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Meet Keyonta Chadwick, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering virtual expert care and psychiatric medications. Keyonta Chadwick, MSN, PMHNP-BC Hi! I’m Keyonta Chadwick, a psychiatric nurse practitioner with a passion for inclusive, whole-person mental health care. I graduated in May 2025 with my MSN. My journey began in emergency and psychiatric nursing, and over the years I’ve found my calling in outpatient psychiatry supporting individuals across the lifespan as they navigate challenges like trauma, ADHD, anxiety, and mood disorders. As a mom to children with autism and a dedicated advocate for disability awareness and culturally responsive care I’m committed to creating safe, affirming spaces where people feel truly seen and heard. I believe healing happens when we bring the mind, body, and spirit into the conversation. Outside of work, you’ll often find me watching K-dramas, exploring holistic wellness, and diving into the rich world of traditional Chinese medicine. These interests shape how I connect with clients, blending curiosity, compassion, and cultural understanding into every session. Wherever you are on your mental health journey, I’m here to walk beside you with empathy, encouragement, and evidence-based care. BIPOC Population Keyonta is passionate about working with BIPOC populations, to create a culturally humble and safe place to receive mental health help. Neurodivergence Keyonta offers passionate care to autistic adults and families of autistic children. As an autism mom, she truly understands raising neurodivergent children in a neurotypical society including above and beyond advocacy. Trauma Keyonta has worked in psychiatric nursing for years supporting inpatient clients who have had traumatic care -- and beyond that, advocating to make sure they received trauma-informed care. Q&A What is your favorite movie? My music taste is all over the place I can go from jazz, R&B, trap, and rock in one playlist. Lately, I’ve really been into rock; Memphis May Fire and Elijah are two of my current favorites. Music helps me process emotions, focus, and recharge. Whether I’m unwinding or deep in study mode, I’ve got the perfect soundtrack ready. Favorite superhero? My superhero has always been my grandmother. She embodied resilience, love, and quiet strength. Her wisdom helped shape how I show up for others. If we’re talking comic book heroes though, I’d pick Storm she’s powerful, intuitive, and represents strength and identity all in one. If you could have a superpower, what superpower would you pick? The power to heal emotional and spiritual pain. Sometimes, the deepest wounds can’t be seen but they affect everything. I’d love to help lift that weight for people with just a touch. Tell us about your pets: I have two amazing rescue dogs Scooter and Gizmo. They’ve brought so much love, chaos, and comfort into my life. Scooter is my shadow and cuddle buddy, while Gizmo is the curious troublemaker with the sweetest eyes. They remind me daily to slow down and enjoy the little moments. If you had 3 wishes, what would you wish for? 1. For BIPOC individuals everywhere to be seen, heard, valued, and truly cared for in healthcare, in communities, and in every space. 2. For a world where no one experiences pain, hunger, fear, or hate. 3. To be able to communicate across all languages and species imagine the wisdom we’d gain from truly understanding each other. Tell us a fun fact about yourself: I love K-dramas! The stories, emotions, and cultural insights are so powerful I’ve laughed, cried, and healed watching them. I’m also fascinated by holistic health, especially traditional Chinese medicine. Exploring those approaches has helped me better connect with mind-body healing. What are ways beyond medication that can improve your mental health? Daily self-care matters yoga, aromatherapy, acupuncture, journaling, and spending time in nature are all go-to tools for me and my clients. And never underestimate the power of sleep it’s often the foundation of emotional well-being. If sleep’s off, we start there. You've mentioned being passionate about working with those with religious or cultural trauma can you tell us about that? Yes. As a Black woman and mother to neurodivergent children, I’ve seen the deep emotional impact of cultural expectations, generational trauma, and religious shame. I hold space for clients who carry those wounds without judgment and offer a safe space for healing through truth, compassion, and empowerment. 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? Not at all. I work collaboratively with my clients to find the approach that works best for them whether that’s therapy, medication, lifestyle changes, or a mix. Some people benefit from long-term meds, others don’t. You have choices, and I’ll support you either way. What is your philosophy on using medication to treat mental health? Are medications lifelong? Medications are a good resource, but their need and effectiveness vary from person to person. There are many ways to treat mental illness such as with therapy, exercise, lifestyle changes, etc. Collaboration is key! You let me know what you are comfortable with, and we will create a plan together. Some patients may want to be on medications their whole life because that works for them, while others may use medication only temporarily. The only correct answer is what works best for you. What are your thoughts about treating adult ADHD? I was diagnosed with ADHD myself in October 2024, so I truly understand what it can feel like especially as an adult trying to manage work, family, and responsibilities while your brain is constantly multitasking. ADHD is real, and it’s not just about attention. It affects executive functioning, emotional regulation, sleep, and relationships. I approach it with compassion and practical tools to help you thrive. Do you have any personal mental health experiences you can share with us? Yes. I’ve lived with anxiety, trauma, and burnout. My diagnosis of ADHD brought a lot of clarity, and I’ve also found support through therapy, spiritual practice, and (when needed) medication. I believe in being transparent about my journey it breaks stigma and reminds others that healing is possible.

