Addiction therapists & psychiatrists in Saint Augustine, FL

Whether you're navigating anxiety, trauma, addiction, or a major life change - you deserve support without judgment. My practice is a safe, compassionate space where you can finally say the things you've never said out loud. I've spent 20+ years walking alongside adults through their hardest seasons. As your sole therapist, I'll know your story deeply and show up consistently - with warmth, honesty, and genuine care.

Hi, I’m Tracy, I'm a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 22 years of experience in nursing and mental health care. I provide compassionate, individualized treatment for children, teens, and adults who are navigating anxiety, depression, trauma, ADHD, bipolar disorder, life transitions and other mental health illnesses. I have a passion for supporting individuals experiencing anxiety, panic attacks and social isolation.

I take a holistic, patient centered approach to care, which means I look beyond just the symptoms. I consider the whole person, mind, body, and spirit because I believe true healing comes from addressing every part of who we are. That might include medication, lifestyle changes, therapy support, or simply having a safe space to talk and be heard. There’s no one-size-fits-all plan here; together, we’ll find what works best for you.

I earned my Bachelor’s and Master’s degrees in Nursing from Jacksonville University and completed a Post-Master’s Certificate in Psychiatry at St. Thomas University. I’m currently working toward my Doctorate of Nursing Practice (DNP) at St. Thomas University, which allows me to stay up to date with the latest research and continue improving how I serve my clients.

Over the years, I’ve worked in inpatient hospitals, outpatient settings, and telehealth environments, giving me a broad understanding of how mental health shows up in different stages and spaces of life. No matter where you are on your journey, my goal is to meet you with empathy, honesty, and a genuine desire to help.

If you're looking for a supportive, nonjudgmental space to explore your mental health and take steps toward healing, I'm here for you. Let’s work towards getting your life back and navigating your future. Healing is possible, and I’m here to walk with you through it.

I am a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with 18 years of experience in general health and 7 years of mental health. I diagnose and treat mental disorders with a sense of comfort and trust. My practice combines the best of psychiatric services with focus on the best treatment plan for your general well-being.

I offer a compassionate, honest, supportive and tailored approach to individuals and families seeking therapy. I connect with a diverse population of individuals, from all walks of life and varying ages who suffer from depression, anxiety, trauma and family conflict.

Welcome! I’m Dr. Annakay Rhule, a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to helping children, adolescents, and adults achieve emotional wellness and balance. My passion lies in creating a safe, supportive space where every patient feels heard, understood, and empowered to thrive.

With a Doctor of Nursing Practice from Palm Beach Atlantic University and years of experience across outpatient, telepsychiatry, and school-based settings, I specialize in caring for children and families navigating challenges such as anxiety, ADHD, mood changes, and behavioral concerns. My approach blends compassionate listening with evidence-based treatment to support long-term growth and resilience.