Addiction therapists & psychiatrists in West Palm Beach, FL

Hi! I'm Dr. Miller, a Psychiatric Nurse Practitioner with over 30 years of experience in mental health and wellness care. My journey has taken me from earning my BSN at Barry University to my MSN and FNP at the University of Miami, a Post-Master's as a Psych NP from the University of Alabama, and a Doctorate in Nursing Practice from FIU. That depth of training means I bring both clinical expertise and genuine, hard-earned wisdom to every person I work with.

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.

I am a Licensed Mental Health Counselor and Nationally Certified Counselor with over 20 years of experience supporting adults through life’s most challenging seasons. My background includes extensive work in behavioral health and addiction treatment, with a focus on helping clients navigate anxiety, depression, substance use concerns, stress, life transitions, and emotional overwhelm. I believe therapy should feel supportive, practical, and judgment-free. Many of my clients come to therapy feeling stuck, exhausted, anxious, discouraged, or unsure of how to move forward. My goal is to help you better understand what you are experiencing, identify patterns that may be holding you back, and build healthier tools to manage life with more confidence and stability.

I strive to create a space where you feel heard, respected, and supported as we work together toward meaningful change.

I have a professional background in counseling with specialized training in substance use prevention and treatment. I also work with clients experiencing depression, anxiety, stress, and challenges with emotional regulation. My approach is empathetic, human, and person-centered, always honoring your unique story. I’m here to support you in reaching your full potential through a holistic perspective that values emotional, physical, and social wellness.

I’m a Board-Certified Psychiatric-Mental Health Nurse Practitioner and proud U.S. Army veteran committed to helping adults find balance and healing. I provide evidence-based, compassionate care for anxiety, depression, trauma, and stress-related conditions. My goal is to create a calm, respectful environment where every client—veteran or civilian—feels seen, supported, and understood. I combine medication management with practical coping strategies and therapy-informed guidance to promote lasting well-being.

Welcome! I’m a Psychiatric Mental Health Nurse Practitioner dedicated to helping patients improve their mental health and overall well-being. I work with individuals experiencing depression, anxiety, stress, mood changes, and sleep difficulties. With many years of experience in behavioral health field, including leadership roles in psychiatric care, I bring a thoughtful and comprehensive approach to treatment. My goal is to create a safe and supportive space where you feel comfortable sharing your concerns. Together, we develop a personalized treatment plan focused on stability, emotional wellness, and improving quality of life.

I have had a private practice for over 40 years. I have worked in residential and intensive outpatient as well as day treatment programs. Working with a variety of issues, including anxiety, depresion, work and relationship issues