Obsessive-compulsive disorder therapists & psychiatrists in Lowell, 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 integrate evidence-based practices, medication-assisted treatment, & trauma-informed approaches to support recovery & reentry post-release. Beyond clinical roles, I bring a perspective to clinical work that emphasizes ethical practice, and policy awareness while never losing sight of the individual behind the chart.

I am passionate about building therapeutic relationships, and helping individuals reclaim stability, dignity, & hope. My goal is to continue leveraging my clinical, legal, and leadership experience to advance innovative, compassionate behavioral health services that create meaningful and lasting change for my clients.

I am a certified in Mental Health First Aid professional, a certified MA Problem Gambling Specialist II & a Licensed Drug & Alcohol Clinician in RI and MA.

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.

Choosing a psychiatric provider is a personal decision, and I approach that with care. As a psychiatric nurse practitioner specializing in adult mental health, I focus on understanding you as a whole person and creating a treatment plan that fits your life.

I have worked with diverse populations and often see how anxiety, trauma, stress, and executive dysfunction can interfere with work, relationships, and overall well being. I treat adults with depression, anxiety, ADHD, and substance use concerns, with experience in both inpatient and outpatient settings, including complex cases. I especially enjoy working with college students, professionals, and business leaders who are balancing demanding schedules and high expectations. I also collaborate with caregivers and other professionals to ensure well rounded care.

"Empowering you toward lasting growth through empathy and action.

I strive to create a supportive environment where individuals feel safe processing life’s hurdles. Whether you are navigating stress, crisis, or multicultural concerns, I provide a safe space to develop coping skills and find your footing.

• Experience: 10 years in clinical practice.
• Specialties: Anxiety, trauma, substance use, and life transitions.
• Languages: Fully bilingual in Spanish and English.

I deeply value diversity and operate from a foundation of inclusion and compassion. My mission is to help you feel seen, heard, and equipped to reach your goals."

Hi! Thanks for checking out my profile! My name is Mike and I am glad you're here!

I received my masters degree in counseling from Fitchburg State University in 2017. After graduating, I started my career as a trauma-informed in home family therapist wherein I worked primarily with children, adolescents, and their caregivers teaching communication skills, coping strategies, addressing safety concerns, and working to improve stability in a home environment. Since 2022 I have worked as an outpatient counselor working with a range of clients from ages 6 to adult. I love working with a variety of clients, and focus especially on treating anxiety, depression, ADHD, and identity.

I have professional and personal experience with many mental health issues. I only share what has worked for clients and me. I am curious and open to learning about everyone's unique culture and way of life.

My very general bio would be:

I grew up in MA. I went to both public and catholic schools. I earned a 2nd degree black belt from Premier Martial Arts. I earned a BA in Psychology from uml. I worked at a group home for teenagers, then one for adult men with schizophrenia. I worked as a support and then a lead teacher at a day program for adults with developmental disabilities. There, I learned a lot about Behaviorism and ABA. I was then able to work as a clinician as I finished my graduate degree.

I earned my graduate degree at Fitchburg State University. I did my internship at the Community Health Center in Fitchburg. I worked in community mental health before venturing out on my own.

I have worked in several clinical and therapeutic settings including working in private practice for several years, and having had the unique opportunity to work with underprivileged folks in a correctional setting both in an individual therapy and group therapy capacity. These unique experiences have given me the opportunity to work across a variety of settings and acquire a multidisciplinary approach for individuals with unique and specific needs.

I'm Tiff. I work with individuals who feel weighed down by trauma, anxiety, or identity and life transitions. Many of my clients are veterans adjusting to civilian life, survivors of trauma, or people seeking affirming care around gender identity and self-exploration. What they share is a desire for safety, relief, and a greater sense of ease in their body and relationships.

I understand how heavy it can feel to carry these experiences alone. Therapy can be a space to slow down, feel seen, and begin healing in a way that feels sustainable. Together, we work toward helping you feel more grounded, more connected, and more at home in yourself.