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Meet Andres, a board-certified psychiatric nurse practitioner at Paperflower Psychiatry. Andy offers holistic, compassionate care and specializes in religious and cultural trauma. Accepting new virtual patients in Arizona. Andres Kohler Hi! My name is Andres, but you can call me Andy if you’d like. I’m a psychiatric nurse with a wealth of experience across various settings, including inpatient hospitals, addiction medicine, child and adolescent psychiatry, adult psychiatry, crisis units, and geriatric psychiatry. My deepest passions lie in addressing religious and cultural trauma, advocating for LGBTQ+ issues, and supporting individuals with complex conditions like bipolar disorder and schizophrenia. I chose to become a psychiatric nurse practitioner out of frustration with the lack of inclusive, compassionate care often provided by healthcare professionals. Life has taken me on an exciting journey—from my roots in California to Massachusetts, Maine, and now possibly setting my sights on Arizona! I’m also fluent in both English and Spanish. When I’m not working, I love unwinding with a good book, playing with my three dogs, and relaxing in my hot tub. I’m also a huge fan of lavender and tea—small comforts that keep me grounded. Above all, I’m dedicated to creating a safe and inclusive space for my clients, where they can feel seen, heard, and supported in their mental health journey. What is your favorite movie: It’s a tough toss-up between Avatar and Inside Out 2. Avatar has amazing graphics, a great storyline, and so much adventure. I love the idea of Mother Nature fighting back and protecting all her creatures—it’s such a cool concept! On the other hand, Inside Out 2 had me crying one minute and laughing the next. I really connected with the characters, especially anxiety, joy, and sadness. It’s such a powerful kids' movie that’s just as meaningful for adults. LGTBQIA+ Mental Health As a member of the LGBTQ community, Andy is passionate about providing quality care -- especially at this time in history. Religious Trauma Andy understands the severity of how religious trauma can cause guilt, depression and other symptoms over the lifespan. Read more in his Q&A. Bipolar Disorder Andy has a strong ability to evaluate for and treat bipolar disorder -- even the cases where it feels like you've tried everything and it's just not working. Q&A What is your favorite music: My taste in music is all over the place. I love folk/alternative rock, R&B, blues, jazz, country, EDM, reggae, and even cumbias/reggaeton. Some of my favorite artists are Alicia Keys, Maná, Fleetwood Mac, Local Natives, The 1975, Goth Babe, and The Weeknd. Basically, I’ve got a playlist for every mood. Favorite superhero? That’s easy—my mom! She’s the most loving, supportive, and selfless person I know. She immigrated from Mexico in her early 20s, not knowing English, with just a few coins in her pocket and a sweater on her back. Despite all the challenges she faced, including severe respiratory issues and anxiety/depression, she always made sure my brother and I had a home-cooked meal on the table and felt so loved. She taught me to never judge a book by its cover and to always share a smile. I’m beyond proud to be her son and would choose her as my mom in every lifetime. But, okay, I’ll admit—Superman is pretty cool too! If you could have a superpower, what superpower would you pick? Telekinesis, hands down! I mean, think about it—you could lift yourself and others to fly anywhere. No more chores either; you could clean the house just by thinking about it! Plus, you could control the elements if you really wanted to go all-out. It’s the ultimate power. Tell us about your pets: Of course! I have three amazing dogs: • Molly: She’s a 7.5-year-old white Labrador Retriever and the sweetest, most gentle soul you’ll ever meet. Molly is always wagging her tail with a toy in her mouth and is perpetually hungry. She originally belonged to my husband, but after seven years, she’s 100% my dog too. Her nicknames are Mammas and Moo Moo. • Levi: Levi is a 6.5-year-old red Shiba Inu, and honestly, he’s more like a cat than a dog. He’s super smart (sometimes too smart) and loves nothing more than napping. If I lie down, he’s instantly snuggling and snoozing right beside me. Levi was a birthday gift from my husband because I’d always dreamed of having a Shiba. His nicknames are Shiba Shiba, Inu, and Shibs. • Olive: Olive is a 2-year-old red Goldendoodle and the biggest cuddle monster you’ll ever meet. She’s like my shadow—always following me around and needing to be close. Every morning, she jumps onto the bed and lays on my chest before I even get up. She’s obsessed with ice and carrots and was the runt of her litter (and the only red one!). Her nicknames are Beanie, Bean, and Oliebean. If you had 3 wishes, what would you wish for? A world with no pain, suffering, hunger, fear, or hate. Everyone deserves to feel understood and validated. We could all use more love, empathy, and smiles. 