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Therapists answer…

How do you work with clients with anxiety?

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Danielle Gipson

Psychiatric Mental Health Nurse Practitioner
In-Person Therapy
How do you work with clients with anxiety?
When working with clients experiencing anxiety, I start by creating a calm, supportive environment where you feel safe to share your thoughts and emotions. I conduct a thorough assessment to understand your specific symptoms, triggers, and how anxiety impacts your daily life. From there, we develop a personalized treatment plan that may include medication management, talk therapy, or a combination of both. I often incorporate grounding techniques, cognitive behavioral strategies, and mindfulness practices to help reduce anxious thoughts and improve coping skills. My approach is collaborative and paced according to your comfort level, with the goal of helping you feel more in control, confident, and empowered in your everyday life.
I am a board-certified psychiatric nurse practitioner dedicated to supporting individuals facing the challenges of depression and anxiety. I understand firsthand how overwhelming these conditions can be, making even the simplest tasks feel impossible and leaving you feeling isolated and exhausted. I am committed to offering a blend of professional expertise and compassionate care. My focus is to create a safe, nonjudgmental environment where you feel truly heard and respected, empowering you to take the first steps toward healing. Living with depression/anxiety while juggling work, family responsibilities, or relationships can be difficult. If you’re feeling overwhelmed, unheard, or disconnected, and if daily tasks seem like insurmountable challenges, you don’t have to navigate this alone. Asking for help is a sign of strength, and I’m here to support you through this difficult time. Together, we can explore ways to restore balance and build a path forward to improve your mental and emotional well-being. If you or someone you care about is struggling, I invite you to reach out. I’m here to walk alongside you on your journey toward healing, and I look forward to supporting you on the path to recovery. *Specialties •Mental Health •Nursing *Conditions treated •Depression •Anxiety •Bipolar disorders •Schizophrenia •PTSD •ADHD •Eating disorders •Addiction •Insomnia •Mood disorders •Trauma •Panic attacks *Treatment philosophy My process for working with clients begins with a comprehensive intake assessment to understand your mental health history, current concerns, and goals. This helps me gain a clear picture of your unique needs and allows us to create a tailored treatment plan. During our sessions, I incorporate both medication management and talk therapy, depending on what’s most appropriate for your situation. My approach to talk therapy is empathetic and collaborative, providing a safe space for you to explore your feelings, challenges, and personal growth. My goal is to help you feel empowered in managing your mental health, while providing ongoing support through regular check-ins and open communication. *Treatment approach •Culturally Sensitive •Person-Focused •Humanistic •Emotionally Focused *Practice description As a provider, I strive to create a welcoming, non-judgmental environment where clients feel heard and respected. With 20 years of psychiatric experience, I am committed to being culturally competent and sensitive to diverse backgrounds, ensuring that each individual receives personalized care tailored to their unique needs. I approach each appointment with empathy, offering a supportive space for clients to openly discuss their concerns. I value your time, which is why I offer convenient office hours to accommodate different schedules, and I make it a priority to be punctual for all appointments. My goal is to work collaboratively with you to achieve the best possible outcomes for your mental health and well-being. *Insurance •Aetna •Blue Cross Blue Shield •United Healthcare •Oscar
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Debra Zimmer

Debra Zimmer, FNP-C
Online Therapy
How do you work with clients with anxiety?
Debra treats anxiety using Mindfulness-Based Cognitive Therapy (MBCT), Emotionally Focused, Humanistic, and Holistic approaches. She helps patients identify triggers, develop coping strategies, and improve emotional well-being through a supportive and personalized treatment plan.
With over 20 years of experience as a Family Nurse Practitioner, I bring a wealth of knowledge from both office settings and the Emergency Department. Before this, I worked as an RN in hospice and home health, providing compassionate care to those in need. I believe in a holistic approach to health, empowering my patients with the education they need to make informed choices about their treatment. My goal is to help you achieve your best health. I specialize in treating anxiety, depression, ADHD, PTSD, as well as managing weight loss, diabetes, hypertension, and acute illnesses like sinus infections, migraines, and flu. Together, we can navigate your health journey towards wellness. Specialties Psychiatry Mental Health Primary Care Conditions treated Depression Anxiety Bipolar disorders Schizophrenia PTSD ADHD Eating disorders Addiction Insomnia Mood disorders Trauma OCD Anger Management Obsessive-Compulsive Trauma and PTSD Treatment philosophy I believe that every patient deserves individualized care, and treatment goals should be tailored to each person's unique needs. My mission is to help you maintain your health and support you in regaining your well-being throughout your lifespan. Together, we can create a personalized plan that empowers you to thrive at every stage of life. Treatment approach Mindfulness-Based(MBCT) Emotionally Focused Humanistic Holistic Insurance I only support cash pay. Service Initial Visit:- Price- $129 Follow-up Visit Price- $59 Patient type Children, Adolescents, Adults, Seniors , Couples , Family
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Christine Reisdorph

