Search Results

Meet the administrative team at Paperflower Psychiatry in Arizona, supporting accessible, inclusive, and neuroaffirming mental health care. Meet The Team Founder & CEO Dr. Maria Ingalla, DNP, PMHNP-BC (she/her) Contact: maria@paperflowerpsychiatry.com Maria started the practice back in 2020 and continues to build Paperflower into a cornerstone of progressive mental health care in the state of Arizona. She has built a social media presence in the mental health community with her podcast and TikTok . But most of the time she just has a headache from wrangling her feisty toddlers. Learn more Practice Manager Delfina Honne (she/her) Contact: delfina@paperflowerpsychiatry.com Direct phone: 602-327-3152 Also speaks: Spanish Delfina is our practice manager. She handles administrative duties, patient care, support team tasks, pharmacy calls, refills, and any patient concerns that are escalated. She is a gem of a human that really cares about other people and will make you feel heard. She has years of case management experience and can help connect you with resources if needed. She also handles QB & Tova testing, local networking, along with community events. Learn more Team Lead Rome Gamusaran, RN (he/him) Contact: rome@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Rome was our original support team member, and now oversees the entire team in the Philipphines including the billing department and our support team. Learn more Support team Supervisor June Landingin (he/him) Contact: june@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog June is an incredible resource at Paperflower - handling our prior authorizations. This means he's the guy that makes sure your insurance covers your medications. He also supervises our support team, answers your calls, calls your pharmacy... basically all the things. Learn more Community Liaison Thea Montesclaros (she/her) Contact: thea@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Thea is our community liaison. She manages our referral network, ensuring that we have up to date information on practices we work with across Arizona. She is our point of contact if you'd like to work with our clinic. She also handles medical records. Learn more Credentialing & Support Specialist Michelle Aguila (she/her) Contact: credentialing@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Michelle works as our credentialing specialist -- this means she maintains all current information and negotiations with insurance companies to ensure that we stay paneled. She also is cross-trained and works in our support team and alongside our billing team. She is a gentle presence so be nice to her if you get her on the phone! Learn more Billing Expert Ken Ramirez (he/him) Contact: ken@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Ken works as an expert in accounts receivable, billing reports, claim submission and denials. He is a key fighter against insurance companies to make sure we try to get your healthcare covered, and also to make sure we don't bankrupt because they underpay us. That being said, we really like Ken. Learn more Billing Expert Jed Pambid (he/him) Contact: billing@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Jed works as an expert in coding, billing, claim submission and denials. He will be receiving your calls and emails in regards to any concerns with your insurance, denials, etc. Jed says he has a girlfriend but we are not sure we believe if the photos were AI or not. Learn more Billing Expert Donna del Mundo (she/her) Contact: billing@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Donna handles patient collections, payment plans, sliding scales and helps manages any concerns with your credit cards or insurance. She works on insurance verification to make sure we aren't getting denied because we weren't covered in the first place. Learn more Social Media Manager Zerry Ramirez (she/her) Contact: socialmedia@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Zerry is our incredible social media manager who handles our instagram and facebook accounts, edits our podcast and manages our youtube . She is incredible at graphic design. Learn more Education Development Expert Gillian Ilagan (she/her) Contact: gillian@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Gillian is a registered psychologist in the Philipphines and does incredible humanitarian work. She currently makes educational materials for our patients and the general public, and helps us to build courses for professionals. She is really brilliant and incredible and we love her. Learn more Billing Expert Kevin Baeza (he/him) Contact: kevin@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Kevin is the guardian angel of our phones, our VOBs, and honestly our sanity. He runs insurance verifications, handles collections with the gentlest firm voice known to mankind, and makes sure patient statements actually get where they need to go. We don’t know how he does it, but we’re convinced he has superpowers. Learn more Support Specialist Charles Dalimos (he/him) Contact: charles@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Charles has spent years in healthcare doing… well, basically everything. Customer service? Yes. DME coordination? Yep. Medical receptionist wizardry? Absolutely. If there’s a phone to answer or a patient who needs reassurance, Charles is already halfway there with a smile in his voice. Learn more Support Specialist Abe Favila (he/him) Contact: abe@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Abe Favila is a support team member who brings calm, clarity, and care into every space they enter. With over a decade of customer service experience, Abe leads with deep listening, steady empathy, and a values-first approach rooted in integrity, joy, and follow-through. Learn more ¡Conéctame con un proveedor!

