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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. Meet The Team Founder & CEO Dr. Maria Ingalla, DNP, PMHNP-BC (she/her) Contact: maria@paperflowerpsychiatry.com Maria started the practice back in 2020 and continues to build Paperflower into a cornerstone of progressive mental health care in the state of Arizona. She has built a social media presence in the mental health community with her podcast and TikTok . But most of the time she just has a headache from wrangling her feisty toddlers. Learn more Practice Manager Delfina Honne (she/her) Contact: delfina@paperflowerpsychiatry.com Direct phone: 602-327-3152 Also speaks: Spanish Delfina is our practice manager. She handles administrative duties, patient care, support team tasks, pharmacy calls, refills, and any patient concerns that are escalated. She is a gem of a human that really cares about other people and will make you feel heard. She has years of case management experience and can help connect you with resources if needed. She also handles QB & Tova testing, local networking, along with community events. Learn more Team Lead Rome Gamusaran, RN (he/him) Contact: rome@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Rome was our original support team member, and now oversees the entire team in the Philipphines including the billing department and our support team. Learn more Support team Supervisor June Landingin (he/him) Contact: june@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog June is an incredible resource at Paperflower - handling our prior authorizations. This means he's the guy that makes sure your insurance covers your medications. He also supervises our support team, answers your calls, calls your pharmacy... basically all the things. Learn more Community Liaison Thea Montesclaros (she/her) Contact: thea@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Thea is our community liaison. She manages our referral network, ensuring that we have up to date information on practices we work with across Arizona. She is our point of contact if you'd like to work with our clinic. She also handles medical records. Learn more Credentialing & Support Specialist Michelle Aguila (she/her) Contact: credentialing@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Michelle works as our credentialing specialist -- this means she maintains all current information and negotiations with insurance companies to ensure that we stay paneled. She also is cross-trained and works in our support team and alongside our billing team. She is a gentle presence so be nice to her if you get her on the phone! Learn more Billing Expert Ken Ramirez (he/him) Contact: ken@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Ken works as an expert in accounts receivable, billing reports, claim submission and denials. He is a key fighter against insurance companies to make sure we try to get your healthcare covered, and also to make sure we don't bankrupt because they underpay us. That being said, we really like Ken. Learn more Billing Expert Jed Pambid (he/him) Contact: billing@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Jed works as an expert in coding, billing, claim submission and denials. He will be receiving your calls and emails in regards to any concerns with your insurance, denials, etc. Jed says he has a girlfriend but we are not sure we believe if the photos were AI or not. Learn more Billing Expert Donna (she/her) Contact: billing@paperflowerpsychiatry.com Phone: 602-613-0455 Also speaks: Tagalog Donna handles patient collections, payment plans, sliding scales and helps manages any concerns with your credit cards or insurance. She works on insurance verification to make sure we aren't getting denied because we weren't covered in the first place. Learn more Social Media Manager Zerry Ramirez (she/her) Contact: socialmedia@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Zerry is our incredible social media manager who handles our instagram and facebook accounts, edits our podcast and manages our youtube . She is incredible at graphic design. Learn more Education Development Expert Gillian Ilagan (she/her) Contact: gillian@paperflowerpsychiatry.com Phone: 928-504-4700 Also speaks: Tagalog Gillian is a registered psychologist in the Philipphines and does incredible humanitarian work. She currently makes educational materials for our patients and the general public, and helps us to build courses for professionals. She is really brilliant and incredible and we love her. Learn more