Psychiatric Mental Health Nurse Practitioner
Online & In-Person
How do you work with clients with anxiety?
When working with clients with anxiety, I take a compassionate, individualized approach. I use evidence-based therapies like Cognitive Behavioral Therapy (CBT) to help identify and reframe negative thought patterns. Additionally, I provide coping strategies, relaxation techniques, and personalized support to manage anxiety effectively and build resilience over time.
Hello! I'm Christine Reisdorph, a dedicated Psychiatric/Mental Health Nurse Practitioner here in Summerville, South Carolina and the owner of Magnolia Mental Health. With over 12 years of nursing experience, I'm committed to providing compassionate mental health care to individuals of all ages. I've spent years refining my skills in crisis intervention, symptom management, and family support. My role has often involved collaborating with medical teams and ensuring effective communication to support patient wellbeing and a smooth care journey. Whether working with local law enforcement in crisis situations or facilitating treatment plans for conditions like depression, anxiety, and PTSD, I strive to create a safe, supportive environment for all my patients. I am here to help guide you through your health challenges and ensure the best care possible. Let's work together towards a brighter, healthier future. I see pediatrics, adolescent and adult clients and offer in-person and telehealth appointments Monday through Friday and Saturdays by appointment. I will try to work with your schedule by offering early morning or late day telehealth appointments as well. *Specialties •Mental Health *Conditions treated •Depression •Anxiety •Bipolar disorders •Schizophrenia •PTSD •ADHD •Sleep disorder •Family Issues •Anger Management •Relationship Issues *Treatment philosophy My treatment philosophy centers on a compassionate, patient-first approach to mental health care. I believe in building strong connections with my patients, actively listening to their needs, and engaging them in their own treatment journey. With experience in symptom management, I focus on understanding each individual’s unique circumstances. I prioritize clear communication with patients and their families to create a supportive environment. By collaborating with multidisciplinary teams, I ensure comprehensive care that promotes mental well-being. My goal is to empower patients to take charge of their health, offering guidance and support every step of the way. Together, we work towards a brighter future. *Treatment approach •Telehealth Client Assessment and Support •Integrated Behavioral Healthcare Coordination •Patient-Centered Medication Management •Culturally Competent Care Practices •Cognitive Behavioral Techniques for Wellbeing •Person-Focused •Behavior Modification •Strength-Based •Acceptance & Commitment (ACT) •Interpersonal *Practice description At Magnolia Mental Health, we focus on providing exceptional mental health care for all ages. As a licensed Psychiatric/Mental Health Nurse Practitioner in Summerville, South Carolina, Christine has years of nursing experience with a passion for helping others. She excels in assessing mental health needs and creating tailored treatment plans. Christine has a strong background in mental health disorders and patient education, ensuring you feel supported and informed. Our approach emphasizes open communication and collaboration, whether it’s with you or your family. We're committed to guiding you on your journey towards better mental health. Reach out today to learn how we can help. *Insurance •Aetna •Optum •UnitedHealthcare •Oscar Health •Cigna •Oxford •Horizon Blue Cross and Blue Shield of New Jersey •Blue Cross Blue Shield of Massachusetts
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Sylvie Djoumessi

