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Therapists answer…

What is therapy like? What does a typical session with you look like?

Karen MitchellK

Karen Mitchell

Psychiatric Mental Health Nurse Practitioner
Online Therapy
I provide expert psychiatric evaluations, medication management, and psychosocial counseling for children, adults, and their families. I am deeply committed to helping individuals with mental illness and their families reach their full potential in the most peaceful, low-stress manner possible. As the mother of an adult who has struggled with mental illness since childhood, I understand firsthand the challenges that come with managing these conditions. My experience includes providing psychiatric care in Level 1 Trauma emergency settings, community mental health clinics, and private practice. This background allows me to deliver high-quality, compassionate, and affordable care. Most appointments can be scheduled within a week of reaching out, and, given current concerns related to COVID-19, I also offer telepsychiatry visits. I work with children and adolescents to address behavioral and emotional issues that impact family life and school performance. For adults, I assist with mood disorders, thought disorders, and cognitive impairments. Medication management is a key part of the treatment process, alongside effective therapy and reducing environmental stressors. I understand the stress and anxiety that come with finding and accessing high-quality psychiatric care. That’s why I prioritize timely appointments, usually within a week of contact, to ensure you or your loved ones receive the support you need as quickly as possible. *Specialties •Mental Health •Adult Psychiatry •Child Psychiatry *Conditions treated •Depression •Bipolar disorders •Schizophrenia •PTSD •Mood disorders •Trauma •Panic attacks •Personality Disorders •Autism •Behavioral issues •Sleep problems •Anxiety disorders •Asperger's Syndrome •Bisexual •Emotional Disturbance •Family Conflict •Grief •Intellectual Disability •Lesbian •LGBTQ+ •Medication Management •Obsessive-Compulsive (OCD) •Oppositional Defiance (ODD) •Parenting •Peer Relationships •Pregnancy, Prenatal, Postpartum •School Issues •Insomnia •Stress •Suicidal Ideation •Thinking Disorders •Transgender •Traumatic Brain Injury (TBI) *Practice description I am a doctorally prepared Psychiatric Nurse Practitioner who provides telepsychiatric services for children and adults. I have worked in emergency psychiatric services at a Level 1 Trauma hospital as well as community health centers. I have also worked in inpatient psychiatric care & work diligently with my clients to prevent hospitalizations whenever possible. I have worked with clients who struggle with chronic serious mental illnesses including Schizophrenia, Schizoaffective Disorder, & Bipolar I & II Disorders. I work in partnership with my clients and their family members to choose the most acceptable & effective treatment options. *Treatment philosophy As a mental health provider as well as the mother of an adult who has struggled with mental illness since childhood, I seek to serve my clients as their compassionate advocate and knowledgeable resource. I believe in respecting the dignity and autonomy of my clients while working in partnership with them. I seek to offer the latest evidence-based treatment options in the most cost-effective manner possible. *Treatment approach •Cognitive Behavioral Therapy(CBT) •Culturally Sensitive •Eclectic •Humanistic •Coaching •Mindfulness-Based(MBCT) •Trauma-Focused •Family Systems •Interpersonal •Motivational Interviewing •Positive Psychology •Rational Emotive Behavior (REBT) •Strength-Based
Jessica ChichesterJ

Jessica Chichester

Jessica Chichester, PMHNP-BC, FNP-C
Online Therapy
I'm a Psychiatric Nurse Practitioner committed to holistic care, treating anxiety, depression, ADHD, PTSD, and more for overall wellness. Hello! I’m Jessica Chichester, a Psychiatric Nurse Practitioner dedicated to helping individuals navigate their unique mental health journeys. With a comprehensive background in mental health and family practice, I specialize in treating conditions such as depression, anxiety, ADHD, PTSD, bipolar disorder, insomnia, and life transitions. I take pride in offering holistic, personalized care that goes beyond symptom management. My approach combines evidence-based medication management with brief supportive therapy to address emotional well-being. I also incorporate lifestyle counseling on nutrition, sleep, exercise, and stress management, recognizing that mental health is deeply interconnected with physical health and daily habits. At the core of my practice is a commitment to collaboration and empowerment. I believe in partnering with my clients to create a treatment plan that aligns with their personal goals, ensuring they feel heard, supported, and actively involved in their care. My goal is to foster a welcoming and supportive environment where clients feel confident in taking steps toward improved mental health and overall well-being. Whether you're navigating life transitions or managing chronic conditions, I look forward to supporting you in achieving a healthier and more balanced life. Treatment philosophy: My treatment philosophy centers on providing compassionate, individualized care that respects each client’s unique needs and experiences. I combine evidence-based medication management with supportive therapy and lifestyle counseling to promote mental, emotional, and physical well-being. Collaboration is key—I empower clients to take an active role in their care, fostering a sense of ownership and confidence. Together, we’ll create a personalized path to wellness, ensuring accessible and comprehensive mental health support.
Patrick NgangaP

