
I'm a psychiatric nurse practitioner in California's Central Valley, and I work with kids, teens, and adults on anxiety, depression, ADHD, and mood concerns. A lot of my practice is with younger patients and their families — a child whose worry has taken over the school day, a teen who's withdrawn from everything they used to like, a parent who's been told to "wait and see" for too long. I also work with adults through depression and anxiety, including during pregnancy and postpartum, and with older adults whose mood changes get written off as just part of aging. Getting good psychiatric care around here often means a long drive and a longer wait. My goal is to be accessible, and to actually know my patients rather than seeing them for eight minutes twice a year.
I listen first and prescribe carefully. Before we change anything, I want the full picture — your history, your sleep, what's going on at home or at school, and what's been tried before. When medication makes sense, I'll explain it in plain language: what we're hoping for, how long it takes to know, what side effects to watch for, and when we'd rethink it. With children and teens, I start low and go slow, and I involve parents in the plan while still giving the young person a real voice in their own care. I also believe medication works best alongside therapy, so I'll coordinate closely with your therapist or help you find one. If something isn't working, I want to hear it — I'd much rather adjust than have you quietly stop.
Our first visit is longer than a standard medication appointment, because I want to understand the whole person in front of me. We'll go through your history, your symptoms, your goals, and any past experiences with medication — including the ones that didn't go well. For families, I'll make space for both the parent's concerns and the child's own account of what's happening. You'll leave with a clear plan: what we're starting or adjusting, what to expect over the next few weeks, when we'll follow up, and how to reach me in between. And if medication isn't the right answer, I'll say so and help you find what is.