Book a therapist or psychiatrist in Duxbury, MA covered by Aetna

I am a bilingual English Spanish psychotherapist and clinical consultant in New York with extensive experience in outpatient mental health settings and in private practice. Relational trauma, dyadic work with parents and babies, life transitions like divorce, loss, coping with college related challenges and entering the workforce, and in general anxiety and depression have been at the core of my clinical work.

I am a board-certified Psychiatric Nurse Practitioner in Massachusetts. I offer comprehensive treatment combining medication with lifestyle and behavioral interventions. I help adult clients manage conditions such as depression, anxiety, OCD, bipolar disorder, psychotic disorders and substance use disorder. I also specialize in helping women navigate the peri and postpartum periods. I use evidence-based treatments that consider the client’s biological, psychological, spiritual, and social needs.

I specialize in perinatal care and women's health issues. I am dedicated to helping women face the challenges related to infertility, loss, and the postpartum period. I also specialize in nutrition and how that is closely related to mental health. With my unique holistic approach we can reduce negative though patterns and increase positive relationship internally and externally.

I'm a nurse practitioner with six years of experience across inpatient, partial hospitalization, and outpatient psychiatric settings. I specialize in addiction and substance use, depression, and general psychiatry — working exclusively with adults. After years of high-paced clinical work, I built a telehealth practice designed around real life: I see patients evenings and Saturday mornings, so quality psychiatric care doesn't have to compete with your workday. I take a practical, no-nonsense approach — focused on what actually helps you move forward.

I work with individuals navigating emotional pain, life transitions, and personal growth, offering a steady, compassionate therapeutic presence.

With nearly 30 years of experience in the mental health field, I have dedicated my career to helping individuals navigate life's challenges with compassion, respect, and clinical insight. I have had the privilege of working with people from all walks of life, supporting them through concerns such as anxiety, depression, trauma, relationship difficulties, life transitions, and personal growth.

For nearly two decades, I have served as a therapist in a college counseling setting in Vermont, working closely with young adults during pivotal stages of their development. In addition, I have provided care in both community mental health and hospital emergency settings, supporting individuals and families in moments of acute crisis. These diverse clinical experiences have deepened my understanding of the many ways people experience distress and the many pathways toward healing.

Miriam Fernandes, MSN, PMHNP-BC

I am a board-certified Psychiatric Mental Health Nurse Practitioner providing compassionate, evidence-based care to adults. I specialize in treating anxiety, depression, mood disorders, trauma-related conditions, and burnout. My professional background includes experience in both high-acuity and outpatient psychiatric settings, where I have worked with individuals facing complex emotional and behavioral health challenges.

I strive to create a safe, respectful space where clients feel heard and empowered. My goal is to partner with you in developing a treatment plan that supports long-term wellness and meaningful change.

In a world where there is endless advice, online "experts" and seemingly easy fixes, it can be challenging to hit a roadblock and find that nothing feels quite right. Whether it is depression, anxiety, or just a general sense that something is “off”, it keeps you stuck. And you just can't figure out how to fix it. While I have no answers, I offer a place to pause, reflect, and talk about what’s been holding you back. And most importantly, what you want to happen next.