2 For all animals to feel loved, safe, and free. 3 To be able to communicate across all languages, cultures, and even species—imagine how much we’d learn from each other! Fun fact about you: I LOVE dogs—like, seriously love them! When I was a kid, I wanted to be a veterinarian just so I could play with dogs all day. My family used to breed Rottweilers, and I’d often go “missing” only to be found cuddling in the whelping pens. Even now, I can’t resist running up to a dog I see and giving them all the pets and hugs. Recently, my friends threw me a surprise birthday party, and the theme was Shiba Inus (my favorite breed). It was honestly the best day ever! What are ways beyond medication that can improve your mental health? Making time for daily self-care is huge! Yoga, massage, aromatherapy, and mindfulness meditation are my go-to recommendations. Getting outside and soaking up some nature is also underrated—it’s one of the best free medicines out there. And sleep! Good sleep is non-negotiable. If you’re not sleeping well, people are more likely to feel anxious, fatigued, and depressed, with poor concentration, paranoia, or even hallucinations. If a patient comes to me feeling off, I always ask about their sleep first. You've mentioned being passionate about working with those with religious or cultural trauma -- can you tell us about that? Growing up as a gay, first-generation Mexican-American in a deeply religious environment was really tough. I’ve experienced firsthand how damaging religious and cultural trauma can be to someone’s mental health. Because of those experiences, I feel so passionate about helping others who’ve been through similar struggles. Everyone deserves to feel loved and accepted—no matter where they come from or what they’ve been through. Are medications lifelong? Does a patient who sees you HAVE to be on medication? Mental health treatment looks different for everyone. I’m a big believer in therapy, but if you want medication, I’ll support you. If you don’t, that’s okay too. I’ll always give my professional opinion and recommendations, but at the end of the day, it’s your choice. Medications can be lifelong for some people, but not for others. If you decide to stop taking medication, I’ll help you do it safely. You don’t have to be on medication to work with me—I also offer therapy as a standalone option. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? I’m here to support you, not judge you. My goal is to create a safe, comfortable space where you feel heard. Think of an evaluation as more of a conversation—it’s not an interrogation. I’ll check in with you throughout to make sure you’re okay. And if there’s something you’re not ready to talk about, that’s completely fine. My hope is to build trust so that, whenever you’re ready, we can explore those things together. What are your thoughts about treating adult ADHD? Adult ADHD is real, and it doesn’t just affect kids. Adults (and even older adults) can experience ADHD too, sometimes for the first time in life. Living with ADHD often feels like your brain is juggling 10,000 things at once, making it hard to focus. I’ll work with you to find the best treatment plan that works for your unique needs. Do you have any personal mental health experiences you can share with us? Absolutely! I’ve always been an anxious person, even as a kid, and I’ve gone through some significant traumas that led to anxiety, depression, and PTSD. I’m currently on Lexapro for my anxiety, and it’s been such a game-changer. I share my experiences openly because I want to help reduce the stigma around mental health.

Discover the best eating disorder recommendations in Arizona. Our health-focused website provides valuable resources and support for those in need. Nutrición y tratamiento de los trastornos alimentarios Abbey Roberts (dietista) Opciones para adolescentes y adultos. Ubicaciones en Scottsdale, Tempe (programa ambulatorio intensivo) y Wickenberg (tratamiento residencial). Fat positive, Health at Every Size trabajará con usted para desestigmatizar la comida y el peso más allá de simplemente hablar de lo habitual. Conexiones comunitarias Programas ambulatorios intensivos para adolescentes y adultos, así como programas residenciales. Futuros saludables En Scottsdale se encuentran disponibles programas ambulatorios intensivos tanto para adolescentes como para adultos. All Star Dieticians Trabajamos con todo tipo de trastornos alimentarios, pero también brindamos apoyo dietético para la nutrición deportiva y ofrecemos pruebas metabólicas. Rancho Rosewood Opciones para adolescentes y adultos. Ubicaciones en Scottsdale, Tempe (programa ambulatorio intensivo) y Wickenberg (tratamiento residencial). Bienestar Sinnergy Especialistas en todo tipo de trastornos alimentarios para todas las edades. Programa para atracones alimentarios. Equipo integral. Tratamiento disponible para el trastorno de ingesta alimentaria restrictiva y evitativa. Abby Chan Abby is a dietician who specializes in helping people re-establish their relationship to food, movement, and their bodies while practicing body acceptance and neutrality.

Looking to precept PMHNP students in Phoenix, Arizona? Learn about our precepting program for aspiring mental health nurse practitioners on our site. Estudiantes del PMHNP Precepto con nosotros ¿Es usted un estudiante de PMHNP que busca una pasantía? Recibimos docenas de solicitudes cada semana y entendemos que es difícil conseguir una rotación. A pesar de nuestro amor por el aprendizaje, tenemos cupos muy limitados disponibles cada año. Debido a los límites, buscamos estudiantes que se adapten mejor a nuestros valores y expectativas de práctica. Somos una práctica radicalmente liberal. Diseñé mi práctica para reconocer que la atención médica es política. Si no estás en este lado del espectro político o no te interesa la política, este no es el puesto de rotación para ti. Se espera que conozcas el contenido en profundidad. Se espera que realices evaluaciones y seguimientos después de un día de observación. Somos prácticos. Se evaluará tu disposición a aprender antes, durante y después de las sesiones clínicas. Se espera que busques información y leas libros/artículos para ampliar tus conocimientos. Se espera que te presentes y te apasione lo que estás aprendiendo. Se espera que comprendas los determinantes sociales de la salud, las disparidades en la salud y el efecto que tiene el racismo en la psiquiatría. Si cree que esto es una buena opción, envíe una carta de presentación y un currículum (muy) personalizados a maria@paperflowerpsychiatry.com . No acepto cartas de presentación genéricas. Hábleme de sus pasiones por la salud pública, la reducción de las disparidades en materia de salud, el activismo y el trabajo voluntario. Aplicar

