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Alicia Garcete Guaps, MD

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Alicia Garcete Guaps, MD

Staff Psychiatrist

12 years of experience

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Dr. Garcete Guaps is licensed to see patients in the following states.

available in
Colorado
Florida
Georgia
Minnesota
Tennessee
Wisconsin
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Biography

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

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Expertise and specialties

Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma

Education and training

  • Universidad Nacional de Asuncion, MD and Internship
  • Maimonides Medical Center, Residency
  • Psychoanalytic Institute - Affiliate to New York University School of Medicine, Fellowship in Psychoanalysis
  • Elmhurst Hospital Center. Mount Sinai Services, Fellowship in Child and Adolescent Psychiatry

Location

Timezone

Eastern

Languages spoken

English
Spanish

In-network insurance

Aetna
Blue Cross Blue Shield
Cigna
ComPsych
Elevance Health
Humana
Lucet
Magnacare
Medicare
Provider Network of America
Quest
UnitedHealthcare
Velocity

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Gabrielle Delarose, PMHNP

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New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

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Damaris Chukwura, PMHNP

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Damaris values open communication and collaboration with her patients. She creates a warm, caring environment where individuals feel heard and respected. Her approach is both evidence-based and supportive, blending professionalism with a welcoming demeanor. She is passionate about mental health advocacy and reducing stigma. Outside of work, Damaris enjoys spending time with her husband and three children, traveling, decorating, and watching reality TV.

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Catherine Nwora, PMHNP

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Catherine Nwora is a Psychiatric Mental Health Nurse Practitioner (PMHNP) who believes mental health care is most effective when patients feel heard, respected, and actively involved in treatment. She creates a supportive, nonjudgmental environment where patients can openly discuss concerns, identify goals, and develop individualized treatment plans that fit their needs and lifestyle.

Catherine takes a collaborative, compassionate, and evidence-based approach to care. She understands that beginning mental health treatment can feel overwhelming, so she prioritizes trust, open communication, and patient education throughout the process. She focuses on treating the whole person by considering emotional, social, medical, and lifestyle factors that impact mental wellness.

Catherine begins with a comprehensive psychiatric evaluation to explore mental health history, current concerns, stressors, sleep, relationships, medications, and treatment goals. Together, she and her patients create personalized care plans that may include medication management, supportive therapy, coping strategies, lifestyle recommendations, and coordination with other providers. Follow-up visits focus on progress, treatment adjustments, and building long-term stability and confidence.

Licensed in

NY

CO

WA

RI

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New York
Colorado
Washington
Rhode Island

View James Niforatos, PMHNP

James Niforatos, PMHNP

James Niforatos, PMHNP

James Niforatos, PMHNP, has over a decade of experience managing complex medication regimens across inpatient units, outpatient care, medical floor consultations, community mental health clinics, and residential treatment settings. He completed graduate studies at the University of Illinois at Chicago with clinical rotations at Northwestern University Hospital and the University of Illinois Hospital System. He holds certifications as a Cognitive Behavioral Therapy Clinician (CBT-C), ADHD-CCSP, and Functional Medicine for ADHD Provider.

James uses a shared decision-making approach to establish goals and treatment plans. He emphasizes individualized, patient-centered care and values collaboration with therapists and other healthcare providers to support comprehensive treatment.

James begins by thoroughly understanding each patient’s history, concerns, and goals during the initial session. He then develops individualized treatment plans aligned with those goals, focusing on improving understanding and management of mental health conditions to support personal, academic, and professional well-being. His approach is holistic, incorporating medication management alongside attention to nutrition, activity, relationships, and reduction of risky substance use.

Licensed in

UT

CO

NY

IL

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Utah
Colorado
New York
Illinois

View Michael Hartenstein, PMHNP

Michael Hartenstein, PMHNP

Michael Hartenstein, PMHNP

Michael Hartenstein is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with experience across inpatient psychiatry, community mental health, and telepsychiatry. He earned his MSN from the University of South Alabama and dual bachelor’s degrees in Nursing and Criminology and Criminal Justice from Metropolitan State University of Denver. His healthcare path began as a medic in the U.S. Air Force, followed by work as a residential brain trauma coach. Michael is also certified as a Clinical Trauma Professional (CCTP) and Narcissistic Abuse Treatment Clinician (NATC).

Michael takes a direct, sincere, and patient-centered approach grounded in open communication and cultural sensitivity. He uses trauma-informed care as a core framework, focusing on the whole person rather than a transactional experience. He prescribes thoughtfully, taking time to understand each patient’s history, symptoms, and goals before determining the most appropriate treatment plan.

