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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 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 :)

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

Tabitha Arey, PMHNP-BC, offers trauma-informed psychiatric care at Paperflower Psychiatry. Specializing in mental health for children, teens, and adults, including foster care and substance use disorders. Now accepting new patients across Arizona. Tabitha Arey, MSN, PMHNP-BC Tabitha is a board certified psychiatric nurse practitioner with experience working with kids and teens in the foster care system, adults experiencing substance use disorders, and patients in the Trauma/Neuro ICU and COVID ICU experiencing extreme mental and physical trauma and loss. These experiences have affirmed her passion for mental health care and obsession with the fascinating and resilient nature of the human brain and people’s ability to overcome adversity. She also just generally enjoys helping others find ways to effectively cope with the bittersweetness of living, parenting, and experiencing joy in today’s social, environmental, and political climate. Her two small humans and two rescue pups keep her on her toes and provide plenty of laughter and chaos on the daily. We can confirm she has a dark sense of humor, dislikes talking about herself and will vibe with you if you're socially awkward. Neurodivergence Tabitha offers neurodivergence evaluations for autism and ADHD -- and she is an incredibly affirming presence even if you choose to go the self diagnosis route. Ketamine Tabitha will be offering Ketamine evaluations and IM administration at our Tempe location on select days. Substance Use Finding a provider who thoroughly understands and can not be judgmental in terms of treating co-existing substance use disorders can be difficult - but Tabitha is definitely your person for this. Q&A What is your favorite movie? I’m more of a TV show person, but favorite movies would include Star Wars, Avatar, and Interstellar. Favorite Superhero: Deadpool – simply for the laughs and dark humor. But Dr. Strange and Gamora are close runner ups since they are smart and badass and whatnot. If you could have a superpower, what superpower would you pick? Time travel – pretty sure I would thrive as a cavewoman. Favorite bands/singer? I am unapologetically a product of the 90’s, so my taste in music is all over the place – some faves include Radiohead, Blink-182, Jack Johnson, or any 90’s hip hop. If you had 3 wishes, what would you wish for? to live right next to a mountain so I could hike every day, an end to fighting/war in the name of religion, and free health care for all. Tell me a fun fact about yourself: If I had to choose another career, I’d be a marine biologist. I’ve been a scuba instructor since my early 20’s and I’m lowkey obsessed with the weird creatures in the ocean (octopus, jellyfish, nudibranchs) and love diving with sharks. Tell us about your pets: I have 2 rescue doggos. The grumpy old lady Zoe is an 11-year-old Chi-weenie who weighs 9lbs and is [obviously] the alpha. The big ol’ doofus Lincoln is a 6-year-old heeler/pitbull/dalmatian mix with tall/skinny legs, which makes him resemble an AT-AT robot from Star Wars. What are you most passionate about in the mental health field? : I mean – all of it. But if I have to pick one thing it would be ending stigma. We have come a long way, but there’s still so much shame and secrecy surrounding mental illness. Stigma just perpetuates and compounds the problems experienced by people with a mental health diagnosis. Being able to openly share and seek help without fear of judgment is the best way to realize we’re all human and we’re in this together. What are your thoughts about treating adult ADHD?: I think treatment depends on how it affects your everyday life, which can vary greatly from person to person. Being diagnosed in adulthood is becoming more common as we begin to understand how people (especially women) adapt, compensate, and mask symptoms of neurodivergence from an early age and may not match textbook definitions. 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 certainly don’t have to tell me anything you don’t want to. It does help to have a clear picture of your history to differentiate between symptoms of trauma and other diagnoses; however, this is entirely up to you if you wish to share or not. I will ask in a general way, and you can give as much or as little info as you want. I have plenty of personal and professional experience with processing traumatic events, so you don’t have to feel alone in your tough experiences ever. What are other things you feel could be beneficial to improve mental health other than medications?: I’m a big advocate for therapy, especially if you find a therapist you vibe with and can be completely honest with. There’s also so much research supporting the effects of nutrition, exercise, sleep, and sunlight on mental health, so despite them being almost everyone’s least favorite solution – they can be a game changer. What is your philosophy on using medication to treat mental health? Are medications lifelong? : Medication for mental health can be lifesaving – I have no doubt about this. However, I understand why a person may be hesitant to try this option due to many factors, such as side effects, stigma, and general misconceptions about some meds. I do think there are many ways to approach mental health treatment and medications are only one potential piece of the puzzle. I believe medications can, in most cases, support a struggling individual in a way that allows them to not have to spend so much energy just to keep their head above water. As a result, they can instead use that energy to engage in therapy and/or other services that can help complete that mental health care puzzle and lead to more long-term solutions. The duration of medication for mental health depends entirely on the risk versus benefit for each person, and it is ultimately your choice if you decide medications aren’t right for you for any reason. Do you have any personal experiences regarding mental health you are open to sharing? sharing? I have definitely had my own experiences in mental health care throughout my life, and that is a part of what led me to this field. I think that making it through the things I’ve made it through has solidified my belief that anyone can persevere and thrive despite any setback, adversity, or shitty situation. Tell us about the intersection between your experience in the neuro ICU and psychiatry?: Neuro ICU taught me so much about how even just the smallest of changes in our brains can alter so many aspects of everyday lives including language, balance, memory, learning, motor function – everything. It was also a place where many people were experiencing the worst days of their lives at a young age due to head trauma, strokes, and other similar things. This environment nudged me into having the absolute honor of holding parent’s/spouse’s/children’s hands while guiding them through the devastating process of unexpected loss, giving me the constant reminder that there are only 2 guarantees in life: birth and death; everything in between is what we make of it. Taking care of our meat suits – especially the noggin portion can make our time here more enjoyable.