Meet Rome Gamusaran, RN (he/his) Supervisor at Paperflower Psychiatry. Providing compassionate care in Arizona, USA. Get to know the heart behind the healing. Rome Gamusaran, RN Rome is an experienced customer service representative as well as a registered nurse. Driven by his passion to help, he takes pride in providing the best client support possible. As our registered nurse, his goals include making a comfortable conversation when setting appointments, making sure that patient medical records current, and filing them correctly. Rome brings an empathetic and easygoing communication style, and a sweet sense of humor, making it easy for him to talk to patients and family members. Rome is one of the greatest fans of the LORD OF THE RINGS TRILOGY and has six cats named after the movie's famous characters. And ohh, he may have also named his daughter after GALADRIEL (an elf). We now know that his wife is aware of this, and his daughter is freaking cute. He made us laugh. We know you'll like working with him. Oversees Support Staff Oversees Billing Team Patient Assistance

Explore Paperflower Psychiatry's services and fees, including psychiatric evaluations, ADHD testing, genetic testing, QBtesting and paperwork processing. Learn about our self-pay discounts, sliding scale options, and policy guidelines. Now accepting new patients in Arizona. Currently accepting most plans of the following for our psychiatric evaluations & follow ups: Send us your insurance card to billing@paperflowerpsychiatry.com to check if we cover your specific plan. We do not take AHCCCS. Please note that we require a credit card on file for copays, deductibles, and self pay fees. Please read the policy section and the consent upon booking regarding refunds, contacting your provider no-shows and cancellations. If you cancel less than 24 hours prior to appointment, miss your appointment or are late by over 10 minutes, you are responsible for the full self-pay fee, regardless of insurance status. Please ensure you cancel on time. We cannot make exceptions. Inquire about sliding scales and payment plans as needed by emailing billing@paperflowerpsychiatry.com All pricing below reflects self pay prices. If you are curious about the amount of a deductible or copay you may owe, just send us an email! The Service Menu 1 Psychiatric Evaluations $300+ A psychiatric evaluation is a 60-90 minute appointment in which we will ask a lot of questions about sleep, your mood, medications, and so on! We can discuss medication and supplement options, diagnosis, and other recommendations. We do child/adolescent evaluations, adult evaluations, family planning/peripartum evaluations, postpartum evaluations, pre-operation evaluations, asylum evaluations, ESA evaluations + more! Book now! 2 Follow Ups + Consultations $120+ Follow ups are a 15-30 minute appointment in which you can discuss how you are doing, your sleep, appetite, medications, and ongoing things in your life. We can discuss medication adjustments or changes, review labs, or even just check in to see if you're doing okay! We also offer initial 30 minute *finding the right fit* visits for the same price. If you are a parent who wants a visit without their child present, please note this will always be self pay. Insurance will not cover unless your child is present. Book now! 3 Neurodivergence Evaluations $1200 to $1800 Evaluations for ADHD + Autism Spectrum Disorder by experienced nurse practitioners. It includes a clinical interview, TOVA/Qbtest, MIFGAS testing or the ADOS, and a thirty minute follow up to review results. **SELF-PAY ONLY!!! THESE ARE NOT COVERED BY INSURANCE.** Current patients: $1,200 (express testing) Not existing patients: $1,800 (comprehensive testing) note: d iagnoses by us do not allow for services/eligibility for DDD. email support@paperflowerpsychiatry.com to book QB Tests & Tova Tests $150 Computerized ADHD testing available at Flagstaff, Tempe, Tucson & North PHX locations. Each test comes with a report. Please contact delfina@paperflowerpsychiatry.com for an appointment. Please note, this is not diagnostic and we do not offer interpretation without a full evaluation if you are not an existing patient. Learn more here 4 5 Paperwork + Records $25+ We can complete paperwork at your provider's discretion for employment, accommodations, educational concerns, emotional support animal letters, disability, surgeries, trans health, FMLA, and more as needed. For a simple document, it starts at $25. We charge an additional $25 per 15 minutes to complete complex paperwork. All paperwork requires 72 business hours to complete. If you would like the form same day, it will be a $100 fee for expediting. Medical record requests are $50 per request. 