

OCD treatment in Randolph is accessible through Headway's network of 773 providers trained in exposure therapy, cognitive approaches, and SSRI medication management. Find a provider who understands your experience with contamination fears, rituals, or obsessions.
Welcome! I provide individual therapy for college/ graduate students, professionals, and adults navigating anxiety, OCD, trauma, crises of meaning, and the deeper questions that arise in times of uncertainty. Many of my clients come in feeling stuck, overwhelmed, or disconnected- from themselves, others, or a clear sense of purpose. Our work together explores not just symptom relief, but what it means to live more fully and authentically. Together, we reconnect with your values, develop practical skills for navigating life's challenges, and explore the deeper patterns and past experiences that may be shaping your present.
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 U.S. Navy veteran that came to therapy late in life after a successful career in Tech. I am very analytical but also empathic, compassionate and humorous.
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 licensed independent clinical social worker with over 10 years of experience as a psychotherapist and career counselor. I have worked with clients with depression, anxiety, mood disorders, adjusting to college life and career challenges. I also have experience counseling clients with medical illnesses including Long Covid. My therapy style has been described as warm and engaging; I believe in creating a safe space with respect, compassion and open dialogue necessary to building trust.
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 earned my Bachelor of Nursing from University of Connecticut (Go Huskies!) before moving to Boston to start my career in bedside nursing in 2019. After serving as an RN and Director of Nursing at a residential treatment center, I earned my PMHNP at Regis College to specialize in mental health. Since then, I’ve gained diverse experience providing cutting-edge ketamine therapy in outpatient clinics and managing complex cases in inpatient psychiatry. Now, I’m bringing that clinical expertise—along with post-graduate training in CBT—to my full-time private practice, where I provide comprehensive, compassionate care for patients navigating anxiety, depression, OCD and ADHD in the South Boston area.
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.


Headway helps you manage obsessive-compulsive disorder with expert-guided support — from finding the right therapist or psychiatrist, to understanding costs, to scheduling with ease.
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