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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

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

Meet Donna May Del Mundo, the dedicated billing specialist at Paperflower Psychiatry in Arizona, USA. Learn more about her role and expertise on our page. Donna Del Mundo Hello, my name is Maria Donna May Del Mundo (whew!) but you can call me Donna. I am a mother of 2 girls and 1 cat. My hobbies are playing Nintendo Switch and traveling. I specifically like travelling with a motorcycle as it makes me appreciate the view more but we only do that if we are not traveling with kids. I decided to become a medical biller because I've always had a passion for both healthcare and organization. I have experienced hardship and discrimination when I had a miscarriage way back 2014 that is why I understand the importance of insurance and accurate billing to a patient. I enjoy the meticulous nature of medical billing, where attention to detail is crucial. Helping patients understand their medical expenses, fighting insurance companies and ensureingthat healthcare providers receive proper reimbursement for the services they provide gives me a sense of fulfillment. Becoming a medical biller allows me to combine my passion for healthcare with my organizational skills to make a positive difference in patients' lives. contact: billing@paperflowerpsychiatry.com Collections Insurance Verifications Payment Plans & Assistance

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. Consent Forms & Information for Patients Consent Form for Sedation and Observation Informed Consent Form for Ketamine-Based Treatments Financial Agreement Form for Ketamine-Based Treatments HIPAA Acknowledgement & Privacy Practices Consent Form Transportation Safety Agreement Form Ketamine-Based Psychotherapy - Medical Protocol Before and After Care Information View View View View View View View Educational Materials for Ketamine What to Expect (and Explore) During Ketamine Treatment Choosing the Right Ketamine Treatment: IM vs Spravato After Ketamine: Integration, Reflection, and Recovery When Nothing Else Has Worked: Considering Ketamine Treatment for Mental Health A First-Timer’s Guide to Ketamine Treatment How-To Guide for Providers: Preparing Patients for Ketamine Treatment What Happens During Ketamine Treatment View View View View View View View 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!

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 June Andrew, the Prior Authorization Support Specialist at Paperflower Psychiatry in Arizona, USA. Get to know the invaluable member of our health team. June Landingin June Andrew Jose C. Landingin (super long, yes!) is our support team supervisor. You can call him June or Andrew for short. He is a licensed physical therapist and an experienced customer service representative. He’s one of the support staff that will handle prior-authorization as well as assisting in all support team tasks. One of his main goals in joining is for us to achieve our goal to provide the best patient support possible (and for you to get your medications in a timely manner!) He currently resides in the Philipphines, is an only child with two dogs (and now, has an incredible drive to adopt a cat) and he loves driving (not in traffic). Taking long drives provides a therapeutic feeling for him and provides a peaceful place to collect his thoughts. He also enjoys a good chat about the human mind, people in general and how people work. He takes opinions into consideration and will be fascinated to talk to you about anything. He is a prior authorization specialist. He was super fun to have a conversation with during our interview process, and he's experienced in all things prior authorizations. Contact: andrew@paperflowerpsychiatry.com Oversees Support Staff Prior Authorizations Patient Assistance

Meet Dr. Azuka Okafo, CNM, PMHNP-BC, DNP, a compassionate Psychiatric Nurse Practitioner offering telehealth expert care and psychiatric medications. Dr. Azuka Okafo, CNM, PMHNP-BC, DNP I am double boarded as a nurse midwife and a psychiatric nurse practitioner. I have been a practicing nurse midwife for over two decades and decided to add formal psychiatric training to support my passion for holistic women’s healthcare. I have worked in diverse settings including a private practice in suburban Connecticut, urban health in Baltimore, Maryland, and most recently at a tribal hospital in rural Arizona. My training and interests extend beyond reproductive psychiatry and include SMI and pediatric mental health. I grew up in Africa and have a deep appreciation for cultural influences on health. I am also acutely aware of the impact of mental health on overall well-being. My work on the reservation highlighted the need for a bridge between reproductive and mental health care. I earned Postpartum Support International’s Perinatal Mental Health Certification in 2024 while enrolled in my PMNHP training program. My