Michael begins with a thorough evaluation of clinical history, past treatment, current concerns, and personal goals. He combines evidence-informed medication management with trauma-informed therapeutic support during visits and develops collaborative treatment plans that evolve over time based on each patient’s progress and individual needs.

Licensed in

CO

NV

NY

IA

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Colorado
Nevada
New York
Iowa

View Mandy Kay Gentry, PMHNP

Mandy Kay Gentry, PMHNP

Mandy Kay Gentry, PMHNP

Mandy Kay Gentry is a board-certified Psychiatric Mental Health Nurse Practitioner with experience in both inpatient and outpatient care. She earned her Master of Nursing from the University of Mississippi Medical Center and began her nursing career at a young age, shaping her ability to connect with patients on a human level. She treats anxiety, depression, ADHD, mood disorders, eating disorders, and trauma-related concerns.

Mandy Kay Gentry creates a judgment-free space where patients can be honest and feel supported. Her approach is collaborative, emphasizing open communication and shared decision-making. She is direct yet compassionate, always prioritizing what’s best for each patient while keeping treatment plans realistic and manageable for busy lives.

Mandy Kay Gentry begins with a thorough but relaxed conversation to understand each patient’s story, symptoms, and goals. She considers the full picture, including lifestyle and stressors, and develops personalized treatment plans that may include medication, education, and coping strategies. Care is ongoing and adaptive, with follow-ups focused on real-life progress and long-term stability.

Licensed in

CO

NV

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Colorado
Nevada

View Diane Inda, PMHNP

Diane Inda, PMHNP

Diane Inda, PMHNP

Diane Inda is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with extensive experience across inpatient, outpatient, emergency, and telehealth settings. She is passionate about supporting patients in achieving their mental health goals while fostering trust, respect, and collaboration with a wide variety of care providers. Diane lives in Oregon with her husband, three cats, and four dogs, and enjoys writing fiction, photography, jewelry making, and martial arts.

Diane prioritizes what matters most to each patient, creating a safe space to discuss—or choose not to discuss—any concern. She values honesty and respect, and draws on her diverse clinical experience to see the whole patient. Diane collaborates with both traditional and non-traditional providers, ensuring patients receive comprehensive care tailored to their needs.

Appointments begin by focusing on the patient’s goals and concerns. Diane uses evidence-based assessments to track progress and patterns and explores all aspects of a patient’s life, including sleep, nutrition, career, family, pets, and spirituality. Together, she and her patients create individualized treatment plans with actionable steps, monitoring what works best and adjusting as needed to support the patient’s chosen path to wellness.

Please note: Due to limitations placed by Minnesota law, controlled medications cannot be prescribed by telehealth only providers. This includes stimulant medications for ADHD. One option is to complete the assessment and then forward the medical records to one’s local primary care provider who can then do the actual prescribing. It is recommended to contact the primary care provider before an appointment with Talkiatry to ascertain if this plan is acceptable.

Licensed in

OR

MN

NY

WA

NV

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Oregon
Minnesota
New York
Washington
Nevada

View Shanda Bishop, PMHNP

Shanda Bishop, PMHNP

Shanda Bishop, PMHNP

Shanda J. Bishop, PhD, PMHNP-BC, RNC-OB, is a board-certified Psychiatric Mental Health Nurse Practitioner with experience in telehealth, academic instruction, and clinical practice. She provides psychiatric care using evidence-based guidelines, clinical protocols, and therapeutic communication. Dr. Bishop has served in multiple academic roles and taught across nursing specialties. Her clinical background spans inpatient and outpatient settings, including psychiatric and maternal-child care, and she is a former Labor and Delivery Charge Nurse.

Shanda is committed to compassionate, patient-centered care in a respectful, nonjudgmental environment. She values open communication and encourages active patient participation in care decisions. She focuses on building trust and strong therapeutic relationships while using a holistic approach that considers emotional, psychological, and physical health. She prioritizes patient education and creates a supportive space where individuals feel heard, valued, and empowered.

Shanda begins with a comprehensive assessment to understand each patient’s history, concerns, and goals. She uses evidence-based practices to guide diagnosis and collaborates with patients to develop individualized care plans. Her approach includes medication management, education, and therapeutic communication. She monitors progress regularly, adjusts treatment as needed, and maintains ongoing dialogue to support optimal outcomes and overall well-being.

Licensed in

CO

IA

WA

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Colorado
Iowa
Washington

View Marina Lewis, PMHNP

Marina Lewis, PMHNP

Marina Lewis, PMHNP

Marina Lewis, NP is a Board Certified Adult Psychiatric-Mental Health Nurse Practitioner with over a decade of outpatient experience supporting people through anxiety, depression, trauma, ADHD, and the complexities of modern life. She earned her Master of Science in Nursing from California State University, Long Beach, and completed an Interprofessional Integrative Health Fellowship with the U.S. Department of Veterans Affairs, strengthening her commitment to whole-person, team-based care.