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

Discover Paperflower Psychiatry's mission of providing inclusive, trauma-informed psychiatric care. We specialize in ADHD, mood disorders, neurodivergence, and LGBTQIA+ mental health, offering both in-person and virtual services across Arizona. Learn more about our practice and approach to patient-centered care. Welcome to Oroboros Paperflower Psychiatry is proud to collaborate with Orobos Integration & Education Services. Education, preparation, and integration for conscious exploration. At Oroboros, we support individuals engaging with altered states of consciousness through professional education, emotional preparation, and integration resources. Our services are rooted in harm reduction principles, psychological insight, and a commitment to personal autonomy. We specialize in helping people make informed, intentional choices around psychedelics, cannabis, ketamine-assisted therapy, and other non-ordinary experiences — including microdosing — without supplying, encouraging, or facilitating the use of any substance. For those seeking legal retreat experiences, we assist in identifying reputable, safety-conscious providers and offer support in vetting programs for legitimacy, ethics, and alignment with your intentions. We provide comprehensive pre-experience preparation and post-experience integration services to help ensure continuity, insight, and emotional grounding. We believe that safe, meaningful inner work requires thoughtful preparation and structured integration. Whether you're exploring therapeutic, spiritual, or creative dimensions of consciousness, we offer a grounded and evidence-informed approach to support your process before, during, and after significant experiences. The name Oroboros reflects the cyclical nature of transformation — a continual process of shedding, awakening, and returning. We honor the complexity of that path, offering resources and reflection to help you integrate change with care and intention. Your journey is your own. We're here to help you navigate it with knowledge, safety, and respect. About Services Schedule now John Greeley Lead Integration Specialist & Wellness Guide Offering preparation and integration support for clients exploring altered states of consciousness. I’m John Greeley, a certified life coach with over 15 years of experience supporting people through periods of transition, growth, and deep inner work utilizing consciousness altering compounds and techniques. My path into this work was shaped by a lifelong fascination with human consciousness and a personal belief that healing and transformation are not linear — they are cyclical, layered, and deeply individual. I created this practice because I saw a gap: people were having powerful experiences with psychedelics, cannabis, and other altered states — sometimes legally, sometimes underground — but often with little to no support before or after. These experiences can be profound, but without proper preparation or integration, their potential is often lost, or worse, becomes confusing or destabilizing. My role isn’t to facilitate or promote substance use — it’s to support people who are choosing these paths to do so with mindfulness, safety, and clarity. Whether someone is exploring cannabis for anxiety, preparing for a legal psychedelic retreat, navigating ketamine-assisted therapy, or working to change a difficult relationship with cannabis, I’m here to help create space for honest reflection, practical tools, and lasting insight. I bring a harm reduction lens to everything I do, meaning I honor your autonomy and meet you exactly where you are — without judgment, dogma, or an agenda. My work integrates elements of mindfulness, somatic awareness, behavioral psychology, and emotional resilience. I also have a particular interest in supporting clients through cannabis use disorder and conscious cannabis practices, as I’ve seen both the benefits and the complexities of this plant in real lives. At my core, I believe that every altered state — whether expansive or difficult — has the potential to teach us something. My job is to help you make sense of it, integrate what matters, and move forward with intention. My interest in consciousness has always been more than academic — it's been deeply personal. Over the years, that curiosity led me to explore a variety of altered states through plants, fungi, synthetic compounds, and traditional techniques. One particular experience profoundly reshaped the trajectory of my life. To say it “changed” me would be an understatement — it dismantled long-held beliefs, dissolved certain fears, and initiated a radical shift in how I relate to myself, others, and this ongoing journey we call life. But what truly impacted me wasn’t just the experience itself — it was the integration that followed. Months of inner work, reflection, and reorientation taught me that insight means little without the time and tools to embody it. That realization became the foundation for the work I do now: helping others prepare for, navigate, and integrate their own transformational moments with care, safety, and clarity. About John I’m most at peace in wild spaces. I’m a lifelong student of consciousness. Before this work, I spent 17 years as a professional cannabis grower. Forests, deserts, rivers — nature has always been my grounding force and my clearest teacher. It’s where I go to reset, reconnect, and listen. My curiosity has led me to explore altered states through plant medicines, fungi, synthetics, and traditional techniques. I study psychology, breathwork, harm reduction, and Buddhist philosophy — keeping one foot in science, one in mystery. My focus was on soil biology, entomology, and the subtle, complex relationships between plant, environment, and user. That hands-on experience continues to shape how I support clients exploring intentional cannabis use today. My favorite band is Tool. My favorite flower is cannabis. My favorite quote is.. "Today a young man on acid realized that all matter is merely energy condensed to a slow vibration — we are all one consciousness experiencing itself subjectively. There’s no such thing as death, life is only a dream, and we’re the imagination of ourselves." — Bill Hicks It’s a plant I’ve worked with, studied, and respected for years — not just for its complexity and therapeutic potential, but for the way it invites a deeper relationship with self, sensation, and intention. My approach has always been rooted in curiosity, reverence, and respect for both its power and its nuance. Plus, she’s gorgeous. Their music is a perfect blend of cerebral and visceral — complex, math-based rhythms paired with lyrics that explore consciousness, shadow work, and the human condition. It’s the kind of art that doesn’t just entertain — it challenges, expands, and mirrors the journey inward. John Greeley Lead Integration Specialist & Wellness Guide John Greeley is a certified life coach with over 15 years of experience in guiding individuals through transformative journeys of self-discovery, emotional healing, and personal growth. With a deep commitment to the principles of harm reduction and a holistic approach to well-being, John offers expert support to those exploring altered states of consciousness, including cannabis use, psychedelic experiences, and ketamine-assisted therapy. John specializes in preparation and integration services, helping clients navigate the profound psychological, emotional, and spiritual dimensions of their experiences. Through thoughtful preparation, John ensures individuals approach their journeys with clarity, intention, and emotional grounding. Post-experience, he provides a compassionate, non-judgmental space for clients to process their insights, identify patterns, and integrate meaningful change into their daily lives. With a foundation in mindfulness practices and evidence-based techniques, John is dedicated to empowering individuals to explore non-ordinary states consciously and safely, fostering personal autonomy and long-term growth. About John I’m most at peace in wild spaces. I’m a lifelong student of consciousness. Before this work, I spent 17 years as a professional cannabis grower. My favorite band is Tool. My favorite flower is cannabis. My favorite quote is.. "Today a young man on acid realized that all matter is merely energy condensed to a slow vibration — we are all one consciousness experiencing itself subjectively. There’s no such thing as death, life is only a dream, and we’re the imagination of ourselves." — Bill Hicks It’s a plant I’ve worked with, studied, and respected for years — not just for its complexity and therapeutic potential, but for the way it invites a deeper relationship with self, sensation, and intention. My approach has always been rooted in curiosity, reverence, and respect for both its power and its nuance. Plus, she’s gorgeous. Their music is a perfect blend of cerebral and visceral — complex, math-based rhythms paired with lyrics that explore consciousness, shadow work, and the human condition. It’s the kind of art that doesn’t just entertain — it challenges, expands, and mirrors the journey inward. Forests, deserts, rivers — nature has always been my grounding force and my clearest teacher. It’s where I go to reset, reconnect, and listen. My curiosity has