Prenatal and postpartum therapists & psychiatrists in Casselberry, FL

Taking the step to seek mental health support can feel overwhelming—but you don’t have to do it alone.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) providing compassionate, patient-centered care to individuals navigating anxiety, depression, trauma-related concerns, and complex mental health needs.

I have experience working across high-acuity hospital settings, partial hospitalization programs, and community-based care, which allows me to support individuals through both everyday challenges and more complex clinical situations. My goal is to create a calm, supportive, and nonjudgmental space where you feel heard and respected.

I'm Karina Astigarrabia Ferraz, PMHNP-BC — a Board-certified Psychiatric-Mental Health Nurse Practitioner practicing in Florida. Before specializing in psychiatry, I spent years as a Board certified nurse in cardiac intensive care, an experience that deepened my understanding of how the mind and body are inseparable. That background shapes the way I practice: I see mental health as rooted in biology, physiology, and lived experience — not just symptoms to be managed. I believe therapy is one of the most powerful and underutilized tools in mental health care. My work centers on evidence-based approaches — Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Interpersonal Therapy — integrated with a positive psychiatry framework that focuses on your strengths, resilience, and capacity to heal. When medication is appropriate, I incorporate it thoughtfully as part of a broader, individualized plan. Clients often describe me as warm, unhurried, and genuinely curious about their lives. I collaborate with Brain X Dynamics as an independent clinician, sharing a commitment to whole-person, holistic care — including attention to brain metabolism and the biological foundations of emotional well-being.

You might feel misunderstood, overwhelmed by mood changes, or unsure how to navigate relationships in a way that feels natural or fulfilling. Whether you’re dealing with depression, bipolar patterns, or feeling “different” in social or emotional spaces, it can be exhausting trying to figure it out on your own.

I work with adults, including neurodivergent individuals, who want to better understand themselves, improve relationships, and feel more steady and connected in their daily lives. My goal is to create a space where you feel respected, supported, and able to be fully yourself.

“I want you to know that I’m here to support you with you with warmth and honesty. I’ll listen deeply, but I’ll also be directwhen it helps. You move forward. I’d believe I’m working towards real practical solutions so you’ll always feel heard, and we’ll take steps that make a difference in your life.“

I work with teens and adults navigating anxiety, working through trauma, life transitions, and the challenges that come with parenting and the postpartum period. I understand how overwhelming it can feel when your mind won't slow down or when life doesn't look the way you expected. My approach is warm, collaborative, and practical- I want you to feel supported. We will focus on building insight, developing tools that feel like they will really work, and exploring what is important to you.

Life can feel overwhelming at times-whether you are facing anxiety that won’t quiet down, navigating a tough life transition or carrying the weight of grief and loss. You don’t have to go through it alone.