Meet Jon Frank, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering expert care and psychiatric medications in Tempe AZ. Jonathan Frank, MSN PMHNP-BC Gay, chill (on the outside), and running on a delicate cocktail of anxiety and ADHD—so yes, I will forget what I was saying mid-sentence, but I’ll remember a random fact about peppers forever. Drummer by trade and/or compulsion, because hitting things rhythmically is cheaper than therapy (except I also believe in therapy… thanks to my dogs). I play in a metal band called Hill Giant Witch. Speaking of dogs: proud servant to two huskies who are therapy dogs, which means they calm other people while screaming at ghosts and sirens at home. I grow hot peppers—lots of them—because I enjoy pain, flavor, and confusing my digestive system. Atheist, but spiritually connected to good music (emo and metal), spicy food, and naps. Generally easygoing, occasionally overwhelmed, always trying my best. If I’m not drumming, farming peppers, or being pulled down the street by huskies, I’m probably overthinking something that absolutely does not matter. Chill vibes, loud drums, spicy peppers, anxious energy, zero gods.. welcome to the brand. --- note from maria/the owner: in case you're wondering what kind of provider jon is.. jon once was so angry at a pharmacist for not filling a prescription for a patient that he drove to the pharmacy himself to yell at the pharmacy and sit there until the prescription was filled. he's truly an advocate who cares. Forensic Psychiatry Jon can also be found working at the Arizona State Hospital. Although he's specialized in the forensic population there, he's also just a giant teddy bear who low key prefers working with some anxiety + depression <3 Bipolar & ADHD Jon has spent a large part of his career working to understand and treat bipolar disorder, ADHD, and to truly understand the intersection when both of these exist. Psychosis If you've experienced or are experiencing psychosis through depression, bipolar, schizoaffective or another disorder, Jon is the most equipped to help with years of experience.