led me to explore altered states through plant medicines, fungi, synthetics, and traditional techniques. I study psychology, breathwork, harm reduction, and Buddhist philosophy — keeping one foot in science, one in mystery. My focus was on soil biology, entomology, and the subtle, complex relationships between plant, environment, and user. That hands-on experience continues to shape how I support clients exploring intentional cannabis use today. Our Services Cannabis Use Support Conscious engagement and balanced use for well-being. At Oroboros, we offer comprehensive support for individuals exploring cannabis use, whether for wellness, creativity, or addressing potential use disorders. Our approach is rooted in mindfulness, harm reduction, and personal empowerment, helping clients engage with cannabis intentionally and mindfully. Read more. Microdosing Support Intentional use. Informed choices. Lasting change. Microdosing — the practice of consuming sub-perceptual amounts of psychedelic substances — has gained attention for its potential to support mood, focus, creativity, and personal insight. At Oroboros Integration and Education Services, we provide professional education and integration support for individuals exploring microdosing as part of their personal wellness or self-development journey. We do not supply or encourage the use of any substances. Instead, we offer evidence-informed resources to help individuals understand the potential benefits, limitations, and risks of microdosing within a legal and ethical framework. Read more. Preparation Support Thoughtful preparation for meaningful experiences. We help individuals prepare emotionally, psychologically, and practically for altered states of consciousness. This includes education about potential effects, risk factors, and safety considerations, along with personalized preparation plans that may involve intention setting, mindfulness practices, and environmental checklists. Mindfulness Integration Practices Stabilizing insight through embodied awareness. We help clients incorporate breathwork, meditation, and other mindfulness-based practices into their personal integration process. These tools can enhance emotional regulation, deepen reflection, and support nervous system balance before and after non-ordinary state experiences. Sessions may include personalized routines, somatic awareness techniques, and practical strategies for cultivating presence in daily life. Retreat Planning Support Safe journeys begin with informed choices. We assist clients in identifying legally operating, ethically run retreat centers for psychedelic experiences abroad. This includes helping vet programs for safety, transparency, and alignment with client intentions. We also provide structured preparation for travel and support integration upon return — ensuring continuity and reflection before and after the retreat. Integration Support Making meaning after the experience. We offer space and structure for clients to reflect on and process their experiences. Integration sessions focus on identifying emotional themes, personal insights, and future intentions — turning powerful moments into lasting transformation through thoughtful dialogue, goal setting, and support. Harm Reduction Education Knowledge is the first layer of safety. Clients receive evidence-based information on safer practices related to cannabis, psychedelics, ketamine, and microdosing. Topics include managing risks, understanding interactions, preparing for challenging experiences, and creating safe environments (set and setting). Emergency preparedness strategies are also discussed when appropriate. Substance Use Wellness Planning Conscious use, aligned with your values. We support individuals who want to explore mindful and intentional relationships with substances like cannabis or explore microdosing. This may include evaluating use patterns, setting wellness-based goals (such as improving sleep, creativity, or emotional regulation), and applying mindfulness-based harm reduction frameworks to support clarity and self-awareness.

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

Find answers to common questions about Paperflower Psychiatry's services, including appointments, insurance coverage, payment options, medication management, and more. Explore our FAQs for quick and helpful guidance Frequently Asked Questions Services Appointments Ketamine & Psychedelics Billing Providers Other Anchor 1 Preguntas frecuentes Do you see all ages? We specialize in seeing young adults - but we see ages 5 and up. Do you do therapy? We focus on medication management, but can do supportive therapy and offer suggestions through our appointments. We highly recommend that everyone who takes psychiatric medication also has a therapist. We have many recommendations and referrals if needed. Do you diagnose Autism or developmental disabilities? We do offer neurodivergence evaluations for autism utilizing a the MIDGAS-2 and/or ADOS-2 which are evidence-based tools for diagnostics. We cannot diagnose developmental disabilities, cannot test IQ and we do not offer evaluations for learning concerns such as dyslexia. **However, the department of developmental disabilities does not accept a diagnosis of autism by nurse practitioners in the state of Arizona. Developmental pediatricians, psychologists and psychiatrists are the best option for autism diagnoses, while psychologists are the best option for diagnosing learning disabilities or dyslexia. If you would like a diagnosis of autism for validation or accommodations, we can help with that. Do you prescribe medication to pregnant folks? Yes! If needed we can work on a safe treatment plan and review all of the possible risks and benefits of starting or continuing pharmacological treatment throughout your pregnancy. Two to five weeks after giving birth is the riskiest time to develop a mood disorder, so we will be able to monitor you through this period as well. Will you work with my therapist/other provider? With a release of information, we would certainly love to! Collaboration is our preference. What is involved in an evaluation? We will ask questions about development (pregnancy/first years of life/childhood), school, work if applicable, interests, family pets, and medical history along with a lot of questions about sleep, eating, emotions and mood. We may ask you, a parent or teacher to fill out a questionnaires in some cases or request other documentation. Some things are hard to talk about, so appointment is in YOUR control and the focus is to make you feel safe and comfortable. If you would like to involve a friend, significant other, or family member for support, we are happy to allow that. After the appointment we will talk about the diagnosis and treatment options. Does a telehealth appointment always need to be on video? Yes, in order to diagnose the individual, it is very important to be able to have the evaluation via video. BOTH the guardian(s) AND the child need to be present for evaluation and med appointments of anyone under 18 years of age unless otherwise agreed upon. If I have an appointment for my child, do they need to be present too? Yes, if you would like an appointment without them present, that is booked separately and not covered by insurance. What if I run out of meds before my appointment? Send over an email or request, and we can take care of you. Exceptions do exist such as for frequent missed appointments, not obtaining necessary labs or controlled substances. We require an appointment on file in order to send any refills and for all payments to either be complete, or a payment plan to be in place. If we have never met and you are running low on medication, we can most likely have a phone call and bridge you until your evaluation. Do you prescribe Xanax, Ativan or other Benzos? Due to current research on the addictive nature of benzo's, withdrawals when coming off of them and the potential for development of dementia and other long term risk factors, we do not prescribe these medications. We can help find alternatives for anxiety. Do you work with eating disorders or substance abuse? We are not equipped at this time to work with significant eating disorders or substance abuse at this time. There are intensive outpatient options for substance abuse, groups and other resources in Arizona for substance abuse. We can also refer to places that specialize in eating disorders. Do you do Emotional Support Animal Letters? Yes! We will need to discuss in length during an evaluation more about the animal(s) in question. We do not prescribe service animals. Please understand the difference prior to making a request. We do charge for paperwork. Do you do FMLA or Disability Paperwork? This depends on your provider. If you are not in therapy, IOP, taking regular medications and doing other things to ensure you can recover, we likely cannot fill out disability for you. We are very lenient about filling out FMLA. However, PLEASE check with the provider of your paperwork to ensure that a nurse practitioner is sufficient PRIOR to asking us to fill it out. This is solely your responsibility. Very few disability and other types of paperwork require a psychiatrist to fill out the form, and will not accept our signatures. We do charge for paperwork. We also do not guarantee anything will be