6 Genetic Testing Per Insurance We offer services from Genomind and Genesight. We will send a kit to your house to swab you (or your child's cheek). We will receive a report of how you metabolize medications and if you have the MTHFR gene mutation. We do require a 30 minute follow up to review the results. Genomind Info Genesight Info 7 Ketamine Evaluation $250/60 minutes Coming soon! We will be offering Ketamine Injectables in conjunction with Find Your Shine therapy for Ketamine Assisted Psychotherapy. Evaluations are required whether you are an existing or new patient, and are not covered by insurance. These evaluations offer medical and psychiatric clearance to receive Ketamine within our clinics for therapy. Please contact your therapist at Find Your Shine to coordinate an evaluation. 8 Ketamine Administration $300/injection Packages $1400/5 injections $1600/6 injections All Ketamine Administration is currently done at our Tempe office and only in collaboration with a Find Your Shine Therapist for Ketamine Assisted Psychotherapy . This does not encompass the therapy fee. We will discount you if you pay up front for a package. We are currently inquiring about offering Spravato as insurance may sometimes cover it, but currently this is only self pay. Please contact your therapist at Find Your Shine to coordinate a time for your injection. 9 Psychedelic Consultant Coming soon Not doing Ketamine with us? Exploring psychedelics, microdosing, or healing retreats abroad? We’ve got you. Our in-house Psychedelic Consultant offers expert guidance, safety tips, and real talk—whether you're curious, integrating a tough trip, or navigating medication interactions. Think of him as your go-to guide through the psychedelic landscape. More info coming soon! 10 After Hours Calls $100/30 minutes Emergency after-hour calls are typically not taken as we are not an emergency service. However, if your provider decides to offer an after-hours call for your specific situation, it will be a fee of $100/30 minutes which is not covered by insurance. Please be aware of resources such as Mind 24/7 and the Crisis Team which may be more appropriate. Same Day Refills $10 to $15 We ask for 72 business hours to complete refill requests. If you run out of pills and need an urgent same-day request, there is a $10 processing fee. For after hour same-day requests, weekends or holidays, there is a $15 processing fee. 11 Legal Consultations $750/hour+ It is in our consent form that you agree not to subpoena us or have us attend court on your behalf. If you are interested in this service, we require payment for the full day of attendance (equating to lost pay of otherwise working, even if we are only needed for a short period of time), and all travel accommodations. It is $750/hour for all time worked including but not limited to consultation, review of documents, evaluations, and other legal work. Retainers are required. Maria offers immigration and asylum legal consultation. 12

Learn more about Paperflower Psychiatry, offering trauma-informed and inclusive psychiatric care. We specialize in ADHD, neurodivergence, mood disorders, and LGBTQIA+ mental health. Serving patients across Arizona with both in-person and virtual services. Oficina de Phoenix Dirección: 16601 N 40th St, Suite 210, Phoenix, AZ 85032 Compartido con: Phoenix Therapists Hub Situación del aparcamiento: no hay problema, solo hay que coger un sitio. Hay muchos. Indicaciones: Entre por la puerta principal para ir al ascensor. Segundo piso. Busque la Suite 201. La espera: simplemente relájese en el vestíbulo hasta que nuestro proveedor lo recoja. ¡Hay café de cortesía, así que sírvase usted mismo! Baños: Entre por la puerta más allá de la sala de espera y encontrará el baño al final del pasillo, frente a nuestra oficina. A quién encontrarás aquí: Melissa , Erica y Jane Oficina de Tempe Dirección: 401 W Baseline Rd #108 Tempe, Arizona 85283 Compartido con: Encuentra tu brillo Situación del aparcamiento: Hay muchos, seguro que encuentras un sitio. Indicaciones: Hay dos entradas, elige cualquiera de ellas. Busca el cartel que te indica la habitación 108. Las puertas son gigantes, no te las perderás. La espera: simplemente relájese en el vestíbulo hasta que nuestro proveedor lo recoja. Baños: En el pasillo antes de llegar a la sala de espera. A quién encontrarás aquí: Tabitha , Erica y Jon Flagstaff Office Address :408 N Kendrick St #4, Flagstaff, AZ 86001 Shared with: Flagstaff Counseling Cente r Parking Situation: Plenty Directions: Once you enter the parking lot the office is on the far right of the building #4. You will enter into the downstairs waiting room. You are welcome to wait there, or proceed through the door and up the stair and wait in the waiting room to the left. The wait: Just chill in the lobby til our provider grabs you Bathrooms: There is also a bathroom available for use and water available while you wait. Who you'll find here: Bre (like the cheese) Oficina de Tucson Address : 1760 E River Rd Suite 250, Tucson, AZ 85718 Shared with: CalmOCD Parking Situation: You will want to park in the front where there is free parking available. Parking near the 1760 or 1730 building sign will be close to our suite. Directions: Suite 250 is located in the Cambric Corporate Center on the Southwest corner of River and Campbell. Continue on the walkway pictured (you will see 1730 directly to your right). Once you see the water fountain turn left. Our suite is the second suite on the left side. The wait: Just chill in the lobby til our provider grabs you. Bathrooms: The bathrooms are next to the water fountaun directly opposite out front door. Please grab a bathroom key from the lobby and return when finished. Who you'll find here: Melody Martinez!

