Leland Estrella
Hello, I’m Leland Estrella, a doctorate-prepared, dual board-certified psychiatric mental health and family nurse practitioner. I provide psychiatric evaluations and medication management for children ages 6 and older, adolescents, and adults, with a focus on ADHD, anxiety, and depression. I offer in-person appointments in Hollister, California, and virtual care for adults throughout California. My approach is warm, practical, and collaborative. I take time to understand the whole person, including how sleep, stress, relationships, physical health, and daily routines may affect mental well-being. Whether you’re seeking support for yourself or your child, I want you to feel heard, respected, and comfortable asking questions.
Whether you’re seeking support for yourself or your child, I want you to feel heard, respected, and comfortable asking questions.
We’ll begin with a thorough evaluation to understand your concerns, clarify what may be contributing to symptoms, and discuss your options. Together, we’ll develop a treatment plan that reflects your needs and goals. Care may include medication management, practical strategies for everyday challenges, and guidance toward therapy or additional support when helpful. My goal is to help you make informed decisions about care and move toward better focus, emotional well-being, and daily functioning.
First session
Your first session is a chance for us to get to know each other and understand what brought you to care. We’ll discuss your concerns, symptoms, medical and mental health history, and goals. If you’re seeking care for your child, we’ll include both your perspective and your child’s experiences in a way that fits their age. You’ll have time to ask questions and share what matters most to you. We’ll discuss my initial impressions, review treatment options, and agree on next steps. These may include medication, practical strategies, additional assessment, or therapy referrals. My goal is for you to leave feeling heard, informed, and clearer about the path forward.
Strengths
I bring a calm, approachable style and a whole-person perspective shaped by my background in psychiatric and family care. I look beyond symptoms to understand how physical health, sleep, stress, relationships, and daily routines may affect your well-being. I listen closely, explain treatment options clearly, and welcome your questions. Whether I’m working with you or your child, we’ll make decisions together and focus on practical steps that fit your life. My goal is for you to leave each visit feeling heard, informed, and clear about what comes next.
Ideal clients
My ideal clients are children ages 6 and older, adolescents, and adults who are seeking clarity and support for ADHD, anxiety, or depression. They may struggle with focus, organization, worry, low mood, or feeling overwhelmed at school, work, or home. Parents may be looking to better understand their child’s needs and how to help. You don’t need a diagnosis or a clear idea of what treatment should look like before reaching out. I welcome people who are unsure where to begin, have questions about medication, or want a more collaborative approach to care. Together, we’ll work toward goals that matter to you, whether that means managing daily responsibilities, improving relationships, or feeling more like yourself.
Ongoing work together
We’ll meet regularly to review how you or your child are feeling, how treatment is working, and what needs attention. We’ll discuss medication benefits and side effects, build on practical strategies, and adjust the plan together as needed. Progress may look like better focus, less worry, a steadier mood, or greater ease managing school, work, and relationships. We’ll use your experiences, treatment goals, and brief questionnaires when helpful to track changes over time. You’ll have room to ask questions, share concerns, and help shape each next step.
Medication approach
My approach to medication is thoughtful, individualized, and collaborative. We’ll discuss whether medication may help, review its potential benefits and risks, and consider your preferences and past experiences. For children and adolescents, I involve both the young person and their parent or guardian in age-appropriate discussions. When medication is appropriate, my goal is to find an effective option at the lowest effective dose. We’ll monitor symptoms, side effects, and daily functioning, then adjust treatment together. I also consider sleep, physical health, stress, and other supports as part of your overall care.
Treatment methods
Supportive
I use supportive therapy to help you feel heard, understood, and supported as you navigate stress, symptoms, and everyday challenges. Together, we’ll recognize your strengths, explore your concerns, and develop practical coping strategies. For children and adolescents, I involve caregivers as appropriate to support communication and reinforce progress at home. This approach complements medication management and keeps your needs and goals at the center of care.
Motivational Interviewing
I use motivational interviewing to help you explore changes you’re considering, whether related to medication, daily habits, or treatment goals. Through open questions and careful listening, we’ll discuss what matters to you, work through mixed feelings, and identify manageable next steps. My approach respects your autonomy and supports changes that feel meaningful and achievable to you.
Solution-Focused Brief Treatment
I use solution-focused techniques to help you identify what you want to change, recognize your strengths, and build on what is already working. Together, we’ll set realistic goals and choose small, practical steps you can try between visits. For children and adolescents, I involve caregivers as appropriate to support progress at home and school. We’ll review what helps and adjust our approach as you move toward your goals.