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

Meet Gillian Ilagon, the creative mind behind the compelling content at Paperflower Psychiatry. Join her journey as a content creator at Paperflower Psychiatry. Solicitar cita Conoce a Gillian Gillian Ilagon (ella/ella) Desarrollador de contenido psiquiátrico gillian@paperflowerpsychiatry.com Gillian es una profesional de la salud mental con una maestría en psicología clínica y una especialidad en asesoramiento y rehabilitación de adicciones globales. Ha pasado más de dos años como administradora de casos en un centro de rehabilitación para pacientes internados, guiando a las personas a través de la montaña rusa de la recuperación. Pero después de pasar bastante tiempo persiguiendo a clientes por el pabellón psiquiátrico, Gillian decidió cambiar el caos por algo un poco más tranquilo: el desarrollo de contenidos. Allí, podía dedicarse a su pasión y, al mismo tiempo, ayudar a la gente sin todo el drama. Ahora, su misión es crear recursos para cualquier persona que quiera entender mejor el funcionamiento interno de su mente o aprender más sobre la condición de salud mental de su ser querido. A pesar de afirmar que es introvertida, Gillian puede ser bastante comunicativa, especialmente cuando los temas giran en torno a los videojuegos, las cosas geek/nerd, el K-Pop y los gatos. Hablando de gatos, Gillian es una orgullosa sirvienta de Astra la Garra de las Sombras, la Primera de su Nombre, la Última de su Especie, Soberana de la Ventana Iluminada por el Sol, Gobernante de la Cacería de Medianoche y Guardiana del Lugar Sagrado de la Siesta. Gillian Ilagan Gillian is a mental health pro with a Master’s in Clinical Psychology and a specialty in Global Addiction Counseling and Rehabilitation. She’s spent over two years as a case manager in an inpatient rehab center, guiding people through the rollercoaster of recovery. But after enough time chasing clients around the psychiatric ward, Gillian decided to swap the chaos for something a little more chill—content development. Here, she could indulge her passion and still help people without all the drama. Now, she is on a mission to create resources for anyone looking to understand their mind’s inner workings better or to learn more about their loved one’s mental health condition. Despite claiming to be an introvert, Gillian can be quite talkative, especially when the topics revolve around gaming, geek/nerdy stuff, K-Pop, and cats. Speaking of cats, Gillian is a proud servant of Astra the Shadowclaw, First of Her Name, Last of Her Kind, Sovereign of the Sunlit Window, Ruler of the Midnight Hunt, and Keeper of the Sacred Napping Spot. Contact: gillian@paperflowerpsychiatry.com Content Creation CEU Development Patient Education

Meet Jed Pambid, the diligent billing specialist at Paperflower Psychiatry in Arizona, USA. Get to know the friendly face behind the financial operations. Conoce a Jed Solicitar cita Jerome Pambid With a robust 7 years of experience in the US Medical Billing field, I have honed my expertise in the intricate processes of claim submissions, managing rejections, addressing denials, and conducting payment postings with precision and efficiency. My career is marked by a steadfast commitment to ensuring the financial health and compliance of healthcare practices, navigating the complex landscape of medical insurance with a detail-oriented and analytical approach. Beyond my professional life, I am an ardent fan of the epic narratives and rich lore of “The Lord of the Rings” trilogy, finding solace and inspiration in the journey through Middle-earth. Similarly, the thrilling escapades of the Winchester brothers in the “Supernatural” TV series captivate my imagination, offering a blend of mystery and adventure that resonates with my own sense of exploration. Embracing the spirit of adventure that these series evoke, I cherish the opportunity to go out of town whenever possible. Whether it’s seeking the tranquility of secluded landscapes or the thrill of new experiences, these journeys are a testament to my love for discovery and the joy of stepping away from the routine to embrace the vastness of our world. Contact: billing@paperflowerpsychiatry.com Insurance Denia Insurance Claims Patient Assistance

