Licensed to practice in 14 states and accepts 48 insurances. Specializes in ADHD, Addiction, Depression and 10 more.
Our focus at A Better Outlook Psychiatry & Addiction is to provide the highest quality of mental health care and to promote the emotional and physical well-being of our clients and families. We believe in supporting, educating, and providing safe services for individualized care, without fear or stigma, by fostering a culture of respect and compassion, while collaborating with clients and a professional team for the best treatment possible. We feel our combined clinical experience of over 40 years, can help our clients to experience a better outlook on life.
We offer clients the opportunity for a free, no-obligation 10-15 minute initial consultation. In our first session together, we will start with introductions and a brief description of the client's mental health history and current concerns. This will help me create a tailored plan for us to work through in ongoing sessions.
Micah Duke is the lead practitioner at A Better Outlook Psychiatry & Addiction. He is a Board-certified Psychiatric Mental Health Nurse Practitioner and a dual Board-certified Family Nurse Practitioner licensed to practice in the state of Texas, Arizona, Colorado, Idaho, Iowa, Kansas, Minnesota, Montana, Nebraska, Nevada, North Dakota, Oregon, Washington, and Wyoming. Micah has nearly 23 years of medical experience beginning as a combat medic in the military and then as a paramedic in the "civilian" world. He completed his Masters in Business Administration in Accounting & Finance in 2007 and his Masters in Applied Clinical Psychology from San Angelo State University in 2018. He completed his Bachelor in Science in Nursing in 2018, Masters in Science in Nurse in 2022, and his Doctor of Nurse Practice in 2024. He has worked as a police officer for almost 10 years with specialties as a Mental Health Peace Officer and investigative hypnosis. This diverse background has provided Micah with the knowledge, experience, and compassion to work with people from all backgrounds.
Our practice provides holistic, evidence-based, psychiatric and addiction medication management services to our clients in Texas, Arizona, Colorado, Idaho, Iowa, Kansas, Minnesota, Montana, Nebraska, Nevada, North Dakota, Oregon, Washington, and Wyoming.
Cash - $300 per session
Aetna
Aetna - Allied Benefits
Aetna - ASR Health Benefits
Aetna - Luminare
Aetna - Medicare
Aetna - Moda
Aetna - WebTPA
Aetna – HealthEZ
All Savers
Amerihealth Administrators
Amerihealth NJ Medicare Advantage
Anthem
Anthem - Medicare
Arlo
AvMed
Blue Cross Blue Shield
Blue Cross Blue Shield - Medicare
Centivo
Cigna
Cigna - HealthEZ
Evernorth
Golden Rule
GTEB
Harvard Pilgrim/UnitedHealthcare
HealthPartners
HealthPartners - Medicare
Humana - Medicare
Humana Dual (Medicare & Medicaid)
Independence Administrators
Independence Blue Cross
Independence Keystone 65 HMO
Independence Personal Choice 65 PPO
Medica
Optum
OptumHealth Complex Medical Conditions
Oscar
Oxford
Surest (formerly Bind)
Tufts Health/Cigna
United Medical Resources
UnitedHealthcare Complete Care (C-SNP)
UnitedHealthcare Dual (Medicare & Medicaid)
UnitedHealthcare Life Insurance
UnitedHealthcare Shared Services
UnitedHealthcare StudentResources
UnitedHealthcare/Optum
UnitedHealthcare/Optum - Medicare
WellCare
Cognitive Behavioral (CBT)
Our practices focuses on Medication Management services for mental health, but we also offer opportunities for "talk" therapy in conjunction with medication management when appropriate.
Dialectical Behavior (DBT)
Our practices focuses on Medication Management services for mental health, but we also offer opportunities for "talk" therapy when appropriate.
Integrative
Our practices focuses on Medication Management services for mental health, but we also offer opportunities for "talk" therapy in conjunction with medication management when appropriate.
Motivational Interviewing
Our practices focuses on Medication Management services for mental health, but we also offer opportunities for "talk" therapy in conjunction with medication management when appropriate.
Supportive
Our practices focuses on Medication Management services for mental health, but we also offer opportunities for "talk" therapy in conjunction with medication management when appropriate.
11 ratings with written reviews
March 12, 2026
Dr. Duke is a great listener and is always very helpful and supportive! He seems to understand my sense of humor. I recommend him to family and friends looking for mental health support. Thank you, Dr. Duke! I appreciate all you do to help!!
February 25, 2026
Very helpful and listened me about my issues and concerns. Helped me work though medication issues. I feel very encouraged with him!
February 17, 2026
Dr Duke let's me take the wheel. He guides , but I always make the decisions. I like that