Psychiatric Mental Health Nurse Practitioner
Online & In-Person
How do you work with clients with anxiety?
I help clients with anxiety by creating a supportive environment to explore their triggers and feelings. Using approaches like CBT, mindfulness, and emotionally focused techniques, we develop coping strategies and address underlying factors. If needed, I incorporate medication management. My goal is to empower clients to manage anxiety and live with greater confidence and ease
Welcome! I'm a dedicated healthcare provider with a deep passion for mental health and patient well-being. I completed my Bachelor of Science in Nursing from the University of Texas at Arlington with a GPA of 3.8, following my Associate of Science in Nursing from Tarrant County College. Over the years, I've had the privilege to work in both operative and psychiatric settings. At Medical City Arlington Hospital, I cared for patients undergoing various treatments and ensured they received the best possible care. I also collaborated closely with a multidisciplinary team to support patients' physical and mental health. As a Mental Health Provider at Grow Therapy, I conducted initial psychiatric assessments, managed medications, and worked with patients facing a variety of challenges – from ADHD and Bipolar Disorder to Depression and Anxiety. My time at the North Texas Behavioral Clinic further enhanced my skills in providing individualized care through psychoeducational sessions and team meetings. My commitment to patient advocacy is unwavering. I actively engage in ensuring safety, providing one-on-one support, and developing tailored treatment plans. I hold certifications in CPR/Basic Life Support and am licensed as an APRN PMHNP in Texas, Arizona, and Washington. I'm deeply invested in continuing education and professional growth, being a proud member of organizations like Sigma Theta Tau International, the International Society of Psychiatric Mental Health Nurses, and the American Nurses Association. Your well-being is my top priority. I'm here to listen, support, and work together with you on your journey to better health. Let's take this step towards a brighter, healthier future together. *Treatment philosophy My focus is on helping you deal with symptoms and building strength to live a life. I blend therapy, medication oversight, and lifestyle adjustments to assist individuals in their path to healing. Your emotional well-being matters most to me. Let's collaborate to establish a route towards strength and happiness. I aim to guide clients in an atmosphere of acceptance and compassion, helping them explore and resolve ambivalence so they can find their inner motivations for positive change.
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Jenny Nwanko

Psychiatric Mental Health Nurse Practitioner
Online Therapy
How do you work with clients with anxiety?
For clients with anxiety, I provide comprehensive medication management tailored to your unique needs. I carefully evaluate your symptoms, discuss treatment options, and monitor your progress to ensure effectiveness and minimize side effects, supporting your journey to calm and balance.
Hello! My name is Jenny Nwankwo, and I’m a dedicated and compassionate psychiatric mental health nurse practitioner and registered nurse. With a Master of Science in Nursing from The University of Texas at El Paso, I’ve achieved honors for my academic excellence. My goal is to bring this exceptional knowledge into my practice to provide top-notch care. I have extensive experience working in various healthcare settings, including psychiatric units and orthopedic care. I believe in a patient-centered approach, working collaboratively with doctors, therapists, and dietitians to ensure each individual receives the care they deserve. I am committed to ensuring your healthcare journey is both personalized and effective. Throughout my career, I have honed my skills in patient care, management, and education. Whether it's working on treatment plans or supporting patients with critical thinking and teamwork, I'm here to make healthcare less complex and more approachable for you. With certifications ranging from advanced cardiac life support to crisis management techniques, my expertise is designed to support you every step of the way. I’m here to listen, understand, and help you achieve better health outcomes. Let’s work together for a healthier you! *Treatment philosophy I believe in a patient-centered approach to care. My goal is to listen actively to my patients and understand their unique needs. Collaboration is key; I work closely with a team of healthcare professionals to develop personalized treatment plans. Compassion and respect guide my interactions, ensuring every patient feels valued and supported. I leverage my nursing skills to provide high-quality care, focusing on mental health and orthopedic recovery. Through clear communication and patient education, I empower individuals to take charge of their health. My commitment is to create a safe, welcoming environment where healing can thrive and patients feel confident on their journey to wellness. *Treatment approach •Utilization Review and Care Coordination •Evidence-Based Clinical Guidelines Adherence •Interdisciplinary Team Collaboration •Palliative Care and Symptom Management •Psychiatric Care for Mental Health Issues •Patient Education and Critical Thinking •Therapeutic Communication and Support •Clinical Research and Data Analysis *Practice description Jenny Nwankwo is a compassionate Board-Certified Psychiatric Mental Health Nurse Practitioner dedicated to providing high-quality care. With an extensive nursing background, she excels in patient management and teamwork, ensuring that every patient's unique needs are met. Jenny has experience in both clinical settings and remote care, collaborating with interdisciplinary teams to improve health outcomes. Her commitment to ongoing education and qualifications, including certifications in advanced cardiac and basic life support, makes her a trusted partner in your healthcare journey. Jenny is here to support you in achieving optimal mental health and overall well-being.
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Abiose Adeboye

