Bipolar disorder therapists & psychiatrists in Lexington, MA

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.

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 do my best work with adolescents and adults. My experience spans over 30 years. I focus on each person's strengths and provide support by bolstering their resilience and courage. Together we move toward change and greater health.

You’ve been through things most people don’t talk about — and you’re still here. Whether you’re questioning your relationship with alcohol or drugs, healing from sexual trauma, or rebuilding after domestic violence, you don’t have to figure it out alone. I’m Letrecia, an LCSW and Master’s level Certified Addiction Professional with 20+ years in behavioral health and trauma-informed care. My approach is warm, direct, and practical — we build real skills, not just insight. I use CBT, DBT, Motivational Interviewing, and EMDR. Virtual sessions, evenings and weekends available.

For the past 3.5 years, I’ve had the privilege of leading a multi-site inpatient unit, supporting individuals with persistent mental illness and substance use as they work toward stability and recovery. Now, I’m stepping into private practice and writing my next chapter. I’m licensed in Florida and passionate about making care accessible and meaningful. I’d love to connect—does this sound like a fit for you?

I am a Psychiatric Nurse Practitioner treating clients since 2016 and prior to that, providing family practice care in a rural University clinic.

Many of my clients come to me feeling like something is holding them back. Stuck in patterns that no longer serve them, struggling to communicate in ways that feel authentic, or searching for healthier ways to cope with life's challenges. They often describe a sense that their personal growth has stalled, even when they can't quite put their finger on why.