Paperflower Psychiatry is a holistic and inclusive psychiatric practice specializing in evaluations and medication for children, adolescents, peripartum and adults in Arizona. Telehealth + offices in Tempe, North PHX + Flagstaff. Self booking is available online. CIFRAS DE LA CRISIS Línea de ayuda para casos de suicidio y crisis: llame al 988 Nacional: 1-800-273-TALK (8255) Condado de Maricopa: 1-800-631-1314 o 602-222-9444 Condados de Pima, Pinal, Santa Cruz, Yuma, Greenlee, Cochise y Graham: 1-866-496-6735 Condados de Apache, Coconino, Gila, Mohave, Navajo y Yavapai: 1-877-756-4090 Comunidades indígenas del río Gila y Ak-Chin: 1-800-259-3449 Comunidad indígena de Salt River Pima Maricopa: 1-855-331-6432

Learn more about Paperflower Psychiatry, offering trauma-informed and inclusive psychiatric care. We specialize in ADHD, neurodivergence, mood disorders, and LGBTQIA+ mental health. Serving patients across Arizona with both in-person and virtual services. Oficina de Tempe Dirección: 401 W Baseline Rd #108 Tempe, Arizona 85283 Compartido con: Encuentra tu brillo Situación del aparcamiento: Hay muchos, seguro que encuentras un sitio. Indicaciones: Hay dos entradas, elige cualquiera de ellas. Busca el cartel que te indica la habitación 108. Las puertas son gigantes, no te las perderás. La espera: simplemente relájese en el vestíbulo hasta que nuestro proveedor lo recoja. Baños: En el pasillo antes de llegar a la sala de espera. A quién encontrarás aquí: Tabitha , Erica y Jon Phoenix Office Address: 6232 N 7th St Ste 101, Phoenix, AZ 85014 Shared with: Desert Heart Counseling Parking Situation: Available in front but covered spots are reserved. Directions: Once you park, head over to the office and you'll find suite 101 right in front of the fountain. The wait: Just chill in the lobby til our provider grabs you Bathrooms: Keys can be found in the waiting room and restrooms are located down the walkway on the right. Who you'll find here: Azuka & Erica Mesa/Gilbert Office Address: 4115 E Valley Auto Dr # 104, Mesa, AZ 85206 Shared with: Point North Therapy Parking Situation: Plenty available in front of the building Directions: We are located in the gray building next to the red one. Look for suite #104. The wait: Just chill in the lobby til our provider grabs you Bathrooms: Shared restrooms are located in the hallway near the front entrance. From our suite, turn left into the hallway — the restrooms will be on your right. Who you'll find here: Dr. Megs & Azuka Flagstaff Office Address: 408 N Kendrick St #4, Flagstaff, AZ 86001 Shared with: Flagstaff Counseling Cente r Parking Situation: Plenty Directions: Once you enter the parking lot the office is on the far right of the building #4. You will enter into the downstairs waiting room. You are welcome to wait there, or proceed through the door and up the stair and wait in the waiting room to the left. The wait: Just chill in the lobby til our provider grabs you Bathrooms: There is also a bathroom available for use and water available while you wait. Who you'll find here: Bre (like the cheese) Oficina de Tucson Address: 1760 E River Rd Suite 250, Tucson, AZ 85718 Shared with: CalmOCD Parking Situation: You will want to park in the front where there is free parking available. Parking near the 1760 or 1730 building sign will be close to our suite. Directions: Suite 250 is located in the Cambric Corporate Center on the Southwest corner of River and Campbell. Continue on the walkway pictured (you will see 1730 directly to your right). Once you see the water fountain turn left. Our suite is the second suite on the left side. The wait: Just chill in the lobby til our provider grabs you. Bathrooms: The bathrooms are next to the water fountaun directly opposite out front door. Please grab a bathroom key from the lobby and return when finished. Who you'll find here: Melody & Michaela

