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Learn about Paperflower Psychiatry's policies on medication refills, no-show fees, service policies, discharge criteria, and payment requirements. Ensure a smooth experience by understanding our guidelines on appointments, insurance, and medication handling. Policies Want to check in on some important policies on refills, attendance to appointments and all that stuff? We'll break it down. Refill Policy We require an appointment on file to complete your refill. We will send you enough pills to get to that appointment. If you have a balance on your account, you must set up a payment plan with a working credit card on file prior to receiving your refills. If you cancel or choose to not attend after receiving your refill without rescheduling, you will no longer receive refills until you are able to attend an appointment. If you have not completed labs as ordered, you may be denied a refill at your provider's discretion. If after a controlled prescription is filled, it is reported to be lost, accidentally disposed of, or in any other means not accessible prior to the follow-up appointment, refills will not be provided. If you have not been seen by a provider in the requested time frame for follow up (one month, two months or three months), we cannot send your refill We charge $10 for processing same-day urgent refill requests, and $15 for same-day requests on weekends + holidays. Refill requests take up to 72 business hours to complete. Please request in advance. example: requests made on a Friday will be completed by Tuesday example: requests made on a Friday will be completed by Wednesday if Monday is a holiday No Show Policy A "no show" constitutes as not attending your appointment, cancelling your appointment under 24 hours prior to your appointment time (even emergencies...sorry :-(), attending your appointment while driving or coming to your appointment 10+ minutes late. A no show fee for an evaluation is $120 if rescheduled and attended, or $300 if choosing to not reschedule A no show fee for a follow up is $120, even if on a sliding scale No show fees will be automatically charged to your card the same day as missing your appointment Refills and future appointments will not be made unless the no show fee is paid or put on a payment plan with timely payments made Service Policies In order to maintain your evaluation, paperwork must be completed 24 hours before your appointment or your appointment will be cancelled. Support team and billing messages (voicemails, texts and emails) will be answered within 72 hours. Medical record requests will be handled within 30 days of written request. You agree that we will not participate in any court cases that include our presence without a prior agreement and signed contract with the agency and your provider at $350+/hour. We do not do emergency or crisis care. These situations require calls to CRISIS or 911. Parents or guardians are required to be present for the duration of their child's appointment unless otherwise arranged in writing; otherwise this will be cancelled and subject to a "no show" fee. The child is required to be present for their appointment unless otherwise arranged in writing; otherwise this will be cancelled and subject to a "no show" fee. If you have not been seen in 8+ months, we require a full new evaluation. Medication Policies After your provider sends a medication, you are required to call the pharmacy to troubleshoot any insurance, quantity, or other concerns prior to contacting us. DO NOT DEPEND ON YOUR PHARMACY APP TO TELL YOU IF WE SENT A MEDICATION - more often than not, we sent it! Call your pharmacy if it says the medication isn't ready (it probably has nothing to do with us). Medications other than psychiatric medications will not be provided by us. Medications that require blood work such as mood stabilizers are not guaranteed to be filled unless blood work has been completed. Medications can only be sent to pharmacies in the state of Arizona unless your provider holds an alternative state license. We will not prescribe psychiatric medications if you choose to have two psychiatric providers - this is not a safe arrangement You may be requested to sign a "controlled substances" policy if prescribed a stimulant or other controlled medication. Prior authorization requests can take 5-7 business days to complete. We will not prescribe benzo's (xanax, ativan, etc) unless it is (1) for a short term situation such as a flight/funeral/etc (2) you come in already taking one and create an agreement with your provider to taper from it We will not prescribe or continue your non-psychiatric medications (antibiotics, thyroid meds, etc) Discharge Policy Grounds for discharge includes: Refusal to work with our support team or any disrespectful, racist, vulgar language toward our support team. Choosing to have another provider fill or change your psychiatric medications without first notifying your Paperflower provider (it's not safe!) Dishonesty in regards to, selling or misusing medication prescribed Failing to show up (or a "no show") 3+ times for your appointments Refusal to create a payment plan for balances due Refusal to maintain a credit card on file (it's just how our system needs to flow with as many appointments daily we have..) Refusal to follow up as recommended by your provider Disrespect, harassment or vulgar language towards your provider Dishonesty in regards to custody situations or legal matters A patient outside of our expertise or scope of practice ---- In cases of discharge, we will send three referral sources for a new provider and a 90 day supply of medication if the medication is noted by provider to be safe to refill. Policy on fees/insurance We are a fee-for-service company, and do charge fees for paperwork, medical record requests and time outside of appointments. Updated fees can be found on services page. These fees will be charged to the card on file. If you have paperwork, it will be charged before paperwork is filled out or processed. We require everyone to have a working credit/debit card on file in order to keep your appointment. You are required to have a credit card on file even if you have an HSA/FSA card on file. You can write to have the HSA charged first. If there is not money loaded prior to your appointment and other arrangements are not made, the credit card will be charged. All fees/copays/deductibles are collected 24 hours prior to your appointment. If your payment does not go through prior to the appointment and you have not made other arrangements with support (to update card, a day you get paid, payment plan etc), your appointment will be canceled. If you do not have updated insurance information within 24 hours of your appointment, that visit may be charged as a self pay rate. For medications to be sent or paperwork to be completed, if there is a balance on the account, we require a payment plan in place with a down payment. Refunds are not issued in any circumstance if the service has already taken place. A sliding scale is arranged with a single provider. If you chose care with another provider, you may be subject to the full fee unless otherwise arranged. Please contact support if you have questions on this. If you need us to change the card we charged payment on, and did not let us know 24 hours before your appointment, a 6% processing fee is added to your charge. This is because Stripe charges us to refund/rerun it :) ps -- No we aren't money hungry and yes we want you to have services, we just are all trying to make a living doing this..if you weren't getting paid when you went to work, would you still go? Notice of Privacy Practices: Revised April 15, 2025 I. Covered Entity Duties and Key Terms Paperflower Psychiatry, LLC is a Covered Entity as defined under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including its amendments under the HITECH Act. We are required by law to maintain the privacy of your protected health information (PHI), provide you with this Notice of our legal duties and privacy practices, and notify you in the event of a breach of unsecured PHI. Key Terms: PHI (Protected Health Information): Any health-related information that identifies you. Provider: Any licensed mental health professional under the employment or contract of Paperflower Psychiatry. Treatment, Payment, and Health Care Operations (TPO): Treatment: Coordination or management of your care. Payment: Billing or reimbursement activities. Health Care Operations: Administrative functions like quality improvement, internal training, audits, or business oversight. Use: Refers to activities within Paperflower Psychiatry (e.g., analyzing or storing PHI). Disclosure: Refers to sharing PHI outside our organization (e.g., with another provider or third-party service). II. Telehealth, AI, and International Data Use Paperflower Psychiatry uses telehealth platforms, artificial intelligence (AI)-supported tools, and international Virtual Medical Assistants (VMAs) for certain operational, billing, scheduling, and support tasks. Telehealth: We use secure HIPAA-compliant platforms for virtual care. Your information may be transmitted electronically for diagnosis, treatment, or consultation purposes. AI Tools: Limited AI-based systems may be used for scheduling, transcription assistance, or internal data review, but do not make clinical decisions or access your full PHI without oversight. 