Carol Swaby
Collaborative psychiatric care for anxiety, depression, and adult ADHD Are anxiety, depression, ADHD, or sleep difficulties making it harder to focus, manage responsibilities, or feel like yourself? I provide online psychiatric evaluations, medication management, and CBT-informed psychotherapy for adults and older adults throughout Florida.
Collaborative psychiatric care for anxiety, depression, and adult ADHD. I won't just sit back and nod; I actively collaborate with you to break down overwhelming challenges into manageable steps.
I am dual board-certified as a Psychiatric-Mental Health Nurse Practitioner and an Adult-Gerontology Primary Care Nurse Practitioner. This background allows me to consider your mental and physical health together, including how sleep, stress, medical conditions, and current medications may be affecting your symptoms. With more than 20 years of healthcare experience, I help adults experiencing anxiety, panic attacks, depression, adult ADHD, insomnia, and mood-related concerns. My approach is warm, thorough, and collaborative. I take time to listen, explain treatment options clearly, and involve you in decisions about your care. During your first appointment, we will discuss your symptoms, medical and mental health history, medications, sleep, daily stressors, and treatment goals. Together, we will develop a personalized plan that may include medication management, CBT-informed therapy, practical coping strategies, or a combination of approaches. Whether you are seeking psychiatric care for the first time or want a fresh perspective on your current treatment, you deserve care that helps you feel heard and understand your options. Schedule a telehealth appointment today to begin developing a treatment plan that fits your needs and daily life.
First session
In our first session, you can expect a welcoming, collaborative, and non-judgmental space where we focus entirely on your current priorities. We will review your clinical history, discuss what brought you in, and map out clear, realistic goals. Whether we discuss targeted medication management options or practical CBT tools, you will leave with immediate, actionable strategies to reduce daily overwhelm and a clear roadmap for our next steps together.
Strengths
"I bring a blend of clinical expertise, grounded warmth, and direct guidance to every session. I won't just sit back and nod; I actively collaborate with you to break down overwhelming challenges into manageable steps. Clients often share that my calm presence, clinical intuition, and ability to balance empathy with clear, actionable strategies help them feel instantly at ease and ready to make meaningful progress. I combine careful assessment with a warm, straightforward approach. I listen closely, explain treatment options clearly, and welcome questions so you can take an active role in your care. My dual background in psychiatric and primary care helps me consider the whole picture rather than symptoms in isolation. We’ll pay attention to your physical health, sleep, stress, medication response, and everyday functioning. Alongside medication management, I use talk therapy and CBT-informed strategies to help you work through concerns and develop skills you can use between appointments. We’ll review your progress together and adjust treatment when needed.
Ideal clients
My ideal clients are adults seeking structured, practical guidance to navigate anxiety, depression, and ADHD. They are motivated individuals who want a collaborative, transparent partner, whether through targeted medication management, brief solution-focused check-ins, or actionable cognitive-behavioral tools, to help break cycles of daily overwhelm, emotional distress, and functional burnout. They value an efficient, goal-oriented environment where we focus on practical coping strategies, symptom tracking, and clear lifestyle adjustments they can easily apply to their everyday routines, professional demands, and personal relationships between appointments.
Treatment methods
Cognitive Behavioral (CBT)
In our medication check-ins and brief sessions, we focus on practical, actionable tools. Whether we are fine-tuning a medication plan or simply working through short, focused talk therapy, we look closely at how your daily thoughts and routines connect to your focus, energy, or mood, helping you build simple strategies to break cycles of overwhelm between appointments.
Motivational Interviewing
Change can feel overwhelming, so we use Motivational Interviewing to explore any ambivalence or mixed feelings you might have at your own pace. Whether we are discussing medication adherence, lifestyle adjustments, or new habits, this collaborative approach helps clarify your personal motivations so you feel fully empowered and confident in the next steps you choose.
Cognitive Behavioral Therapy for Insomnia (CBT-i)
Sleep disruptions often go hand-in-hand with stress, mood shifts, and ADHD. Using CBT-i, we focus on practical, evidence-based behavioral adjustments and sleep routines to quiet a racing mind at night, reset your natural sleep patterns, and help you wake up with better energy and focus.
Supportive
"In our supportive therapy sessions, we provide a safe, non-judgmental space to process day-to-day stressors, life transitions, and emotional hurdles. We focus on validation, practical emotional regulation, and immediate coping strategies to help you navigate whatever challenges you are facing between appointments."
Location
Virtual sessions