Book a therapist or psychiatrist in Vista, CA covered by Cigna

I am a highly skilled therapist with a strong focus on trauma therapy, substance abuse, and mental health. I hold dual licensure as a Licensed Marriage and Family Therapist, and as an Associate Clinical Counselor. My educational background includes a Master of Arts in Counseling Psychology from William Jessup University and a Bachelor's degree in Psychology with a minor in Child Development from California State University, Chico.

Are you struggling to have harmony in your relationships? Does having ease in your life seem like a far-fetched dream? Are you feeling overwhelmed with the state of the world and all you have to do? Welcome, you're in the right place! I have been in your shoes and the first (or twenty) step is always the hardest. As someone who has learned to balance multiple cultures, I know what it can feel like to straddle various parts of your identity. I have first hand experienced feeling overwhelmed, frustrated, angry, and at a complete loss for how to navigate the intensity of my emotions. This has informed my practice and work with clients where I strongly believe that our emotions guide us to understanding ourselves in a new light. Asking for help can be difficult, especially in a culture that values productivity over personality.

I'm Saby Kirpal, a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner dedicated to providing comprehensive mental health care. I hold Master's degrees from Chamberlain University and Walden University, graduating with Presidential Honors, reflecting my commitment to clinical excellence. My diverse professional background spans inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics, giving me insight into mental health treatment at every level of care. I specialize in treating depression, anxiety, autism spectrum disorders, eating disorders, schizophrenia/psychosis, and substance use disorders across age groups. My experience includes working with children as young as eight through adults in crisis stabilization, residential treatment, and ongoing medication management. As Associate Director of Nursing, I've provided clinical oversight across multiple facilities while maintaining patient care, keeping me grounded in real-world challenges.

What makes my practice unique is the integration of my nursing background with psychiatric expertise. I understand how physical health, medications, lifestyle factors, and mental health interconnect. Being trilingual in English, Hindi, and Punjabi, with conversational Spanish, allows me to serve diverse communities and appreciate how culture shapes mental health experiences.

I've worked from UCSF Health to community clinics, teaching me that excellent care isn't about the setting—it's about the relationship. Whether you're seeking help for the first time, between providers, or managing ongoing conditions, I'm here to partner with you. My approach centers on listening first, explaining clearly, and making decisions together. Mental health treatment should never feel like something done to you, but rather something we navigate together. I'm committed to creating a space where you feel respected, understood, and genuinely supported.

Hi, I’m Mercy Nyeche, DNP, PMHNP-BC. I’m a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to helping adults regain clarity, confidence, and emotional balance.

Reaching out for support can feel overwhelming especially when you’re used to being the strong one for everyone else. Whether you’re navigating anxiety, depression, burnout, life transitions, or feeling stuck in patterns that no longer serve you, you don’t have to do it alone.

My approach is compassionate, collaborative, and evidence-based. I take time to truly listen, understand your goals, and create a personalized treatment plan that fits your life, not just your symptoms.

Please note that I do not provide disability paperwork, leave of absence documentation, FMLA forms, legal letters, school accommodation letters, or other administrative forms. The only documentation I provide is a work excuse note for the date of your appointment and, when clinically appropriate based on my evaluation and professional judgment, up to three (3) days off from work. If you require any of the services or documentation listed above, I kindly ask that you schedule with another provider who offers those services. Thank you for your understanding and for helping ensure that your healthcare needs are matched with the appropriate provider.

Hi, I'm Cassie (Cassandra), a board certified Psychiatric Mental Health Nurse Practitioner with over five years of experience in mental health care.

I believe mental health treatment should feel supportive, collaborative, and free of judgment. Every person has a unique story, and I take the time to listen, understand your goals, and create a treatment plan tailored to your individual needs.

I specialize in the treatment of anxiety, depression, ADHD, stress, burnout, sleep concerns, and other common mental health conditions. Through thoughtful psychiatric evaluation and medication management, my goal is to help you find clarity, restore balance, and move forward with confidence.

Whether you are seeking support for the first time or looking for a fresh approach to your mental health care, I strive to provide a comfortable and welcoming space where you feel heard, respected, and supported.

I look forward to partnering with you on your journey toward improved mental wellness and helping you build the tools needed to thrive in everyday life.

It is my prayer to build a practice that helps you reach a place where your mental health is truly at the forefront. My hope is that with each appointment—and each day—you feel supported in moving closer to the best version of yourself.