Patrick Nganga

Patrick Nganga, PMHNP-BC, ACNP-BC
Online Therapy
As a dedicated healthcare provider with years of experience, I focus on delivering compassionate and comprehensive care to my patients. My journey in healthcare began as an ICU nurse, where I honed my skills in patient assessment, diagnosis, and treatment. Over the years, I have collaborated with multi-disciplinary teams to ensure the best outcomes for every patient. I have had the privilege of teaching the next generation of nurses as an adjunct faculty member at Johns Hopkins University and the University of Maryland School of Nursing. My role involved mentoring nurse practitioner students and guiding registered nurse students through their critical care rotations. I hold multiple certifications, including Acute Care, Psychiatry, and Mental Health, and I am licensed as a Nurse Practitioner in the State of Maryland and Washington DC. Staying up-to-date with the latest in medical research and practice, I actively participate in professional organizations such as the Society of Critical Care Medicine and the American Association of Nurse Practitioners. My approach to healthcare is holistic, focusing not just on the physical but also the mental well-being of my patients. I am committed to providing personalized care, clear communication, and support to both patients and their families throughout their healthcare journey. Specialties & Conditions: • Mental Health • Psychiatry • Internal Medicine • Anxiety • Bipolar disorders • Depression • Addiction • ADHD • Alcohol Use • Borderline Personality (BPD) • Chronic Illness • Dissociative Disorders (DID) • Eating disorders • Geriatric and Seniors • Impulse Control Disorders • Medication Management • Mood Disorders • Obsessive-Compulsive (OCD) • Personality Disorders • Psychosis • PTSD • Schizophrenia • Sleep or Insomnia • Substance Use • Thinking Disorders • Trauma and PTSD Treatment philosophy: We believe patients have the right to actively participate in decisions regarding their care. Our goal is to conduct thorough evaluations to fully understand the challenges our patients face. This enables us to accurately diagnose and provide evidence-based treatments. By prioritizing patient-centered care and fostering shared decision-making, we aim to achieve the best possible outcomes for our patients. Treatment approach: • Cognitive Behavioral Therapy(CBT) • Culturally Sensitive • Humanistic • Interpersonal • Motivational Interviewing • Person-Focused • Psychotherapy • Solution Focused Brief (SFBT)
Brandon KruseB

Brandon Kruse

Psychiatric Mental Health Nurse Practitioner
Online Therapy
We live in a world that seems to always be in chaos and it can get confusing and frustrating and we can often feel broken down from the daily fight. Even when you have done everything in your power to overcome the challenges that come your way you may find that your efforts seem to fall short. As a Psychiatric Mental Health Nurse Practitioner (PMHNP) I am honored to walk beside patients in their life journeys and provide the needed resources to help them meet and overcome their life challenges. The first step to healing is realizing that we nee help, but seeking help can be scary at times. I am are here to walk beside you during your trials, challenges, and even the good times. At Integrity Mental Health you are not just a number, you are a valued patient. Call now to schedule. My life has given me many different experiences and I have learned that everyone's lived experience is different. We all need a little grace and understanding as we tread our own paths, and If you find yourself at a point in your life where you feel you can use some help with your mental health, I would be honored to assist you in your life's journey. *Specialties •Mental Health •Adult Psychiatry •Psychiatry •Behavioral Medicine *Conditions treated •Depression •Anxiety •Bipolar disorders •Schizophrenia •PTSD •ADHD •Insomnia •Mood disorders •Eating disorders •Trauma •Panic attacks •Personality Disorders •OCD •Geriatric Psychiatry •Anger Management •Behavioural Therapy •Obsessive-Compulsive •Trauma and PTSD •Addiction •Alcohol Use •Medication Management •Oppositional Defiance (ODD) •Stress •Substance Use •Autism •Coping Skills •Developmental Disorders •Drug Abuse •Dual Diagnosis •Intellectual Disability •Life Coaching •Life Transitions •Medical Detox •Men's Issues •Self Esteem •Self-Harming •Spirituality •Suicidal Ideation •Veterans *Treatment philosophy I treat patients with an inclusive and humanistic approach, recognizing the inherent dignity of every individual. I believe in meeting each patient where they are, and fostering a therapeutic relationship. I tailor treatments to the unique emotional, physical, and spiritual needs of each patient. I create a safe, nonjudgmental, compassionate space where collaboration, and empowerment help patients in their healing journey. I believe in the resilience of the human spirit, and that healing occurs when we are treated with kindness, patience, and encouragement. My role is promote overall well-being by integrating evidence-based treatments with functional approaches. Mental health care is a partnership, and my goal is to provide the support needed for patients to thrive. *Treatment approach •Cognitive Behavioral Therapy(CBT) •Person-Focused •Humanistic •Mindfulness-Based(MBCT) •Coaching •Family / Marital •Positive Psychology •Strength-Based