Mark House

Accepting new patients throughout New York State. I’m Mark House, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and founder of Evening Harbor Psychiatry. I provide online psychiatric evaluations and medication management for adults experiencing anxiety, depression, insomnia, OCD, PTSD, grief, stress, and life transitions.

Before becoming a psychiatric nurse practitioner, I spent 22 years in education and later worked as a registered nurse in psychiatric and medical settings. These experiences strengthened my belief that effective care begins with listening, clear communication, and understanding each person's circumstances.

I particularly enjoy working with adults who want to better understand their symptoms, explore medication options, and improve their daily functioning. My approach is compassionate, practical, and collaborative.

Evening telehealth appointments, including select times after 7 p.m., make it easier to prioritize your mental health without rearranging your workday.

I believe psychiatric care should begin with listening, not automatically prescribing medication. My approach is thoughtful, evidence-based, and collaborative. I take time to understand your symptoms, personal circumstances, medical history, and treatment goals before recommending a plan.

Medication management is individualized, with careful attention to effectiveness, side effects, safety, and your preferences. I believe patients should understand why a medication may be recommended, what benefits to expect, and what alternatives are available.

My goal is to help you achieve meaningful improvements in your mood, anxiety, sleep, and daily functioning while keeping treatment as straightforward and manageable as possible.

When appropriate, I also collaborate with therapists and other healthcare professionals to support coordinated care.

Your first appointment is a comprehensive psychiatric evaluation conducted through secure telehealth. We'll discuss your current concerns, symptoms, medical and mental health history, medications, sleep, daily functioning, and treatment goals.

You'll have an opportunity to ask questions and share any concerns about psychiatric medication, including potential side effects or previous treatment experiences.

Together, we'll discuss your treatment options and develop an individualized plan. Medication may be recommended when clinically appropriate, but a prescription is not automatic at the first visit. Additional information, medical records, or laboratory testing may sometimes be needed before making treatment decisions.

Follow-up appointments focus on monitoring your progress, evaluating medication effectiveness and tolerability, and making adjustments when appropriate. My goal is for you to feel informed, respected, and actively involved in your care.