approved. What's going on with this ADHD Test? We offer the QBCheck and TOVA at all of our locations. This is a 15 minute test for ages 6-11, or a 20 minute test for ages 12 to adulthood. You will be brought into a room in which we will set you up on a laptop computer. The computer will provide instructions prior to starting the task on which buttons to press on the keyboard at which times. Parents do not stay in the room during the evaluation for kids. This test will provide information. You can take the test without an evaluation or follow up if you are not interested in interpretation. If you would like interpretation, we require a full evaluation (or if you are established, a follow up to talk about it). You receive a report via email after completing the task. We have a blog post in our blog section about it! Does the TOVA or QBcheck allow me to claim my diagnosis of ADHD? No. Having a score is consistent with ADHD does not mean you have ADHD. We cannot offer you a letter or a diagnosis based solely on this test. This is a tool which can help diagnose you -- but that still requires a full evaluation. You can offer this to your therapist or psychiatrist if you are not in care with us. Appointments Anchor 2 Do I need to live in Arizona to receive care? Yes. We are currently only licensed in Arizona to provide care. We can still help if you go to college out of state. How do I reschedule/cancel my appointment? Find your confirmation email. It will have an option to cancel or reschedule. You will not have this option if it is under 24 options prior to the appointment time. Alternatively, you can email support@paperflowerpsychiatry.com or text 928-504-4700 to cancel or reschedule your appointment. You are be able to go on our website and rebook a time slot that works best for you. What is a "no show"? A "no show" is defined as not attending your appointment, a cancellation under 24 hours prior to your appointment time, and/or attending your appointment 10+ minutes late.. If there are technical difficulties or other things causing a delay, text 928-504-4700 for help. They will be able to notify your provider. Do you make exceptions for no shows? In extremely rare cases -- if you have proof you were hospitalized, for instance, we will not charge you. Can you use labs from my other provider instead of getting new ones? Sure can. Send a copy to support@paperflowerpsychiatry.com. We may need to order additional labs depending on what was ordered. Can I have a copy of my records? Yup. You have a right to your medical records. Just give us some advanced notice. Medical record requests should be in writing to our support team, and will be sent within 30 days. We do charge a $50 fee for a medical record request if your file is larger than one note. Please note, HIPAA allows us to charge a reasonable processing fee prior to providing your records. Can you refer me to a therapist? YES! We have a HUGE network of therapists who are amazing that we work with. We can figure out someone who takes your insurance, or has an affordable self-pay cost and would be most beneficial to your needs. Check out our referrals section! My medication isn't ready/being allowed to be filled/wasn't sent. HELP. Please CALL your pharmacy first before contacting us. We always send medications and most likely this is a pharmacy or insurance issue - they may have the wrong insurance listed, it may be too early to fill your prescription, they may need a prior authorization (contact us for that) or may not have it in stock. 99% of the time, we have to call the pharmacy and then call you back that it was a pharmacy issue..if you call them directly, you can cut out the middle man and get it filled faster :) DO NOT RELY ON PHARMACY APPS! Where do I find the link to my telehealth session? The link to your telehealth session can be found on your confirmation email. THE LINK WILL ALWAYS BE THE SAME FOR EACH PROVIDER EVERY SINGLE VISIT. IT DOES NOT CHANGE. The link will always start with sessions.psychologytoday.com The link for my telehealth session isn't working / it's been 6-8 minutes and my provider has not checked me in. What do I do? Call 928-504-4700 and if it goes to voicemail, text immediately. Why are appointments so long? Honestly..so we can get to know you as a human, and really hear your story and develop a plan for you. We'd rather spend a ton of time getting to know you (and ya know, you can give us the tea on life) and REALLY understanding what's going on so we can recommend the correct meds and treatment plan. If we rush, what's the point? It also gives you space to ask questions and not feel super rushed. We're not those 3-minute appointment " see you in 3 months" kind of providers. Can my baby/toddler attend? Can I breastfeed during the appointment? YES! Many of us are parents and our own young children (or dogs..or cats..) may be popping in and out of appointments. Your baby, toddler and children are always invited if you are comfortable. We can roll with distractions, tantrums, you name it. It also sucks we live in a society where people feel uncomfortable breastfeeding in public or even professional settings. Your baby or toddler is hungry, you feed 'em. Is this formal? Can I eat snacks during the appointment? This is the least formal appointment you've ever attended. Promise. Plz eat snacks and bring the tea. I did not vibe with my provider. What do I do? Just book a follow up with another provider. We promise if you switch we don't get offended. I do not agree with my evaluation results. What do I do? You can always request a second opinion within our practice. Just book another evaluation with another provider. Can I drive during my appointment? No. This is a huge danger. Please don't do it. Plz. We will reschedule you and you will be charged. Do I need to be present for my child's appointment? Yes unless arranged otherwise with the provider - especially the first evaluation. Evaluations without the guardian present will be rescheduled. You will still be charged. We cannot make any medication decisions without your attendance if your child is a minor. If you do not attend, no medication decisions can be made, and you will be required to make another appointment with both you and the child present in order to discuss options. You will need to pay for both appointments -- it is your responsibility to attend as your child is not able to make legal decisions. Can you tell me what my child said to you during your time with them? Due to confidentiality laws, we are held to a standard of maintaining privacy for your child. The only exception is if your child poses a threat to themselves or others, in cases of abuse, or is being/at risk of being harmed. I don't get along with the other parent of my child. Can we do separate appointments/emails/etc? It is our policy that both guardians of the parents need to be on every email chain -- especially if there is joint medical decision making. We expect parents to prioritize their child's mental health at this time..especially since separation, divorce and parental conflict can be very difficult for the child/teen. That means all appointments will be expected to be attended together, and all communications should include both parents/guardians. What if there is a custody arrangement for my child? All court custody documentation must be presented along with appropriate identification. For joint custody, medication decisions will not be made without both parents present at the appointment. You may log on the appointment from different homes. Will my child be spoken to privately during the appointment? In most cases, we do request to spend some time with the child privately to ask questions. Sometimes answers vary - especially depending on age. If your child is really uncomfortable with a few minutes alone speaking with us, usually we can wait until later appointments if they request the parent stays present. Can I do some in person appointments and some telehealth? Sure - we are also open to switching last minute if necessary to telehealth due to things like illness, childcare issues, etc. But bear in mind, your provider may have driven up to an hour into the office if you are the only in person appointment scheduled that day. This requires advanced notice. Will my child be spoken to privately during the appointment? In most cases, we do request to spend some time with the child privately to ask questions. Sometimes answers vary - especially depending on age. If your child is really uncomfortable with a few minutes alone speaking with us, usually we can wait until later appointments if they request the parent stays present. Will my child be spoken to privately during the appointment? In most cases, we do request to spend some time with the child privately to ask questions. Sometimes answers vary - especially depending on age. If your child is really uncomfortable with a few minutes alone speaking with us, usually we can wait until later appointments if they request the parent stays present. Anchor 3 Ketamine & Psychedelics Do you offer Ketamine at all of your locations? Currently we are only offering IM Ketamine to clients who agree to have Ketamine Assisted Psychotherapy (KAP) with Find your Shine in Tempe. Do you plan to expand? Maybe! I see you have some consulting noted on your services section and I am highly