Meet Tatiana Sanabria, PMHNP-BC, a psychiatric nurse practitioner specializing in trauma-informed care for marginalized communities, including BIPOC and LGBTQ+ individuals. Now offering telehealth services for adolescents and adults across Arizona. Conoce a Tatiana Sanabria Tatiana Sanabria, MSN, PMHNP-BC Tatiana is a board certified psychiatric mental health nurse practitioner who has experience working with children, adolescents, young adults, and adults. She is passionate about providing care to folks from marginalized communities, particularly those from low-income, BIPOC, and LGBTQIA+ communities. Tatiana previously worked as McLean Hospital in Massachusetts, which is a renowned facility which has been named as #1 for psychiatric care in the United States. She currently specializes in seeing ages 13 to 65. Tatiana currently resides in Miami, Florida but is excited to provide us telehealth care in Arizona. She has two cats - JJ and Mamow which you can read more about in her Q&A and meet during your appointment with her! BIPOC Mental Health Tatiana is passionate about working with and providing quality care to people of color. LGBTQIA+ Mental Health Taitana holds a strong understanding and passion for treating members of the LGBTQIA+ community. Anxiety It is no secret that seeking psychiatric care is anxiety-provoking (when you already have anxiety), but Tatiana is a calming, non-judgmental presence who serves as an expert in anxiety medication. Q&A What is your favorite movie? Avengers: Infinity War (made me happy cry at one point), the Harry Potter Series (read all the books too), anything X-men, of course the Jurassic Park movies, and Finding Dory because I experienced so many emotions when I watched it. I’m also a BIG fan of horror films. The Exorcism of Emily Rose and As Above So Below are probably my faves. Favorite superhero: Hmmm… Does El from Stranger Things count? I’d also say Storm and Spiderman. If you could have a superpower, what superpower would you pick? Either have the ability to travel to other dimensions (because maybe things are better elsewhere) or have the ability to replicate myself and others (like Hermoine did) so we can be in multiple places at once. Favorite bands/singer? I’d say my favorite artists are SZA, Moliy, Amaarae, Tobi Lou, Alina Baraz, Drake, and KYLE. I also LOVE reggaeton. I like listening to Rauw Alejandro, Karol G, Sech, Jhay Cortez, and of course Bad Bunny. If you had 3 wishes, what would you wish for? First and foremost, I’d wish for a world where everyone was safe, happy, food and shelter were a human right/free, everyone was caring and accepting and looked out for one another, and capitalism didn’t exist… 2. To have the means to give my family everything they deserve (especially my mom) ♥️ 3. To see (and potentially pet) all the cute/cool animals in the world. What is your favorite food? I’m Colombian and Salvadoran. Our food is amazing (e.g. empanadas, arepas, tamales, pupusas). Oh wait, I just thought of another. I used to have 2 chickens as pets. We called one of them chicken parm… Tell us about your pets. I have 2 fur babies, Kitty aka Mamow and JJ. Kitty is 13 years old, and my family has had her since she was a teeny tiny kitten that fit in the palm of my hand. Her original name is Kitty, but we used to call her “mi amor” which later merged into “Mamow”. I now mostly call her “Mamow”. JJ (original name Junior Junior) is 6 years old and one of Mamow’s babies. He’s a big softy. But Mamow? Not so much. What are you most passionate about in the mental health field? Recognizing that mental health conditions don’t exist in a vacuum. Trauma, the social and political climate, financial insecurity, medical problems, and a number of other things can all impact mental health. To me it’s so important to always explore and understand the context in which someone is experiencing life. I also strongly believe that various forms of oppression (racism, homophobia, transphobia, sexism, etc.) can contribute to the onset of a new psychiatric condition or exacerbate an existing condition. In my opinion this needs to be recognized and acknowledged more in the field of mental health/psychiatry. What are your thoughts about treating adult ADHD? I think it’s entirely possible that ADHD went undetected and/or untreated in childhood and now is more of an issue for someone as an adult. With further assessment, I’m definitely open to treating adult ADHD. What is your philosophy on using medication to treat mental health? Are medications lifelong? I believe it’s my responsibility to provide as much education about the psychiatric condition(s) and medication(s) as I can for us to then have a conversation about treatment. You know better than anyone else what your experience is and what your goals are. My goal is that we come up with a treatment plan together that is appropriate and doable, whether that includes medications or not. I think medications can be lifelong, but they definitely don’t have to be. It varies person to person. What are other things you feel could be beneficial to improve mental health other than medications? Support. And this can look like a lot of different things. Financial support, therapy, an open ear, skills teaching, school support, childcare, a solid support system, and so many other things. But ultimately, medications unfortunately won’t solve everything. Support is just as important, if not more. Talk to us about your experience working with trauma and dissociative disorders: As a registered nurse, I worked on a unit that provided treatment to patients with extensive trauma histories. Our patients typically presented with depression, PTSD, dissociation, and/or Borderline Personality Disorder. Given the current state of the world, our patients were usually cis-women and folks who identified with the LGBTQIA+ community. Life can sometimes be really hard and really unfair. I get that. My goal was to always do my best to create a welcoming, safe, genuine, and compassionate environment. With this as the foundation, there is a lot we can begin to tackle. Do you have any personal experiences regarding mental health you are opening to sharing? I always thought I was just shy and introverted but turns out I actually have social anxiety (LOL). I’ve also experienced different types of trauma throughout my life and that was really hard… but here I am alive and well, and in a place to meet you. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? That it’s your decision whether to share or not, and how much or how little. These can be really tough topics and they can bring up a lot of different thoughts and emotions. If you want to hold off on sharing until down the road, that’s cool with me too. Just know that if/when you do decide to share, I’m not judging you for your experience. I’m here to support you.