4/15/25, 10:55 PM Form Questions https://cylinder-perch-4ktn.squarespace.com/config/scheduling/forms.php?action=edit&id=2369461 1/3 International Staff: Our administrative and billing support team includes VMAs based in the Philippines. All such staff are bound by strict Business Associate Agreements (BAAs), HIPAA regulations, and applicable Philippine data privacy laws. Safeguards: All electronic PHI (ePHI) is handled through encrypted platforms. Passwords, device access, and data backups are strictly monitored and logged. III. Uses and Disclosures Requiring Authorization Your provider may only release your PHI for purposes not covered by TPO with your written authorization. You may revoke your authorization at any time in writing, except when: Your provider has already acted in reliance on it, or The authorization was a condition of insurance coverage. IV. Uses and Disclosures Without Consent or Authorization Your provider may disclose PHI without prior authorization in the following legally mandated or safety- related situations: Child or Vulnerable Adult Abuse Judicial or Administrative Proceedings Serious Threat to Health or Safety Worker’s Compensation Appointment Reminders or Treatment Alternatives For a full list of disclosures permitted without consent, contact our Privacy Officer. V. Your Rights As a patient, you have the right to: Request Restrictions on disclosures (though we may not be able to comply). Receive Confidential Communications at an alternative location. Inspect and Copy your mental health and billing records. Request Amendment of incorrect or incomplete information. Receive an Accounting of Disclosures. Revoke Authorizations (as noted above). Obtain a Paper Copy of this notice, even if received electronically. 4/15/25, 10:55 PM Form Questions https://cylinder-perch-4ktn.squarespace.com/config/scheduling/forms.php?action=edit&id=2369461 2/3 VI. Complaints If you believe your privacy rights have been violated, you may: Contact Our Privacy Officer: Elizabeth Odhner, PMHNP Email: liz@paperflowerpsychiatry.com You may request a formal complaint form at any time. All complaints will be reviewed and investigated within 60 days. File a Complaint with HHS: Visit: www.hhs.gov/ocr/privacy/hipaa/complaints You will not be retaliated against for filing a complaint. VII. Changes to Privacy Practices This notice is effective as of May 5, 2023 and was revised on April 15, 2025. Paperflower Psychiatry, LLC reserves the right to revise this notice at any time. If we do, the revised version will apply to all current and past PHI and will be posted on our website Ketamine Policies -- coming soon

Paperflower Psychiatry offers inclusive, trauma-informed psychiatric care, specializing in ADHD, neurodivergence, mood disorders, and LGBTQIA+ mental health. Providing in-person and virtual services across Arizona. Explore our patient-centered approach and book your appointment today. Hi, nice to meet you. Welcome to the most progressive psychiatry practice in the state of Arizona. Paperflower Psychiatry is a holistic, neuroaffirming and inclusive practice specializing in psychiatric evaluations and medication for ages 5+ in Arizona. Sometimes psychiatric services can be intimidating but we value a more relaxed, authentic, humble and casual approach in which we can have a conversation, laugh, and figure out a solution together . Our goal is patient comfort, trust and empowerment. We are all human and all have our journeys. Your journey is valued. At Paperflower, we are here to help in your mental health journey. We aim to be accessible by taking major commercial insurances + offering applications to have a sliding scale for financial hardship & payment plans. We are a teaching practice that integrates student nurse practitioners into our care system, helping you receive more personalized care while we help foster empathy and quality care for future healthcare providers. We are not afraid to talk to you about how tragic the state of the world is right now. Healthcare is political. And we won't judge you for smoking weed, promise. we were the first psychiatric practice in the state of arizona to be openly political and allied with the LGBTQIA+ community. we are changing the experience of mental health care. RESERVA ONLINE PROPIA ¡RESERVA AUTOMÁTICA EN LÍNEA PARA TODAS LAS CITAS! ¡Agenda ahora! Team Vibes If you ever imagined a practice full of a bunch of neurodivergent, quirky nerds who love their jobs .. this was probably it. We are a group of super rad nurse practitioners with the best support team on the planet. Los proveedores Las ubicaciones La práctica El soporte Lo que tratamos Good question! Some things include.. Post Traumatic Stress Disorder Trichotillomania (hair-pulling) Postpartum Depression (PPD) Peripartum Mood Disorders (PMADs) Depression Bipolar Disorder Schizophrenia Schizoaffective Disorder Psychosis Anxiety & Panic Attack Attention Deficit Hyperactivity Disorder (adults + kids) Obsessive-Compulsive Disorder Pediatric Bipolar Disorder Child/adolescent Trauma Insomnia and sleep disorders Mood changes with traumatic brain injuries Disruptive Mood Dysregulation Disorder Irritability, anger, impulsivity and aggression Mood instability Binge Eating Disorder Substance Use Disorders What about your policies? Click for policies What about contact info? Click me! Lo que tratamos Well, we offer.. Medication management Psychiatric Diagnostic Evaluations with or without medication prescriptions Pre-surgical evaluations ADHD testing Asylum evaluations Neurodivergence (ADHD + Autism) evaluations (*these do not qualify for DDD eligibility/services*) NEW! QB/TOVA testing for ADHD Paperwork for ESAs and accommodations when appropriate Ketamine for Psychotherapy Education, validation & guidance NOTE: We cannot provide psychological evaluations for learning disabilities or personality disorders, evaluations for Serious Mental Illness (SMI), evaluations for service animals (although we can help with ESA animals) or evaluations for competency, guardianship or conservatorships. Evaluaciones Services & Fees FAQ's 5,800+ patients served since 2020 1500+ appointments per month 4 locations across AZ Tiny wins.. but it's giving big impact NUESTROS VALORES El derecho al bienestar Empoderamiento del paciente Calidad de la atención Compasión y empatía Colaboración Esperanza Aceptación Comunicación Derechos humanos Equidad y justicia Diversidad e inclusión Whole person You are more than a "patient" or a "set of symptoms." Understanding you as a person, what you enjoy, your strengths, and your history are all important to care. This means we'll talk about your pets, your hobbies, anything that is important to you.. your future and your dreams. All of these encompass you . For us to be apart of your journey, we want to know you , too. cultural humility Understanding the components of culture along with history and intergenerational trauma is important, and will be prioritized throughout care. We are openly anti-racist. We are openly allies with the LGBTQIA+ community. We openly question ourselves and our biases. We are aware of our privilege. comfort Going to a new provider (especially in mental health) is anxiety-provoking, scary and vulnerable. Your comfort will be prioritized throughout the appointments, and measures will be taken together to make sure we can maintain an open, therapeutic relationship. We want it to feel easy to come see us. team oriented We all have equal footing in decision making, and will approach recovery as a team. Inclusion of your therapist, primary care doctor, family, doula or other personnel upon request will be honored. Medication is not the only component to wellness. We are not here to force medication -- we are here to give options. trauma informed The priority is to avoid re-traumatization, maintain a sense of safety, and make sure you feel empowered in care. Our focus will be on rebuilding trust, control and choice on your medication and treatment plan. If psychiatric care has been traumatic in the past for you, then this is your time for a new start. Anchor 1 Hours, Location & Contact Provider Hours weekdays, mornings, evenings, and Saturdays available Contact Billing Phone: 602-613-0455 Fax: 855-458-0280 billing@paperflowerpsychiatry.com Tucson 1760 E River Rd Suite #250, Tucson, AZ 85718 Support Team Hours M - F: 8am to 6pm Sat: 8am to 5pm Sun: 8am to 12pm Contact Practice Manager Phone: 602-327-3152 delfina@paperflowerpsychiatry.com North Phoenix 16601 N 40th St, #216, Phoenix, AZ 85032 Billing Team Hours M-F: 8am to 6pm Sat: Closed Sun: Closed Contact the Owner maria@paperflowerpsychiatry.com Tempe 401 W Baseline Rd #108 Tempe, AZ 85283 Contact Support Phone: 928-504-4700 Fax: 855-458-0280 support@paperflowerpsychiatry.com Mailing address 3104 E Camelback Ave #2414 Phoenix, AZ 85016 Flagstaff 408 N. Kendrick St. Ste #4 Flagstaff Az, 86001

