

Duxbury residents can access compassionate mental health care through Headway, featuring providers across popular neighborhoods including Duxbury Center, Marshfield, and nearby communities. With 373 licensed providers available, you'll find flexible scheduling, virtual or in-person options, and support for talk therapy and medication management covered by most insurance plans.
"I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with experience working with clients across the lifespan—from adolescents to older adults. I specialize in treating anxiety, depression, bipolar disorder, PTSD, and other mental health concerns.
My approach is client-centered, warm, and collaborative. I believe in treating the whole person—not just symptoms—and I often integrate evidence-based medication management with lifestyle and coping strategies tailored to your needs. I strive to create an inclusive, affirming space for all individuals, especially those from underserved and culturally diverse communities.
Whether you’re navigating trauma, grief, relationship challenges, or life transitions, I am here to support you in finding clarity, balance, and hope. My goal is to help you feel understood, empowered, and equipped with the tools you need to thrive."
I'm a nurse practitioner with six years of experience across inpatient, partial hospitalization, and outpatient psychiatric settings. I specialize in addiction and substance use, depression, and general psychiatry — working exclusively with adults. After years of high-paced clinical work, I built a telehealth practice designed around real life: I see patients evenings and Saturday mornings, so quality psychiatric care doesn't have to compete with your workday. I take a practical, no-nonsense approach — focused on what actually helps you move forward.
Hi There! I am proud to be a psychiatric Nurse Practitioner! I graduated from the University of Massachusetts Lowell with my bachelor’s degree and Regis College with my master’s degree. I'm excited to provide you with the individualized care you deserve. Most of all, my goal is to honor your individuality and lifestyle when creating a plan of care. Your goals are what matters- it's your life! Let's help you get to where you want to be!
I am a board-certified Psychiatric Nurse Practitioner in Massachusetts. I offer comprehensive treatment combining medication with lifestyle and behavioral interventions. I help adult clients manage conditions such as depression, anxiety, OCD, bipolar disorder, psychotic disorders and substance use disorder. I also specialize in helping women navigate the peri and postpartum periods. I use evidence-based treatments that consider the client’s biological, psychological, spiritual, and social needs.
With over 15 years of nursing experience, my passion for psychiatry began early in my nursing career as I witnessed patients transform their lives through healing, self-discovery, and resilience. It is profoundly humbling meeting someone at their lowest point and having the privilege of walking alongside them as they do the work to become their best selves.
I work with adults ages 18 to 60 from all walks of life, with a special focus on individuals who are often overlooked, misunderstood, or silently struggling. Many of the people I work with appear “put together” on the outside—successful, dependable, and strong—while internally feeling overwhelmed, exhausted, or barely holding it together.
I was born and raised in Boston, Massachusetts, to immigrant parents from Haiti, and my cultural background plays an important role in who I am as a provider. Being deeply connected to both Haitian and American cultures has given me a broad perspective and a deep appreciation for cultural identity, family systems, and the shared human experience. At the core, struggle looks very similar across cultures—and everyone deserves care that is respectful, culturally responsive, and compassionate.
Miriam Fernandes, MSN, PMHNP-BC
I am a board-certified Psychiatric Mental Health Nurse Practitioner providing compassionate, evidence-based care to adults. I specialize in treating anxiety, depression, mood disorders, trauma-related conditions, and burnout. My professional background includes experience in both high-acuity and outpatient psychiatric settings, where I have worked with individuals facing complex emotional and behavioral health challenges.
I strive to create a safe, respectful space where clients feel heard and empowered. My goal is to partner with you in developing a treatment plan that supports long-term wellness and meaningful change.
I am a behavioral health clinician specializing in mood disorders, anxiety, trauma‐related conditions, and the emotional complexities that arise alongside chronic medical and cognitive challenges. My practice blends clinical precision with a calm, supportive presence, helping individuals feel understood, grounded, and empowered throughout their care.
Don’t just treat symptoms—but listen for the story behind them.
Integration of medical, psychiatric, and psychosocial threads into a coherent and dignified plan.
I earned my Bachelor of Nursing from University of Connecticut (Go Huskies!) before moving to Boston to start my career in bedside nursing in 2019. After serving as an RN and Director of Nursing at a residential treatment center, I earned my PMHNP at Regis College to specialize in mental health. Since then, I’ve gained diverse experience providing cutting-edge ketamine therapy in outpatient clinics and managing complex cases in inpatient psychiatry. Now, I’m bringing that clinical expertise—along with post-graduate training in CBT—to my full-time private practice, where I provide comprehensive, compassionate care for patients navigating anxiety, depression, OCD and ADHD in the South Boston area.











Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.
Finding psychiatrists in Duxbury starts with understanding whether you need prescribing support, talk therapy, or both. Psychiatrists and psychiatric mental health nurse practitioners can diagnose mental health conditions and prescribe medication, while therapists focus on talk therapy. Medication management may be part of care for concerns like anxiety, depression, ADHD, bipolar disorder, or OCD. As you compare options, look for a psychiatrist whose listed specialties, experience, and approach match what you want support with.
In a smaller community like Duxbury, local psychiatry options may be more limited than in larger nearby areas. Virtual appointments can expand your search while still giving you access to licensed psychiatrists in Massachusetts. Psychiatric care also tends to follow a different rhythm than therapy: medication management visits are often shorter and less frequent than therapy sessions. Some psychiatrists also offer therapy, and some people choose to work with both a therapist and a prescriber. Review bios before booking to understand appointment style, areas of focus, availability, and whether a free phone consultation is offered.
Psychiatric care in Duxbury can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you search for psychiatrists who match your preferences, accept your plan, and are accepting new patients. You can enter your insurance details, review estimated costs upfront, compare profiles, and book directly when you’re ready.
If you're already taking psychiatric medication and considering switching providers, talk to your current prescriber before changing or stopping any medication — most psychiatric medications shouldn't be stopped abruptly. Anyone experiencing thoughts of self-harm or in acute crisis should call 988 or go to the nearest emergency department rather than wait for an outpatient appointment.
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