Mariana Palzis

I am a Psychiatric Mental Health Nurse Practitioner who believes good psychiatric care starts with feeling heard, understood, and respected. My approach is warm, collaborative, and highly personalized. I take time to understand not only your symptoms, but also your medical history, lifestyle, relationships, stressors, strengths, and personal goals so we can create a treatment plan that truly fits your life.

I work with adolescents and adults experiencing anxiety, depression, mood concerns, ADHD, sleep difficulties, stress, trauma-related symptoms, and major life transitions. Care may include psychiatric evaluation, thoughtful medication management, education, supportive therapeutic strategies, and collaboration with your therapist or other members of your care team when appropriate.

I believe treatment works best as a partnership. You will have an active voice in your care, and I will always take the time to explain your options, expected benefits, possible side effects, and alternatives. When medication is appropriate, I take a thoughtful and conservative approach, making changes intentionally and reassessing along the way.

My goal is to help you feel more stable, more confident, and more like yourself again. Together, we will work toward meaningful progress in a way that feels supportive, realistic, and sustainable for your long-term mental wellness.

My approach to psychiatric care is warm, collaborative, and highly personalized. I believe treatment should help you feel more like yourself again—supported, steady, and able to move forward with greater confidence.

I take the time to understand the whole picture, including your symptoms, medical history, lifestyle, relationships, current stressors, and personal goals. Together, we develop a thoughtful treatment plan that fits your individual needs and your life.

When medication may be helpful, I take a careful and conservative approach. My philosophy is to use medication thoughtfully and intentionally—starting with the least complicated approach when appropriate, making changes gradually, and regularly reassessing what is helping and what may no longer be needed. I will clearly explain your options, expected benefits, potential side effects, and alternatives so that decisions are made together.

I see treatment as a partnership. You will always have an active voice in your care, and we will regularly check in on your progress, concerns, and evolving goals. Treatment may include medication management, supportive strategies, lifestyle considerations, and collaboration with your therapist or other healthcare providers when appropriate.

My goal is not simply to treat symptoms, but to help you regain stability, improve daily functioning, and get back on track in a way that feels sustainable. I strive to provide attentive, evidence-based care in an environment where you feel heard, respected, informed, and genuinely supported throughout the process.

Your first session is a chance for us to slow down, get to know each other, and understand what has been going on in your life. I want you to feel comfortable sharing your story at your own pace, without feeling rushed or reduced to a diagnosis.

We will talk through what brought you to care, your current symptoms, medical and psychiatric history, lifestyle, relationships, stressors, previous treatment experiences, and the goals that matter most to you. I also want to understand what has helped in the past, what has not, and what you are hoping will feel different moving forward.

Rather than coming into the visit with a predetermined plan, we will work together to identify your priorities and decide what next steps make the most sense for you. If medication is being considered, I will explain your options clearly, including potential benefits, side effects, risks, alternatives, and what we would monitor along the way. My approach is thoughtful and collaborative, and I want you to feel comfortable asking questions and taking an active role in decisions about your care.

You can expect a real conversation, not a rushed checklist. By the end of the visit, my goal is for you to feel heard, supported, and more confident about what may be contributing to how you are feeling and what options are available to help.

As we continue working together, I place a strong emphasis on continuity, communication, and follow-through. Your treatment plan can evolve as your symptoms, circumstances, and goals change, and we will continue to reassess what is helping so your care remains personalized, practical, and supportive.