onathan Frank, PMHNP-BC, provides compassionate psychiatric care specializing in adult ADHD, mood disorders, and LGBTQ+ mental health. Offering patient-centered therapy and medication management for adults in Phoenix, AZ. Now accepting new patients. Dr. Bre Chamoff, DNP, PMHNP-BC, CPRP Bre (like the cheese) Chamoff (She/Her) is triple board certified in pediatric primary care, pediatric critical care, and psychiatric mental health. She has been a nurse practitioner for nearly a decade working in various pediatric settings. She is passionate about care for kids, adolescents, and young adults. Her prescribing philosophy is meds are not first line, unless they absolutely need to be. The team effort between provider and patient is to get that spark back, let your beams shine bright, and use all options to get there. She commonly says her “drug of choice” is human connection, and this certainly bodes well for fostering a team approach with her patients to make a plan that suits them. Bre has worked in pediatric GI specializing in illnesses such as irritable bowel syndrome (IBS) and functional constipation and how those are experienced both physically and emotionally. She has a particular interest in brain-gut connections and the impact on mental health and behavior. She was also one of the first 2 nurse practitioners who started the pediatric trauma program at Queens Medical Center in Hawaii. She has since spent much of her time working inpatient at Flagstaff Medical Center on general pediatrics and in the pediatric ICU. She has a blunt and comical (mostly when appropriate) approach, because life is hard and no one gets out alive. Bre currently resides in Flagstaff, AZ. In her free time, you can find Bre Snowboarding , traveling to live music to any number of bands including Tool, Gojira, Daughter, Carina Round, Rainbow Kitten Surprise, System of a Down, Elton John, Bon Iver, Puscifer, Primus or Tim McGraw (to name an eclectic few), reading books galore, or begging her friends to play board games with her. She has a ’73 VW bus named Clementine (who sometimes starts and sometimes does not start, but Clementine’s charm is not dependent on her reliability, or the lack thereof) and a 6 yo Bengal named Ananda, who runs the show entirely. As you’ll note in Bre’s Q&A she is verbose and rarely lacking the words she needs to overly express her interests and ideas with many caveats and sidebars. She offers both an apology and congratulations for this. Pediatric Mental Health Bre is an expert in pediatric mental health encompassing ADHD, autism, sensory procesing, mood, anxiety, and trauma. Medical With a background in acute pediatric care, Bre is an excellent resource for kids with co-existing medical conditions or gastrointestinal problems. Adolescent Mental Health Teenagers can be hard to connect with -- but they will appreciate Bre's humor and energy and may (well, hopefully) look forward to visits with her. Dr. Chamoff, in Flagstaff, is an exceptionally competent psychiatrist who has greatly aided me in managing my mental health condition. From the initial consultation, she conducted a thorough and thoughtful examination of my case. Dr. Chamoff provided clear explanations about the complexities of my situation, considering all possible contextual factors that could be impacting my well-being. She worked with me to develop a tailored plan of action that perfectly aligns with my needs and expectations. Throughout the process, her compassion and encouragement have been invaluable. We have been seeing Dr. Bre virtually for over a year now, and she has been absolutely amazing. I'm always recommending her for other parents struggling with their kiddos and trying to get their kids help. She has been so wonderful for my daughter! Through every up and down, she listens and asks the questions needed. Walks you through a plan and is there if the plan falls through. She's amazing! I see Bre (like the cheese) and I can always count on frank, kind and productive advice and medication recommendations. She cuts through the fluff, and really hones in on the issue, making mental health improvement the goal. My experience had been amazing. Bre is very knowledgeable and really listens and applies her expertise to determine the correct diagnosis and medication treatment. My son is doing amazing and she has made a tremendous positive change in my family. I would recommend her to anyone struggling on how to go about adhd, autistic or any sensory issue diagnosis and treatment for children. The best part is she recommends and prescribes other alternatives instead of placing kids directly on stimulants. Pediatric Mental Health Bre is an expert in pediatric mental health encompassing ADHD, autism, sensory procesing, mood, anxiety, and trauma. Medical With a background in acute pediatric care, Bre is an excellent resource for kids with co-existing medical conditions or gastrointestinal problems. Adolescent Mental Health Teenagers can be hard to connect with -- but they will appreciate Bre's humor and energy and may (well, hopefully) look forward to visits with her. Q&A Collapsible text is great for longer section titles adsfdsnd descriptions. It gives people access to all the info they need, while keeping your layout clean. Link your text to anything, or set your text box to expand on click. Write your text here... 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Meet Gillian Ilagon, the creative mind behind the compelling content at Paperflower Psychiatry. Join her journey as a content creator at Paperflower Psychiatry. Solicitar cita Conoce a Gillian Gillian Ilagon (ella/ella) Desarrollador de contenido psiquiátrico gillian@paperflowerpsychiatry.com Gillian es una profesional de la salud mental con una maestría en psicología clínica y una especialidad en asesoramiento y rehabilitación de adicciones globales. Ha pasado más de dos años como administradora de casos en un centro de rehabilitación para pacientes internados, guiando a las personas a través de la montaña rusa de la recuperación. Pero después de pasar bastante tiempo persiguiendo a clientes por el pabellón psiquiátrico, Gillian decidió cambiar el caos por algo un poco más tranquilo: el desarrollo de contenidos. Allí, podía dedicarse a su pasión y, al mismo tiempo, ayudar a la gente sin todo el drama. Ahora, su misión es crear recursos para cualquier persona que quiera entender mejor el funcionamiento interno de su mente o aprender más sobre la condición de salud mental de su ser querido. A pesar de afirmar que es introvertida, Gillian puede ser bastante comunicativa, especialmente cuando los temas giran en torno a los videojuegos, las cosas geek/nerd, el K-Pop y los gatos. Hablando de gatos, Gillian es una orgullosa sirvienta de Astra la Garra de las Sombras, la Primera de su Nombre, la Última de su Especie, Soberana de la Ventana Iluminada por el Sol, Gobernante de la Cacería de Medianoche y Guardiana del Lugar Sagrado de la Siesta. Gillian Ilagan Gillian is a mental health pro with a Master’s in Clinical Psychology and a specialty in Global Addiction Counseling and Rehabilitation. She’s spent over two years as a case manager in an inpatient rehab center, guiding people through the rollercoaster of recovery. But after enough time chasing clients around the psychiatric ward, Gillian decided to swap the chaos for something a little more chill—content development. Here, she could indulge her passion and still help people without all the drama. Now, she is on a mission to create resources for anyone looking to understand their mind’s inner workings better or to learn more about their loved one’s mental health condition. Despite claiming to be an introvert, Gillian can be quite talkative, especially when the topics revolve around gaming, geek/nerdy stuff, K-Pop, and cats. Speaking of cats, Gillian is a proud servant of Astra the Shadowclaw, First of Her Name, Last of Her Kind, Sovereign of the Sunlit Window, Ruler of the Midnight Hunt, and Keeper of the Sacred Napping Spot. Contact: gillian@paperflowerpsychiatry.com Content Creation CEU Development Patient Education

Meet Mallory Hodges, an energetic, friendly, compassionate psychiatric mental health nurse practitioner at Paperflower Psychiatry. Mallory specializes in LGBTQ populations, anxiety and sees all ages -- although young adults are her jam! Accepting new patients. Meet Melissa Alas Solicitar cita Melissa Alas PMHNPBC (ella /suya) Enfermera practicante de salud mental psiquiátrica Mallory is a board-certified psychiatric NP who previously trained with our original NP, Jonathan Frank. Mallory has experience working with adults in the ICU setting. She brings a calm and grounded energy to every situation, creating a welcoming and supportive atmosphere. Her positive outlook helps her connect easily with others, and she approaches challenges with optimism and an open mind. Mallory fosters a sense of ease and encouragement in both personal and professional interactions, maintaining a happy, uplifting demeanor even in high-pressure environments. She is deeply committed to supporting the mental health and well-being of the LGBTQIA2S+ community. Her passion lies in creating safe, affirming spaces where individuals can explore their identities, overcome challenges, and thrive. Mallory strives to provide culturally competent and inclusive care that acknowledges and celebrates the unique experiences of this diverse community. Mallory with be working at our North office in person, once a month in Flagstaff & Tempe, as well as virtually.