Meet Lleva Groves, PMHNP-BC, a psychiatric nurse practitioner specializing in holistic and trauma-informed care. Lleva offers personalized mental health treatment, including medication management, for patients across Arizona. Now accepting new patients. Lleva Groves, MSN, PMHNP-BC Lleva Groves is a board-certified psychiatric mental health nurse practitioner with over ten years of nursing experience. She is committed to ensuring every patient feels heard, valued, and comfortable, fostering a safe and judgment-free environment. Lleva thrives on working collaboratively with patients to develop personalized treatment plans that prioritize holistic well-being. Lleva’s professional journey has seen her through various roles, from providing psychiatric assessments and medication management to spearheading Spravato treatments. With extensive experience in diverse healthcare settings, including neurology, cardiology, trauma, and emergency care, she brings a wealth of knowledge and a nurturing presence to every interaction. A firm believer in the power of education, Lleva enjoys demystifying mental health to further empower her patients. Outside of her professional life, Lleva is an enthusiast of billiards, video games, arts and crafts, outdoor adventures, and spending time with her family. Passionate about mental health and deeply invested in seeing her patients thrive, Lleva Groves is not just a healthcare provider but a dedicated partner in the journey towards better mental health. Neurodivergence With a strong understanding of Autism and often missed diagnoses, Lleva is an advocate in late-diagnosed neurodivergence. Ketamine Lleva has experience in Ketamine, and will continue to support us at our Tempe location in Ketamine therapy. Mood & Depression Depression and mood disorders are tough -- but Lleva has strong experience in helping adjust medications to help. Q&A What is your favorite movie? I am more of TV person, I enjoy the evolving story lines. If I had to pick a few it would have be some classics such as Matilda, The Goonies, Little Rascals, and Fried Green Tomatoes. Favorite superhero? No favs, top three Deadpool, Doctor Strange, and Wolverine! If you could have a superpower, what superpower would you pick? Teleportation! I love to travel and who wouldn’t want to get to their destination in seconds?! Favorite bands/singer? I can listen to almost anything. I love listening to the 90s for a feel-good mood. I also enjoy alternative rock, punk, hip hop, reggae, indie, rap, pop, and country. Top favs across the board would be The Offspring, Tool, Alkaline Trio, Train, Sublime, Garth Brooks, The Distillers, Ice Cube, Dre, Lizzo, and Taylor Swift (no apologies). If you had 3 wishes, what would you wish for? Ensure everyone has a home For my children to live their lives happily and never be in need of anything Level up quickly on any skill I choose What diagnoses are you most comfortable and experienced working with? I am most comfortable treating anxiety, PTSD, mood disorders, and ADHD/neurodevelopmental disorders. What are you most passionate about in the mental health field? I am passionate about education, listening to my patients, and empowering them to advocate for themselves to better overcome the barriers that have existed for so long. Stigma remains a significant obstacle in mental health, preventing many from seeking the care they need. If I can change even one person’s perspective on behavioral health, it brings us one step closer to meaningful change. What are other things you feel could be beneficial to improve mental health other than medications?: There are several studies that recommend therapy as first line treatment in many conditions. In addition, lifestyle changes such as exercise, proper nutrition, and good sleep can help further promote a good mood. I find mindfulness techniques to be very helpful in improving motivation and reducing stress levels when patients are stuck on how to start. What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medication? Medications are just one of the tools we have in our behavioral health bag. They are not always needed or wanted. Therapy, exercise, lifestyle changes, and supplements are often incorporated with treatment plans in variable combinations. My experience working with medications is that they can help make day to day functioning and participation in therapy easier if you’re having a hard time. The question comes down to, “How much are you struggling?” Tell us about your experience working in behavioral health the past few years: My experience with behavioral health began as a nurse working in the neurology department and later with patients experiencing crisis in the emergency department. Through my experience as a nurse I was able to fully realize the impact of untreated mental health and the difficulty there was in obtaining that care. This led me to pursue becoming a psychiatric mental health nurse practitioner and over the last couple years have been working primarily in private practice. My experience includes treating patients 6 years old and up, combining holistic and medication management techniques. I also have a special interest in psychedelics and have experience providing Spravato and IV ketamine treatment to patients experiencing treatment resistant depression. Do you have any personal experiences regarding mental health you are open to sharing? I come from a culture where mental health is solved by “pulling up your pants,” or “trying harder.” No matter how high my pants were and how much I kept pushing, it wasn’t enough and it just led to more issues. I finally exhausted myself and realized mental health was for me, not anyone else. Only I could determine what was right for myself and quite frankly it was no one else’s business. How do you feel about marijuana? Marijuana is legal in Arizona and patients have the right to consume if they wish. Marijuana like any other drug or supplement has its risks and benefits. As a provider I acknowledge that patients benefit from different avenues of care. Every BODY is different. Some people do well with moderation and others struggle and exacerbate their symptoms. Together we can explore what is right for you in a judgement free zone. What are your thoughts about treating adult ADHD? There shouldn’t be any difference in the treatment of adult ADHD. That is, every condition should be assessed for and ruled out when meeting new patients. ADHD should always be considered for patients struggling with concentration, self-esteem, depression, and anxiety. Mental health has not been perfect in the past, and many adults including myself were not diagnosed appropriately as a child. Of course stigma plays a huge role in this. I want my patients to feel comfortable asking about any symptoms or concerns they have without fear of being judged or discriminated.