prescribing philosophy is that medications are one of many options available to support clients. Every person’s needs are unique, and I firmly believe in collaborating with clients to create holistic treatment plans. Being a full-scope nurse midwife did not provide me with much free time, but I enjoy catching up with good friends over tea or a meal, taking walks, reading, working out, watching sparring hummingbirds, and meeting neighborhood dogs. I’d say my vibe is energetic, curious, humorous, compassionate, and collaborative — with a dash of sarcasm and low tolerance for nonsense. I take my work seriously but never myself. Perinatal Care Azuka has spent the last chapter of her career on the Rez delivering babies. As a certified nurse midwife, she has a strong understanding of the intersection of complex pregnancies and mental health. Hormones While many psychiatric providers claim they understand the impact of hormones on mental health, Azuka *truly* understands and has the clinical experience to back it. Adolescents She's really good with teenagers, and can definitely have a fun, silly vibe. If you needed a person who was going to bring some spirit into appointments, Azuka's here for it. Q&A What is your favorite music? I don’t have a favorite type per se, because I grew up in a family where we listened to various genres (classical, jazz, folk, reggae, rock, zouk, R&B, Latin, soul, and funk, etc.) I do have a deep appreciation for classical/Spanish guitar music. Favorite superhero? Batman. He became a superhero as a response to his childhood trauma; I appreciate the complexity of his character. If you could have a superpower, what superpower would you pick? I think that it would be cool to control the weather. I’m looking at you, Storm. Tell me about your pets. I lost my beloved German Shepard/Chihuahua mix in 2024. That dog was the quirkiest animal that I didn’t know I needed in my life. I considered myself to be her therapy human, as frequent walks, pets, dietary changes, and love helped her blossom from an anxious dog into a social pup. I became her medication manager in her twilight years when she required two different medications to ease her escalating anxiety. Fun fact about you: I once caught a baby in my soccer uniform—without the cleats. What are some experiences that make you unique? I have been a midwife on both ends of life; at 14 I held my father’s hand as he left this world. What are ways beyond medication that can improve your mental health? Medication is simply a piece of the whole puzzle and often work better when combined with therapy. I am a firm believer that social support, diet, exercise, and sleep are critical to maintaining one’s mental health. I have been sleep deprived for decades…the need for sleep is real! Are medications lifelong? Does a patient who sees you HAVE to be on medication? No, someone who sees me does not have to be on medication. There are some instances, however, where a person may need to be on medication long term because of that individual’s unique circumstances. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? I would want them to know that their safety is my main concern and the evaluation an information-gathering session so that I can understand their story. We will only talk about the hard things if they are comfortable doing so. Do you have any personal mental health experiences you can share with us? I worked at a hospital on a reservation during the COVID-19 pandemic. We were isolated and scared; the sound of multiple helicopters used to transport critically ill patients was deeply disturbing. I still brought love and levity to patients birthing amidst the chaos while concealing my own anxiety. We were isolated from our friends and families by fear and local curfews. My self-care suffered and led to a devastating injury and burnout. But I’m also a Black woman so…

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

Meet Meghan Orbegoso, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering expert care and psychiatric medications in Tempe, AZ. Dr. Meghan Orbegoso, DNP, PMHNP-BC Hi! I’m Meghan, but feel free to call me Meg or Dr. O. I am a psychiatric nurse and nurse educator with many years’ experience in most mental health settings including outpatient, voluntary inpatient, court ordered inpatient, SMI populations, psychiatric urgent care and crisis units. I work at Phoenix Children’s inpatient psych unit and float to the behavioral health area in the emergency department. I also teach mental health specialty for nursing students. I chose to go into education and become a nurse practitioner because I am determined to be the change I want to see in the world. During my nursing education and nurse practitioner education journey, there were no instructors that looked like me or looked like anyone that I grew up with or that I felt could relate to BIPOC, first-generation, or even to barriers of social determinants of health. My family background is Peruvian and my husband is