Paperflower Psychiatry is a holistic and inclusive psychiatric practice specializing in evaluations and medication for children, adolescents, peripartum and adults in Arizona. Telehealth + offices in Tempe, North PHX + Flagstaff. Self booking is available online. ¡Reserva tu cita! Las citas se clasifican en ubicaciones virtuales y presenciales . Seleccione la opción adecuada. Norte de Phoenix (NUEVO): 16601 N 40th St, Suite 210, Phoenix, AZ 85032 Tempe: 401 W Baseline Rd #108, Tempe, AZ 85283 Flagstaff: 408 N Kendrick #4 Flagstaff AZ 86001 Tucson: 1760 E River Rd Suite #250, Tucson AZ 86718 CIFRAS DE LA CRISIS Línea de ayuda para casos de suicidio y crisis: llame al 988 Nacional: 1-800-273-TALK (8255) Condado de Maricopa: 1-800-631-1314 o 602-222-9444 Condados de Pima, Pinal, Santa Cruz, Yuma, Greenlee, Cochise y Graham: 1-866-496-6735 Condados de Apache, Coconino, Gila, Mohave, Navajo y Yavapai: 1-877-756-4090 Comunidades indígenas del río Gila y Ak-Chin: 1-800-259-3449 Comunidad indígena de Salt River Pima Maricopa: 1-855-331-6432

Discover engaging mental health infographics in Arizona featuring Zerry Ramirez, a dedicated social media manager at Paper Flower Psychiatry. Zerry Ramirez Zerry Ramirez is a video editor and graphic designer, and one of the new members joining the PaperFlower Psychiatry family! She will be helming the initiative of managing our social media accounts across different platforms, as well as crafting effective and appealing content through her self-taught skills when it comes to video editing and design to make our media presence fun and livelier! She is also a part of the LGBTQIA+ community. Zerry carries an easygoing and very open-minded atmosphere making her easy to communicate with, being able to easily befriend and establish rapport through her sense of humor and jovial demeanor. She has an incredibly contagious brand of laughter, loves to sing her heart out, is an avid gamer, and is very much into anime; most notably harboring an obsession with NEON GENESIS EVANGELION. She is also into movies and various mediums, especially k-pop, k-drama, and their barbecues! She is a fast learner when it comes to her field, and she'll make things a lot more fun for all of us! contact: socialmedia@paperflowerpsychiatry.com Manages Social Media Graphic Design Content Creation

Dr. Erica Lee, DNP, PMHNP-BC, specializes in child and adolescent mental health, including conduct disorders, trauma, ADHD, and anxiety. Offering compassionate care for children, teens, and their families across Arizona. Now accepting new patients. Dr. Erica Lee, DNP, PMHNP-BC, CPNP-BC I'm Erica Lee, a Psychiatric Nurse Practitioner with a deep passion for helping children, teens, and their loved ones navigate the complexities of mental health. With a Doctor of Nursing Practice (DNP) degree from ASU and 13 years of nursing experience, my journey into the field of mental health has been one of continuous growth and learning. Prior to this role, I have spent nine years as a nursing professor, where I honed my skills in making complex concepts accessible and relatable. My own life experiences have given me a profound understanding of the challenges posed by ADHD, trauma, anxiety, depression, and grief. I've walked the path of healing and resilience and am committed to helping others do the same. I'm not just a healthcare provider; I'm a mom of three young adults, and I've experienced the trials and triumphs of parenting firsthand. As a teen mom, before it was 'cool,' I learned the power of determination, education, and support in overcoming obstacles. I understand that idealism is not for everyone, and I do my best to advise and support based on real-life circumstances. In my practice, I specialize in teaching and connecting with my patients in a relatable way. I believe that understanding and empathy are the cornerstones of effective care. I'm dedicated to creating a safe and nurturing environment for children and teens to explore their mental well-being. I am open-minded and fully committed to providing care that respects and honors individual experiences. As a passionate queer ally, I firmly believe in inclusivity and creating a safe, accepting space for all individuals, regardless of their sexual orientation or gender identity. My journey is a testament to the belief that, with the right support and guidance, individuals can overcome adversity and find their path to wellness. I look forward to joining you on this journey to better mental health. Pediatric Mental Health Erica is an expert in pediatric mental health encompassing ADHD, autism, sensory procesing, mood, anxiety, and trauma. Young Adults Erica is excellent at working with young adults - especially college aged folks. With a background in teaching, she offers support in succeeding in school and the workplace. Conduct & Sexualized Behaviors Erica offers guidance to parents with children with sexualized behaviors and trauma, as well as connecting strongly, creating visits everyone can look forward to. Q&A What is your favorite movie? The Royal Tenenbaums If you could have a superpower, what superpower would you pick? Telekinesis Favorite bands/singer? Run the Jewels, David Bowie, Phantogram, the Yeah Yeah Yeahs, Beck If you had 3 wishes, what would you wish for? •     Everyone has to follow the same rules that nurses do (do no harm, treat everyone equally, advocate for all, don’t spread infection). •     Climate change to be resolved in a way that is sustainable and equitable. •     Leaders who operate for the good of all Tell us a fun fact about yourself. I'm a decent karaoke rapper. What are you most passionate about in the mental health field? Helping families through difficult situations and things that no one wants to talk about. I have learned from my experience raising three kids and I know it didn’t have to be as hard as it was, had I known more and understood how my own trauma impacted my parenting style. Tell us about your dogs. Koko (12 yo GSP), Cromwell (6 yo pit mix) and Bowie (3 yo pocket American Bully). It’s hard to describe how much these pups mean to me, but they are my besties and have kept me company through the hardest time in my life. They each have their own quirks and personalities and should have their own reality show. Thoughts on adult ADHD? Many people have struggled their whole life, believing that what made things difficult was laziness or lack of discipline. They do not know that things don’t have to be so hard. I believe that ADHD should be included in the differential for adults who have difficulty with organization, motivation, concentration, etc. and considered along with CPTSD, anxiety, and depression. Are medications lifelong? think that medication can be life-changing in many cases, but I also know that other actions can be just as, if not more, effective. I aim to educate my patients on various solutions so that they are able to make informed decisions and feel open to receiving/sharing feedback when something isn’t working. I don’t believe medication has to be lifelong and should be reassessed regularly and discontinued when no longer needed. What are other things you feel could be beneficial to improve mental health other than medications? Self-talk is a huge factor that I continue to explore with my own mental health. It is so important to recognize the way that your thoughts shape your mental health and be intentional about speaking kindly to yourself. Do you have any personal experiences regarding mental health you are open to sharing? I have experienced trauma, homelessness, abuse, anxiety, depression, and complex grief. I have loved ones who have experienced addiction, bipolar, ADHD. I utilize these experiences to identify with others, and I also believe that this helps me keep bias in check. What is your philosophy on using medication to treat mental health for kids? I absolutely believe that medication can be an appropriate intervention for kids, and the impact it can have for families is undeniable. I don’t believe it is the only answer in every situation and I am comfortable suggesting/discussing alternatives with parents. Do you have experience in working with non-binary and trans kids? Yes - in my experience learning at Paperflower, Phoenix Children’s, and CRS, I have worked with kids who identify as trans, non-binary, and gender-fluid. I feel comfortable helping parents navigate this and can also hold space for the conflict they might feel. Ultimately, we need to advocate for our patients and help their family learn to support them. What are your thoughts on screen time and social media for kids and teens? I’m learning to understand the impact that screen time and social media has on humans, including the dopamine dysregulation that comes from nearly non-stop screen time during waking hours. I think that it’s a complex topic from a kid’s point of view and may even be their social lifeline. I think it is important for parents to know that using screen time and social media as a reward/punishment has a greater impact than they might imagine and that setting boundaries up front and revisiting them at regular intervals is important. How do you feel about medical marijuana? I wish there was more opportunity to research cannabis and other traditional plant medicines to help guide their use for mental and medical indications. Current American policy prevents adequate research and is influenced by pharmaceutical industries, who are motivated to keep these highly regulated. 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 would want my patients to know they can share as much or as little as they want with me. Explaining this is important up front, and I might even use tools like a signal or safe word that the client can utilize to let me know it's too much.