Meet Abe Favila, Support Specialist at Paperflower Psychiatry in Arizona, USA. Get to know the invaluable member of our health team. Abe Favila Hi! I’m Abe Favila, a 32-year-old stunner from the City of Stars, Quezon City — which feels perfectly fitting because I’ve always identified as a star myself (twinkling, occasionally dramatic, but always finding my light ✨). At home, the brightest nebula in my universe is my furbaby, Candace, who firmly believes that letting me scratch her belly is fair compensation for keeping me sane. One of my greatest achievements so far is hearing my 7-year-old nephew pray, “Please take care of Tito because he is my most favorite person in the whole world.” Camera pans to my sister, quietly evaluating her ranking. A bit about me: I’m very values-driven. I hold integrity in high regard, I prioritize joy, and I always aim for excellence in anything I do — big or small. In conversations, I always seek to understand before being understood. With over a decade of customer service experience, I’ve learned that truly listening — and understanding where all parties are coming from — can completely transform interactions. I try to bring that clarity and empathy everywhere I go. When I’m not working, I love playing Super Mario Brothers and occasionally wrestling with Zelda puzzles that test both my patience and mental fortitude. Recently, I’ve also gotten into running. Will this journey eventually manifest into a banging body? Stay tuned for the next episode. 😉 At the end of the day, I believe we are all creators, and the things that happen to us are simply the art we’ve made unfolding in front of us. I try to show up with that mindset — grounded, grateful, and open to whatever comes next. I’m happy to be here and excited to see all the kinds of wonders we can create. Inbound Calls All-Rounder Support Customer Service

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

Meet Ken, your trusted billing specialist in Arizona! With a background in psychiatric billing, Ken is dedicated to optimizing your care. Conoce a Ken Request an appointment