Dominican and we love to EAT! We love trying new dishes and cuisines we have not tried yet so please share any recommendations! Our toddler is still in his chicken nuggets only phase, but he will hopefully see the light and seasoning by his ancestors soon. When I’m not working or spending time with family, I like to dissociate in light-hearted media including YouTube, mobile games, fan-fictions, anime, and BBC’s 1995 Pride and Prejudice. I stay informed and therefore stay away from fictional media that is serious; the real-life state of the world is drama enough! Child/Adolescent With a focus on child and adolescent mental health, Meg is dedicated to helping young people and their families navigate challenges with confidence and understanding. She provides clear, practical guidance tailored to each child’s developmental stage, ensuring both emotional well-being and safety. Her supportive approach fosters resilience, open communication, and a strong foundation. Neurodivergence While Meg is not yet trained in diagnosing Autism, she is phenomenal at offering neuroaffirming care. She takes time to learn each person’s unique strengths, challenges, sensory needs and communication styles. Anxiety & Mood Meg offers a comforting presence and the ability to help navigate anxiety, depression, irritability, and pediatric bipolar disorder. Her therapeutic style blends evidence-based strategies with compassionate listening and empathy. Families and children alike appreciate her calm demeanor and commitment to creating a safe, supportive environment for healing and growth. Q&A What is your favorite movie? Lion King Favorite superhero? Class C Hero - Saitama! If you could have a superpower, what superpower would you pick? To speak every language and always have the right words to say. If you had 3 wishes, what would you wish for? That everyone had access to mental health care, a solid support system, and a loving community. That our days and weeks and months were longer and not to get more done, but to rest, spend time, and enjoy. For everyone to feel safe, to feel seen and known, to feel they are enough, and to believe they deserve care and kindness. Tell us a fun fact about yourself: I have serious stage-fright. I don't know how I decided to become an educator and lead lectures/lessons for 50+ nursing students at a time. I know why I want to do it, but I still don't get how I manage to speak coherently while I internally panic. Tell us about your pets: I have a Pit Mix named Goose. He got his name from his honk-like kennel cough he had when we rescued him. He is a good boy What are ways beyond medication that can improve your mental health? All of the self-care activities! All of the positive lifestyle practices that make sense for you and your family and community. Connecting with nature, caring for yourself emotionally, spiritually, holistically matters. Having strong healthy relationships matter! The results from the 80+ year Harvard wellbeing study are clear: "The clearest message that we get from this 75-year study is this: Good relationships keep us happier and healthier. Period." - R. Waldinger, Director of the Harvard Study. 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 safe with me. We can discuss as little or as much as you feel ready, willing, and able to share in the moment. I will not push you to disclose more than you want to. What is your philosophy on using medication to treat mental health? Are medications lifelong? My favorite medication is Therapy. It has the fewest side effects and the longest half-life. :) But really, I believe medication can be a valuable resource and tool in a client's treatment plan, but should not be considered in isolation. I want to work with you and collaborate on all aspects of mental health which includes medications and more. Whether medications are life-long will vary from client to client and from situation to situation. What are your thoughts about treating adult ADHD? I was diagnosed with ADHD in adulthood. I grew up in a family that did not believe in mental health. That struggle with executive function was just laziness and the only treatment was to "ponte las pilas" or "work harder". I had teachers from kindergarten to college say "she's smart, but she would do better if she just applied herself." I failed out two Universities and several classes in my life until I learned about mental health in nursing school. The day after the first lecture on mental health and illness I scheduled a psychiatric evaluation. I was expecting a diagnosis of anxiety and ended up learning I was depressed and struggled with ADHD. I started treatment and the world opened up. I went from failing and being withdrawn due to academic performance to graduating with 3.8 for my Bachelors and Doctorate degrees. I have a lot of thoughts and feelings when it comes to adult ADHD. A wonderful psychiatric nurse practitioner diagnosed me and still manages my treatment and I look forward to helping my future clients in their journey. Yes, I