Melanie Gramling

Before becoming a psychiatric nurse practitioner, I worked for many years as a certified veterinary technician. I enjoy getting to know clients as people, including the important role pets and home life often play in emotional wellbeing. One thing I appreciate about telehealth is the ability to connect with clients in a more personal and comfortable environment.

I am a board-certified Psychiatric Mental Health Nurse Practitioner providing telepsychiatry services for adults across Iowa with evening and weekend availability. I treat conditions including anxiety, depression, trauma-related disorders, mood disorders, and sleep concerns. My approach combines evidence-based medication management with supportive and skills-based therapeutic interventions when appropriate.

I take a collaborative and individualized approach to psychiatric care. Treatment decisions are based on clinical evidence, current symptoms, functional impact, and each client’s personal goals. I focus on creating a supportive, nonjudgmental environment where clients feel comfortable discussing concerns openly. In addition to medication management, I often incorporate practical coping strategies, psychoeducation, and brief therapeutic interventions into visits.

The first appointment is focused on gaining a clear understanding of your symptoms, history, current stressors, and treatment goals. We will review prior mental health treatment, medications, medical history, sleep, and overall functioning to help guide an individualized treatment plan. My goal is to create a comfortable, respectful environment where clients feel heard and understood. By the end of the visit, clients can generally expect diagnostic impressions, treatment recommendations, and a discussion of next steps.