Meet Melody Martinez, PMHNP-BC, a Tucson-based psychiatric nurse practitioner offering compassionate care with a focus on perinatal mental health, trauma, and holistic treatment approaches. Now accepting new patients for in-person and telehealth services. Melody Martinez, MSN, PMHNP-BC Hi! I’m Melody Martinez, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), dedicated to providing compassionate care across the lifespan. Proudly rooted in Tucson, Arizona, my journey from educator to nurse practitioner has been enriched by a diverse range of experiences, each contributing to my holistic approach to mental health care. My professional journey began with a bachelors degree in education from the University of Arizona, where I specialized in family studies and human development. This foundational education instilled in me a deep understanding of the complexities of human behavior and relationships. Driven by a passion for healthcare and inspired by the profound impact of supporting individuals across various life stages and backgrounds, I transitioned into the field of nursing. After earning my Master of Science in Nursing degree from the University of Arizona, I dedicated several years to providing specialized care to women and infants, honing my skills in nurturing and supporting the unique needs of this population. Motivated by a desire to expand my scope of practice and make a broader impact on mental health care, I pursued advanced training as a psychiatric nurse practitioner. Today, at Paperflower Psychiatry I blend my diverse background in education, nursing, and perinatal care to offer holistic, evidence-based mental health care to individuals seeking support for their mental health concerns. Believing in the benefits of medication, I also incorporate alternative and complementary treatments to address concerns, individualizing each patient's care. My approach is science-backed and empathetically driven. I enjoy including therapy techniques in my sessions when appropriate, to provide comprehensive and personalized care. As a mother of two, I understand the importance of flexibility in scheduling appointments, and I am happy to offer weekend, early morning and evening availability both in person at our new Tucson location and via tele-health sessions. Beyond my professional pursuits, I find joy in exploring new cultures and perspectives through travel. Having lived abroad in various countries, I've cultivated a deep appreciation for diversity and the richness of human experience. My family, which includes my two adventurous sons, holds a special place in my heart. We bond and create enduring memories during our camping trips in the great outdoors. Their unwavering love and support inspire me to make a positive impact in the lives of others, both within my practice and beyond. I am honored to be a part of your healing journey and look forward to supporting you every step of theway. Perinatal Mental Health Melody has extensive experience as a labor and delivery nurse and is passionate about offering safe options for medications during pregnancy and postpartum. Foster Care/Adoption Melody understands adoption and foster care as a traumatic experience as well as the flaws of the system. Anxiety Anxiety can be tough to manage and verbalize - Melody offers excellent options for medication management in cases of high anxiety. Q&A Favorite movie: This is such a difficult question because my first instinct is to write a top 10 list. If I had to choose a favorite based on how many times I have watched it, it would probably be Spirited Away because it's an absolute feast for the senses! The animation is stunning, and the food looks absolutely delicious—I mean, who wouldn't want to taste those mouthwatering dishes from the spirit world? Plus, I'm a huge fan of all of Hayao Miyazaki's films and accompanying soundtracks. Beyond the scrumptious visuals, the story of growth and the healing powers of love are so heartwarming. I love the transformation from a scared little girl to a confident hero while navigating the whimsical and sometimes downright bizarre world of spirits. Favorite superhero: I am not a huge superhero buff but I think I would say Batman, even though it might seem really mainstream. I just feel like despite not possessing superhuman abilities, his dedication to justice and his unwavering commitment to protecting his city make him a true hero. His resilience and determination to overcome his own darkness and trauma, channeling it into a force for good is inspiring. I think we can see it as a reminder that even in our darkest moments, we can find the courage to make a difference in the world. Plus, the movies are really cinematically pleasing! The complex and captivating villains add such a depth to his story. If you could have any superpower, what would it be? If I could have any superpower, I would choose the ability to manipulate matter at the atomic level, much like Atom Eve from the comic series "Invincible." With this power, I could reshape the world around me, transforming objects, creating life-saving medicines, or even altering the fabric of reality itself. The ability to manipulate atoms would give me unparalleled control over the physical universe, allowing me to solve problems, heal wounds, and bring about positive change on a grand scale. It's a power limited only by imagination and ethical considerations, making it both awe-inspiring and profoundly impactful. Favorite bands/singer/music: Music is all about the feelings it creates, so I just go with the flow and let the music take me on a journey through memories and emotions. My taste in music is a bit of a mishmash, but that's what makes it so special! I can always enjoy Indie music from bands like The Strokes, The Killers, and Modest Mouse. But then there is the Dixie Chicks, whose music takes me back to those carefree days of childhood, riding in the car with my mom, her hair blowing in the wind as we sang along with the same CD over and over again. Fleetwood Mac holds a special place in my heart as my ultimate favorite band and soundtrack to my soul. Whenever karaoke is on the table I will be there belting out "Gold Dust Women" with my friends, laughing and singing our hearts out. And when it's time to tackle chores around the house, you can bet I've got the Bluey soundtrack blasting, with my little one dancing around and making a mess behind me. Music is about the memories they bring back and the moments they create, weaving through the fabric of my life and adding color to every day. If you could have three wishes, what would they be? 1. To travel a peaceful world with my loved ones, exploring new cultures, tasting exotic foods, and making unforgettable memories together. 2. To have the ability to speak every language fluently, allowing me to connect with people from all walks of life and forge meaningful relationships wherever I go. 3. To foster a world where every child grows up in a nurturing and supportive environment, free from trauma and adversity; feeling loved, valued, and empowered to chase their dreams. Tell us one fun fact about yourself: One fun fact about me is that I'm passionate about travel and adventure and I find solace in nature. One of the most memorable experiences I've had was attending the Dalai Lama's 80th birthday celebration in India. Another unforgettable journey I embarked on was hitchhiking from Tanzania to Namibia with nothing but a backpack and a tent. It was a remarkable adventure filled with unforgettable sights, fascinating encounters, and a profound sense of freedom! My favorite quote from the trip is, “you can’t camp here, the lions will carry you away in the night.” Tell us about your pets: We welcomed a rescue dog into our family named Juneau. He's been such a blessing and has quickly become a beloved member of our household. Juneau is incredibly sweet and has a gentle disposition, making him the perfect companion for our family, especially with my two young sons. He's always ready for playtime or cuddles, and his loving nature brings so much joy into our lives. We had a dog years ago named Piper but due to her trauma history she needed constant companionship and we could not have two dogs at the time so she went to live with my close friend. I still see her often and she spends every other weekend with Juneau. I am so happy they get to be friends! What are you most passionate about in the mental health field? My passion for perinatal mental health runs deep. Through personal experiences with postpartum depression and anxiety, combined with years of working as an antepartum and postpartum nurse, I've gained invaluable insights into the unique challenges of pregnancy and postpartum. I firmly believe that everyone deserves support during this journey, whether they're basking in the joys of motherhood or grappling with anxiety and depression. I'm committed to destigmatizing mental health conversations in the perinatal period and advocating for accessible support services. This cause is close to my heart, and I'm dedicated to making a positive impact for individuals and families. Let's banish mom guilt and shaming once and for all! What is your philosophy on using medication to treat mental health? Are medications lifelong? Medication can be a valuable tool in managing mental health conditions, but it's not the only solution. I believe in a holistic approach that combines medication with therapy, lifestyle changes, and social support. Maybe medication is right for you or maybe you would benefit from forest bathing or wilderness therapy or acupuncture. There are many paths, lets figure out which one is right for you. Whether medication is lifelong depends on the individual and their unique circumstances. 