Dr. Bre Chamoff, DNP, PMHNP-BC, specializes in pediatric psychiatric care with a focus on trauma, ADHD, and brain-gut connections. Offering compassionate care to children, adolescents, and young adults across Arizona. Now accepting new patients Dr. Bre Chamoff, DNP, PMHNP-BC, CPNP-BC Bre (like the cheese) Chamoff (She/Her) is triple board certified in pediatric primary care, pediatric critical care, and psychiatric mental health. She has been a nurse practitioner for over a decade working in various pediatric settings. She is passionate about care for kids, adolescents, and young adults. Her prescribing philosophy is meds are not first line, unless they absolutely need to be. The team effort between provider and patient is to get that spark back, let your beams shine bright, and use all options to get there. She commonly says her “drug of choice” is human connection, and this certainly bodes well for fostering a team approach with her patients to make a plan that suits them. Bre has worked in pediatric GI specializing in illnesses such as irritable bowel syndrome (IBS) and functional constipation and how those are experienced both physically and emotionally. She has a particular interest in brain-gut connections and the impact on mental health and behavior. She was also one of the first 2 nurse practitioners who started the pediatric trauma program at Queens Medical Center in Hawaii. She has since spent much of her time working inpatient at Flagstaff Medical Center on general pediatrics and in the pediatric ICU. She has a blunt and comical (mostly when appropriate) approach, because life is hard and no one gets out alive. Bre currently resides in Flagstaff, AZ. In her free time, you can find Bre Snowboarding , traveling to live music to any number of bands including Tool, Gojira, Daughter, Carina Round, Rainbow Kitten Surprise, System of a Down, Elton John, Bon Iver, Puscifer, Primus or Tim McGraw (to name an eclectic few), reading books galore, or begging her friends to play board games with her. She has a ’73 VW bus named Clementine (who sometimes starts and sometimes does not start, but Clementine’s charm is not dependent on her reliability, or the lack thereof) and a 8 yo Bengal named Ananda, who runs the show entirely. As you’ll note in Bre’s Q&A she is verbose and rarely lacking the words she needs to overly express her interests and ideas with many caveats and sidebars. She offers both an apology and congratulations for this. *only taking ages 5-15 on waitlist basis* Pediatric Mental Health Bre is an expert in pediatric mental health encompassing ADHD, autism, sensory procesing, mood, anxiety, and trauma. Medical With a background in acute pediatric care, Bre is an excellent resource for kids with co-existing medical conditions or gastrointestinal problems. Adolescent Mental Health Teenagers can be hard to connect with -- but they will appreciate Bre's humor and energy and may (well, hopefully) look forward to visits with her. Q&A What is your favorite movie? Of all time: Almost Famous; Disney: Emperor’s New Groove But to be fair my second language is movie quotes; I’d say I’m fluent. Favorite superhero? I always try to have a more unique one but the truth is, it’s Superman. I love that he’s just unassuming Clark Kent, then off saving folks, then back to glasses wearing, run of the mill Clark Kent. Big fan. If you could have a superpower, what superpower would you pick? Easy! I ask people this all the time! Teleportation. I could see all my favorite people anytime, travel to all live music, without leaving any carbon detriment, and minimizing travel time. Very efficient. Favorite bands/singer? Tool without question. But, music is my insides on the outsides. I love music so very deeply. I spend most of my spare time on live music, and traveling to live music. I am not personally musically inclined, but I am a big-time consumer for sure. I have a pretty wide array of likes. Indie. Folk. Bluegrass. Metal. Country. And that is certainly not the end of it. I collect vinyl because I like how it sounds despite its wild inconvenience. If you had 3 wishes, what would you wish for? Selfishly: (1) the ability to speak all languages fluently (2) to see a new and varied sunset in every place of the world (3) an eidetic memory (wish 3.5: Limitless quantities of Cinnamon Toast Crunch accompanied by free dental care for life) Broad and esoterically: -that every individual has a true inherent fundamental drive to first understand themselves, then understand others, and only then attempt to altruistically affect change. I read a bumper sticker yesterday that said “everyone is just doing their best…. And that is fucking terrifying” Hearrrrrrd that! What is your favorite food? Okay, are you asking what is my death row meal? Or what is my favorite day to day food? Because my death row meal is for sure next day spaghetti! don’t give me fresh spaghetti. Make it the day before, let it sit all night, and then microwave it- that’s my last meal! Day to day I have a gnarly sweet tooth. So on second thought back to the 3 wishes I think I’ll just take lifetime dental care. 😏 What are you most passionate about in the mental health field? Access to care for kids and adolescents. Offering a true partnership where the child is considered an active person with meaningful thoughts, feelings, and experiences. What are some experiences you have had that make you unique? My mental health nursing rotation in undergrad was in a study abroad program in Belfast, Norther Ireland. This was illuminating to see psychiatric care offered in a different and social model. I have a long strong background in pediatric medicine and that offers a robust amount of experience working with complicated pediatric illnesses. I went to 9+ schools as a child (not a military brat, just life circumstances) so adapting to change is a superpower I gained at a young age out of necessity. This just means I regard most strangers as “friends I haven’t met yet”. I went to Ecuador for 3 months to learn Spanish, then System of a Down went on tour so I came back early for a concert. Learning Spanish is still a life goal of mine. I own a 73 VW bus named Clementine. In an ideal world, she would be my traveling office (she breaks down too much, but I still love her). What is your philosophy on using medication to treat mental health for kids? I believe medicine, like many other things is a tool. I like to explain it this way: consider depression, anxiety, trauma, aggression, etc as broken glass on the ground. We can clean it up without tools like a broom, or without shoes on, but it’s messier and more difficult that way. Using the right tools is going to make it both easier and safer. Sometimes one shoe is therapy, maybe the other shoe is medicine, and maybe the broom is family dynamics. Medication is rarely the singular fix for anything (except for maybe in diabetes), it’s an adjunct for symptom management. It also can allow for healing to occur. Medication is not always forever, and its not always the right choice. It so situationally based, and more complicated than one blanket approach applies to all. Generally, I’m pretty conservative, but not afraid to consider meds when they are an appropriate tool. I am a firm believer in collaboration with my patients and parents. I won’t give teens a medicine they don’t want. Medicine is not the only option, I’m a big believer that work is often necessary when it comes to caring for our mental health, and that involves the whole family unit, nothing exists in a vacuum. Everyone is unique, sometimes we use all tools all at once, sometimes we try them on differently, it’s about the individual. I’m also a big proponent of natural and holistic remedies, but they are not without potential for harm themselves and I think it necessary to be mindful of risk and benefit of any and all interventions. We have to be mindful of all things that affect our neurochemicals, to include many things we forget to consider like caffeine, sleep, exercise etc. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? Getting to the deep dark stuff is one of the hardest things we ever do, so before you do it know this is a safe space without judgement. I won’t make any decisions about your care without you, you’re in control here. So, first know you’re not alone. Second, those experiences don’t define you. Sometimes healing is a process in patience; I ask that you be patient with you and all that comes up, and patient with this process as I walk alongside you through it. Sometimes we need to say “not today satan” and table that stuff, which is perfectly fine. Others we jump in, like I said, it’s a process. Most importantly that process isn’t always linear and that’s okay too. There’s a meme somewhere that says something like ‘sometimes life is messy, sometimes life is beautiful, most the time it’s both’. That feels a little too flowery for some of the deep dark shenanigans we go through, but at the end of the days it’s not total crap. Talk to us about working with divorced families, coparenting or families in turmoil? This can get dang hairy. in initial evals it’s important in my book to set the precedent and expectation. Both parents have to be on board, and while that’s often difficult, I feel good about being firm in support of this model. There’s no room for separate meetings or visits, playing ping pong between warring forces. I’m not generally a proponent of avoiding, or releasing families, solely due to parental conflict because the only person there who suffers is the child who can’t get the care they need. I’m willing to be a force when needed to facilitate the forward motion of care for the child. My initial approach is always attempting to understand the perception of each person, the intention of each and then collectively identify a common goal. If I’m right, and I hope I am, we’re all attempting to achieve what is best for the child. When there is an impasse, I tend to get direct and blunt singularly with parents. It’s important to be factual. This has been really effective historically. If you read this and feel you want to go on this wild ride with me, just know I can be spicy, but it’s in an effort to achieve a common goal. Do you have any personal experiences regarding mental health you are open to sharing? I am an open book but find the specifics to be more beneficially shared contextually. I wouldn’t want to wallop the world with my history on a website, but I’ve been through some doozies. My own “colorful” experiences if you will. It makes me feel really comfortable talking about legitimately anything. I often tell my patients there’s a slim chance I haven’t discussed anything you’re able to bring to the table, so hit me with it and let’s dive in. I also have an interest in non-traditional medicines, including the use of entheogens for further treatment and exploration of mental health disorders in future practice. Talk to us about the overlap of physical and mental health for kids. Physical and mental health aren’t entirely separate, and while our medical model and approach treats it that way, they are deeply integrated. It has been astounding to see how many kids are left untreated regarding mental health for an enumerate number of reasons. We live in an unprecedented time and continue to attempt to apply historical solutions to it. While that’s not fully unexpected as we have to go with what we know, we also have to ask ourselves how much of the mental health disparity that we see in adults could be mitigated if approached in childhood. On the other hand, I’m not a fan of pathologizing childhood behavior to made them more compliant to a world that expects them not to be kids: an approach at balance is the key (cliches are true for a reason). I think my experience with complex medical illnesses is going to translate well in terms of my ability to communicate and combine holistic care with both pediatric patients and parents. I also have a keen eye to ferret out medical and mental health causes separately and in conjunction. Do you have experience in working with non-binary and trans kids? Yes definitely! In fact, I originally chose endocrine as my area of specialty focus. So I started meeting with pediatric patients interested in delaying puberty at the onset of my career as a student NP. This was in 2013. Since then, I have encountered a wide array of patients across the spectrum of trans, non-binary, questioning, and more. I am a big proponent of self-expression and exploration. I am a big fan of helping my patients feel seen and actualized and sometimes that includes bridging the conversation with loved ones and being a support in that time. What are your thoughts on screen time and social media for kids and teens? I think a blanket statement here isn’t going to work. Like anything else, no absolute is the answer. I think when we fully restrict social media children/teens experience a sense of isolation, with full unabridged free reign they can experience any number of things including grooming or bullying, and can be the victim or perpetrator of such. I think with anything, active presence and engagement from the caregiver with mutually agreed upon structure and boundaries is going to be a solid approach. Too much of anything isn’t great. The stimulation of imagination to aid in the progression of developmental stages is best served with varied experiences, they cannot all be garnered from a screen. That is not to even touch on the secondary medical difficulties such as sedentary lifestyle leading to obesity and insulin resistance, and visual decline. With all of that in mind, never in my life have I said to a patient “okay 2 hours of screen time a day” and that happened. So instead, I ask families, would it be possible, once per day, when you go to watch TV, or look at the tablet or phone, you set a timer and do anything else that’s not screen related until the timer goes off (ironically said timer is typically on a phone screen, we can’t win them all). That’s a manageable task, and reduces it by a little. Small achievable changes are often the name of the game. My personal stance on screen time is it isn’t great, would love to decrease it. But my personal stance on going to the gym is that I should be going more, and I’m literally eating cheese its at 10:30 pm while I write this so life is messy and hard, and we have to make the goals achievable and do what we can!

