Today we’d like to introduce you to Josie Cowburn.
Hi Josie, thanks for joining us today. We’d love for you to start by introducing yourself.
I grew up in Vancouver, Washington, and spent more than 20 years working as a nurse in the emergency department. Day after day, I saw people at their worst—crisis after crisis—and it became impossible to ignore what led them there. I wasn’t just seeing illness. I was seeing what happens when people don’t get the care, support, or answers they needed earlier.
But this work wasn’t just professional—it was personal.
I struggled in school growing up and never felt like I fit the traditional mold. Later, as a parent raising neurodivergent children, I found myself navigating a system that often didn’t understand them either. I saw firsthand how hard it is when you’re trying to advocate for yourself or your child and you’re met with dismissal, long wait times, or oversimplified answers.
At the same time, I was moving through midlife myself—experiencing the same exhaustion, brain fog, and shifting sense of identity that so many women quietly carry. And what struck me most was how often these experiences were minimized. Women are told it’s “just stress,” “just aging,” or something to push through. But I knew from both my training and my own life that it was more than that.
My path through emergency medicine, mental health, urgent care, and eventually as a nurse practitioner showed me a consistent pattern: our healthcare system is incredibly good at reacting to problems, but not nearly as good at preventing them—or at seeing the full picture of a person’s life.
That realization is what led me to create Steady State Health.
I wanted to build the kind of care I wish existed—for myself, for my patients, and for my family. Care that looks deeper. That connects the dots between hormones, metabolism, mental health, and daily life. Care that listens, validates, and actually helps people feel better in a way that’s sustainable.
Today, my work is centered on helping women—especially those in midlife who feel overlooked—regain their energy, clarity, and sense of control over their health. Because feeling exhausted, dismissed, and out of sync with your body might be common—but it’s not something you have to accept.
Would you say it’s been a smooth road, and if not what are some of the biggest challenges you’ve faced along the way?
Is there ever really a smooth road? Mine certainly wasn’t. I was a single mother raising two wonderful — but definitely challenging — children while trying to build a future for us. In my late 30s, I made the decision to go back to school, and I eventually completed my doctorate in my 40s.
Along the way, I was humbled often. I learned resilience, perseverance, and how important it is to keep moving forward even when things feel uncertain.
Building my practice has been both deeply fulfilling and incredibly challenging. Navigating insurance companies and the endless rules and systems can feel overwhelming at times. Finding patients and building a business from the ground up is hard, and honestly, believing in yourself can sometimes be the hardest part of all.
And of course, there are the realities of getting older yourself while trying to help other women navigate their own health journeys. But all of those experiences have shaped the way I care for patients today — with empathy, honesty, and a deep understanding that transformation is rarely linear.
Thanks – so what else should our readers know about your work and what you’re currently focused on?
I am a nurse practitioner and the founder of a telehealth practice focused on helping midlife women navigate metabolic and mental health challenges with compassion, evidence-based care, and a whole-person approach. I specialize in areas such as weight and metabolic health, hormones, ADHD, burnout, anxiety, and GLP-1 support, particularly for women who feel like they no longer recognize themselves in midlife.
What sets me apart is the way I care for patients. I listen deeply. I believe healthcare should feel collaborative, not transactional. I don’t see myself as a gatekeeper — I see myself as a partner. Every woman’s experience is different, and there is rarely a one-size-fits-all solution. I offer a range of options and tailor care to each individual’s goals, needs, and lifestyle.
I am known for forming genuine partnerships with my patients and creating a space where women feel heard, respected, and supported without shame or judgment. Many women come to me after feeling dismissed elsewhere, and one of the things I’m most proud of is helping them reconnect with themselves, regain confidence, and realize that they are not broken.
I’m also proud of the journey that brought me here. I went back to school later in life, completed my doctorate in my 40s while raising children as a single mother, and built this practice from the ground up. That experience shaped how I practice medicine today — with empathy, humility, and a deep understanding that lasting transformation happens through trust, partnership, and personalized care.
Is there a quality that you most attribute to your success?
One of the most important qualities behind my success has been perseverance. I’ve learned how to keep moving forward even when things feel uncertain, difficult, or overwhelming. Going back to school later in life, raising children as a single mother, and building a practice from the ground up all required resilience and the willingness to keep showing up, even when the path wasn’t clear.
At the same time, I think my ability to truly listen and connect with people has been equally important. I care deeply about understanding what my patients are experiencing, not just treating symptoms. I believe people want to feel heard, respected, and partnered with in their healthcare, and that philosophy has shaped both my practice and my relationships with patients.
I’ve also learned the importance of humility — being open to learning, adapting, and recognizing that every person’s journey is different. That combination of perseverance, empathy, and authenticity is what I believe has helped me build meaningful relationships and a practice rooted in trust.
Pricing:
- Accept insurance
- Cash memberships start at $149 per month
- Weight loss programs start at $249 per month
- Discounts on supplements
Contact Info:
- Website: https://steadystatehealth.org/
- Instagram: https://www.instagram.com/steadystatehealth_/
- Facebook: https://www.facebook.com/profile.php?id=61554118643207
- LinkedIn: https://www.linkedin.com/in/steadystatehealthpllc/
- Youtube: https://www.youtube.com/@JosieCowburnDNP