interested. More info on this coming soon! Do you offer Spravato? At this time, no. But we do plan to offer this as an alternative for KAP for those who want to use insurance. Does insurance cover Ketamine or KAP? At this time, it is currently not covered by insurance companies and therefore is self pay. More coming soon! Anchor 4 Billing What are your self pay rates? We charge $300 for an evaluation and $120 for a follow up for self pay. Please note if you have an insurance deductible, you may owe slightly more than that. I received an outrageous bill. Help??? Your visit should never been too far off from the self-pay rates. If you are receiving a bill that your visit was $375+, then please note this is likely an error that will be fixed. Plz do not stress. We will always contact you if there is an insurance issue. Call or text our billing team: 602-613-0455 What insurance do you take? We currently take most plans of BCBS, Cigna, UHC + Aetna. Please check and make sure your insurance has MENTAL HEALTH BENEFITS prior to scheduling. We do not take AHCCCS at this time..because AHCCCS won't let us contract with them :) Why do I need a credit card on file to have an appointment? We process all fees/copays/etc prior to the appointment. With the volume of appointments and in honor of keeping our prices reasonable (and being able to continue to take insurance), we cannot be calling each person trying to obtain individual payments. We do not have the staff available to make that happen. You will need a credit card on file WITH an HSA card if you choose to use an HSA/FSA account. How are fees/copays collected? The night prior to your visit, copays and self-pay fees are collected to your card on file. Please ensure if you have an HSA account that it has the proper amount of money in it prior to your visit. If you need to unlock your card, please do it 24 hours before your visit to avoid cancellation. Deductibles are typically collected after the insurance processes the claim which can be days or weeks (sometimes months) later. We charge them to the card on file. Do you do payment plans or sliding scale? Yes! Contact our billing team at billing@paperflowerpsychiatry.com for our application for these. You will need to offer documentation and proof of income. What if I lost my job/insurance/can't afford this anymore? Absolutely! We want you to be able to afford care. Let us know what you can do and we will make something work. Please contact us so we can discuss plans and options. With our current economy, it can be difficult to obtain healthcare and psychiatric services at this time. Do not hesitate to contact us if this is a concern, and we promise we will find a way to continue your care. We will require proof of loss of income or job. Will insurance cover my medication? Most likely, yes! Your pharmacy will be able to check to see if your insurance covers your medication. Why am I being charged if I have insurance? You may have a "deductible." This means that your insurance company expects you to owe a percentage (from 20% up to the full amount of the visit) until you reach a set amount of money. Once you have paid that amount of money, the insurance company then agrees to start paying for your healthcare. For example, if you have a $2,000 deductible, your insurance company expects you to pay $2,000 out of pocket for your healthcare visits before they will pay any of your visits. You can call or text our billing team for an explanation -- 6026130455 or billing@paperflowerpsychiatry.com I have a billing question. Who do I contact? You can contact 6026130455 or billing@paperflowerpsychiatry.com I believe I was overcharged. What do I do? Please email billing@paperflowerpsychiatry.com with your concerns and a screenshot of your bank account. CHECK with your insurance to see if you have a deductible if you are concerned about a charge after giving us your insurance information. I was left a message saying my insurance denied my claim because I need to update coordination of benefits. What does this mean? This means that your insurance company believes that you have another insurance as your "primary." If you do not have another insurance, please call your insurance company and ask to "update my coordination of benefits." From there, tell them you do not have any other health insurance. If you do have other health insurance, you may need to give them that other insurance information and tell them if they are your primary insurance. What if I don't want to pay you? I'm not happy with my appointment, etc. If we have provided you a service, we trust you to pay for that service -- if you do not pay us, we cannot pay your provider for that time they spent with you. You are legally required to pay copays if your insurance has paid anything for your visit. If you continue to refuse or avoid payment, we will send your balance to a collections agency with an additional $200 fee. Also remember, we are humans trying to make ends meet with student loans and other expenses. None of us are wealthy. Can you make me a superbill? Upon request, we can provide you with a superbill. A superbill is an itemized list of services you can submit to your insurance company for reimbursement after paying out of pocket. Check with your insurance company to see if they accept out of network superbills for psychiatric behavioral health. I was left a message saying my insurance denied my claim because I need to update coordination of benefits. What does this mean? This means that your insurance company believes that you have another insurance as your "primary." If you do not have another insurance, please call your insurance company and ask to "update my coordination of benefits." From there, tell them you do not have any other health insurance. If you do have other health insurance, you may need to give them that other insurance information and tell them if they are your primary insurance. What if I can't afford my medications? We are very familiar with prices of medications, services such as GoodRX, the Mark Cuban Pharmacy and other means to save money on prescriptions. We can work together to find an affordable solution. Just let us know! Why was I charged when I didn't attend my appointment? In our consent to treatment and no show agreement forms, you have agreed to compensate your provider for their time if you (1) do not cancel your appointment over 24 hours prior (2) show up 10+ minutes late to your appointment (3) do not attend your appointment. Fees are $275/evaluation and $120/follow up visit. I want a refund. We do not give refunds in any circumstance after the appointment has been started -- even if you leave early or your provider ends the appointment early. Why are there fees and charges for EVERYTHING!? All you care about is money. We do want to keep our practice open and this is incredibly important to us. Our overhead and support team is extremely expensive each month. Ask yourself, would you show up for work if your boss said "you need to come in and wait here, but maybe I'll pay you and maybe I won't"? Would you do hours of paperwork after work hours for free? Every minute we are working is still work time for us. We care about you and we love our jobs. We just need to value our time too. Providers Anchor 5 What is a nurse practitioner? A nurse practitioner is a registered nurse who has completed advanced training including a master's degree in a specialized area. After completing training, nurse practitioners are required to pass a certification exam. Historically, nurse practitioners were designed to fill the gap of not having enough prescribers in underserved areas. While some people prefer psychiatrists or medical doctors, nurse practitioners have many of the same abilities and clinical skills (however, in the state of Arizona, we cannot diagnose autism). Studies have shown that compared to medical doctors/physicians, patients of nurse practitioners report greater satisfaction, quality of care, more time receiving education and similar health outcomes. Nurse practitioners are also trained with a more holistic model of care vs. a medical model, which includes considerations for the entire person as a whole. What provider do I schedule with? All of us have some fun facts about ourselves along with a biography which should help you find a provider you would feel most comfortable with. Why am I seeing a student, not my provider? We are a teaching practice and often have students shadowing us or doing the questions. We will not let students make medical decisions - your provider makes all decisions. What if I don't want to see a student NP for my appointment? If you are absolutely opposed to this, please let the support team know at support@paperflowerpsychiatry.com prior to your appointment. Please note if you have scheduled with a provider with a student, they have the right to refuse your appointment and request you see another provider instead. Our students are excellent, monitored closely and often hired on with our practice upon graduation. The student NP will NEVER be allowed to see you without the provider present and listening, and the provider ultimately makes all decisions. We are a teaching practice. What sets you apart from other medication providers? Authenticity is important to us. We genuinely love getting to know our patients and their families. Most