shared a bit about my experience with adult ADHD in the previous question. In that first psychiatric evaluation, I learned I also had been struggling with depression. I remember being told that it was not normal to constantly feel like a burden and having negative thoughts playing on a loop in your mind. I was shooketh! And let me tell you when I started my first antidepressant and the negative thoughts slowed and eventually stopped! Flabber-fucking-ghasted! Because what do you mean I just needed store bought serotonin to stop feeling like a constant burden!? Witch-craft! Brujeria! And I love it! I want to help others also realize they are worthy of taking up space! I want you to man-spread to the heavens (figuratively of course, but also you do you!) with how comfortable you are with taking up space and knowing you deserve care, you deserve kindness, and you deserve to feel and know that you are enough just as you are :)

Ouroboros at Paperflower Psychiatry offers expert-led cannabis and integration services tailored for neurodivergent adults, first-time users, and those seeking expert support. Whether you're exploring cannabis for wellness, preparing for your first retreat, or unpacking a transformative experience, we offer education, mindfulness integration, and wellness planning in a safe, affirming environment. Based in Arizona, serving clients virtually and in person. Paperflower Psychiatry offers guidance through Ouroboros Integration & Education. We offer coaching, education, and integration support for anyone interested in making intentional, informed choices around cannabis, CBD, ketamine, psychedelics, and other non-ordinary experiences. Our services include preparation, harm-reduction education, lifestyle balance coaching, and post-experience integration. We specialize in neuroaffirming care. Whether you’re exploring for wellness, creativity, or personal growth, we provide a grounded, evidence-informed approach that centers safety, intention, and care. From microdosing guidance to festival safety, from mindfulness practices to retreat planning, our goal is to help you navigate your journey with clarity and confidence. The name Ouroboros reflects the ongoing cycle of transformation. Your path is your own. We’re here to support it with knowledge, safety, and respect. About Services & Pricing Schedule now Anchor 1 Our Story John Greeley Wellness Guide 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. What truly impacted me wasn’t just the experience itself — it was the processing of the experience and integrating the insights and awareness into my day to day life. Months of inner work, reflection, and reorientation taught me that insight means little without the time and tools to embody it. Years later I still reflect on that experience and continue to learn from 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. Services & Fees Anchor 2 Initial 10 minute Phone Consultation: Free 60 minute virtual session: $50 90 minute virtual session: $75 Retreat Vetting: $50 Ketamine Guide Virtual Session: $40 (+ travel if applicable) In person Ketamine Guidance (Tempe) including injection of Ketamine - $500 per session Customizable packa ges including monthly plans and annual plans available upon consultation. Financial hardship plans also available. Cannabis Coaching Services: Wellness Use Coaching Cannabis and Mental Health Coaching Strain Exploration & Product Matching Cannabis & Neurodivergence Coaching Family & Parenting Support Dispensary Navigation & Confidence Infused Living and Cooking CBD Benefits and Usage Sleep, Pain & Recovery Guidance Creative Expression Coaching Wellness & Lifestyle Coaching Neurodivergence & Substances Coaching Sleep & Recovery Stress & Burnout Mindfulness Integration Coaching Body Awareness Coaching Ketamine Coaching Services: Ketamine Education, Preparation & Integration Coaching At-Home Ketamine Coaching Couples Ketamine Integration Coaching Ketamine In Person Guidance (Tempe) Psychedelic Coaching Festival & Rave Safety Coaching Group Trip Preparation Coaching Microdosing & Macrodosing Guidance Retreat Preparation & Integration Coaching Harm Reduction and Education Coaching Family, Youth and Partner Education Safe Partying Coaching Mixing Substances Coaching Professional Development & Community Education Cannabis, Ketamine & Psychedelic Literacy Presentations Is this right for me? You may be a good candidate if you.. You’re neurodivergent and want guidance that honors how you process things. We will keep it factual and not overwhelm you with vague advice or weird terminology. You’re new to cannabis and have no idea what to buy, how to use it, or even how to ask the “right” questions without feeling judged. You’re a burned-out parent who’s curious about alternative ways to reset or reconnect — but you don’t want to walk into a dispensary alone or figure out a vape on your own. You’re psychedelic-curious but not ready to jump in without understanding the why, how, and what-comes-after — or you’ve