Discover the leader behind Paperflower Psychiatry. Meet Dr. Maria Ingalla, DNP, PMHNP-BC providing expert mental health education and content creation. Dr. Maria Ingalla, DNP, PMHNP-BC Maria Ingalla, a certified nurse practitioner specializing in family psychiatric mental health, brings a wealth of experience in mental health from years working in community mental health agencies throughout the Valley. She frequently was argumentative with leadership over poor quality of care and the "pill mill" ideology that these companies depended on for money . After some unexpected exits from these past jobs (let's call them unplanned career detours), Maria decided it was time to start a company that had openly progressive values and focused on patients instead of dollars. Maria specializes in providing compassionate care for mental health challenges during the perinatal period. After her daughter suffered from serotonin syndrome from breastfeeding, she became an advocatefor educating others on recognizing serotonin syndrome in breastfeeding infants. In her previous role as a nursing instructor at Arizona State University, Maria taught pharmacology and mental health courses to nursing students in Bachelor's and Master's programs. Her dedication to education was recognized with a Daisy Award nomination for excellent faculty in Spring 2022. Maria has also made valuable contributions to the academic community at Aspen University. She continues mental health education to the general public on her Tik Tok account: @dr.mariaingalla Maria's extensive experience as a psychiatric consultant spans nationwide collaboration with pediatricians, primary care doctors, and OB/GYNs, focusing on the holistic management of mental health for complex patients. Her commitment to providing high-quality mental health care is evident in her multifaceted contributions to the field. Maria remains an advocate for social justice, and equity within the mental health system. Maria now mentors new graduates with similar ideologies to be your excellent practitioners within Paperflower. She is currently working on ways to continue educating new graduate nurse practitioners and the general public on psychiatry. Maria currently lives with her husband, two daughters, two dogs, Marshmallow and Potato. She used to enjoy a lot of things but let's be honest, now she's a mom and she doesn't have much of a life besides chasing around two small children. Contact: maria@paperflowerpsychiatry.com Mentorship As the owner of the practice, Maria ensures that she remains accessible to all of her practitioners to help them grow professionally. Education Maria currently develops continuing education programs for professionals as well as offering education for the general public via her podcast & social media. Child Psychiatry Maria is passionate about neurodivergence and child psychiatry -- previously before running Paperflower, she spent years managing medications in community mental health. Guest Episode on the Affirming Minds Podcast VoyagePhoenix Interview Guest Episode on Finding Arizona Podcast TikTok Cohost for Brain Trash: From DSM to Dumpster Fire Podcast WebMD Article on Bipolar Treatment Canvas Rebel Interview Paperflower Institute

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

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

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

Meet Delfina, the dedicated practice manager at Paperflower Psychiatry in Arizona, USA. Learn about her role and contributions to our thriving mental health practice. Delfina Honne Prior to taking our offer to help us at Paperflower, Delfina has been well-known for working as the most fantastic case manager for well over a decade at Arizona Children's Association. She knows the AZ mental health system and all of the resources. You'll never meet another person with as huge of a heart and as dedicated to her patients as Delfina! She may have sat in on Maria's first ever day as a prescriber as emotional support :) She means a lot to us here! Delfina also works at another local mental health office as a Spanish interpreter. Delfina lives in Phoenix, Arizona with her husband, her mom and the most amazing Frenchie named Romeo... Romeo may have a passport and be an international star. You'll have to ask her about Romeo! delfina@paperflowerpsychiatry.com Oversees Practice, Patient Concerns & Students QB & Tova Testing Patient Assistance & Community Events