Josephine Hazeley

You may appear to be managing everything well while privately feeling anxious, depressed, distracted, emotionally exhausted, or unlike yourself. Perhaps your symptoms sharpen in the week or two before your period, or changed as you moved into perimenopause. Perhaps they trace back to trauma, chronic stress, a pregnancy, a postpartum year, or caregiving that never let up.

I am Josephine Hazeley, MSN, PMHNP-BC, a board-certified Psychiatric Mental Health Nurse Practitioner with nearly two decades of psychiatric and mental-health nursing experience. I cross-trained on UNC's Perinatal & Postpartum Inpatient Unit, the five-bed unit for women with perinatal mood disorders, and spent three years as a primary research nurse on the clinical trial behind the first medication FDA-approved for postpartum depression.

I provide psychiatric evaluations, medication management, and supportive therapy for women ages 18–64, entirely by telehealth across North Carolina.

My areas of focus include anxiety, depression, ADHD, PMDD, trauma-related symptoms, sleep difficulties, and mood changes tied to reproductive and hormonal transitions. I am especially interested in helping women understand symptoms that have been dismissed, misunderstood, or attributed only to stress.

Whatever your background, identity, or family situation, you are welcome here.

My approach is collaborative, evidence-based, and trauma-informed. Good psychiatric care begins with listening carefully and understanding the full picture before I make a prescribing decision.

I explain treatment options in plain language — expected benefits, possible side effects, alternatives, and realistic timelines for improvement — so you can weigh them with me.

Medication is one part of a plan, alongside education, behavioral strategies, symptom monitoring, and coordination with your therapist or other clinicians.

My goal is for you to feel informed, respected, and actively involved in every decision about your care.

Your first appointment is a full psychiatric evaluation, and it is mostly conversation. We will talk through what brought you in and how long it has been going on, what you have already tried and how it worked, your sleep and daily functioning, your medical history, your menstrual or hormonal patterns, and what you want from treatment.

You can expect a supportive, judgment-free space where your concerns are taken seriously and there is enough time to tell your story.

You should leave the visit with:

• A clearer understanding of your symptoms
• An individualized, practical treatment plan
• Clear information about any medication being considered, including benefits and side effects
• Specific goals for the weeks between appointments
• A plan for monitoring progress and side effects
• Clear follow-up recommendations

Follow-up visits are shorter and focus on what is improving, what remains difficult, and whether the plan is helping you function better day to day.

Symptom relief matters, but it is not the finish line. I want you to feel steadier and more like yourself, and able to take part fully in your work, your relationships, your family life, and the things you care about.