of us do not come from highly privileged backgrounds in which we had the luxury of our parents paying for our education. For most of us, we come from lower income upbrinigings -- and are therefore a hell of a lot more humble than a lot of people. We are quirky, kinda weird, open-minded and not very professional. What is a perinatal certified provider? This is a completed training by Postpartum Support International (PSI) including advanced pharmacology training and passed a board exam which certifies a specialty in perinatal mental health. We are specialized in understanding and working with those who are family planning, pregnant, postpartum or breastfeeding. You can read more about PSI training at https://www.postpartum.net/professionals/certification/ I want to see Maria. I don't see her on the schedule. I used to see Maria, but I don't see a way to schedule with her. Help? Maria can no longer see patients except in rare cases. She is currently raising two toddlers, working on expanding and management of the practice, and supporting our nurse practitioners in being rad providers. My provider is on vacation and I need help. Maria works on call typically. Please contact support with concerns and we can advise you. Can I complain on my provider? Sure. You can email maria@paperflowerpsychiatry.com with any concerns. Can I switch providers for one appointment? YES! If your provider is booked out, does not have availability that suits your needs, or you would like to explore the option of switching providers, you can switch to another provider at any time. We will review your previous provider's notes and plan for you prior to your appointment. We don't take it personally if you need to have an appointment with another provider. We all function as a team and a family. My provider didn't give me what I wanted. Now what? We are not a drive-through medication service. Your provider will evaluate you and come up with a plan that they believe is safe, evidence-based and would suit your individual needs. We do not take "orders" for medications, and while we work as a team to find a solution that is best for you, we cannot blindly prescribe whatever you would like. We aren't really McDonalds. I emailed my provider and haven't heard back. Now what? Our providers all work different hours and may have multiple jobs, and will only be checking their emails throughout the business day. It may be more beneficial for you to send your question to support@paperflowerpsychiatry.com or to call/text 928-504-4700 for our support team to review. If necessary, they can direct your question to the provider on call if your provider is not working that day. Can I call my provider at any time? Realistically, no. We are not on-call 24-7. Your provider may have other jobs. Your provider may have a family and other responsibilities. If you would like to talk to your provider, the best option is to make an appointment to discuss concerns or changes. We are not a crisis service. If you have an emergency, you can call 911, crisis, go to your local urgent care, Mind 24/7 or emergency room. My provider ordered labs. How do I get them? If your provider ordered labs, they have been sent electronically to Sonora Quest Labs. If your insurance does not cover them or you would like to get them elsewhere, please request the lab slip from support@paperflowerpsychiatry.com. Otherwise, you can make an appointment online for any Sonora Quest location. If you are receiving labs for Lithium, please get them done 12 hours after your last dose (meaning if you have a morning dose, skip it until after labs are complete). My provider was late and/or cancelled. NOW WHAT? I know it can at times feel unfair if your provider is "allowed" to be late or cancel an appointment last minute. We do not cancel appointments without a significant reason such as a death or severe illness in the family, hospitalization, medical emergency, etc. If your provider has cancelled last minute, they are likely in an emergent situation. If your provider is going to be late, we do our best to warn you ahead of time. Sometimes the prior appointment may be in crisis, suicidal, be crying, need hospitalization, etc. and this may take slightly more time than expected. We will still give you the full time *needed* for your appointment. If you only need a few minutes which is usual for you, then no worries. If you need a full 30 minutes to discuss things, we will still make that happen. I have another psychiatric provider but I want to see you too to make sure they are giving the right medications. We can certainly do a second opinion and offer a treatment plan, but we will not continue care if you choose to have two psychiatric providers adjusting the same medication. This is not safe. Other Anchor 6 My medication isn't ready/being allowed to be filled/wasn't sent. HELP. Please CALL your pharmacy first before contacting us. We always send medications and most likely this is a pharmacy or insurance issue - they may have the wrong insurance listed, it may be too early to fill your prescription, they may need a prior authorization (contact us for that) or may not have it in stock. 99% of the time, we have to call the pharmacy and then call you back that it was a pharmacy issue..if you call them directly, you can cut out the middle man and get it filled faster :) My medication isn't in stock at my pharmacy! HELP. Please call around and find a pharmacy that has it in stock and let us know where to change it to. I read all of the questions but I am still nervous. What if this is uncomfortable or awkward? We pride ourselves on being extremely sensitive to other emotions, and we will work to make you feel comfortable. We bring in a lot of positive energy, and are happy to meet family pets and introduce our dogs over video! I don't want to deal with lowly support staff - ONLY my provider. I can do that, right? At Paperflower, we work and function as a family which includes our support team. We expect that our patients respect all members of our Paperflower family. Blatant disrespect toward our support staff can result in discharge. Why am I being discharged ? We have in our consent to treatment that if you are outside of of expertise, require specialty care, have 3+ no shows, do not pay your bill, divert your medication, or are rude to our support team or provider, you may be discharged. Our full list: 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 Who do I contact about a refill? Contact support@paperflowerpsychiatry.com, text 928-504-4700 or leave a message on the refill voicemail box at 928-504-4700. Why aren't you refilling my medication? If your provider requested labs, a follow up that you did not attend, you have not scheduled a follow up with us or paid your bill, we may not be able to send you a refill. I haven't been seen in several years. Can I re-establish care? Sure. You will require a new evaluation if it's been over 8 months since your last visit. I'm switching to another practice but can't get in for awhile. Can I have a refill? We will give you up to a 90 day supply of medication to establish with another provider. Why are you so political and rude about America? We love our country and want the best lives for ourselves, our patients, our families and friends. This includes a democracy, education, and rights for *everyone* We cannot support an administration that attempts to erase the existence of immigrants, protesters, activists and trans folx. We cannot support an administration that erases history showing the history of the uncomfortable and dark parts of this country. We cannot support an administration that prioritizes billionaires while cutting healthcare services and thousands of jobs from hardworking people. We cannot support an administration that offers reparations to people who stormed the white house on January 6th but continues to oppress POC and indigenous communities. We cannot support RFK spewing propaganda about vaccines, autism, adhd, antidepressants and psychiatric medications. Healthcare is political. Everything about this is political. I'm worried that the Palestinian flag being on your website indicates that you are anti-semitic. I've had this discussion quite a few times, and we love our Jewish patients. We are against conflict, war, and watching the suffering or oppression of any peoples. Two things can be true at the same time -- and it is possible for two populations to be suffering in different ways at the same time. We understand the implications of this time being frightening for the Jewish community -- but we are open to talk about it, and this is still a safe place. We have resources specifically for Jewish clients on our blog for mental health. There is no hate here -- and we will actively ensure that no low-key neo-nazis will be apart of our staff. The Mexico flag on your website offends me. I would just go ahead and seek another practice if I were you, because this clearly isn't the place for you. I don't like the LGBTQIA+ flags on your website and I don't support this. Bye. How are you "inclusive" if you do not include conservative providers on your team? We cannot allow anyone to join our team who do not consider women capable of making their own decisions about their bodies, who demonize POC, or who do not want LGBTQIA+ individuals included in society at large.

