Rachael Colley

I'm Rachael Colley, a Psychiatric Mental Health Nurse Practitioner focused on psychiatric medication management with a practical, skills-based approach. My path ran through teaching and nursing before prescribing, so explaining things in plain language comes naturally, and I care about what works in your real life, not just what looks good on paper.

Who I work with I see adults, teens, and children, with particular depth in ADHD, anxiety, depression, mood disorders, perinatal and postpartum mental health, and binge eating disorder. I provide neurodiversity-affirming care and have a strong interest in supporting people navigating a late diagnosis, both the relief of finally having answers and the practical work of figuring out what comes next.

I offer early morning, evening, and weekend appointments across Arizona.

Medication management is the heart of my practice, and I weave practical, evidence-based skills and psychoeducation into every visit. I also offer focused, goal-oriented therapy when it fits. For deeper or specialized work like EMDR or DBT, I connect you with a trusted therapist, and if you already have one, I am glad to collaborate as part of your care team.

I believe in shared decision-making, honest communication, and respecting your time. You will always know my clinical reasoning, and I welcome your questions. We decide together, and nothing happens to your plan without you understanding it first.

In our first session, we spend time getting to know each other. I ask about your history, current symptoms, what has and has not worked before, and your goals for treatment, because I want the full picture before making any medication recommendations.

By the end, you will have a clear sense of my initial impressions, a proposed plan, and next steps, whether that means starting a medication, adjusting something you are already on, ordering labs, or simply gathering more information before deciding. You will never leave with a prescription you do not understand or a plan we did not talk through.

I also introduce one practical skill or tool in that first visit, so you leave with something concrete to use right away.