Meghan Baker, PMHNP-BC, offers compassionate psychiatric care with a focus on perinatal mental health, neurodivergence, ADHD, and trauma. Serving children, teens, and adults across Arizona, Meghan provides personalized care throughout pregnancy and beyond. Now accepting new patients. Conoce a Meghan Baker Meghan Baker, MSN, PMHNP-BC, PMH-C Meghan is a board-certified Psychiatric Mental Health Nurse Practitioner. She previously served as a labor and delivery nurse for ten years prior to venturing into psychiatry. She was even a high school teacher for a period of time! Meghan is board certified in perinatal mental health through Postpartum Support International. She is experienced and knowledgable in managing medications throughout pregnancy and postpartum -- and she can further help plan a safe medication regiment prior to planning a pregnancy. Meghan's goal is to provide empathetic and comprehensive care to the entire family unit. She currently sees all ages, but does love working with the child/adolescent population. She is also passionate about providing neurodivergent affirmative care. Meghan currently resides in the Phoenix, AZ area with her spouse and children. She is up to date on watching the Handmaid's Tale, so you can discuss your thoughts about June Osborne and Serena during your evaluation. Perinatal Care Neurodivergence ADHD Autism is often misdiagnosed and misunderstood - Meghan holds a strong understanding of autism across the lifespan. Meghan is an advocate in ensuring that patients are diagnosed correctly with ADHD and have proper accommodations to thrive. With years of labor and delivery nursing alongside a perinatal mental health certification, Meghan is an expert at care throughout pregnancy and postpartum. Q&A What is your favorite movie? ‘Children of Men’ – beautiful, hopeful, tragic, & haunting. …But can I also say TV shows? Succession or Handmaid’s Tale …Or books? ‘The Road’ by Cormac McCarthy or ‘The World to Come’ by Dara Horn Favorite superhero? I had a mad crush on Christopher Reeves’ Superman as a kiddo. But favorite now? Black Widow - I love Russian history, ballet, and confident strong women – so, she fits the bill! Or, oh wait, maybe the 1997-Gwen-Stefani-soundtracked-strong-woman-fighter-pilot Captain Marvel. Okay, both. If you could have a superpower, what superpower would you pick? I would love to have the ability to speak any language. But more in the true ‘superpower’ category - probably teleportation – it would REALLY help with school dropoff & pickup and all the activities (and I could travel and use my language super power!). Favorite bands/singer? My 10-year-old daughter is an incredible musician, so I love her – and recently we’ve been listening to a whole lot of things: Jax, Lady Gaga, Adele, Paramore, & Jack White. But all-time, long-time? Eminem. If you had 3 wishes, what would you wish for? For our incarceration system to be completely overhauled – trauma- focused treatment, vocational training, true reintegration. For endless, bottomless patience – with my kids, my spouse, my laundry, I-10 construction… To have a personal chef plan for, shop for, and cook everything all the time What is your favorite food? A good Monte Cristo sandwich What are you most passionate about in the mental health field? High quality & ACCESSIBLE Perinatal Mental Healthcare.. Accurate screenings and appropriate 1) Autism Spectrum Disorder and 2) ADHD diagnoses in girls and adult women What are some experiences you have had that make you unique? -My original career path was education - I was a high school history teacher. I quickly realized that I didn’t really want to do that forever (really kind of knew even in college – but I much preferred reading, writing, and studying abroad to early morning lab class for my pre-med/physical therapist dreams), so after teaching for 5 years and growing up a little bit, pursued nursing school. -I studied abroad in Russia for a semester in college. -I have been a Labor & Delivery Nurse for the last 10 years and LOVE it. What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medication? Psychiatric medications can be life-saving scaffolding in the journey to managing your mental health. Sometimes they are a lifelong; sometimes they are a situation- or life-season- specific – but you are completely in control of that long-term plan and it will always be an ongoing discussion. I am a huge advocate of integrating non-medication tools into your toolbox– self-awareness, routine, practical life changes, sunlight, activity, community, and self-compassion (the list goes on) can be small-but-huge steps to transformation. Sometimes medication can be the step to take in order to be able to build in life management skills. As your provider, I will always make sure you are fully educated about medication choices as well as talking you through non-medication management techniques! If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? You are not at fault for what happened to you. And I believe you. You didn’t deserve it – and there are absolutely no exceptions. You. Didn’t. Deserve. It. And. It. Was. Not. Your. Fault. We can talk about it when and if you are ever ready. Or I can help find the perfect people to help you process it if and when you are ready. There is no pressure or judgement. Do you have any personal experiences regarding mental health you are open to sharing? With each of my pregnancies and children, I struggled with varying degrees of depression, anxiety, OCD, and psychosis. The huge gap in care was mind boggling to me – and started my passion to transform the perinatal mental health field. As an adult I was diagnosed with ADHD and (very recently) Autism Spectrum Disorder – making so many things about my life make so much more sense and transformed my ability to manage life. How do you feel about medical marijuana? Pro - I think it can have fantastic benefits for certain things, but definitely will always talk to you about how it is impacting you and your treatment/management. Tell us about your pets: Moby – our all-white, 11-year-old, chilliest cat on the block. Marlow – our new (5 months old in November) Bernedoodle puppy. So fun and funny and naughty as all get out. What are your thoughts about treating adult ADHD? I think it is tragically underdiagnosed! Undiagnosed neurodivergence is a huge risk factor for depression & anxiety. If you weren’t an always-talking-out-of-turn, always-in-trouble, can’t-stay-in-your-seat, six-year-old white boy, you can’t possibly have ADHD. Right? Sigh. What if you were a people-pleasing rule-following girl who did great in school but put EvErYtHiNg off ‘til the last minute and now, as an adult, CaNnOt manage your laundry or kid-pick up schedules or ever quiet your brain enough to nap? Or you found that drugs or alcohol were the only way to quiet your brain or manage your anxiety? There are so many factors at play with mental health - I will always consider ADHD or ASD diagnostic criteria during an initial evaluation, and will make sure you feel clear on the risks and benefits all of the options – medication and non-medication. Tell us one fun fact about yourself: As a 6th grader, I wrote a musical about the History of Ancient Egypt. I was also the sole cast and audience member.