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

Jonathan Frank, PMHNP-BC, provides compassionate psychiatric care specializing in adult ADHD, mood disorders, and LGBTQ+ mental health. Offering patient-centered therapy and medication management for adults in Phoenix, AZ. Now accepting new patients. Jonathan Frank, MSN PMHNP-BC Gay, chill (on the outside), and running on a delicate cocktail of anxiety and ADHD—so yes, I will forget what I was saying mid-sentence, but I’ll remember a random fact about peppers forever. Drummer by trade and/or compulsion, because hitting things rhythmically is cheaper than therapy (except I also believe in therapy… thanks to my dogs). I play in a metal band called Hill Giant Witch. Speaking of dogs: proud servant to two huskies who are therapy dogs, which means they calm other people while screaming at ghosts and sirens at home. I grow hot peppers—lots of them—because I enjoy pain, flavor, and confusing my digestive system. Atheist, but spiritually connected to good music (emo and metal), spicy food, and naps. Generally easygoing, occasionally overwhelmed, always trying my best. If I’m not drumming, farming peppers, or being pulled down the street by huskies, I’m probably overthinking something that absolutely does not matter. Chill vibes, loud drums, spicy peppers, anxious energy, zero gods.. welcome to the brand. Note from Maria/the owner: in case you're wondering what kind of provider jon is.. jon once was so angry at a pharmacist for not filling a prescription for a patient that he drove to the pharmacy himself to yell at the pharmacy and sit there until the prescription was filled. he's truly an advocate who cares. Forensic Psychiatry Jon can also be found working at the Arizona State Hospital. Although he's specialized in the forensic population there, he's also just a giant teddy bear who low key prefers working with some anxiety + depression <3 Bipolar & ADHD Jon has spent a large part of his career working to understand and treat bipolar disorder, ADHD, and to truly understand the intersection when both of these exist. Trauma Jon is a soul that you can spend time with and think "okay, I think it's time I finally open up about this," and feel totally validated about it. Q&A What is your favorite movie? That is a difficult one as I have quite a few. The Crow, SLC Punk, Inception, and The Burbs Favorite superhero? Wolverine. If you could have a superpower, what superpower would you pick? Teleportation. With this power, I would never work again. Favorite bands/singer? Deftones, Sleeping with Sirens, Pierce the Veil, The Used, Blink-182, AFI, The Ataris, Bring Me the Horizon. If you had 3 wishes, what would you wish for? 1. I’d wish all wishes I thought of would want to come true. 2. To understand animals. 3. To have superpowers Fun fact about you: I have more aluminum in my body than most people do. I am injury prone. I find comedy in everything…trauma history. Tell me about your pets Jedda and Koda are my babies. They are such calm, sweet, and loving girls. They are trained therapy dogs and love meeting new people. They absolutely hate sirens and make sure everyone knows when they hear one. Both the girls are very bonded, which means they are always in eye-sight of one another. They are so nice to each other, one can take a treat right out of the others mouth and no fighting or growling occurs. I’m not kidding. They are my life savers and I am forever grateful for their love and companionship. What are ways beyond medication that can improve your mental health? Music. Music is in every aspect of my life. Ask my husband and he will tell you I sing a song about EVERYTHING. A commercial comes on, I take a sentence and sing it. I’ve played several instruments in my life, however, drums are my favorite. When I was 17 years old, my friend and I were offered an indie label contract for our punk rock band, Stag. We turned it down to go to college. I can only wonder what would have happened had we taken it. Music gives me peace and helps me focus What are your thoughts on adult ADHD? I was not diagnosed with ADHD until I was 26 years old, while in nursing school. Being treated for it was life changing. Had I been treated as a kid, I would not be here, I’d be terraforming Mars. Treating adults with ADHD is something I am passionate about. The hard part with adults is differentiating ADHD with other mental health disorders that share commonalities…this is where I come in 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 am just as nervous as you are. Does not matter if it is the 1 millionth evaluation, I am still nervous. We will make it through this together. Hahahaha (nervous laugh). On a serious note, these are nerve racking because you are answering questions you may have not been asked before. It takes a lot of trust to be able to feel comfortable. That trust doesn’t happen immediately, but grows over time. Traumatic events affect everyone differently, but they DO affect everyone. I am an ear to listen to what you want to talk about. I never push, but leave the “door open” for you. What are some other things you feel could be beneficial to improve mental health other than medications? Therapy is a huge component of healing and gaining control of your mental health. Therapy, I believe, is 50% of the treatment. When medication is warranted, in combination with therapy, the result is amazing. Medications can alleviate quickly, but they can be a bandaid, therapy is where the healing occurs. 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? That comes down to the mental health disorder. I have to be on medications fo lyfe. That can be hard to stomach for some people, but I believe that comes from the negative stigma with medication and psychiatry. I look at medications as a tool is your mental health tool box, along side therapy. In some mental health disorders, medication may not be for life. That is something we would talk about and work through. Do you have any personal experiences regarding mental health you are open to sharing? I have mental health disorders. I used to say “suffer from”, but I feel that mindset lends to the negative view of mental health. I embrace it and own it. Ask me about it. Sometimes when you know other people think and feel the similar to you, you feel the world is not as small as it was before. You’re not alone. What are some experiences you have had that make you unique? When working in the ED (Emergency Department), I saw how people with a mental health disorder were treated and I felt that I wanted to make a difference. I felt the dignity and respect were absent in the ED and I wanted to make sure I restored that for everyone who struggles at times. We all have dark moments, but we should never be made to feel bad or guilty for them. Always reach out…ask Delfina, she has had to listen to me sob on the phone because I was so sad. But she walked me through it, then Maria called and told me to suck it up. Lol.