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 want patients to know that it's okay to feel nervous or apprehensive about discussing tough topics like trauma or abuse and that they can set the pace that they feel comfortable with. Our sessions are a safe and non-judgmental space where they can express themselves openly, and I'm here to support and guide them through the process with compassion and empathy. Tell us your thoughts about the current state of the foster care system. I have seen firsthand both the strengths and shortcomings of the foster system. While there are dedicated individuals working tirelessly to support foster youth, there's a clear need for improvement, particularly in ensuring a smoother transition into adulthood with adequate support and resources. What are other things you feel could be beneficial to improve mental health other than medications? I am a big believer in natures almost magical ability to heal and restore! Spending time outdoors can offer a sense of peace and tranquility that can alleviate stress and improve mood. Practices such as therapy, mindfulness, exercise, nutrition, and social connection also play important roles in promoting mental well-being. I believe it is essential to address mental health from a holistic perspective that considers the various factors influencing an individual's experience. Tell us about the intersection between your experience in Women and Infant care and/or teaching + mental health? My experience in both teaching and women and infant care has given me a unique perspective on the intersection of education and mental health. As a former teacher for 8 years, I've honed my skills in communicating with children in a comfortable and supportive manner. My background in education, with a focus on family studies and human development, has equipped me with valuable insights into the developmental needs of children and families. Transitioning to a role as an antepartum and postpartum nurse, I found that my teaching experience allowed me to better prepare individuals for the profound changes of parenthood. I understand the importance of providing comprehensive support and education to expectant and new parents, not only in terms of physical health but also in addressing the emotional and psychological aspects of pregnancy, childbirth, and early parenthood. My ability to advocate for children and families, coupled with my knowledge of child development and maternal health, allows me to approach mental health issues in a holistic and empathetic manner. I believe in the power of education, communication, and support in promoting mental well-being for individuals and families throughout the perinatal and early childhood stages.

Dr. Bre Chamoff, DNP, PMHNP-BC, specializes in pediatric psychiatric care with a focus on trauma, ADHD, and brain-gut connections. Offering compassionate care to children, adolescents, and young adults across Arizona. Now accepting new patients Dr. Bre Chamoff, DNP, PMHNP-BC, CPNP-BC Bre (like the cheese) Chamoff (She/Her) is triple board certified in pediatric primary care, pediatric critical care, and psychiatric mental health. She has been a nurse practitioner for nearly a decade working in various pediatric settings. She is passionate about care for kids, adolescents, and young adults. Her prescribing philosophy is meds are not first line, unless they absolutely need to be. The team effort between provider and patient is to get that spark back, let your beams shine bright, and use all options to get there. She commonly says her “drug of choice” is human connection, and this certainly bodes well for fostering a team approach with her patients to make a plan that suits them. Bre has worked in pediatric GI specializing in illnesses such as irritable bowel syndrome (IBS) and functional constipation and how those are experienced both physically and emotionally. She has a particular interest in brain-gut connections and the impact on mental health and behavior. She was also one of the first 2 nurse practitioners who started the pediatric trauma program at Queens Medical Center in Hawaii. She has since spent much of her time working inpatient at Flagstaff Medical Center on general pediatrics and in the pediatric ICU. She has a blunt and comical (mostly when appropriate) approach, because life is hard and no one gets out alive. Bre currently resides in Flagstaff, AZ. In her free time, you can find Bre Snowboarding , traveling to live music to any number of bands including Tool, Gojira, Daughter, Carina Round, Rainbow Kitten Surprise, System of a Down, Elton John, Bon Iver, Puscifer, Primus or Tim McGraw (to name an eclectic few), reading books galore, or begging her friends to play board games with her. She has a ’73 VW bus named Clementine (who sometimes starts and sometimes does not start, but Clementine’s charm is not dependent on her reliability, or the lack thereof) and a 6 yo Bengal named Ananda, who runs the show entirely. As you’ll note in Bre’s Q&A she is verbose and rarely lacking the words she needs to overly express her interests and ideas with many caveats and sidebars. She offers both an apology and congratulations for this. *only taking new pediatric patients* Pediatric Mental Health Bre is an expert in pediatric mental health encompassing ADHD, autism, sensory procesing, mood, anxiety, and trauma. Medical With a background in acute pediatric care, Bre is an excellent resource for kids with co-existing medical conditions or gastrointestinal problems. Adolescent Mental Health Teenagers can be hard to connect with -- but they will appreciate Bre's humor and energy and may (well, hopefully) look forward to visits with her. Q&A What is your favorite movie? Of all time: Almost Famous; Disney: Emperor’s New Groove But to be fair my second language is movie quotes; I’d say I’m fluent. Favorite superhero? I always try to have a more unique one but the truth is, it’s Superman. I love that he’s just unassuming Clark Kent, then off saving folks, then back to glasses wearing, run of the mill Clark Kent. Big fan. If you could have a superpower, what superpower would you pick? Easy! I ask people this all the time! Teleportation. I could see all my favorite people anytime, travel to all live music, without leaving any carbon detriment, and minimizing travel time. Very efficient. Favorite bands/singer? Tool without question. But, music is my insides on the outsides. I love music so very deeply. I spend most of my spare time on live music, and traveling to live music. I am not personally musically inclined, but I am a big-time consumer for sure. I have a pretty wide array of likes. Indie. Folk. Bluegrass. Metal. Country. And that is certainly not the end of it. I collect vinyl because I like how it sounds despite its wild inconvenience. If you had 3 wishes, what would you wish for? Selfishly: (1) the ability to speak all languages fluently (2) to see a new and varied sunset in every place of the world (3) an eidetic memory (wish 3.5: Limitless quantities of Cinnamon Toast Crunch accompanied by free dental care for life) Broad and esoterically: -that every individual has a true inherent fundamental drive to first understand themselves, then understand others, and only then attempt to altruistically affect change. I read a bumper sticker yesterday that said “everyone is just doing their best…. And that is fucking terrifying” Hearrrrrrd that! What is your favorite food? Okay, are you asking what is my death row meal? Or what is my favorite day to day food? Because my death row meal is for sure next day spaghetti! don’t give me fresh spaghetti. Make it the day before, let it sit all night, and then microwave it- that’s my last meal! Day to day I have a gnarly sweet tooth. So on second thought back to the 3 wishes I think I’ll just take lifetime dental care. 