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

Discover engaging mental health infographics in Arizona featuring Zerry Ramirez, a dedicated social media manager at Paper Flower Psychiatry. Kevin Baeza With over a decade of experience in the U.S. healthcare industry managing medical billing and claims, Kevin transitioned from an insurance representative to a medical biller across multiple practices and now specializes in mental health. His current responsibilities include insurance verification, copay collection, and growing expertise in mental health billing. Outside of work, he recharges by spending time at the beach or cuddling with his cats. Insurance Verification Co-pay Collection Medical Billing

Meet Mandy Pursley, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering telehealth expert care and psychiatric medications. Mandy Pursley, MSN, PMHNP-BC Hi there! I’m Mandy, and I am a board-certified psychiatric mental health nurse practitioner. I love working and connecting with people of all ages. I am passionate about providing patient-centered care, and I strive to provide a safe and inclusive environment for every individual I see. My goal is to make my patients feel heard and to empower and support them to participate in decisions about their mental health. I have prior nursing experience providing care in the ICU and interventional radiology settings. I loved my time caring for patients and their families in the critical care setting, as it is there that I developed a passion for psychiatry, working with individuals experiencing severe trauma, substance use disorders, homelessness, and acute mental health crises. My experiences there led me to the understanding that a person can’t be treated holistically without also prioritizing their mental health. Outside of work, I enjoy spending most of my time outdoors doing a variety of activities. I also enjoy exploring the city with friends, traveling, and taking care of my many houseplants. I currently live in Seattle, but I am excited to be providing telehealth as well as some in-person services in Flagstaff. Anxiety Anxiety manifests in a lot of different ways - panic attacks, social anxiety, fears.. and seeking psychiatric treatment can be anxiety-provoking itself. Mandy brings a chill energy that will make you feel calm and comfortable to share your experiences. This opens the door to a world in which you can live without crippling anxiety with the right medication. Mood Whether you are experiencing irritability due to a TBI, bipolar disorder, depression or other mood concerns you don't fully understand, Mandy offers the expertise to tease out the root of the issue in order to help you seek relief. ADHD If you're looking for an evaluation or affirming provider for yourself or your child (or your partner or friend..), Mandy would be an incredible option. She has a strong understanding of ADHD treatment options and can offer a holistic plan to help you live at a functional level. Q&A What is your favorite movie? Arrival and Interstellar. Favorite superhero? Batman! I like the complexity of his character and his desire for justice. If you could have a superpower, what superpower would you pick? Teleportation! I would love to be able to go anywhere I want whenever I want without the travel time. Favorite bands/singer? My favorite artists are probably Dirtwire, Clozee, and Hermanos Gutierrez, but I listen to all genres of music. What is your favorite food? The answer to this question 100% depends on what I happen to be craving at the moment! But if I had to choose, maybe sushi or carrot cake. Or lemon bars. I have a big sweet tooth! If you had 3 wishes, what would you wish for? The ability to speak every language (this would go well with my teleportation powers), world peace, and a world where everyone has access to basic needs and fundamental human rights. Tell us a fun fact about yourself: I love walking so much that I walked over 500 miles across Spain on the Camino de Santiago. What are you most passionate about in the mental health field? I am passionate about so many things in this field! If I had to choose, I’d say I’m most passionate about improving access to care and reducing stigma around mental illness. Too many people can’t get the help they need because of provider shortages, cost, or fear of being judged. Mental health struggles are too often met with judgment instead of compassion, and that can keep people suffering in silence. I want to be a part of changing that - by advocating for my patients and helping people feel seen and worthy of care. What are some experiences you have had that make you unique? I was a travel nurse for 5 years, so I have worked in many parts of the country. I’ve been fortunate to experience the cultural differences we have across the US, and have had the opportunity to care for and connect with people from all walks of life. What are your thoughts on adult ADHD? - Sometimes it can be challenging to explain how you feel and how your mind works to a person without ADHD. Personally, I know how important it is to be heard and supported in getting the tools you need to succeed. Many adults are now being diagnosed with ADHD later in life, as they have adapted to living with untreated ADHD from a young age. Whether or not they want medications to help with that is ultimately up to each individual. Do you have any personal experiences regarding mental health you are open to sharing? After working in COVID ICUs through the height of the pandemic, I struggled to process some of the traumatic events I witnessed and experienced, which was negatively impacting my mental health. When I finally sought help, I was surprised by how hard it was to access quality care - and even harder to find providers who truly seemed to care. It made me question how others were managing to navigate a system that felt so inaccessible. This experience was one of the reasons that led me to become a PMHNP. 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? Talking about trauma can be really hard. You can share as much or as little as you want about your trauma and experiences. Diving into all the details isn’t necessary if that’s something you are not comfortable with. Either way, I’m here to listen and support you in a non-judgmental way. What are some other things you feel could be beneficial to improve mental health other than medications? There are so many things that can be beneficial to improving mental health. Therapy, exercise, meditation, human connection, self-care, engaging in activities you are passionate about, getting outside, quality sleep. Many factors in life can play into the state of your mental health, and I think it is so important to explore them all. What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medications? Patients who see me definitely do not have to be on medications. There are many nonpharmacological interventions that can be implemented to improve mental health. Everyone is unique, and we can work together to establish the best treatment plan for you. I think medication can be a great tool to help people in their journey to improve their mental health, but they don’t have to be the first thing we reach for, and they don’t necessarily have to be lifelong.