Meet Jed Pambid, the diligent billing specialist at Paperflower Psychiatry in Arizona, USA. Get to know the friendly face behind the financial operations. Conoce a Jed Solicitar cita Jerome Pambid With a robust 7 years of experience in the US Medical Billing field, I have honed my expertise in the intricate processes of claim submissions, managing rejections, addressing denials, and conducting payment postings with precision and efficiency. My career is marked by a steadfast commitment to ensuring the financial health and compliance of healthcare practices, navigating the complex landscape of medical insurance with a detail-oriented and analytical approach. Beyond my professional life, I am an ardent fan of the epic narratives and rich lore of “The Lord of the Rings” trilogy, finding solace and inspiration in the journey through Middle-earth. Similarly, the thrilling escapades of the Winchester brothers in the “Supernatural” TV series captivate my imagination, offering a blend of mystery and adventure that resonates with my own sense of exploration. Embracing the spirit of adventure that these series evoke, I cherish the opportunity to go out of town whenever possible. Whether it’s seeking the tranquility of secluded landscapes or the thrill of new experiences, these journeys are a testament to my love for discovery and the joy of stepping away from the routine to embrace the vastness of our world. Contact: billing@paperflowerpsychiatry.com Insurance Denia Insurance Claims Patient Assistance

Discover expert pregnancy recommendations in Arizona. From prenatal care to childbirth, find the best health resources for your pregnancy journey. Recursos perinatales Partería familiar primero Madeline y Jetta son matronas increíbles y con experiencia que te harán sentir cómoda y te ofrecerán la mejor atención que puedas pedir. Ubicadas en Goodyear y Scottsdale. Obstetricia y ginecología de primera línea, LLC El Dr. Hervey es conocido por ser uno de los mejores obstetras y ginecólogos del estado, y sus pacientes le han dado una respuesta fenomenal por su trato con los pacientes y su apoyo a los planes de parto de las pacientes. Su equipo es igualmente maravilloso. Embry Salud de la Mujer ¡Específicamente fantástico para el síndrome de ovario poliquístico, pero en general tiene excelentes críticas! Ubicado en Mesa. Mamá Doula AZ Lisa López ha sido la doula de María en dos partos y es INCREÍBLE. Tiene conocimiento sobre traumas, entiende la ansiedad y la depresión perinatal; es una gran persona y una doula increíble. Ofrece servicios de vendaje abdominal, instrucción de acondicionamiento físico, apoyo a hermanos, servicios de doula en duelo, apoyo en casos de aborto espontáneo y fotografía de recién nacidos. Innovaciones en salud de la mujer WHI ofrece apoyo a mujeres embarazadas, incluidos varios grupos de apoyo para mujeres embarazadas, en posparto y en duelo. Dra. Debra Wickman Obstetra y ginecólogo especializado en traumatología. Ubicado en el área de Camelback en Phoenix.

Looking for top psychologists in Arizona? We refer to only the best. Psychological & ASD Testing Psicología de la cima Ofrece pruebas integrales que brindan diagnósticos de autismo, trastornos del estado de ánimo, trastornos de la personalidad y también evalúan las capacidades cognitivas. Eje para el Autismo Ofrecen evaluaciones para el autismo para adultos y niños de hasta 12 meses. Aceptan algunos seguros y planes AHCCCS. Varias ubicaciones. Bienestar Choulet Ofrece múltiples servicios, pero lo más importante son las evaluaciones de autismo para adultos. Pago privado en Scottsdale. El grupo Nicholls Pruebas psicológicas (autismo, discapacidades de aprendizaje, superdotación, evaluaciones forenses, evaluaciones neuropsicológicas, evaluaciones para demencia) ubicadas en Scottsdale. Dra. Lauren Megrew Experto en neurodiversidad: ofrece evaluaciones de neurodiversidad, coaching de funcionamiento ejecutivo y otros servicios para parejas, padres e individuos que abarcan la neurodiversidad. Los servicios son virtuales. Dr. David Prince Ofrece evaluaciones de TEA ubicadas en Phoenix. El Centro Rubin Evaluaciones de autismo en Tempe y Scottsdale. Especialistas en psiquiatría infantil, adolescente y universitaria. Kemper & Asociados Evaluaciones neuropsicológicas que incluyen evaluaciones para TDAH, autismo, demencia, discapacidades de aprendizaje, lesiones cerebrales traumáticas... ubicadas en Litchfield Park. Psicología de la introspección Ofrecemos evaluaciones neuropsicológicas, evaluaciones de superdotación, evaluaciones de discapacidades de aprendizaje... ubicadas en Scottsdale. Clínica de memoria del sistema nervioso central Exámenes neuropsicológicos (que incluyen pruebas de TEA) ubicados en Goodyear, AZ. Servicios Psicológicos Vitality Evaluaciones de autismo para todas las edades en el norte de Scottsdale. Pago privado. Otros recursos de evaluación del TEA que puede consultar Centro de evaluación pediátrica de Arizona Autismo de Arizona Unido Profesionales de la Psicología Infantil y Adolescente Centros de neuropsicología de Arizona, LLC Centros de autismo de Bierman Servicios de comportamiento pediátrico Gentry