Care philosophy
Care that addresses the whole person — not just symptoms — through thoughtful evaluation, collaboration, education, and individualized treatment planning.
I partner with adult clients to provide evidence-based, compassionate psychiatric medication management through secure telehealth, focusing on safety, clarity, and collaboration so your treatment plan fits your life, values, and goals.
While medication can be an important part of treatment, meaningful mental health care goes far beyond simply writing prescriptions. Effective psychiatric care requires understanding each person's unique experiences, goals, challenges, and preferences — which is why the evaluation comes first and the plan is built with you rather than handed to you.
— Laura Gabriel, PMHNP-BC, board-certified psychiatric mental health nurse practitioner and founder of NCNE
Care typically begins with a comprehensive evaluation, followed by a focused stabilization phase, and then ongoing maintenance visits.
Care typically begins with a comprehensive evaluation of your history, current symptoms, past treatments, and goals.
A focused stabilization phase, with closer follow-up while medications are started or adjusted.
Ongoing maintenance visits where we review symptoms, adjust medications as needed, and support you in building long-term resilience and recovery.
Sleep, stress, nutrition, substances, medical history and trauma are part of the assessment, because they are usually part of the problem.
Medication used strategically rather than as a first or only answer — at the lowest effective dose, with a clear account of what it does and does not do.
With your permission, coordinated with your primary care team or therapist as needed, so the plan is one plan instead of three.
The same approach across every concern we work with.
Anxiety can show up as constant worry, physical tension, trouble sleeping, or a mind that will not slow down.
Depression is more than a bad week.
Mood that swings, feels unpredictable, or stays stuck at an extreme can be exhausting — for you and for the people around you.
Stress and burnout are not character flaws.
Articles on common conditions, medications, and telehealth.
Gathering your symptom timeline, medication history, and questions ahead of time makes the evaluation more productive and helps you get a treatment plan that fits.
PTSD symptoms respond differently to medication. Nightmares, hyperarousal, and intrusive thoughts improve with the right medications, but trauma-focused therapy remains essential for lasting recovery.
The relationship between alcohol use and depression runs in both directions, each making the other worse. Understanding which came first shapes treatment and determines whether it will work.
Book a first appointment online, or send a message and we will respond within two business days.
If you are in immediate danger, call 911. For urgent support at any hour, call or text 988. Telehealth visits and this website are not an emergency service.