Your first session with Marina is a real conversation—no judgment, no cold clinical distance. She prioritizes understanding your experiences, what brought you here, and what you hope to feel differently. Patients can expect empathy, collaboration, and a safe space to discuss their mental health openly.

Marina believes mental health is inseparable from the rest of life. She considers sleep, nutrition, relationships, identity, and environment alongside symptoms and diagnoses. Whether through therapy support, lifestyle changes, medication, or all combined, she builds individualized treatment plans tailored specifically to each patient’s needs.

Licensed in

CA

CO

NY

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California
Colorado
New York

View Marinda Schneider, PMHNP

Marinda Schneider, PMHNP

Marinda Schneider, PMHNP

Marinda Schneider is a Psychiatric-Mental Health Nurse Practitioner based in Colorado Springs, Colorado, providing telehealth care to adults statewide. She has over six years of outpatient experience and a background in inpatient psychiatric care. Marinda specializes in treating anxiety, depression, mood disorders, PTSD, and ADHD. Her passion for mental health care is deeply personal, shaped by early caregiving experiences and witnessing the impact of mental health challenges on individuals and families.

Marinda approaches care with empathy and respect, meeting patients where they are in their mental health journey. She prioritizes active listening and creating a safe, supportive environment where patients feel heard and understood. She works best with individuals who are motivated to make meaningful life changes and are ready to take steps toward improving their well-being.

Marinda begins by getting to know each patient as a whole person, asking thoughtful questions and identifying treatment goals together. She develops individualized care plans that may include medication and lifestyle changes. Through collaboration and ongoing goal setting, she supports patients in building sustainable progress and achieving meaningful outcomes.

Licensed in

CO

IA

NY

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Colorado
Iowa
New York

View Laura Hickman, PMHNP

Laura Hickman, PMHNP

Laura Hickman, PMHNP

Laura Hickman, PMHNP, earned her BSN from the University of Iowa and her MSN from Saint Louis University. During her graduate training, she completed multiple outpatient internships, including one focused on Dialectical Behavioral Therapy, a modality she frequently incorporates into care. Board Certified as a Psychiatric Nurse Practitioner since 2014, she has practiced across Community Mental Health, inpatient psychiatry, crisis stabilization, TMS, and Suboxone treatment. She works with patients ages 5+ and specializes in ADHD, anxiety, and depression.

Laura’s priority is ensuring patients feel heard, valued, and respected. She fosters a collaborative, team-based environment where patients feel in control of their health. Rather than focusing solely on diagnosis, she emphasizes how someone is functioning in daily life. With warmth and “cheerleading” support, she helps patients feel less alone and more empowered to open up and pursue meaningful change.

Laura begins by exploring each patient’s history, past treatments, and current challenges at home, work, or in parenting. She develops individualized treatment plans in partnership with the patient, serving as a guide toward their goals. Together, they determine whether therapy, medication, or both best support improved functioning and well-being.

Licensed in

AZ

CO

KS

NY

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Arizona
Colorado
Kansas
New York

View Michelle Kotte, PMHNP

Michelle Kotte, PMHNP

Michelle Kotte, PMHNP

Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs.

Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.

Michelle begins with an in-depth initial assessment covering physical, mental, emotional, social, and environmental well-being. She focuses on medication management, supportive therapy, and lifestyle modifications to help clients reach their goals.

Licensed in

MN

ME

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Minnesota
Maine

View Janee Stokes, PMHNP

Janee Stokes, PMHNP

Janee Stokes, PMHNP

Janee Stokes is a highly experienced and dual-certified nurse practitioner, specializing in adult gerontology and psychiatry. With over 20 years of experience as a registered nurse, she brings a comprehensive background in healthcare, having worked with diverse patient populations ranging from young children to older adults.

In 2015, she earned her Master of Science in Nursing (MSN) and became certified as an adult gerontology nurse practitioner. She later expanded her expertise by obtaining certification in psychiatry, enabling her to provide holistic care for individuals with mental health needs. Her leadership roles have included serving as lead nurse practitioner and associate director of psychiatry at a federally qualified health center, where she played a key role in guiding healthcare teams and delivering quality care to underserved communities.

Janee emphasizes education as a core component of her care approach. She builds strong rapport through clear communication and trust, incorporating techniques such as Cognitive Behavioral Therapy (CBT) and motivational interviewing to support her patients’ needs. This approach empowers individuals to take an active role in their treatment journey.

Her care process is guided by each patient’s goals, integrating evidence-based practices to ensure personalized and effective support that aligns with their unique needs and aspirations.