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

Discover the best eating disorder recommendations in Arizona. Our health-focused website provides valuable resources and support for those in need. Nutrición y tratamiento de los trastornos alimentarios Abbey Roberts (dietista) Opciones para adolescentes y adultos. Ubicaciones en Scottsdale, Tempe (programa ambulatorio intensivo) y Wickenberg (tratamiento residencial). Fat positive, Health at Every Size trabajará con usted para desestigmatizar la comida y el peso más allá de simplemente hablar de lo habitual. Conexiones comunitarias Programas ambulatorios intensivos para adolescentes y adultos, así como programas residenciales. Futuros saludables En Scottsdale se encuentran disponibles programas ambulatorios intensivos tanto para adolescentes como para adultos. All Star Dieticians Trabajamos con todo tipo de trastornos alimentarios, pero también brindamos apoyo dietético para la nutrición deportiva y ofrecemos pruebas metabólicas. Rancho Rosewood Opciones para adolescentes y adultos. Ubicaciones en Scottsdale, Tempe (programa ambulatorio intensivo) y Wickenberg (tratamiento residencial). Bienestar Sinnergy Especialistas en todo tipo de trastornos alimentarios para todas las edades. Programa para atracones alimentarios. Equipo integral. Tratamiento disponible para el trastorno de ingesta alimentaria restrictiva y evitativa. Abby Chan Abby is a dietician who specializes in helping people re-establish their relationship to food, movement, and their bodies while practicing body acceptance and neutrality.

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.

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 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

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.

Meet Mallory Hodges, an energetic, friendly, compassionate psychiatric mental health nurse practitioner at Paperflower Psychiatry. Mallory specializes in LGBTQ populations, anxiety and sees all ages -- although young adults are her jam! Accepting new patients. Meet Melissa Alas Solicitar cita Melissa Alas PMHNPBC (ella /suya) Enfermera practicante de salud mental psiquiátrica Mallory is a board-certified psychiatric NP who previously trained with our original NP, Jonathan Frank. Mallory has experience working with adults in the ICU setting. She brings a calm and grounded energy to every situation, creating a welcoming and supportive atmosphere. Her positive outlook helps her connect easily with others, and she approaches challenges with optimism and an open mind. Mallory fosters a sense of ease and encouragement in both personal and professional interactions, maintaining a happy, uplifting demeanor even in high-pressure environments. She is deeply committed to supporting the mental health and well-being of the LGBTQIA2S+ community. Her passion lies in creating safe, affirming spaces where individuals can explore their identities, overcome challenges, and thrive. Mallory strives to provide culturally competent and inclusive care that acknowledges and celebrates the unique experiences of this diverse community. Mallory with be working at our North office in person, once a month in Flagstaff & Tempe, as well as virtually.

