Prenatal and postpartum therapists & psychiatrists in Lake Mary, FL

“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.

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'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.

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.

Now accepting patients 7 years and up for immediate virtual or in-person appointments. With more than 16 years providing care for families through the lifespan, I specialize in trauma, autism/ADHD, depression, and anxiety disorders. My focus is on addressing your symptoms and seeing you as a whole person, not just a diagnosis. I believe in working alongside you to develop a treatment plan that will best fit your needs from medication management to therapy and lifestyle changes.