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Licensed in

CO

DC

NY

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Colorado
Washington D.C.
New York

View Ashley Arora, PMHNP

Ashley Arora, PMHNP

Ashley Arora, PMHNP

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.


During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Licensed in

NY

CO

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New York
Colorado

View Jennifer Garner, PMHNP

Jennifer Garner, PMHNP

Jennifer Garner, PMHNP

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Licensed in

VA

CO

NY

MD

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Virginia
Colorado
New York
Maryland

View Deborah Bearman, PMHNP

Deborah Bearman, PMHNP

Deborah Bearman, PMHNP

Deborah Bearman, PMHNP, is a board-certified psychiatric nurse practitioner dedicated to helping individuals facing mental health challenges live more fulfilling lives.

She earned her Master of Science in Nursing with a specialty in psychiatry from SUNY Upstate Medical University. Deborah is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive behavioral therapies. Over the past 10 years, she has gained valuable experience in a variety of settings, including inpatient and outpatient facilities, community mental health clinics, and private practice.

Deborah approaches adult mental health from a holistic perspective, combining medication management with supportive counseling, which she offers during 30-minute follow-up sessions. While her primary focus is medication management, she believes most individuals benefit from therapy as well. She has extensive experience in both psychodynamic and cognitive behavioral therapies and is committed to providing psychoeducation to patients, families, and caregivers.

As a psychiatric nurse practitioner, Deborah values the therapeutic relationship and its positive impact on daily functioning. By working collaboratively with patients to create comprehensive and effective treatment plans, she supports them in achieving healthier, more satisfying lives.

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Licensed in

NY

CO

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New York
Colorado

View Lauren Treharn, PMHNP

Lauren Treharn, PMHNP

Lauren Treharn, PMHNP

Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Master of Science in Nursing from Kent State University in 2020. She has experience treating a wide range of mental health conditions, including depression, anxiety, psychotic disorders, bipolar disorder, ADHD, OCD, PTSD, and substance use disorders.

Lauren’s approach combines medication management with psychotherapy to create a well-rounded, individualized treatment plan. She takes time to listen to her patients’ concerns, fostering a safe and open environment for dialogue. Her therapeutic methods include supportive therapy, motivational interviewing, and cognitive behavioral therapy. Recognizing that medication alone may not fully address the root causes of distress, she incorporates talk therapy, lifestyle changes, stress management, self-care strategies, supplements, and social health into her care plans.

With a laid-back, non-judgmental, and empathetic style, Lauren collaborates closely with patients to ensure their treatment aligns with their unique needs and goals. Every decision is grounded in evidence-based practices and patient-centered care.

Lauren begins with a comprehensive initial assessment, gathering detailed information about each patient’s mental and physical health history, lifestyle, symptoms, concerns, and goals. This assessment informs a potential diagnosis and serves as the foundation for a personalized treatment plan. Regular follow-up appointments are scheduled to monitor progress, make adjustments as needed, and provide ongoing support.

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Licensed in

CO

NY

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Colorado
New York

View Laura Hendricks, PMHNP

Laura Hendricks, PMHNP

Laura Hendricks, PMHNP

Laura Hendricks is a psychiatric mental health nurse practitioner (PMHNP) with over 20 years of experience across a variety of clinical settings, including outpatient care, inpatient psychiatric facilities, private practice, consult-liaison psychiatry, and telepsychiatry. She has worked with individuals across the lifespan and brings a Family Systems perspective to her practice, helping patients develop greater awareness of their personal growth, attachment styles, and behavioral patterns to support more fulfilling lives.

Laura is also a long-time practitioner of Nonviolent Communication (Compassionate Communication), a method that fosters deeper empathy and connection with oneself and others. She integrates these principles into her clinical work to help individuals live more authentically and meaningfully.

Her approach is rooted in a whole-person perspective, guiding clients to recognize their strengths and utilize appropriate treatment tools. This begins with building a strong, respectful therapeutic relationship based on collaboration and shared decision-making. Laura practices evidence-based medication management and incorporates supportive counseling and psychoeducation into every session. She believes that empowering patients through education is essential to improving mental health outcomes.

Laura conducts thorough assessments to clarify diagnoses and treatment needs, with ongoing evaluation throughout the course of care. She works collaboratively with patients to refine treatment goals and strategies, always emphasizing a strengths-based and empowering approach.

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Licensed in

CO

ME

View bio
Colorado
Maine
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Book with Dr. Garcete Guaps

Dr. Garcete Guaps

Specialties
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
States
Colorado
Florida
Georgia
Minnesota
Tennessee
Wisconsin
Languages
English
Spanish
Takes insurance
Virtual visits
12 years experience