Psychiatric Mental Health Nurse Practitioner
Online Therapy
How do you work with clients with anxiety?
When working with clients with anxiety, I focus on creating a safe, supportive space to explore triggers and challenges. I use evidence-based approaches like Cognitive Behavioral Therapy (CBT) and mindfulness to help manage symptoms, reduce stress, and build coping strategies. Together, we develop personalized plans to foster resilience and long-term well-being.
As a Psychiatric Nurse Practitioner, my philosophy of care is deeply rooted in compassion, empathy, and respect for every individual's unique journey. I believe in providing holistic and patient-centered care that addresses not only the mental health needs but also the physical, emotional, and social well-being of my patients. I am committed to creating a safe and non-judgmental environment where patients feel heard, valued, and supported. My approach is collaborative, involving patients in their care plans and empowering them to take an active role in their mental health journey. I strive to build strong therapeutic relationships based on trust, understanding, and mutual respect. *Specialties •Adult Psychiatry •Psychotherapy •Psychiatry *Conditions treated •Depression •Anxiety •Bipolar disorders •PTSD •ADHD •Insomnia •Schizophrenia •Relationship Issues •Substance abuse •Eating disorders •OCD •Anger Management •Addiction •Geriatric Psychiatry •Mood disorders •Female Psychiatry •Behavioural Therapy •Substance use disorder •Personality disorder •Relationship issues •Trauma and PTSD •Grief and Loss •Counseling *Treatment philosophy I advocate for evidence-based practices while remaining open to innovative and integrative approaches that may enhance the quality of care. My goal is to promote mental health, prevent illness, and provide effective treatment and support for those in need. I am dedicated to ongoing professional development to ensure I am providing the most current and effective care. Ultimately, my mission is to help individuals achieve their fullest potential, improve their quality of life, and foster resilience and hope in their mental health journey. *Treatment approach •Cognitive Behavioral Therapy(CBT) •Culturally Sensitive •Emotionally Focused •Humanistic •Coaching •Mindfulness-Based(MBCT) •Trauma-Focused •Person-Focused •Eclectic *Practice description At Serene Mental Health and Sleep, our philosophy is centered around personalized care that addresses the unique needs of each patient. We believe in taking a holistic approach to healthcare that considers the physical, emotional, and mental wellbeing of our patients. We offer a variety of healthcare services that cater to the diverse needs of our patients. Our services include Mental Health, Sleep Medicine and Addiction treatment. mental health medication services virtual mental health services *Insurance •Aetna •Cigna •Anthem •Blue Cross Blue Shield
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Carrie Hill

