Michael Hickey

I’m a board-certified psychiatric nurse practitioner providing medication management, with or without psychotherapy, for adults with anxiety, panic, depression, mood dysregulation, ADHD, OCD, anger and irritability, and burnout.

My style is pragmatic and direct, and many of my patients are men and professionals who want to function better in daily life. Before psychiatry, I spent sixteen years in ICU and trauma surgery, which shaped how I think about the relationship between physical and mental health.

I’m interested in both the immediate problem and what may be happening beneath it. I consider longstanding patterns and underlying conflicts alongside sleep, exercise, nutrition, substance use, stress, and physical health. Medication can be an important part of treatment, but I don’t assume it’s the only one.

Outside of work, I’m heavily into fitness, skateboarding, and snowboarding. My interest in the connection between physical and mental health carries into my work as well.

My style is straightforward, collaborative, and curious. We’ll work to understand what you’re experiencing, what may be driving it, and what keeps it going.

I’m active in sessions: I ask questions, offer observations, and tell you what I think. Sometimes we’ll focus on practical changes in the present; other times we’ll look more closely at patterns that have developed over time. Insight matters, but I believe it should eventually translate into something useful in your life.

When considering medication, I’ll explain my reasoning, including the benefits, risks, and alternatives. Treatment decisions are collaborative, and medication is considered in the context of the larger picture rather than as the only solution.

Our first meeting is a comprehensive 60-minute psychiatric evaluation focused on understanding what’s going on and developing an initial treatment plan.

My practice is currently accepting new patients seeking medication management, either on its own or combined with psychotherapy. I’m not currently accepting new patients for psychotherapy alone.

ADHD assessment is included as part of the clinical evaluation, with no additional testing fees.

Follow-up frequency depends on your treatment needs and may be more frequent while establishing or adjusting treatment, with visits typically becoming less frequent once things are stable. I offer evening and weekend appointments and am available between sessions for appropriate questions or concerns.