David Scot Sandage

Great to meet you! I am a board-certified Psychiatric Mental Health Nurse Practitioner with experience in inpatient and outpatient psychiatry, telehealth, and caring for veterans through the VA system. I work with children, adolescents, adults, and older adults facing depression, anxiety, ADHD, PTSD, grief, anger, mood disorders, intrusive thoughts, relationship concerns, stress, and major life changes. I especially value supporting veterans and understand the challenges of navigating a large health care system. IGY6.

My approach is supportive, practical, straightforward, and collaborative. I provide psychiatric evaluations and medication management, while recognizing that medication is only one part of mental health. I listen, ask questions, explain options, and make decisions with you. I may incorporate supportive therapy, motivational interviewing, cognitive behavioral strategies, education, problem-solving, and coping skills. I welcome every background, identity, culture, and belief. If faith or prayer matters to you, we can include it, but it will never be imposed.

During our first session, I will listen carefully and work to understand your concerns, needs, and experiences. You do not need the perfect words or a clear explanation of what is wrong. We will identify what concerns you most, discuss treatment options, and create a plan together. If medication is appropriate, I will explain what we are considering, why, expected benefits, and possible concerns. You may be eager for help or unsure about treatment. Wherever you are, we can start there, and my hope is that you leave feeling heard and less alone.