PMHNP-BC,CARN-AP
Online Therapy
How do you work with clients with anxiety?
For clients with anxiety, I use Cognitive Behavioral Therapy (CBT) to help them identify and challenge negative thought patterns that contribute to their anxiety. Additionally, I incorporate mindfulness-based techniques to promote relaxation and stress reduction. My approach is patient-centered, ensuring that treatment is tailored to the individual’s specific needs, empowering them to manage their anxiety effectively.
Hello! I'm a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to your mental well-being. Through years of experience working in various settings, I've provided compassionate care to adults and veterans dealing with a range of mental health issues such as PTSD, anxiety, depression, bipolar disorder, and substance use disorders. My goal is to make mental health services accessible and effective for you. Utilizing modern technology like HIPAA-compliant video platforms, I ensure that treatment is both confidential and convenient. I specialize in medication management, diagnosis, and therapy for ages 13 to 64. Keeping patient-centered care a priority, I work collaboratively with licensed therapists and other mental health professionals to offer holistic support. Let's work together to navigate the challenges and achieve your mental health goals! Specialties Mental Health Psychiatry Adult Psychiatry Nursing Psychotherapy Addiction Medicine Behavioral Medicine Conditions treated Depression Anxiety Bipolar disorders Schizophrenia PTSD ADHD Eating disorders Addiction Mood disorders Trauma Panic attacks Relationship Issues Patient education Anger Management Female Psychiatry Obsessive-Compulsive Trauma and PTSD Substance use disorder Opioid addiction Alcohol dependency Addiction counseling Relapse prevention Prescription drug misuse Phobias Sleep-related eating disorder Treatment philosophy As a Psychiatric Mental Health Nurse Practitioner, my treatment philosophy centers on compassionate, patient-focused care. I believe in empowering my patients by creating a safe and trusting environment for open communication. I take the time to listen and understand their unique experiences, ensuring they feel valued and heard. I specialize in addressing mental health concerns, including dual diagnosis and substance use disorders, with a holistic approach. Utilizing telepsychiatry, I strive to make quality care accessible. My mission is to collaborate with patients and their families to develop personalized treatment plans that support their recovery journey. Together, we will navigate challenges and celebrate progress with empathy and respect. Treatment approach Medication Management for Mental Illness Trauma-Informed Care for PTSD and Anxiety Substance Use Disorder Treatment (MAT) Motivational Interviewing Cognitive Behavioral Therapy (CBT) Techniques Collaborative Care with Interdisciplinary Teams Telepsychiatry for Accessibility to Care Relapse Prevention Strategies in Treatment Culturally Competent Care for Diverse Patients Person-Focused Practice description At our practice, we prioritize your mental health and well-being. As a Board-Certified Psychiatric Mental Health Nurse Practitioner, I offer compassionate care tailored to your needs. With extensive experience in outpatient psychiatric services, I specialize in treating a range of mental health conditions, including ADHD, anxiety, depression, PTSD, and substance use disorders. Utilizing HIPAA-compliant telehealth platforms, I ensure convenient access to quality care from the comfort of your home. My goal is to provide quick assessments and ongoing support, so you can focus on your journey to wellness. Join me in taking the first step towards better mental health today! Service Initial Visit:- Duration- 60 Min Price- $300.00 Follow-up Visit Duration- 30 Min Price- $150.00 Patient type Adolescents, Adults
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Nina Herring

Psychiatric Mental Health Nurse Practitioner
Online Therapy
How do you work with clients with anxiety?
When working with clients who have anxiety, I focus on creating a safe, supportive environment. I use evidence-based therapies like Cognitive Behavioral Therapy (CBT), mindfulness techniques, and medication management, while also emphasizing lifestyle changes and stress-reduction strategies to help manage anxiety.
I am Nina Williams Herring, a dedicated Nurse Practitioner with over seven years of experience in providing acute care and managing chronic diseases. My passion lies in educating patients to promote sustainable health and wellness. With a board certification as a family and psychiatric/mental health nurse practitioner, I focus on building strong, trusting relationships with my patients and their families, acting as their advocate to ensure the best possible outcomes. In my practice, I emphasize a holistic and evidence-based approach. Whether performing wellness exams, managing complex medical conditions, or aiding mental health, I strive for patient-centered, compassionate care. I pride myself on effectively communicating with my patients, helping them understand their treatment options, and encouraging informed health decisions. Throughout my career, I've collaborated with interdisciplinary teams to develop personalized care plans, ensuring the quality and efficiency of the healthcare provided. I conduct thorough assessments, order and interpret diagnostic tests, and work closely with other medical professionals to coordinate comprehensive care. Committed to ongoing professional development, I continuously update my knowledge of the latest medical practices, ensuring I provide the most current, effective treatments. I also mentor new nurses, fostering a nurturing environment for their professional growth, ultimately leading to better patient care. Let's work together to achieve your health goals and improve your overall well-being. *Specialties •Family Medicine •Adult Psychiatry •Child Psychiatry •Geriatrics •Mental Health *Conditions treated •Depression •Anxiety •Bipolar disorders •PTSD •ADHD •Schizophrenia •Family Issues •LGBTQIA+ •Stress •Cultural & Ethnic Issues •Grief •Loss •Men's Issues •Women's Issues •Diabetes *Treatment philosophy As a compassionate healthcare provider, my treatment philosophy centers on building strong relationships with my patients and their families. I believe in a patient-first approach, where understanding individual needs is paramount. My focus is on holistic care, addressing both physical and mental wellness. I emphasize patient education, guiding individuals towards healthier lifestyles and informed decisions. I combine evidence-based practices with a shared decision-making model to create personalized treatment plans. Collaboration with interdisciplinary teams is key to ensuring comprehensive support, especially for those with complex conditions. In every interaction, I strive to create a nurturing and inclusive environment that fosters trust and promotes healing. *Treatment approach •Holistic care for chronic disease management •Evidence-based psychiatric interventions •Patient education and lifestyle modification •Culturally sensitive care for diverse populations •Collaborative treatment planning and advocacy •Medication management for complex cases •Individual and group counseling sessions •Telehealth consultations for remote care •Play •Motivational Interviewing •Cognitive Behavioral (CBT) •Art Therapy •Behavior Modification •Mindfulness-Based (MBCT) *Practice description Nina Williams Herring is a compassionate Advanced Registered Nurse Practitioner with 7 years of rich experience in acute care, wellness exams, and chronic disease management. She excels in understanding patient histories and can craft precise diagnoses. Passionate about patient education, Nina promotes sustainable wellness habits to enhance life quality. Currently, she provides specialized psychiatric care for individuals with Autism Spectrum Disorder and intellectual disabilities. Known for her excellent communication skills, she builds strong relationships with patients and their families. Nina is dedicated to providing holistic care and improving health outcomes through personalized treatment plans. Trust her for your healthcare journey! *Insurance •Aetna •Cigna •Blue Cross Blue Shield •UnitedHealthcare •Oscar Health •Oxford
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Huma Qadir