had an experience and need help making sense of it. You’re going to your first rave or festival and want to feel confident, safe, and intentional instead of overwhelmed or just going with the crowd. You’re considering a legal retreat or therapeutic experience but feel nervous, skeptical, or just plain unsure what to expect (or if you even “belong” there). We meet you where you are with evidence-based information, no judgment, and authentic support. Ouroboros is based in Arizona but operates as a fully remote entity and can serve people nationwide. Please note: Ouroboros Integration and Education Services does not provide medical, psychiatric, or therapeutic diagnosis or treatment. We do not substitute for licensed healthcare providers and will not operate in states in which services are deemed illegal. Email john@paperflowerpsychiatry.com to schedule All clients engaging in our services must complete a consent and disclosure form outlining the nature, scope, and limitations of our services. Clients acknowledge that engaging with altered states of consciousness carries personal risks. Participation in our educational or integration services is voluntary and at their own discretion. Ouroboros Integration and Education Services is not liable for outcomes resulting from individual choices. Email John If you have a question, are interested in a collaboration or would like to book Ouroboros for an educational seminar, presentation or workshop, you can contact him directly. John@paperflowerpsychiatry.com Anchor 3

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

Meet Jane Na, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering expert care and psychiatric medications in Tempe, AZ. Jane Na, MSN, PMHNP-BC Hi! I’m Jane, I am a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering compassionate mental health care, with an approach that focuses on empowering the patient to feel heard about their health care choices and decisions. I have special interests in the LGBTQIA+ population, cultural and religious trauma, ADHD, anxiety, and mood disorders. I have extensive prior experience in providing patient care across diverse healthcare roles including various positions in both medical and psychiatric settings at major hospitals, most notably providing direct care to COVID-19 patients throughout the pandemic, experience with SMI populations in acute emergencies, and various treatment modalities such as electroconvulsive therapy and trans magnetic stimulation. I am born and raised in Arizona, where I still reside with my spouse and fur-child. In my free time I enjoy being a caregiver to my many house plants, travelling, camping, being a pro-bono private chef to my friends and family, and working out. I am passionate about integrating lifestyle and holistic approaches in the treatment of mental health and believe in the importance of fostering long-term relationships with my patients to promote wellness across all stages of life. LGBTQIA Mental Health Jane is incredible at connecting with people across the lifespan especially adolescents -- particularly in the LGBTQIA+ demographic. She strongly understands the implications that LGBTQIA+ requires specialty care. Religious Trauma While we don't offer therapy, it is critical that your provider understands the impact of your history on your symptoms. Jane offers strong understanding and has a passion for working with survivors of religious trauma. BIPOC As a Korean-American, Jane remains passionate about serving BIPOC populations -- especially first generation immigrants. Q&A What is your favorite movie? Midnight in Paris, confession- I’m a Francophile. I love anything and everything that has to do with anything French and history, which is the perfect combination for this movie in which the main character (Owen Wilson) time travels to the 1920’s, the Golden Age in Paris and mingles with all the cultural greats including the Salvador Dali, Picasso, Ernest Hemingway, etc. I also love the book The Nightingale by Kristin Hannah, and there are rumors that there will be a movie adaptation, so adding that to the future favorites list as well. Favorite superhero? Mulan! Growing up, she was the first “superhero” that I could relate to who looked like me as a young teenager and it was so empowering. Add to that, the fact that she was training with the boys and constantly enduring obstacles and odds that were against her as a female warrior in a male dominated world? Amazing! If you could have a superpower, what superpower would you pick? Definitely teleport to any point in history. I would love to live a day in different time periods anywhere in the world. Be a shopkeeper in ancient Rome, Parisian florist in the 1940s, an activist in the American 70’s. Favorite bands/singer? ome of my favorites include Lady Gaga (best performance I have ever seen live), Daft Punk, Glass Animals, Masego, Jungle, Tems, Post Malone, Kehlani, Beyonce, J.Cole, and I enjoy frequenting international playlists on spotify and seeing