(he/him)
Psychiatry wasn't exactly a plan. During my clinical rotations in school, psych was the only one I actually looked forward to. Something about the work just clicked, and I haven't looked back since. I'm a board-certified psychiatric nurse practitioner with a Doctor of Nursing Practice, currently completing a second doctorate in Healthcare Administration at Oklahoma State University. I work across two settings: a county behavioral health program where I see people navigating serious mental illness, and my own private telehealth practice, Feel Better & Co., where that range expands to meet a much broader picture of what people are dealing with. Whether you're managing something you've lived with for years or trying to make sense of something new, I've likely worked with it. My approach is collaborative. I'm not here to hand you a diagnosis and a prescription and send you on your way. I want to actually understand what's going on with you, what you've already tried, what's worked, what hasn't, and what matters to you. Appointments are a conversation, not a checklist. I've spent a lot of time traveling and working with people from all kinds of backgrounds, which has shaped how I listen and how I think about care. People experience and express mental health struggles in very different ways, and I take that seriously. If you've felt brushed off, over-medicated, or like nobody really heard you, I get it, and I want to do better than that.
A lot of people come into their first psychiatric appointment not really knowing what to expect, and that's completely normal. Before we get into anything clinical, I'll take a few minutes to actually introduce myself, explain how I work, and walk you through what the appointment is going to look like, not just today but going forward if you decide to stick with me. That part alone tends to catch people off guard in a good way. From there we'll get into the substance of the visit: your symptoms, your history, what you've tried before, what helped, what didn't, and what you're hoping to get out of care. I'll review any records you're able to share, but don't stress if you don't have them all. We work with what we have. By the end of the session you'll know exactly where I stand. I'll explain my clinical impressions in plain language, walk you through my reasoning, and lay out a clear plan so you're not leaving with more questions than you came in with. Since everything is telehealth, all you need is a quiet space, a phone or computer, and a few minutes to get settled before we start. I'll handle the rest. A few other things worth knowing: I try to keep things as flexible and accessible as I can, I'm not here to nickel and dime you, and there's no such thing as a question that's off limits. Ask whatever you need to ask.
I'll be honest, I'm not great at bragging about myself. But if I had to put it simply: I outwork the job. I take the time that a lot of providers don't, and I think that shows up in ways clients actually notice. A big part of that is education. I genuinely believe you should understand what's happening with your own care. What the medication is, why I'm recommending it, what it does, what to watch for, and what the alternatives are. You're not just along for the ride. The more you understand, the better decisions we can make together. I also try hard not to approach this like some kind of authority figure who hands down a verdict and expects you to comply. Psychiatry has a reputation for that, and I don't think it serves anyone well. You're an adult, you know your own life better than I do, and my job is to bring the clinical piece to a conversation we're having together, not to lecture you. Beyond that, I've worked across a lot of different settings and with a wide range of people, which means I've seen enough patterns to avoid unnecessary trial and error. I come prepared, I follow through, and I try to build plans that actually fit into real life rather than ones that look good on paper. Clients tend to notice the time I take, the explanations I give, and the fact that I show up the same way every appointment. That consistency matters to me.
I work primarily with adults across a wide range of concerns, from mood and anxiety disorders to more complex psychiatric conditions. I do occasionally see younger clients, but my bread and butter is adult care, and I'll always be upfront with families if I think an in-person provider would serve their child better than a telehealth setup. As far as who I'm best suited for, I don't really have a dream client checklist. I'm not looking for someone who already has everything figured out or who comes in with a specific outcome in mind. Honestly, the clients I work best with are the ones who come in open to a conversation. What I mean by that is simple: if you've already decided what diagnosis you have, what medication you need, and what the appointment should look like before we've even met, it's going to be hard for either of us to get much out of it. That's not a judgment; it makes sense that people do their research and come in with ideas. But there's a difference between coming in informed and coming in with your mind made up. If you're someone who's struggling, who wants things to be different, and who's willing to talk through it with me before we land on a plan, we'll probably work really well together. Goals help. Openness helps more. I've worked with people navigating all kinds of situations and all kinds of starting points. The willingness to show up and have an honest conversation is really the only thing I'd call a requirement.
Cognitive Behavioral (CBT)
Medication management is my primary role, but an appointment with me is rarely just about the prescription. Most people's struggles aren't purely chemical. The way you think about a situation, the patterns you've fallen into, the things you avoid because they feel too hard, all of that shapes how you feel and how well any treatment actually works. So while I'm not your therapist, I do weave in principles from Cognitive Behavioral Therapy because ignoring that side of the picture doesn't make sense to me. In practice that means we might talk about what's going on in your head around a particular symptom, what tends to trigger it, and what you're doing in response. Not in a deep-dive therapy way, but enough to actually understand what we're treating and whether what we're doing is working. I'm also goal-oriented. I want to know what better looks like for you specifically, not just a reduction in symptoms on a rating scale, but what you'd actually be doing differently if things improved. That gives us something real to work toward and a way to measure whether we're getting there. The way I see it, a medication visit can either be a quick check-in where someone asks if you're sleeping and refills your prescription, or it can be something that actually moves the needle. I'd rather it be the latter, and building in some of these principles is a big part of how I try to make that happen.
1 rating with written reviews
November 28, 2025
Dr. Koch is very kind and helpful. While he is efficient, he is also always available if I need more time or a higher level of care. He is knowledgeable about medicine and has been a great help to me during the year I've been seeing him.