LGBT therapists in Fort Myers, FL

I am aware that committing to therapy can seem frightening and intensely overwhelming, and frequently, the absolute hardest phase is making the choice to begin. Despite that, you are here today, effectively launching your vital journey to heal and revitalize. I sincerely welcome the chance to interact with you and explore exactly how I can help you. My clinical method is deeply warm, compassionate, and interactive.

My mission in therapy is to create a space where clients have the freedom to guide the work towards their goals with a collaborate partner who can assist in the self discovery process. I strive to make therapy feel loving and supportive by providing a place where you can start on the journey to connecting with your inner strength. Self care is important, and therapy is a courageous way to give yourself the care and support you deserve.

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.

I am an LPC in Virginia and LMHC-S in Florida my background in practice consists of treating adolescents, families, children in at risk populations and treating adults with depression and anxiety. I take a holistic approach to counseling and meet the client where they are at. I include CBT and solution-focused techniques in order to assist clients dealing with a variety of issues. I also have a background in TF-CBT informed therapy and utilize this as needed.

I am a bilingual (English and Spanish) licensed psychologist who is passionate about helping women understand themselves more deeply, overcome challenges, and build lives that feel meaningful and fulfilling. I provide both therapy and psychological evaluations in a warm, supportive, and nonjudgmental environment.

In therapy, I work with women navigating anxiety, depression, ADHD, autism, trauma, chronic illness, relationship difficulties, life transitions, stress, and self-esteem concerns. I believe healing happens when people feel heard, supported, and empowered to make lasting changes.

I also provide comprehensive psychological evaluations to help individuals gain clarity about their cognitive, emotional, and behavioral functioning. Evaluations may address concerns related to ADHD, autism spectrum disorder, mood and anxiety disorders, trauma, personality functioning, cognitive changes, and diagnostic clarification. My goal is not simply to provide answers, but to help you better understand your strengths, challenges, and the most effective path forward.

Whether you are seeking therapy, an evaluation, or both, I strive to create a collaborative experience where you feel respected, understood, and supported every step of the way.