Psychiatrist
Online Therapy
How do you work with clients with anxiety?
When working with clients experiencing anxiety, I take a compassionate and individualized approach to care. I begin with a comprehensive psychiatric assessment to understand their unique symptoms, triggers, and personal history. Based on this, I develop a personalized treatment plan that may include medication management, therapy recommendations, and lifestyle modifications. I emphasize a collaborative approach, ensuring that my patients feel empowered and actively involved in their treatment. Additionally, I incorporate evidence-based strategies such as cognitive-behavioral techniques, mindfulness practices, and stress management tools to help clients develop coping skills. My goal is to create a supportive, non-judgmental environment where individuals can regain control over their anxiety and improve their overall well-being.
I am Dr. Huma Qadir, a compassionate psychiatrist dedicated to providing exceptional mental health care. I completed my residency at Albany Medical Center and have gained extensive experience in both outpatient and addiction rehabilitation settings. I am also certified to offer tele-mental health services, ensuring flexible and accessible care for my patients. My work at Kentucky Psychiatry focuses on thorough psychiatric assessments and medication management, helping individuals achieve wellness through personalized treatment plans. Fluent in multiple languages, including Urdu and Hindi, I connect deeply with a diverse patient community. I am committed to supporting those in need and actively volunteer to enhance community mental health services. *Specialties •Psychiatry *Conditions treated •Depression •Anxiety •Bipolar disorders •Schizophrenia •PTSD •ADHD •Behavioural Therapy *Treatment philosophy I believe in a patient-centered approach to mental health care, where each person feels heard and valued. My goal is to build strong relationships with my patients, fostering trust and open communication. I emphasize empathy and understanding in every interaction, recognizing that mental health challenges can feel overwhelming. With specialized training in tele-mental health, I offer flexible treatment options to meet diverse needs. I focus on holistic care, combining psychiatric assessments, medication management, and support for addiction recovery. Together, we will develop personalized treatment plans that empower individuals to take charge of their mental well-being. Your journey is important to me, and I’m here to guide and support you every step of the way. *Treatment approach •Medication Management for Psychiatric Disorders •Tele-psychiatry for Remote Patient Care •Addiction Treatment with Buprenorphine •Psychiatric Assessment for Inpatients •Collaborative Care for Comorbid Conditions •Culturally Sensitive Mental Health Services •Patient Education for Chronic Illness •Counseling for Women's Health Issues *Practice description Dr. Huma Qadir is a diligent and empathetic psychiatrist who is board-certified in psychiatry by the American Board of Psychiatry and Neurology. She currently offers mental healthcare services virtually via One Behavioral and welcomes patients from all communities and backgrounds. Dr. Qadir earned her medical degree from Jinnah Sindh Medical University. Her extensive experience and training allow her to address various mental health concerns. Dr. Qadir is committed to improving the well-being of all her patients. She listens attentively to her patients and helps them choose treatment plans suited to their preferences. *Insurance •Medicaid •Cigna •Medicare •Blue Cross Blue Shield •Humana •Champva •Evernorth Behavioral Health •Magellan •Railroad Medicare