what is popular elsewhere. If you had 3 wishes, what would you wish for? A radical transformation in the hearts and minds of humanity, where everyone can live in peace and solidarity without division and hate. Eradication of politics, and creation of a magical system that supports the best interest of every human being. Free airline travel for everyone to anywhere. Tell us a fun fact about yourself: I am a huge sports fan! I love mainly basketball, baseball, football, and the Olympics, and you can catch me tearing up throughout the entire opening and closing ceremonies. Go Suns, Cards, Dbacks! Tell us about your pets: I have one dog her name is Salem, she’s a Maltese-Poodle mix who is an introvert and lives comfortably with her anxiety. She will only drink water if you pretend to dump out the old and put new water in her bowl, likes her alone time, but is the sweetest, most well-behaved little fur-child. What are other things you feel could be beneficial to improve mental health other than medications?: I mentioned some in my previous answer, but there are so many aspects to improving our mental health other than medications, and I absolutely love diving into these conversations. I am a reformed workout junkie, believe in the idea of exercise in strengthening our mental health whether it starts with taking brief walks throughout the day or strength training. 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 may repeat this when we meet in real life, but I want you to know that I am here for you. This is your time, your story, you are in control, and I will provide you with a safe, confidential, and non-judgmental space. It’s difficult enough to have to repeat these difficult topics, but I am here to actively support you though your journey. You've mentioned being passionate about working with people with religious/cultural trauma - can you tell us about that? Many people who endure any form of trauma due to either religion or culture most often do not have a choice in which group or setting they were born, unfortunately we don’t get to choose what kind of life we will live. I distinctly remember growing up wondering why I was born with certain contexts in place. Religions and cultures have many characteristics, teachings, definitions, and beliefs that can provide positive guidance and wonderful benefits in life, but unfortunately much stigma, a life of surveillance, prejudice, lack of acceptance, and discrimination can also arise. Working with those who have shared these experiences is important to me because these forms of trauma can deeply shape a person’s identity, relationships, and worldview, creating long-lasting effects on mental health. I am here for you to rediscover your own agency and feel validated in your experience. 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! 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? Whether or not someone wants to be on medications is completely up to them. There are many different factors that may play a role in the decision, but ultimately medications are only a piece of the larger puzzle, and sometimes to complete the puzzle, they may need to be utilized depending on the situation. I do believe in holistic and functional psychiatry as well, involving various components such as nutritional interventions, gut brain health, hormones, lifestyle factors to name a few, but sometimes we need help with the neurotransmitters in our brain that may be imbalanced and need some encouragement to get back on track. It is also impossible to say if medications need to be lifelong, because just like that, life is long and it truly depends on the multiple mile markers along your journey. Do you have any personal experiences regarding mental health you are open to sharing? When I came out to my Korean parents at age 15, they called a Catholic priest and psychiatrist (both Korean) over to our house. I’m sure you can tell what kind of ride I’ve had in my own mental health experience. Part of the reason why I immediately wanted to study psychology in college was so I could help another young girl with so much angst understand why they were feeling this way, and that it was going to get better. Guess what, it did get better, and now I have the pleasure of pursuing my lifelong goal! How do you feel about marijuana? I completely support the powerful and positive benefits of marijuana, but with anything in life, in moderation and depending on your specific situation. What are your thoughts about treating adult ADHD? I was never treated for ADHD as a child because my parents did not believe in mental health care, but I remember struggling so much throughout my younger life with all the symptoms but thought it was normal. I didn’t realize until I was older that I was working much harder than others to accomplish the same tasks. Since then, I have been treated for ADHD as an adult, and firmly believe that proper assessment and treatment can be a gamechanger for many who continue to struggle in their adult years.