Cameron Pellegrino

I'm a psychiatric nurse practitioner with training in both clinical psychiatry and somatic-informed care. I specialize in medication management for anxiety, depression, bipolar disorder, ADHD, and trauma-related conditions.

My approach: Straightforward, collaborative, and grounded in evidence. I listen carefully to how medications are affecting you—not just your symptoms, but your energy, sleep, focus, and overall well-being. I adjust thoughtfully and explain the reasoning behind recommendations.

What makes my practice different: I pay attention to your nervous system, not just your diagnosis. I notice how your body is responding to treatment. If you're open to it, I can weave in brief somatic practices (breathwork, grounding) to support medication work. But I meet you where you are — some clients want med management only, and that's exactly what they get.

I work with: Adults managing psychiatric conditions with or without medication. People new to medication and those adjusting long-term regimens. Folks who've had difficult experiences with providers and want someone who actually listens.

My hours: Monday-Thursday 9 AM-2 PM (in-person or virtual), Friday 9 AM-12 PM virtual. No evenings.

I believe good psychiatric care is about partnership, clarity, and honoring your autonomy. You're the expert on your own experience; I'm here to support you with clinical knowledge and genuine presence.

I treat medication management as a precise science paired with genuine listening. I ask detailed questions about how medications are actually affecting you — your mood, energy, sleep quality, side effects, and overall functioning. Then I explain my reasoning clearly so you understand why I'm recommending what I recommend.

Collaboration, not compliance. You're not a diagnosis to medicate; you're a person navigating a complex nervous system. I respect your input, answer your questions directly, and adjust based on what's working or not working for you.

Somatic awareness (when relevant). I notice how your body carries stress — your breath, your posture, your nervous system state. This informs my understanding of medication effectiveness. If you're interested, I can teach you simple grounding or breathwork practices to support your treatment. If you prefer medication management only, that's what you get.

Practical and present. You won't get rushed. You won't get dismissed. You will get someone who actually listens, thinks carefully, and follows through.

Structure & Clarity

Your first session is 60 minutes and follows a clear structure. I'll explain what we're doing and why as we go. This isn't open-ended talk therapy — it's a focused assessment and the beginning of our clinical relationship.

What Happens

We'll start with a brief intake: your psychiatric history, current symptoms, medications (if any), what brought you in, and your goals for treatment. I ask direct questions and listen carefully.

Then I'll do a clinical assessment. This includes observing how your nervous system is showing up — your breath, your posture, your energy — because that's clinical data. I take notes and notice what I'm seeing.

By the end, I'll give you a clear picture of what I think is happening and what I'm recommending (medication, referrals, next steps, or a combination). You'll leave knowing exactly where we're headed and why.

What I Need From You

Come ready to be honest. If medications haven't worked before, tell me. If you're skeptical about psychiatric care, that's fine — say it. If you have questions, ask them. The more transparent you are, the better I can help.

The Tone

Professional, warm, direct. I respect your time and your autonomy. You're not here to be fixed; you're here to be supported in taking care of yourself.