Meet Tatiana Sanabria, PMHNP-BC, a psychiatric nurse practitioner specializing in trauma-informed care for marginalized communities, including BIPOC and LGBTQ+ individuals. Now offering telehealth services for adolescents and adults across Arizona. Conoce a Tatiana Sanabria Tatiana Sanabria, MSN, PMHNP-BC Tatiana is a board certified psychiatric mental health nurse practitioner who has experience working with children, adolescents, young adults, and adults. She is passionate about providing care to folks from marginalized communities, particularly those from low-income, BIPOC, and LGBTQIA+ communities. Tatiana previously worked as McLean Hospital in Massachusetts, which is a renowned facility which has been named as #1 for psychiatric care in the United States. She currently specializes in seeing ages 13 to 65. Tatiana currently resides in Miami, Florida but is excited to provide us telehealth care in Arizona. She has two cats - JJ and Mamow which you can read more about in her Q&A and meet during your appointment with her! BIPOC Mental Health Tatiana is passionate about working with and providing quality care to people of color. LGBTQIA+ Mental Health Taitana holds a strong understanding and passion for treating members of the LGBTQIA+ community. Anxiety It is no secret that seeking psychiatric care is anxiety-provoking (when you already have anxiety), but Tatiana is a calming, non-judgmental presence who serves as an expert in anxiety medication. Q&A What is your favorite movie? Avengers: Infinity War (made me happy cry at one point), the Harry Potter Series (read all the books too), anything X-men, of course the Jurassic Park movies, and Finding Dory because I experienced so many emotions when I watched it. I’m also a BIG fan of horror films. The Exorcism of Emily Rose and As Above So Below are probably my faves. Favorite superhero: Hmmm… Does El from Stranger Things count? I’d also say Storm and Spiderman. If you could have a superpower, what superpower would you pick? Either have the ability to travel to other dimensions (because maybe things are better elsewhere) or have the ability to replicate myself and others (like Hermoine did) so we can be in multiple places at once. Favorite bands/singer? I’d say my favorite artists are SZA, Moliy, Amaarae, Tobi Lou, Alina Baraz, Drake, and KYLE. I also LOVE reggaeton. I like listening to Rauw Alejandro, Karol G, Sech, Jhay Cortez, and of course Bad Bunny. If you had 3 wishes, what would you wish for? First and foremost, I’d wish for a world where everyone was safe, happy, food and shelter were a human right/free, everyone was caring and accepting and looked out for one another, and capitalism didn’t exist… 2. To have the means to give my family everything they deserve (especially my mom) ♥️ 3. To see (and potentially pet) all the cute/cool animals in the world. What is your favorite food? I’m Colombian and Salvadoran. Our food is amazing (e.g. empanadas, arepas, tamales, pupusas). Oh wait, I just thought of another. I used to have 2 chickens as pets. We called one of them chicken parm… Tell us about your pets. I have 2 fur babies, Kitty aka Mamow and JJ. Kitty is 13 years old, and my family has had her since she was a teeny tiny kitten that fit in the palm of my hand. Her original name is Kitty, but we used to call her “mi amor” which later merged into “Mamow”. I now mostly call her “Mamow”. JJ (original name Junior Junior) is 6 years old and one of Mamow’s babies. He’s a big softy. But Mamow? Not so much. What are you most passionate about in the mental health field? Recognizing that mental health conditions don’t exist in a vacuum. Trauma, the social and political climate, financial insecurity, medical problems, and a number of other things can all impact mental health. To me it’s so important to always explore and understand the context in which someone is experiencing life. I also strongly believe that various forms of oppression (racism, homophobia, transphobia, sexism, etc.) can contribute to the onset of a new psychiatric condition or exacerbate an existing condition. In my opinion this needs to be recognized and acknowledged more in the field of mental health/psychiatry. What are your thoughts about treating adult ADHD? I think it’s entirely possible that ADHD went undetected and/or untreated in childhood and now is more of an issue for someone as an adult. With further assessment, I’m definitely open to treating adult ADHD. What is your philosophy on using medication to treat mental health? Are medications lifelong? I believe it’s my responsibility to provide as much education about the psychiatric condition(s) and medication(s) as I can for us to then have a conversation about treatment. You know better than anyone else what your experience is and what your goals are. My goal is that we come up with a treatment plan together that is appropriate and doable, whether that includes medications or not. I think medications can be lifelong, but they definitely don’t have to be. It varies person to person. What are other things you feel could be beneficial to improve mental health other than medications? Support. And this can look like a lot of different things. Financial support, therapy, an open ear, skills teaching, school support, childcare, a solid support system, and so many other things. But ultimately, medications unfortunately won’t solve everything. Support is just as important, if not more. Talk to us about your experience working with trauma and dissociative disorders: As a registered nurse, I worked on a unit that provided treatment to patients with extensive trauma histories. Our patients typically presented with depression, PTSD, dissociation, and/or Borderline Personality Disorder. Given the current state of the world, our patients were usually cis-women and folks who identified with the LGBTQIA+ community. Life can sometimes be really hard and really unfair. I get that. My goal was to always do my best to create a welcoming, safe, genuine, and compassionate environment. With this as the foundation, there is a lot we can begin to tackle. Do you have any personal experiences regarding mental health you are opening to sharing? I always thought I was just shy and introverted but turns out I actually have social anxiety (LOL). I’ve also experienced different types of trauma throughout my life and that was really hard… but here I am alive and well, and in a place to meet you. 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? That it’s your decision whether to share or not, and how much or how little. These can be really tough topics and they can bring up a lot of different thoughts and emotions. If you want to hold off on sharing until down the road, that’s cool with me too. Just know that if/when you do decide to share, I’m not judging you for your experience. I’m here to support you.

