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Therapists answer…

How do you work with clients with anxiety?

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Bri Jaworski

Owner/ Licensed Mental Health Counselor/ Integrative Medicine Doctoral Student/ Qualified Supervisor
Online & In-Person
Brianna “Bri” Jaworski, MA, LMHC- QS is a licensed Mental Health Counselor in the state of Florida. Bri graduated from the University of Central Florida with a bachelors degree in Business and Health with a minor in Psychology. After starting her own business at age 25, she pursued a new career in counseling in 2010. Bri received her Masters Degree in Mental Health Counseling from Webster University in 2015. Bri is trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), as well as Eye Movement Desensitization and Reprocessing (EMDR), and has spent a large portion of her career working with child victim’s of sexual abuse. Bri also worked for many years with victims of domestic violence, and their children. Bri is a certified Domestic Violence Core Competency Trainer in the state of Florida and trained all new employees and volunteers at her agency. Bri served as the Primary Prevention Advocate while teaching 7th-12th graders about healthy dating relationships and warning signs of abuse. Additionally, Bri provided group services to teens in the local shelter, taught Drug Court and Teen Court classes at the Manatee County Courthouse, Life Skills Training classes for survivors as well as parenting classes. During her clinical Internship, Bri worked for a child protection center in Sarasota, Florida which specialized in providing TF-CBT to child victims of sexual and physical abuse, neglect, and child welfare; as well as their non-offending caregivers and family members. Bri provided Individual, family and group counseling. Bri also worked with at-risk youth and adults in-home and in schools and also with sexually reactive children in the “Kid Kindness” Program. Bri continued on, working with trauma victims including: adult victims of childhood sexual abuse, depression, PTSD, anxiety disorders, adjustment disorders, personality disorders, Bi-polar disorders, trauma, grief, and ADHD amongst many others. Bri also facilitated both teen and adult support groups as well as animal supported counseling. Bri has also worked extensively with the child welfare system including DCF contracting, and intensive in-home substance abuse counseling. Bri is an EMDRIA approved EMDR therapist. EMDR or Eye Movement Desensitization and Reprocessing is an empirically evidenced technique that has been shown to significantly help clients of trauma, grief, PTSD, addiction, phobias and many other issues by utilizing bi-lateral stimulation that mimics a REM sleep cycle. Disturbing events are able to be “reprocessed” thus lessening and many times diminishing negative cognitions and feelings. Bri has also worked as a Psychology professor, at a local polygraph credentialing and assessment center teaching Psychology classes as well as classes on administering polygraph assessments to convicted sex offenders. Bri has taught students from all over the globe! Opening a practice that is warm, open, comfortable and non-judgmental was imperative in the formation of Mandala Counseling Services. Bri prides herself in being able to build rapport and establish long lasting therapeutic relationships with her clients. She strives for the perfect balance of professionalism and genuine care and compassion for her clients. She loves animals, is a Reiki Master, enjoys Transcendental Meditation, traveling and of course... Batman. She cares deeply for her clients and has devoted most of her adult life to non-profit centers and helping victims of trauma.  
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Alexine Nansinla

Alexine Nansinla, PMHNP-BC
Online Therapy
Hello, I’m Alexine Nansinla, a Board-Certified Psychiatric Mental Health Nurse Practitioner dedicated to delivering compassionate and comprehensive mental health care. I hold a Master’s degree in Nursing from Walden University and a Bachelor’s degree from the University of Texas at Arlington. Over the years, I have gained extensive experience working in various healthcare settings, including hospitals, long-term care facilities, and mental health centers. Throughout my career, I have developed essential skills in assessing, diagnosing, and treating patients with a wide range of mental health conditions. My journey has not only strengthened my clinical abilities but also honed my leadership and interpersonal skills, which are vital in delivering high-quality care. I am committed to fostering open communication with my patients and their families, ensuring they feel informed and supported every step of the way. My approach to care is collaborative, as I strongly believe in working closely with other healthcare professionals to create personalized treatment plans that meet each patient's unique needs. Whether it’s through medication management, therapeutic sessions, or simply being a supportive presence, I aim to make a positive impact on my patients' mental health journeys. I am passionate about empowering individuals to take charge of their well-being, and I am dedicated to being a compassionate and reliable partner in their path to mental wellness. Treatment Philosophy: I believe in a compassionate, patient-centered approach to mental health care. My focus is on building strong therapeutic relationships, fostering open communication, and creating individualized treatment plans. I work collaboratively with healthcare professionals to ensure comprehensive care while prioritizing patients' unique needs and goals. By empowering patients through shared decision-making, I aim to promote mental wellness and support their journey to recovery and well-being. Specialties: • Mental Health Conditions treated: • ADHD • Alcohol dependency • Alcohol Use • Anger management • Antisocial Personality • Anxiety • Bipolar disorders • Depression • Eating Disorders • Grief • Insomnia • Mood Disorders • OCD • Panic Attacks • Personality disorder • PTSD • Sleep or Insomnia • Stress • Substance abuse • Substance Use • Suicidal Ideation • Trauma and PTSD Treatment approach: • Assessment and Diagnosis Expertise • Christian Counseling • Cognitive Behavioral Techniques • Cognitive Behavioral Therapy(CBT) • Comprehensive Risk Factor Assessment • Culturally Sensitive Approaches • Geriatric Patient Treatment Recommendations • Holistic • Individualized Nursing Care Plans • Interdisciplinary Team Collaboration • Medication Management and Monitoring • Mindfulness-Based(MBCT) • Person-Focused • Psychotherapy and Counseling Services • Trauma-Informed Care Practices Insurance: • Aetna • Blue Cross Blue Shield • Cigna • Kaiser Permanente • Medicare • Optum • Oscar Health • Oxford • UnitedHealthcare
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Sarah Fedak

DNP, FNP-C, PMHNP-BC
Online & In-Person
Hello, I'm Dr. Sarah Fedak, a dedicated Nurse Practitioner based in Houston, TX with a Doctorate in Nursing Practice. With an advanced certification in Psychiatric Mental Health from the University of Texas Health Science Center at Houston, I specialize in providing compassionate and effective mental health care for adolescents, adults and the elderly. I have a rich history of working in various healthcare settings, including inpatient and outpatient psychiatry at the Menninger Clinic, one of the top ranked psychiatric facilities in the county affiliated with Baylor College of Medicine. I provide comprehensive care that incorporates medication management and the latest evidence-based practices to treat conditions like ADHD, Bipolar Disorder, Schizophrenia, Depression, Insomnia, Anxiety, and more. At Mynd-Sync Psychiatry, I offer accessible in-person and telepsychiatry services. My approach focuses on collaboration, ensuring patients receive personalized care tailored to their unique needs. Additionally, I have experience in innovative therapies like Ketamine Treatments and Transcranial Magnetic Stimulation for treatment-resistant patients. I am proud to be a part of the medical community that strives to improve mental health care. Whether you're visiting me for medication management or psychiatric support, I am here to help you on your journey to better health. Feel free to reach out and take the first step towards a healthier life. TREATMENT PHILOSOPHY: My treatment philosophy centers on compassionate, evidence-based care that empowers my patients. I believe in creating a supportive environment where individuals can comfortably share their health concerns. Engaging deeply with patients, I focus on their unique needs, particularly in managing mental health and medication issues. Collaboration is key. I work closely with clients to develop personalized plans that prioritize their wellness. My experience in medication management, including psychiatric and chronic conditions, allows me to guide patients toward meaningful progress. Together, we can navigate health challenges, ensuring every patient feels heard, respected, and cared for on their journey to better health.