Find a psychiatrist in San Marcos, TX — covered by insurance

If you’ve been feeling overwhelmed, anxious, or emotionally drained—and nothing seems to be helping the way you hoped—you’re not alone. Many of my clients come to me feeling stuck, exhausted, or unsure of what they need next.

I work with children, teens, and adults who are navigating anxiety, depression, mood changes, and life stressors, and who are ready for a thoughtful, personalized approach to care. I am a Board-Certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in healthcare as both a Registered Nurse and Nurse Practitioner.

I’m a board certified psychiatric mental health nurse practitioner with 20 years of experience caring for patients across a wide range of clinical settings including cardio thoracic vascular surgical intensive care units, and coronary care units. This extensive background has shaped holistic understanding of health and allows me to approach mental health care with both clinical precision and genuine compassion. I am specialized in treating adults (ages 18 and older) with depression, anxiety, PTSD, bipolar disorders, sleeping disorders, substance use disorders with a particular focus on treatment resistant depression. I have specialized training in advanced treatment modalities including ketamine infusions, Spravato, and Trans cranial magnetic stimulation (TMS).

As a Psychiatric Mental Health Nurse Practitioner, I provide compassionate, evidence-based care tailored to each individual’s unique needs. I believe in holistic treatment that addresses both the mind and body, and I’m committed to creating a safe, nonjudgmental space where clients feel heard and supported.

You should know:

• I listen first. Your story and your experience matter most.
• Collaboration is key. We’ll work together to find the right treatment plan—whether that includes medication, therapy referrals, lifestyle adjustments, or all of the above.
• I respect your pace. Healing is not a race. I'm here for you, whether you're taking small steps or big ones.
• Your identity matters. I provide inclusive care for people of all backgrounds, genders, and neurodiverse identities.

Above all, I want you to feel empowered in your mental health journey.

As a Psychiatric Mental Health Nurse Practitioner (PMHNP‐BC) with Radiance Psychiatry and Wellness, I take a whole‐person approach to mental health care. I recognize that emotional well‐being is shaped by many factors — physical health, stress, relationships, and life experiences — and I work with clients to address each of these areas.

I have experience supporting individuals with anxiety, depression, trauma, mood disorders, and life transitions. My approach blends medication management with supportive therapy, patient education, and lifestyle‐based strategies. I strive to create a welcoming, culturally sensitive space where clients feel empowered, understood, and supported.

My goal is to help you build resilience, gain insight, and move toward a healthier, more balanced life.

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.

I provide personalized mental health care for adults and adolescents struggling with anxiety, depression, ADHD, PTSD, OCD, bipolar disorder, and related concerns. My focus is helping you feel better, think more clearly, and regain control of your daily life.

I offer comprehensive evaluations and medication management through secure telehealth across Texas, with in-person availability in the Dallas–Fort Worth area. Treatment is tailored to your unique needs, with careful attention to effectiveness, side effects, and long-term stability.

I am a Psychiatric Nurse Practitioner with experience providing care in both inpatient and outpatient psychiatric settings. My clinical background allows me to support adults across a wide range of mental health needs—from acute stabilization to ongoing outpatient treatment—while maintaining a thoughtful, individualized approach to care.

I received my Psychiatric Mental Health Nurse Practitioner (PMHNP) degree from Texas State University, where I developed a strong foundation in evidence-based psychiatric assessment, diagnosis, and treatment. I am known for my warm, approachable style and for taking the time to truly listen, as I believe effective mental health care begins with trust, collaboration, and feeling understood.

I specialize in the evaluation and treatment of anxiety, depression, bipolar disorder, schizophrenia, schizoaffective disorder, ADHD, trauma-related concerns, and life stressors. My approach emphasizes conservative medication management, clear patient education, and shared decision-making so individuals feel informed and confident in their care.

In addition to my psychiatric training, I have a background in women’s health, which enhances my understanding of how physical health and life-stage factors can influence mental well-being. This perspective allows me to provide well-rounded, inclusive care for all adults.

Whether you are seeking psychiatric care for the first time, transitioning from inpatient treatment, or looking for ongoing outpatient support, my goal is to provide a supportive, non-judgmental environment where you feel respected, heard, and empowered throughout your care.

Hi, I'm Ariel, a Doctor of Nursing Practice, professor, and board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).I provide care for individuals experiencing depression, anxiety, ADHD, PTSD, and substance use disorders. My background includes working across telehealth, inpatient, and outpatient settings, including detox and addiction treatment.

I bring a warm, down-to-earth approach and value working collaboratively with my clients. My focus is to create a supportive environment where you feel heard and respected as we work together toward real, lasting progress

I am a passionate Psychiatric Mental Health Nurse Practitioner dedicated to helping preteens, adolescents, and young adults who are grappling with the complexities of mental health disorders, such as anxiety and depression. My clients are overwhelmed by their emotions, struggling to manage daily responsibilities, relationships, and academic pressures. They may feel sad, hopeless, or experience intense anxiety that interferes with their ability to function and thrive. I aim to provide a safe and non-judgmental space for my clients to navigate their emotional challenges, learn effective coping strategies and improve overall wellbeing,

My clinical style is warm, structured, and collaborative. I emphasize clear communication and shared decision-making with my patients. I strive to create a safe and non-judgmental environment where people feel heard and respected.

I have an AGACNP background, which supports my ability to assess medical comorbidity and understand complex medical/psychiatric overlap. I am also DOT-certified, which reflects my knowledge of safety-sensitive considerations and careful medication risk assessment.