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 :)

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. Wanting to learn more about mental health? We've been working on offering some educational resources, and we're happy to add anything else you might be interested in! Just email gillian@paperflowerpsychiatry.com with any ideas, and we're on it for researching and putting it together. This is what we've got so far to start your journey in learning. Depression, Bipolar & Mood Anxiety & OCD ADHD & Autism LGBTQIA+ & BIPOC Mental Health Trauma & Stress Pregnancy & Postpartum Depression, Bipolar & Mood I'm a strong believer that depression and bipolar exist on a "mood spectrum" and the DSM5 is garbage when it comes to trying to understand etiology, symptoms or a true label. The truth is that there is so much we don't know yet about these topics. And some people continue to struggle despite trying dozens of medications. What we do know is that these are not personal failures. And you're not alone. Educational Content: Parenting A Depressed Teen Bipolar Disorder: Key Facts Navigating Grief's Stages Unlocking Lithium Chinese Herbal Ingredients with Potential Serotonin Effects Identification of Suicide Signs Medications Hurting Sleep & Mood Anxiety & OCD Social anxiety, generalized anxiety, phobias, agoraphobia, trichotillomania, excoriation disorder, obsessive compulsive disorder, hoarding.. these are beasts to live with. And it's not as simple as "just don't think about it," or "think positive." Educational Content: Autism or OCD? Understanding Children's Anxiety Parenting Through Teen Anxiety Autism & ADHD We do assess for ADHD in our regular evaluations for all ages and we offer comprehensive self-pay neurodivergence evaluations for those who are seeking clarification on an autism diagnosis. We recognize that AUDHD also comes with sensory processing concerns, frequently with connective tissue disorders, MCAS, POTS.. at Paperflower, we are openly neurodivergent owned (and tbh, staffed) and support a neuroaffirmative approach. Educational Content: A Self-Help Guide for Recently Diagnosed Autistic Adults POTS & Neurodivergence ADHD & Anhedonia: when motivation ghosts you. A Guide for ADHD Families on the Road Sources of Fatigue in ASD + ADHD When Diagnosis Hurts More than it Helps The TOVA ADHD Test The QB ADHD Test Sensory Therapy Options for your Child A Sensory Guide for Parenting Understanding Sensory Issues Utilizing ChatGPT for ADHD Making Therapy Accessible for Neurodivergent Kids Hacks to Improve Focus & Flow Parenting Tips for Children with ADHD 7 Things That Have Helped Autistic People Why Classic Therapies Often Do not Work for Autistic Kids Managing Hormonal Depression as an Autistic Person Autism & Identity Navigation Mapping the Autistic Survival Spectrum Autism or OCD: A Guide for Parents How to be a Better Friend to an Autistic Person NEUROAFFIRMING THERAPY: Guide for Parents Understanding the Brain/Body Connection in Neurodivergence POTS and Neurodivergence: What You Need to Know Resources: Community Resources Compiled by Neurodiverse Counseling The Dysautonomia Project EDS Specialists Recommended Books Unmasking Autism Sincerely Your Autistic Child Neurotribes 101 Games & Activities to Play with your Autistic Child LGBTQIA+ & BIPOC Mental Health We understand that within BIPOC & LGBTQIA communities, there are differing health concerns that stem back to historical cruelty, mistrust in the system and continued health disparities into the current year. We know the statistics say that when you have a provider of color as a person of color, your outcome is better. For all of us, continuing to educate ourselves, especially at this oppressive point in history, is critical. Educational Content: Navigating Legal Name Changes in 2025: A Step-by-Step Guide A Quick Q&A Sheet on Gender-Affirming Healthcare: Puberty Blockers, HRT & Surgery Navigating the Legal Name Change Process for LGBTQIA+ Your Guide to HRT & Gender-Affirming Surgeries in Arizona Accessing HRT in 2025: What You Need to Know Taking Control: A Short Guide to Puberty Blockers How to Be the Adult Who Makes a Difference What Actually Puts LGBTQIA+ Kids