😏 What are you most passionate about in the mental health field? Access to care for kids and adolescents. Offering a true partnership where the child is considered an active person with meaningful thoughts, feelings, and experiences. What are some experiences you have had that make you unique? My mental health nursing rotation in undergrad was in a study abroad program in Belfast, Norther Ireland. This was illuminating to see psychiatric care offered in a different and social model. I have a long strong background in pediatric medicine and that offers a robust amount of experience working with complicated pediatric illnesses. I went to 9+ schools as a child (not a military brat, just life circumstances) so adapting to change is a superpower I gained at a young age out of necessity. This just means I regard most strangers as “friends I haven’t met yet”. I went to Ecuador for 3 months to learn Spanish, then System of a Down went on tour so I came back early for a concert. Learning Spanish is still a life goal of mine. I own a 73 VW bus named Clementine. In an ideal world, she would be my traveling office (she breaks down too much, but I still love her). What is your philosophy on using medication to treat mental health for kids? I believe medicine, like many other things is a tool. I like to explain it this way: consider depression, anxiety, trauma, aggression, etc as broken glass on the ground. We can clean it up without tools like a broom, or without shoes on, but it’s messier and more difficult that way. Using the right tools is going to make it both easier and safer. Sometimes one shoe is therapy, maybe the other shoe is medicine, and maybe the broom is family dynamics. Medication is rarely the singular fix for anything (except for maybe in diabetes), it’s an adjunct for symptom management. It also can allow for healing to occur. Medication is not always forever, and its not always the right choice. It so situationally based, and more complicated than one blanket approach applies to all. Generally, I’m pretty conservative, but not afraid to consider meds when they are an appropriate tool. I am a firm believer in collaboration with my patients and parents. I won’t give teens a medicine they don’t want. Medicine is not the only option, I’m a big believer that work is often necessary when it comes to caring for our mental health, and that involves the whole family unit, nothing exists in a vacuum. Everyone is unique, sometimes we use all tools all at once, sometimes we try them on differently, it’s about the individual. I’m also a big proponent of natural and holistic remedies, but they are not without potential for harm themselves and I think it necessary to be mindful of risk and benefit of any and all interventions. We have to be mindful of all things that affect our neurochemicals, to include many things we forget to consider like caffeine, sleep, exercise etc. 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? Getting to the deep dark stuff is one of the hardest things we ever do, so before you do it know this is a safe space without judgement. I won’t make any decisions about your care without you, you’re in control here. So, first know you’re not alone. Second, those experiences don’t define you. Sometimes healing is a process in patience; I ask that you be patient with you and all that comes up, and patient with this process as I walk alongside you through it. Sometimes we need to say “not today satan” and table that stuff, which is perfectly fine. Others we jump in, like I said, it’s a process. Most importantly that process isn’t always linear and that’s okay too. There’s a meme somewhere that says something like ‘sometimes life is messy, sometimes life is beautiful, most the time it’s both’. That feels a little too flowery for some of the deep dark shenanigans we go through, but at the end of the days it’s not total crap. Talk to us about working with divorced families, coparenting or families in turmoil? This can get dang hairy. in initial evals it’s important in my book to set the precedent and expectation. Both parents have to be on board, and while that’s often difficult, I feel good about being firm in support of this model. There’s no room for separate meetings or visits, playing ping pong between warring forces. I’m not generally a proponent of avoiding, or releasing families, solely due to parental conflict because the only person there who suffers is the child who can’t get the care they need. I’m willing to be a force when needed to facilitate the forward motion of care for the child. My initial approach is always attempting to understand the perception of each person, the intention of each and then collectively identify a common goal. If I’m right, and I hope I am, we’re all attempting to achieve what is best for the child. When there is an impasse, I tend to get direct and blunt singularly with parents. It’s important to be factual. This has been really effective historically. If you read this and feel you want to go on this wild ride with me, just know I can be spicy, but it’s in an effort to achieve a common goal. Do you have any personal experiences regarding mental health you are open to sharing? I am an open book but find the specifics to be more beneficially shared contextually. I wouldn’t want to wallop the world with my history on a website, but I’ve been through some doozies. My own “colorful” experiences if you will. It makes me feel really comfortable talking about legitimately anything. I often tell my patients there’s a slim chance I haven’t discussed anything you’re able to bring to the table, so hit me with it and let’s dive in. I also have an interest in non-traditional medicines, including the use of entheogens for further treatment and exploration of mental health disorders in future practice. Talk to us about the overlap of physical and mental health for kids. Physical and mental health aren’t entirely separate, and while our medical model and approach treats it that way, they are deeply integrated. It has been astounding to see how many kids are left untreated regarding mental health for an enumerate number of reasons. We live in an unprecedented time and continue to attempt to apply historical solutions to it. While that’s not fully unexpected as we have to go with what we know, we also have to ask ourselves how much of the mental health disparity that we see in adults could be mitigated if approached in childhood. On the other hand, I’m not a fan of pathologizing childhood behavior to made them more compliant to a world that expects them not to be kids: an approach at balance is the key (cliches are true for a reason). I think my experience with complex medical illnesses is going to translate well in terms of my ability to communicate and combine holistic care with both pediatric patients and parents. I also have a keen eye to ferret out medical and mental health causes separately and in conjunction. Do you have experience in working with non-binary and trans kids? Yes definitely! In fact, I originally chose endocrine as my area of specialty focus. So I started meeting with pediatric patients interested in delaying puberty at the onset of my career as a student NP. This was in 2013. Since then, I have encountered a wide array of patients across the spectrum of trans, non-binary, questioning, and more. I am a big proponent of self-expression and exploration. I am a big fan of helping my patients feel seen and actualized and sometimes that includes bridging the conversation with loved ones and being a support in that time. What are your thoughts on screen time and social media for kids and teens? I think a blanket statement here isn’t going to work. Like anything else, no absolute is the answer. I think when we fully restrict social media children/teens experience a sense of isolation, with full unabridged free reign they can experience any number of things including grooming or bullying, and can be the victim or perpetrator of such. I think with anything, active presence and engagement from the caregiver with mutually agreed upon structure and boundaries is going to be a solid approach. Too much of anything isn’t great. The stimulation of imagination to aid in the progression of developmental stages is best served with varied experiences, they cannot all be garnered from a screen. That is not to even touch on the secondary medical difficulties such as sedentary lifestyle leading to obesity and insulin resistance, and visual decline. With all of that in mind, never in my life have I said to a patient “okay 2 hours of screen time a day” and that happened. So instead, I ask families, would it be possible, once per day, when you go to watch TV, or look at the tablet or phone, you set a timer and do anything else that’s not screen related until the timer goes off (ironically said timer is typically on a phone screen, we can’t win them all). That’s a manageable task, and reduces it by a little. Small achievable changes are often the name of the game. My personal stance on screen time is it isn’t great, would love to decrease it. But my personal stance on going to the gym is that I should be going more, and I’m literally eating cheese its at 10:30 pm while I write this so life is messy and hard, and we have to make the goals achievable and do what we can!

