Kara Jeffas

I'm a psychiatric nurse practitioner with over a decade of experience in telehealth and outpatient mental health care. My practice brings together medication management and psychotherapy so you can work with one provider on all aspects of your mental health. I've been practicing remotely long before telehealth became the norm, which means I've had years to refine how to connect meaningfully with clients through a screen. I'm licensed in Oregon and Maine, and I genuinely love this work. I'm here to help you build something sustainable, at a pace that makes sense for your life right now.

My approach combines medication and talk therapy in the same appointment so we can look at your mental health from every angle at once. I ask a lot of questions and make room for yours, because care works best when you're an active part of the conversation.

The first session is mostly about getting to know each other. I'll ask about what's brought you to care, what you've tried before, and what you're hoping to change. By the end, we'll have a shared starting point and a clear sense of what next steps look like for you.