at Risk Fertility, Pregnancy & Postpartum Mental health concerns are ever present if you are planning a pregnancy, going through fertility treatments, grieving a miscarriage or stillbirth, are pregnant or freshly postpartum (or maybe a year or two postpartum because wtf, body). Educational Content: Pregnancy 101 Mom Brain: What it is, why it happens, and chatgpt prompts to save the day Prenatal Visit Understanding Postpartum Depression Tips for a Healthy Mind During Pregnancy Nutrients during Pregnancy Trauma & Stress The one thing I can truly say about our practice is that we genuinely try to be trauma informed. We all operate under the principle that everyone has probably experienced trauma, and therefore we need to always make sure we are not inadvertently re-traumatizing anyone. But we are here to hear your story and work alongside in your journey to heal. Educational Content: Managing Traumatic Brain Injury Understanding How Complex PTSD Affects the Body Showing Up for a Friend in a Shame Spiral Natural Supplements for Focus & Calm Understanding How Complex PTSD Affects the Body Understanding Burnout: A Systemic and Neurobiological Perspective Surviving the Stress: Mental Health Struggles of Undocumented Immigrants Other Mental Health Concerns & Tips Anyone who is out there boasting that lifestyle changes are the key to mental health changes can go away, tbh. But mental wellness definitely has components of a ton of things -- and self care, whatever that looks like, is apart of that. Here's some resources. Educational Content: Marijuana Withdrawal Melatonin vs. Sleep Aids ChatGPT for Easy Food Prep Spotting and Supporting Learning Differences in Kids Mastering Sleep Hygiene Supporting Neurodivergent Kids: A Parent’s Guide to Affirming Therapy Melatonin Basics Fueling Your Body Right MTHFR: What to Know Side Effects: How to Avoid Them HOW TO: Apply for IEP Plan Unlocking GeneSight Insights HOW TO: Apply for 504 Plan Dangers of Low Vitamin D Overcoming Nicotine Dependence Couple Communication Hacks Key Details for Your Provider Coloring book: PAWS, PEACE, & POWER! MCAS and Diet: Figuring Out What Actually Helps A First-Timer’s Guide to Ketamine Treatment What to Expect (and Explore) During Ketamine Treatment What Happens During Ketamine Treatment Moving Smarter with EDS: A Practical Guide to Safer Stretching Choosing the Right Ketamine Treatment: IM vs Spravato Mental Health Resources for Undocumented Immigrants After Ketamine: Integration, Reflection, and Recovery Thinking About Supplements With EDS? Here's What You Should Know. When Nothing Else Has Worked: Considering Ketamine Treatment for Mental Health Supplements and MCAs How-To Guide for Providers: Preparing Patients for Ketamine Treatment

Meet Thea, the compassionate community liaison at Paper Flower Psychiatry's psychiatric support team in Arizona. Contact her for exceptional mental health support. Thea Montesclaros Thea K. Montesclaros is a registered Psychometrician and our new support team member. She will be handling phone calls and medical records. Her whole heart is in the field of Psychology and she is driven by her passion to help people struggling with mental health. To do this, she will be coordinating with different providers that best fit your needs and makes sure that your medical records are updated. She is currently obsessed with books and her ultimate goal is to make a library out of her tiny bedroom. She also paints and has been experimenting with different form of arts for years but can't stick to one medium for some reason. Regardless, she prides her open-mindedness that makes her easy to converse with. Although she would listen to your concerns with patience and negative judgment, she begs you not to scream as that may make her cry. Which is very ironic for someone who listens to loud music. She would be very interested to know whatever is going through your mind and assist you in whatever way she can offer. Her goal as a member of the support team is to make sure you feel safe to reach out to us so feel free to be yourself when working with her. contact: thea@paperflowerpsychiatry.com Community Liaison Referral Building Patient Assistance