(she/they)
Psychiatric care should feel collaborative, thoughtful, and human — not rushed, dismissive, or reduced to a medication checklist. I work with adults who want help making sense of the full picture: symptoms, trauma, identity, neurodivergence, substance use, burnout, and the realities of living in a world that is not always built with you in mind. My approach is warm, direct, trauma-informed, and affirming. I provide psychiatric evaluation and medication management for adults navigating anxiety, depression, ADHD, autism, substance use concerns, mood instability, identity-related stress, and life transitions. Many of the people I work with are queer, trans, neurodivergent, trauma-affected, in recovery, sober-curious, or simply tired of feeling misunderstood in healthcare spaces. I bring the clinical perspective of a psychiatric nurse practitioner and the relational lens of a social worker. I care about diagnosis and medication, but I also care about context — what you have lived through, what has helped or harmed before, what feels sustainable, and what you want your life to feel like. Together, we will work toward a treatment plan that feels grounded, realistic, and aligned with your values.
Our first session is not about rushing to label you or forcing a treatment plan before I understand your story. It is a chance for us to look together at what has been happening, what you have already tried, what has helped or hurt, and what you are hoping will feel different. We will talk through your current concerns, mental health history, medications, substance use patterns if relevant, medical history, stressors, strengths, identity and relationship context, and goals. I may ask detailed questions, but the goal is not interrogation — it is understanding. By the end of the appointment, we will begin identifying possible next steps together. This may include medication options, diagnostic clarification, therapy recommendations, lifestyle or support strategies, or additional assessment. You do not need to arrive with everything perfectly organized. We will sort through it together.
I think one of my greatest strengths is helping people feel less alone with experiences they may have spent years trying to explain, minimize, or survive. I listen closely, ask thoughtful questions, and try to connect the dots between symptoms, history, nervous system patterns, relationships, identity, environment, and the larger systems that shape people’s lives. My style is warm, direct, collaborative, and nonjudgmental. I will be share what I am seeing clinically in a clear and compassionate way but I will also respect your autonomy and your lived experience. I want you to understand your options, feel involved in decisions, and leave appointments with a clearer sense of what we are working on together. I am especially committed to care that is affirming, trauma-informed, anti-oppressive, and realistic. I work well with people who have felt complicated, “too much,” not believed, or poorly served by traditional systems. My goal is not to treat you like a problem to be fixed. It is to help you feel more supported, more resourced, and more able to move toward the life you want.
You may be a good fit for my practice if you are looking for psychiatric care that can hold nuance. Many people come to me with layered histories: past diagnoses that may or may not fit, difficult medication experiences, trauma, substance use patterns, dissociation, burnout, intense emotional responses, or years of feeling misunderstood in healthcare. Although I am primarily a medication management provider, I do not see medication as the only focus of care. I listen closely, ask meaningful questions, and provide brief, solution-focused support within our appointments because I believe that people heal in community. Our work may include exploring patterns, stressors, coping strategies, identity, relationships, nervous system responses, and the practical realities shaping your mental health. I do not provide weekly therapy as a stand-alone service, and some clients benefit from having a therapist in addition to working with me. My role is to provide thoughtful, holistic psychiatric care — including evaluation, medication recommendations when appropriate, and collaborative treatment planning that supports greater stability, clarity, and self-understanding.
Other specialties
I identify as
Solution Focused Brief Treatment
I use solution-focused brief interventions to help clients identify what is already working, clarify what they want to change, and take realistic next steps. This approach is practical, collaborative, and strengths-based. Within psychiatric medication management, it allows us to focus not only on symptoms, but also on coping strategies, supports, patterns, goals, and the kind of life you are working toward.
Feminist
Feminist psychiatric care recognizes that mental health is shaped not only by biology, but also by relationships, identity, culture, power, trauma, access to care, and lived experience. In my work, this means I value collaboration, self-determination, and a thoughtful understanding of the systems that may contribute to distress. My goal is to provide care that is affirming, respectful, and grounded in the whole person.
15 ratings with written reviews
April 30, 2026
Balances listening with explaining, structure with space, and professional conduct with personable demeanor.
April 22, 2026
I was riddled with anxiety beforehand. Now, I feel a sense of relief and hope. Nicole is intelligent, kind, warm and so considerate. I feel I am in great hands.
April 18, 2026
Nicole was very supportive. She read through my paperwork and came to our first session well prepared to meet me where I was on my journey. She was personable and calming, and I feel like I'm in good hands with her as my prescriber.