Liz Odhner, PMHNP-BC, offers holistic psychiatric care for perinatal and young adult populations, specializing in trauma, ADHD, and creative mental health approaches. Accepting new patients for telehealth services across Arizona. Elizabeth Odhner, MSN, PMHNP-BC, PMHC Elizabeth is a board-certified psychiatric mental health nurse practitioner who has experience working with children, adolescents, young adults, and adults. She is especially passionate about providing care to the perinatal population and young adult populations and middle age population and people at points of transition - okay... she just likes all of them. Elizabeth has nursing experience in the emergency department, telemetry, community mental health clinic, and family practice. She has done international nursing in El Salvador and Guatemala. She is currently primarily working with patients looking for Perinatal/Postpartum, Family Planning or Infertility Evaluations. And yes - she lives in a school bus and has a mobile office set up in her bus and car. And yes..if you want to see her school bus..you can see how rad it is in the photos below and read more in her Q&A about if you should move into a bus too. And yes..she and her family are really freaking cool and we're all kind of jealous of their nomadic life. Breastfeeding If you have any concerns about taking a medication while breastfeeding, Liz is our expert. Perinatal Liz's specialty and passion remains in mental health during family planning, pregnancy, postpartum and for those encountering infertility. Anxiety & Mood Whether you have social anxiety, depression or bipolar.. or a mix of everything, Liz can help you find a medication that works. Q&A What is your favorite movie? Apollo 13 - love Tom Hanks (but I rarely watch movies) Do you really live in a bus: Yep! My husband, toddler and I have lived in a converted school bus (26 feet, 6 window, old wheelchair bus) since May 2021. We have a kitchen, oven, bathroom, etc - everything we would need. It offers us a great balance for travel and adventure - but also we sleep in the same bed every night and have dinner as a family at the same table every night. Did moving into a bus solve all your life problems? Nope nope nope - life is never like instagram. I still struggle with anxiety, still get lonely at times, still need to go to work I just happen to do all these things in a bus. Do you think everyone should move into a bus? Nope - My husband and I entered into a time of discernment before making this decision and we continue to discern if this is the right decision for us and for our family. I hope others have the space to discern what makes them happy and have the support to make big, scary, and unconventional changes if that is what discernment is calling them too. Also it is important to recognize that as nurses (my husband is also a nurse) we hold a lot of privilege with our jobs, titles, and financial flexibility to make this lifestyle work for us right now. What inspired you to become a nurse: I was inspired to be a nurse after working extensively with people experiencing homelessness, substance use disorder, and severe mental illness. I lived and worked for almost three years at a homeless shelter and outreach center. This was incredibly formative. I learned to live in community, live simply, and formed deep and meaningful friendships with people experiencing homelessness. Do you have any personal experiences regarding mental health you are open to sharing? Without oversharing - events that I would not think to cause trauma did cause trauma and ignoring my problems did not work and recovering from trauma is really hard work. What are you most passionate about in the mental health field? So many ideas come to mind. First, finding creative and non-traditional ways of addressing concerns - I am interested in continuing to learn about functional medicine, forest bathing (known in Japanese as shinrin yoku), and new research on psilocybin therapy. Second, asking the question - how to combat loneliness in society? So many people I talk with express dealing with loneliness and I do not have a great plan to solve this but something I think about frequently. Third, how can trauma be prevented? I think the field as a whole is recognizing the effects of trauma and finding new and better ways to treat trauma - but so little is done to prevent trauma. What is your philosophy on using medication to treat mental health? Medications can be one option as part of a larger treatment plan but not the only option. I want to use a process of shared-decision making to come up with a plan that we are both comfortable with and then to continue to reassess that plan based on your needs. Are medications lifelong? Do you want them to be life long? I want to continue to talk about your needs and wishes and how medications are beneficial or not beneficial to your life. Life is every change and at different points you are likely to have different needs. I don’t think a plan we come up with right now is going to be the same plan 30 years from now. Does a patient who sees you HAVE to be on medication? Medication can be one option but there are lots of other treatment options and I want to explore your needs, values, and wishes and come up with a treatment plan together. 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? First - this is your appointment and we can talk about what is most important to you in a way that feels safe for you. Some people find it easiest to stream-of-consciously talk to me while other people like me ask lots of yes or no questions. This is something we can navigate together and you can share as you feel comfortable. What are your thoughts about treating adult ADHD? This is one of my favorite things to treat. ADHD is exhausting. I think often people just adapt and don’t realize how exhausting ADHD is in everyday life. Also ADHD can often present as anxiety or depression and we should spend lots of time exploring the causes of the specific symptoms you are experiencing. Tell us one fun fact about yourself. I have a BA in Philosophy and a BS in Computational Mathematics. I really like math.

Meet Michelle Aguila, a dedicated Credentialing Specialist at Paper Flower Psychiatry in Arizona. Connect with Michelle, a health professional, today! Michelle Aguila She is an enthusiast who loves the rush of endorphins from a good workout session. When she's not hitting the gym or the trails, you'll likely find her behind the wheel, mastering the art of driving and embracing the freedom of the open road. But there's more, she's also known as a good listener and an empathetic soul. Whether you need someone to share your joys or navigate through tough times, she's always available to lend an ear and offer support. One thing she thrives on is stepping out of her comfort zone. She believes life is all about exploration and growth, so she's always up for trying new things and embarking on adventures. Insurance Credentialing Insurance Claims Patient Assistance