Meet Michaela Tweh, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering expert care and psychiatric medications in Tucson, AZ. Michaela Tweh, MSN, PMHNP-BC Hi, I’m Michaela! I’m a board-certified Psychiatric Mental Health Nurse Practitioner who is excited to collaborate with patients in order to provide individualized and non- judgmental mental healthcare. Patient autonomy is my top priority! I have special interests in Perinatal care, ADHD, anxiety, OCD, and neurodivergence. I have been in the nursing field for over seven years, and I love to learn continuously about anything and everything mental health. I was born and raised in beautiful but very grey northern Michigan. The sunshine and warmth of Arizona were calling, leading to the 2,086-mile move for me, my husband, our two girls, and our pets. I am so excited to be here and become a part of this community. Perinatal Care Michaela is passionate about and experienced in the realm of perinatal mental health care. She will ensure that you receive the proper information to make decisions for your pregnancy, postpartum and beyond that will also keep your infant safe. Neurodivergence While Michaela doesn't have experience yet in diagnosing Autism (don't worry, coming soon), she is passionate about working alongside Autistic individuals as well as individuals with ADHD. OCD & Anxiety Michaela maintains a special interest in offering treatment for anxiety disorders and obsessive compulsive disorder. She is happy to work alongside your therapist to make sure you receive the best, validating and anxiety-free care. Q&A What is your favorite movie? I’m more of a TV show person and love Parenthood and This is Us. If I had to choose a movie, I would say anything that makes me laugh and forget about my surroundings like The Goonies or Tommy Boy. Favorite superhero? Elastigirl! She’s a mom who loves her family fiercely while also making time to defend the innocent from villains. I mean, you’ve seen her cool motorcycle, right? Can you tell I have a toddler who watches the Incredibles too often? If you could have a superpower, what superpower would you pick? Shape shifting! How awesome would it be to experience the world from any person, animal, or thing’s point of view? The possibilities are endless. Favorite bands/singer? There is very little music that I don’t like. Every song I hear brings back a memory or forms a new one, and I love that about music. One day I might want to listen to 2000s hip-hop, while the next day I’m in the mood for Brad Paisley or something more relaxed like Noah Kahan. If you had 3 wishes, what would you wish for? 1. Giving every human the trait of empathy. I truly believe most of our world’s problems are caused by a lack of empathy. 2. To travel the world with my family and visit every single country. My husband is from Liberia, so that is the first on my list! 3. Giving every person the opportunity to experience true love and happiness in their life. Tell us a fun fact about yourself: I’m originally from Northern Michigan, but my time as a travel nurse allowed me to live in Texas, Washington State, and New Jersey. I love to travel and explore. I’m new to Arizona, and this sunshine is good for the soul! Tell us about your pets: We have a 9-year-old boxer-pit mix and he is the biggest baby. His favorite things in life are his family, pup cups from Starbucks, and a near empty jar of peanut butter for hours of enjoyment. What are you most passionate about in the mental health field? Patient autonomy and decreasing stigma surrounding mental health. No matter the struggles a person is facing they should have the safe space to be heard, understood without judgement. As a mom who has dealt with postpartum anxiety and intrusive thoughts, I want to be there to support those struggling with perinatal mental health, especially. 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? My office is a safe space, free from judgment, and it’s perfectly normal to be apprehensive about sharing everything about your past. Your past does not define you, and it is not your fault. One of my favorite statements surrounding trauma is “It’s not what’s wrong with you, but what has happened to you.” What is your philosophy on using medication to treat mental health? Are medications lifelong? Medications are a good resource, but their need and effectiveness vary from person to person. There are many ways to treat mental illness such as with therapy, exercise, lifestyle changes, etc. Collaboration is key! You let me know what you are comfortable with, and we will create a plan together. Some patients may want to be on medications their whole life because that works for them, while others may use medication only temporarily. The only correct answer is what works best for you. How do you feel about cannabis use? Being from Michigan, where marijuana is legal for medical and recreational use, I have seen the numerous benefits of its use in many patients, but not all. Let’s talk about it!