

Bipolar disorder involves navigating depressive episodes, hypomania, mania, and rapid cycling with professional guidance. Our Reno-based network includes providers trained in Family-Focused Therapy, Interpersonal and Social Rhythm Therapy, and psychoeducation to help stabilize your mood and routine. Headway offers flexible scheduling and works with your insurance to make care accessible.
Akpengbe, DNP, earned a doctorate at Brandman University in California and a Master’s degree in science at Walden University in Minnesota, certified to provide medical and psychiatric needs in California. With 17 years of experience in mental health and medical care since 2005.
If you feel burdened trying to reach a provider or think you need to be heard by a provider. he has an answer to these constraints, with knowledge of medication management for anxiety, depression, and mood,
As a bilingual, board-certified psychiatric nurse practitioner with Indigenous roots and lived immigrant experience, I founded Cristal Psykare to close the gap in accessible, affordable mental health care. With clinical experience across the lifespan and specialties in ADHD, PTSD, anxiety, depression, and substance use, I offer trauma-informed, culturally responsive care in both English and Spanish.
If you are looking to develop a greater understanding of yourself, a situation, or are looking for tools to better navigate life, we may be a fit.
I'm a dedicated dual certified Psychiatric Mental Health Nurse Practitioner and Adult/Geriatrics Nurse Practitioner, specializing in diagnosing and treating a range of psychiatric disorders, including anxiety, depression, substance abuse disorders, and more in adult clients. With a holistic approach, I aim to blend psychiatric and primary care to enhance your physical and mental well-being.
My ideal client is someone who is ready to make a change even if they aren’t sure how. I work with many clients who struggle with all types of trauma, mood disorders, neurodivergence and often a combination of these traits. I often work with my clients to help them set attainable goals and break down complex situations piece by piece. I also strive to make a safe space for LGBTQ+ and encourage expressions of all gender identities and sexualities. Vulnerability is key to healing and I welcome anyone who is ready to begin and honest conversation about their goals.
Nikki Day, LCSW, is a licensed clinical social worker and therapist with experience providing mental health services since 2019 through community mental health agencies, group practices, and private practice settings. She earned her Master of Social Work from the University of Denver in 2020 and completed her clinical licensure requirements in 2025. Nikki is the founder of Vivant Counseling, LLC, where she works primarily with individuals navigating depression, anxiety, trauma, and life transitions. While maintaining a generalist approach, she has developed specialized experience supporting members of the LGBTQIA+ community, and survivors of domestic and sexual violence. In 2026, she expanded her professional licensure to include both Utah and Nevada, allowing her to broaden access to mental health care across multiple states.
Christine Ramos is a dual certified acute care nurse practitioner and psychiatric nurse practitioner who enjoys treating a patient population across the lifespan. Her approach to treatment is base upon patient centered-goals. No controlled substance schedule II (I.e. Xanax, Adderall ) prescriptive authority at this time.


Headway helps you find expert-guided support for mood management — from finding the right therapist or psychiatrist, to understanding costs, to scheduling with ease.
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