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

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

Discover the power of community and support with our health groups in Arizona, USA. Join us to connect, learn, and thrive together. Tratamientos grupales, intensivos y residenciales Women's Health Innovations Grupos para mujeres embarazadas/postparto Grupo para construir apego seguro con tu hijo Grupos de apoyo Grupo DBT Grupo de duelo/pérdida perinatal Salud de Charlie Programa ambulatorio intensivo virtual (IOP) que dura entre 9 y 12 semanas, acepta los principales seguros y se centra en adolescentes y adultos jóvenes. Servicios de recuperación de traumas Grupo de recuperación de traumas para mujeres a partir del 14 de junio. Los miércoles por la noche de 6 a 8 p. m. Se aceptan algunos seguros, escala móvil disponible según la necesidad. EMDR/Intensivos de trauma Instituto LK Rebecca Tatum Beckstein conductual Con el corazón abierto Pájaro azul AZ Asesoramiento nacido Fructuoso AZ Grupo de apoyo para mujeres con infertilidad, gratuito y virtual. Se reúne en junio de 2023 y se reanuda en septiembre de 2023. Recuperación de la elección IOP, grupo de hombres/mujeres, arte, meditación, grupo MAT, IOP en telesalud, grupo especial para personas que puedan necesitar un trasplante de órgano. DBT Centro de Terapias Progresivas Equilibrio (mástil de bandera) Transiciones PIO para distintos grupos de edad hasta los 10 años y hasta la edad adulta avanzada. Programas de hospitalización parcial disponibles Centro de Fundamentos de Curación Psiquiatra IO de espectro completo, especializado específicamente en TEPT complejo, trastornos disociativos y otros trastornos relacionados con el trauma. CalmOCD Intensivos para TOC: actualmente hay lista de espera. Ubicado en Scottsdale. Encuentra tu brillo Terapia conductual dialéctica en adolescentes Terapia conductual dialéctica para adultos Grupo de apoyo para TOC Recuperación moderna Online IOP accepting most major commercial insurances. Servicios de Terapia Summit Grupo de yoga informado sobre traumas (flujo de 60 minutos seguido de un grupo de apoyo general de 30 minutos). Centros de tratamiento residencial Caminos de recuperación (Utah) Álamo de Tucson Sierra Tucson Lightfully (California) - adolescente + adulto

Meet Ally Stuart, a board-certified psychiatric nurse practitioner at Paperflower Psychiatry specializing in medication management, health at every size care, functional medicine and postpartum mental health. Offering compassionate care for children, teens, and adults in Phoenix and beyond. Accepting new patients. Ally Stuart, MSN, PMHNP-BC, PMH-C Ally is a board-certified Psychiatric Mental Health Nurse Practitioner with a Perinatal Mental Health Certification. She has been a nurse for over seven years, specializing in psychiatry. While she is not new to mental health, Ally has spent many years in the behavioral health field, working as a counselor, case worker, and program supervisor. Ally pursued her graduate degree to create a more collaborative client-provider relationship within a company whose values align with her own. She takes a comprehensive approach to treatment, incorporating therapy, lifestyle modifications, supplements, and, when appropriate, medication. Her goal is to provide compassionate, responsible psychiatric care—not just quick fixes—so that patients receive the support they truly deserve. Ally fosters authentic relationships with her clients, encouraging them to take an active role in their treatment. Ally currently resides in the Phoenix, AZ area with her spouse and child. Outside of work, Ally has a love affair with farmer's markets, small coffee shops, and bakeries. She loves going on cruises and traveling and would love to discuss your upcoming vacation itineraries. Perinatal Care Health at Every Size Functional Psychiatry Ally holds a perinatal mental health certificate and is excellent in offering care in pregnancy planning, IVF, pregnant and postpartum patients. If you've ever faced discrimination over your weight or worried about being told the solution is to "lose weight" -- Ally gets it and is not about that type of care. Ally has completed additional training in functional psychiatry in order to offer holistic supplement and other recommendations to complement your healing journey. Q&A What is your favorite movie? I am not much of a movie-goer since I can't seem to sit through an entire film, but give me a good series any day. I just finished Workin' Moms (let's not even talk about THAT cliffhanger of Season 6). Coming from the basic 'bee' side of me, I will happily watch any cooking challenge series or home design show. The Great British Baking Show!! Jolly good. Favorite superhero? Right now- Bernie Sanders and AOC If you could have a superpower, what superpower would you pick? Okay, so I have given this a lot of thought. The first one would be to be able to apparate (HP fan?? Anyone?) so I could bypass having to go to the airport. Second would be the ability to always have exact change in my pocket for any purchase that I made. Favorite bands/singer? The Rocket Summer and Jack's Mannequin. I'm also a Swiftie. If you had 3 wishes, what would you wish for? 1. A government that actually gave a flying fuck about their country and the people that live in it. 2. A really good brand new commercial espresso machine in my house. 3. World Peace (*Name that movie*) What is your favorite food? I love food. Sushi, enchiladas, falafel. Let's talk Crumbl Cookies and curry dishes, please. Samples at Costco for lunch, don't mind if I do. Oh and coffee (in case you haven't caught that yet)-- iced lattes and cold brew!! If you know of a cute coffee shop or bakery that I need to try -- please tell me. What are you most passionate about in the mental health field? When it comes to mental health, I truly think that getting to know who you are as a whole person is one of the most important things that can happen. You are a person who has endured magical, painful, exciting, and hard things. You are more than just symptoms, and answers don't always just lie in prescriptions to cover up these symptoms. Mental health is a whole-body experience and a journey not merely a destination. What are some experiences you have had that make you unique? unique? My husband and I went through the IVF process to start our family so I understand the intense and heart- wrenching experience that this is. It pushes you emotionally and physically in ways that I never imagined with no guarantees in the end. It's like being a part of a community you never asked to be a part of but you meet some pretty amazing people nonetheless. What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medication? I think using medication to help with treatment is just a piece of an overall picture. Medications are definitely not meant to be lifelong. My philosophy is to provide you with all the best information I can to allow you to make an informed and comfortable choice for yourself whether that is incorporating medication into your treatment or not. 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? Talking about tough things, especially trauma can be so difficult, especially when you're just meeting with a new person for the first time. Trauma can be messy and confusing and can be hard to make sense of. When it comes to any part of our conversations, you control what you are ready and willing to share. I am here to listen in a comforting, validating, and non-judgemental way. Do you have any personal experiences regarding mental health you are open to sharing? sharing? After I had my first baby I was very confused and scared by high anxiety and intrusive thoughts. Even being in the field for so many years I had never even heard of postpartum OCD. Now every new parent I run into I'm like "How are you REALLY doing?" and it has made me very eager to support other parents! You've mentioned being passionate about working with the Health at Every Size (HAES) population, can you tell us more about that? I live my life in a larger body. I have experienced discrimination because of my size when seeking medical care and have made a commitment as a provider to provide a weight-neutral approach to treatment. I fully recognize how diet culture is smashed into our faces virtually every day since the day we were born and how that can affect self-esteem. This can affect how we think we deserve to be treated because of our weight. We should not be afraid to go to providers because we fear they will judge or blame us or treat us less because of our size. I am a big advocate of Intuitive Eating principles and healthy, fulfilling body movement.