LGBT therapists in Saint Augustine, FL

My name is Jazmine. I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). My passion is helping people take charge of their mental health and overall well-being. Life can be challenging, and whether you’re managing anxiety, depression, trauma, or just feeling overwhelmed, I’m here to support you every step of the way.

I believe in a holistic, patient-centered approach to care—one that prioritizes your unique experiences, goals, and strengths. My goal is to create a safe, welcoming space where you feel heard, understood, and empowered to take positive steps toward healing. Mental health care shouldn’t be intimidating or one-size-fits-all, so I work with you to find the best strategies and treatments tailored to your needs.

Building a strong, trusting partnership with my patients is at the heart of my practice. I know that small steps can lead to big transformations, and I’m committed to walking alongside you on your journey to better mental health.

I look forward to working with you and helping you build the tools and confidence to live a healthier, more balanced life!

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.

Elizabeth Lerner received her Bachelor of Science Degree in Speech Communications and Sociology from the University of Miami in 1993 and earned her Master’s Degree in Social Work from Florida International University in 1995. She became licensed in 1998 and is a qualified supervisor for those seeking Florida licensure.

As both a therapist and an athlete, I understand the pressure to perform, navigate change, and find balance while managing the many demands of life. I work with young adults and adults who are looking to improve their relationships, gain clarity, and create meaningful, lasting change.

I deeply value creating a space where you can simply be yourself. You don’t need to have the “right” words or have everything figured out before coming into therapy. I’ll meet you where you are — with compassion, care, and without judgment.

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.

Hi, my name is Izayana Borek I am a Licensed Marriage and Family therapist in the state of Florida. I graduated from St. Thomas University in 2016. I provide services for individuals, couples and families.