Jovan "JoJo" Ramirez

Hi, I am JoJo, a board-certified psychiatric mental health nurse practitioner in Arizona.

If you have tried medication after medication and still do not feel like yourself, I want to hear your story. If your brain will not slow down, if your to-do list keeps winning, if the low days keep stacking up, or if the worry never shuts off, you are in the right place.

I treat ADHD, depression, anxiety, and mood disorders. Here is something a lot of people do not know: these usually show up together. ADHD can drain your mood. Anxiety can wreck your focus. Depression can look like ADHD. When only one piece gets treated, the rest keeps pulling you back down. I look at the whole picture, so nothing gets missed.

I also offer ketamine-assisted therapy (KAT) for depression that has not budged with standard treatment. I provide the medical side: evaluation, prescribing, and monitoring your safety and progress. I collaborate with a skilled therapist who provides the therapy, so you are supported in both mind and body.

We can talk in English, Spanish, or a mix of both. Spanglish welcome.

You are a whole person. Your brain, your body, your sleep, your hormones, and your life are all connected. Low thyroid, low iron, or vitamin deficiencies can look exactly like depression, anxiety, or ADHD. That is why I request labs to check your overall health and rule out medical causes before we put it all on your brain.

I ask a lot of questions. Depression, anxiety, ADHD, and mood symptoms can look the same on the outside but come from very different places in the brain. When I know which systems are struggling, treatment is aimed instead of guessed. That is how we stop the cycle of trying med after med.

I offer genetic testing that shows how your body processes certain medications. Some people break down medications too fast, so they never seem to work. Others break them down too slowly, so side effects hit hard. This information helps us choose and dose medications with more confidence from the start.

I explain the why. You will know what each medication does in your brain and why we are choosing it. You are part of every decision.

I keep it simple. The fewest medications that actually work for you. More is not better.

I am real with you. No rushing, no sugarcoating, no judgment. I will tell you what the research shows, what side effects to expect, and what a realistic timeline looks like.

My approach is neurodivergent-affirming. We work with the way your brain is wired, and we build a plan that fits your actual life.

Your first visit is all about getting to know you.

We will talk about what brought you in, how it is affecting your work, school, relationships, and sleep, and what you want to feel different. I will ask about your history, including medications you have tried and what did or did not work. If more than one thing is going on, and it usually is, we will sort it out together.

You will fill out a few short questionnaires so we have a starting point to measure your progress. You will be able to see yourself getting better, not just hope you are.

I may request labs to check your overall health and rule out anything medical that could be driving how you feel. If you have had medications that did not work or caused rough side effects, we can also talk about genetic testing to see how your body processes medications.

If ADHD is part of the picture, your evaluation happens over two visits. I gather information from people who know you well and review your labs before making a diagnosis, so you walk away with answers you can trust.

If medication makes sense, we will talk through your options together. You will leave with a clear plan and know exactly what happens next.

Helpful to bring: a list of your current medications, past records or lab results, and any questions you have been holding onto.

You have been carrying this long enough. Book your first visit, and we will figure it out together.