded approaches to health and healing. His clinical and scholarly interests include psychosis, behavioral medicine, consult-liaison psychiatry, and healing through dialogue within families and communities. He is the author of numerous books, including Coyote Medicine, Coyote Healing, Coyote Wisdom, Narrative Medicine, Healing the Mind through the Power of Story, and The Promise of Narrative Psychiatry.
Barbara Mainguy, LCSW
Barbara is a psychotherapist whose work bridges clinical psychotherapy, creative arts, narrative approaches, and behavioral medicine. She studied psychology and philosophy at the University of Toronto, earned a Master’s degree in Creative Arts Psychotherapy at Concordia University in Montreal, and completed her Master of Social Work at the University of Maine. Prior to her clinical work, she spent many years working as an artist and artist-in-residence within mental health systems.
Barbara has extensive experience in psychotherapy across primary care and mental health settings, with particular interests in psychosis, chronic pain, group therapy, and the interface between art, narrative, and healing. She is certified in hypnosis and has taught hypnosis and behavioral medicine nationally through organizations including the American Psychiatric Association and the New England Society for Clinical Hypnosis. She is also completing her MFA in documentary filmmaking, reflecting her ongoing commitment to story as a vehicle for transformation.
Together with Lewis, Barbara co-authored Remapping Your Mind: The Neuroscience of Self-Transformation through Story and serves as Director of Education for the Coyote Institute.