Rated 4.9 stars out of 5, 207 ratings

Patti Gilliano

PMHNP, 25 years of experience

Warm
Solution oriented
Authentic
Virtual
Next available on

Hi! I am a board certified psychiatric nurse practitioner in Florida. I have been in healthcare for over 25 years as a clinical nurse and executive leader. I have found tremendous results in listening to patients needs, and formulating a plan to help them optimize wellness with a solid roadmap to feeling the best they can be in a positive environment. Empathetic and strong, I have worked with many clients struggling with anxiety, depression, trauma, Post COVID issues, grief, suffering, or self-image issues. I also do relationship counseling and couples therapy. Many clients range from kids through older adults and anywhere in between. My passion is People, helping them to be their best self!

Get to know me

In our first session together, here's what you can expect

In our first session, I like to get a bit of solid background information and learn about sleep, eating, activity. Then I want to learn what are your short term goals wanting to achieve from care, and then 1 or 2 long term goals forward. It will be how we will plan a framework that works for you to review each week or month if you feel we are progressing or need adjustments. I like to have one or two sessions first, review some lab work to see how to best optimize a plan that is going to work for you in treatment.

The biggest strengths that I bring into our sessions

Having a strong faith and resiliency in my personal life, I have found my approach to improving the emotional health and wellness of others comes from starting with a good foundation and plan to meet the goal of my clients. I have over 25 years in patient care, wellness, leadership, and behavioral health experiences and am able to quickly assess and plan a framework for a beneficial plan to help you feel better to achieve realistic goals to improve emotional, and mental well being. My grounded and thoughtful approach has helped to positively impact many clients from all over the country in all walks of life.

The clients I'm best positioned to serve

I specialize in EVENING & WEEKEND APPOINTMENTS, I enjoy working with a real mix of clients in a holistic and integrative approach. I feel it is important to optimize and fuel the body in order to maximize results someone hopes to achieve. Each client is unique and needs a personalized approach to provide a toolkit of techniques to improve the journey. I have very flexible hours to work day, evening, or weekends to take the stress away of how to fit in therapy into one's life virtual or in person. Having personal experience with several types of trauma is why I believe we can best work together to help you on your journey. I have had strong exposure and experience with children, teens, and with niche's of frozen shoulder, overachieving syndrome, trauma, Post-covid, long haul, and, workplace bullying & violence. Relationship rebuilding, and self-esteem are also a niche.

Rated 4.9 stars out of 5, 207 ratings

23 ratings with written reviews

July 31, 2025

Patti is truly an insightful, kind and caring person. She really listens and has very practical and helpful solutions. I love her and im so glad I found her.

Verified client, age 55-64

Review shared after session 24 with Patti

July 19, 2025

Very easy to talk to, created a comfortable environment that made her easy to open up to. She asked good questions and offered helpful solutions as well.

Verified client, age 18-24

Review shared after session 1 with Patti

June 23, 2025

I really appreciate Patti Gilliano's approach and caring. Patti is informative and intelligent. What stands out cannot be limited to two areas. Patti has been a life saver for me and I would highly recommend her.

Verified client, age 65+

Review shared after session 5 with Patti

About Patti Gilliano

Address

302 Paseo Reyes Dr, St. Augustine, FL 32095, https://us.fullscript.com/welcome/pgilliano/store-start

Appointments

Virtual & in-person

My treatment methods

Mind-body approach

Talk therapy to teach coping skills- focusing on thoughts, beliefs, and attitudes that affects your feelings & actions

Positive Psychology

Clinical therapy to work with children, teens, and adults through difficult issues, to improve healthy lifestyle, behavioral approach, integrative work https://us.fullscript.com/welcome/pgilliano/store-start

Cognitive Behavioral (CBT)

Uses this model to emphasize collaboration and transparency between therapist and client. Together we will develop a collaborative treatment plan and focus on removing negative patterns, and replace with positive. Support can be a toolkit of approaches from mindfulness, to supplements, to medication management

Exposure Response Prevention (ERP)

Utilized to help individuals work past feelings of shame and self-criticism or feeling warmth or kindness to self or others through techniques to expose or remove past hurts or traumas/traumatic events

Mindfulness-Based Therapy

Working together with clients to help find solutions to improving life together as a couple. Or Individuals looking for positive and meditative approach to healing therapies. Offers a combination of Positive therapy, and synergistic approaches to healing and grief therapy work also.