Obsessive-compulsive disorder therapists & psychiatrists in Altamonte Springs, FL

Taking the first step toward therapy can feel overwhelming, especially when you're carrying anxiety, depression, mood changes, or emotions that seem difficult to manage on your own. I believe everyone deserves a space where they feel heard without judgment and supported through life's challenges. Whether you're navigating ADHD, bipolar disorder, anger management concerns, trauma, grief, relationship struggles, identity questions, or simply feeling stuck, my goal is to help you better understand yourself while building the tools you need to move forward. I work with both adolescents and adults, recognizing that every stage of life brings unique experiences and obstacles. Together, we'll create a supportive, collaborative environment where you can explore what's weighing on you, discover your strengths, and work toward meaningful, lasting change at a pace that feels right for you.

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Hi everyone! My name is Ivy, and I am a psychiatric nurse practitioner based in Orlando, FL.

I am a 28 year old female (she/her) that enjoys watching anime, playing video games, and spending time with my five cats.

Outside of work, I like to spend time with my fiance. We love to explore and try new food places, so if you're looking for recommendations, I have tons!

I am a compassionate listener who is focused on helping to improve our patient's quality of life.

At Sivana Counseling, I work with my clients across a wide range of emotional concerns including depression, anxiety, stress, trauma, and general life transitions. I strive to create a space that feels safe, respectful, and genuinely supportive for you.

I earned my Bachelor of Arts in Psychology with a minor in Sociology, followed by a Master of Arts in Mental Health Counseling; both from the University of Central Florida. I am a licensed mental health counselor in the state of Florida and have been in practice for 15 years. I work with both adolescents and adults and tailor my approach to meet each client’s individual needs.

I am an ethically and ethnically driven psychotherapist in Florida. With a degree in Philosophy and Religion from Roberts Wesleyan College, NY and CACREP accredited Master's Degree in Clinical Mental Health Counseling from Capella University. I have over 5000 hours of direct psychotherapy experience with clinical expertise spanning the spectrum of individual psychotherapy for mental health disorders to everyday life challenges through individual, couples, and family therapy.

Graduate of Rollins College's Clinical Mental Health Counseling program, I transitioned from a corporate sales background to embrace my passion: therapy. Drawing from diverse experiences, I specialize in assisting individuals navigate anger, depression, anxiety, trauma, and career challenges. My holistic approach is rooted in understanding, hoping to bring clarity and resolution to the issues you a hoping to resolve.

I received my PhD in Clinical Psychology from Pacifica Graduate Institute in 2016. I am a Florida licensed psychotherapist and have maintained a private practice for 17 years in Orlando and Winter Park. I have specialized training in the following: Clinical Trauma Professional and Clinical Hypnotherapist, and Qualified Clinical Supervisor. I am also a certified Psychedelic-Assisted Therapist through Integrative Psychiatry Institute, and MAPS.

Every person is unique and has a personal story to tell. My focus is the client and use a multi-modal approach to walk alongside each individual that enters the therapy setting, empowering clients to become the best version of themself. Whether individuals are managing LGBTQ+ issues, Trauma/PTSD, Grief/Loss, Anxiety, Depression, Bipolar, Substance Abuse, Personality Disorders, or other life challenge, allow me to meet you on your journey, and help you discover the amazing individual within.

Carmen Arrufat Ives is a board-certified Psychiatric Mental Health Nurse Practitioner who brings both heart and expertise to her work. She’s passionate about trauma-informed, developmentally thoughtful care—blending psychotherapy, medication management, and holistic strategies to help patients heal, grow, and truly thrive.

She completed advanced clinical training with the U.S. Department of Veterans Affairs, where she specialized in treating PTSD, military sexual trauma, and complex psychiatric conditions. Carmen is also a graduate of The REACH Institute’s Evidence-Based Treatment for Pediatric Primary Care program, giving her specialized expertise in working with children and adolescents navigating anxiety, ADHD, mood, and behavioral challenges.

With advanced training in cognitive behavioral therapy (CBT), trauma-focused CBT, and EMDR, Carmen integrates neuroscience, preventive mental health, and whole-person care to support individuals and families across every stage of life.

Outside of work, Carmen enjoys spending quality time with her family, friends, and her beloved “furry family,” recharging through connection, laughter, and everyday moments that matter most.