Tyhesha Ware

You may be the person everyone relies on—capable and successful on the outside, but privately feeling overwhelmed, anxious, exhausted, scattered, or unable to keep up. You may be wondering whether you are experiencing ADHD, anxiety, depression, burnout, poor sleep, or a combination of concerns.

I’m Tyhesha Ware, DNP, PMHNP-BC, a board-certified Psychiatric Mental Health Nurse Practitioner providing telepsychiatry for adults in California. My practice focuses on women’s mental health, adult ADHD, anxiety, panic symptoms, depression, sleep difficulties, and work-related stress. I have a particular interest in helping professional women and women whose symptoms may have been overlooked because they learned to mask, overachieve, or push through their difficulties.

I provide comprehensive psychiatric evaluations, diagnostic clarification, medication management, and brief evidence-informed interventions. My structured adult ADHD evaluations consider developmental history, symptoms across settings, functional impairment, mood, anxiety, trauma, sleep, medical factors, substance use, and collateral information when available—not simply the results of one questionnaire.

My background includes caring for veterans and individuals from diverse cultural and socioeconomic backgrounds across primary care, public health, care management, and correctional mental health settings. These experiences have shaped my culturally responsive, collaborative, and nonjudgmental approach.

Together, we will work to understand what is contributing to your symptoms and develop an individualized treatment plan that helps you feel more focused, emotionally steady, and confident in managing your daily life.

My approach is collaborative, thorough, and culturally responsive. I do not assume that every concentration problem is ADHD or that every overwhelmed professional is simply experiencing burnout. I take time to understand your symptoms, developmental history, daily functioning, sleep, physical health, relationships, life experiences, and current stressors so we can identify what may be contributing to how you feel.

When evaluating possible adult ADHD, I use a structured clinical process that considers symptoms during childhood and adulthood, impairment across multiple areas of life, validated assessment tools, relevant records, and collateral information when available. I also evaluate for conditions that can resemble or occur alongside ADHD, including anxiety, depression, trauma-related symptoms, sleep disorders, substance use, and medical concerns.

Together, we will review diagnostic impressions and discuss treatment options, including the potential benefits, risks, and alternatives to medication. When appropriate, I incorporate psychoeducation and brief strategies informed by cognitive behavioral therapy, acceptance and commitment therapy, motivational interviewing, behavioral activation, and solution-focused care.

You will be an active participant in your treatment decisions. My goal is to create a safe, nonjudgmental space where you feel heard, understand your options, and leave with a treatment plan that reflects your goals, needs, culture, and lifestyle.

Your first appointment is an opportunity for us to understand what you have been experiencing and what you hope to accomplish through treatment. We will discuss your current symptoms, psychiatric and medical history, medications, sleep, substance use, daily functioning, relationships, important life experiences, and current stressors. We will also review any questionnaires or records you have provided.

I will ask questions to better understand the timeline and impact of your symptoms, but you will not be expected to share everything before you feel comfortable. My goal is to provide a respectful, nonjudgmental environment where you feel heard and actively involved.

If you are seeking an adult ADHD evaluation, the first session begins the assessment process. A responsible evaluation may require additional appointments, developmental history, rating scales, previous records, or collateral information before a diagnosis or treatment recommendation can be made. An appointment does not guarantee a particular diagnosis, medication, or controlled-substance prescription.

Before the session ends, we will review my initial clinical impressions, discuss appropriate treatment options, answer your questions, and agree on the next steps. I want you to leave with a clearer understanding of your concerns and the plan moving forward.