Thomas Koste

I am a board-certified Psychiatric Mental Health Nurse Practitioner with experience in both inpatient and outpatient settings, working with individuals across the lifespan. I have treated a wide range of mental health conditions, including depression, anxiety, PTSD, and other mood and behavioral disorders.

My background includes working in fast-paced emergency and inpatient environments as well as outpatient care, which allows me to understand both acute and long-term mental health needs. I focus on providing thoughtful, evidence-based care while taking the time to truly listen and understand each patient’s unique situation.

I believe in creating a supportive, respectful, and judgment-free space where patients feel comfortable discussing their concerns and working toward meaningful improvement.

My approach is patient-centered, collaborative, and practical. I primarily focus on medication management while incorporating supportive therapy techniques, psychoeducation, and lifestyle considerations into treatment.

I work closely with each patient to develop an individualized plan based on their symptoms, goals, and preferences. When appropriate, I encourage the integration of therapy services alongside medication to support long-term success.

I aim to balance clinical expertise with a compassionate, down-to-earth approach so patients feel both supported and empowered in their care.

During the first session, we will complete a comprehensive psychiatric evaluation. This includes discussing your current symptoms, mental health history, medical background, and any previous treatments or medications.

My goal is to understand the full picture of what you are experiencing so we can create a clear and effective treatment plan together. If appropriate, we may discuss medication options, as well as additional supports such as therapy or lifestyle adjustments.

You can expect a structured but comfortable conversation where you are given the space to share openly, ask questions, and leave with a better understanding of your next steps.