Addiction therapists & psychiatrists in Fernandina Beach, FL

Are you feeling overwhelmed by anxiety, depression, stress, or relationship challenges? Many individuals find themselves stuck despite wanting meaningful change, especially when emotional distress begins to interfere with daily functioning and overall well-being. Therapy offers a structured and supportive space to better understand these challenges and develop effective coping strategies. Seeking professional support is an important first step, and meaningful change occurs through intentional work both in and outside the therapy setting.

My name is Mick Desrameaux, LMHC, and I am a Licensed Mental Health Counselor with extensive experience treating anxiety disorders, depression, trauma-related symptoms, substance use concerns, and co-occurring mental health conditions. I work collaboratively with clients to increase self-awareness, emotional regulation, and insight into patterns that affect relationships and personal growth. My therapeutic approach is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness, and motivational interviewing.

I provide a safe, confidential, and nonjudgmental therapy environment where clients feel respected and supported. My goal is to help individuals feel empowered, build healthier relationships, and develop practical skills for long-term emotional stability. I am committed to delivering client-centered, ethical, and culturally responsive mental health counseling, supporting clients as they move toward greater balance, resilience, and overall mental wellness.

Struggling with insomnia, anxiety, or depression? Together, we'll build practical skills to help you sleep better, break unhelpful patterns, and move toward a life that feels more meaningful. I'm a goal-focused therapist who believes lasting change happens one step at a time. Progress isn't about perfection—it's about continuing to move forward, one step at a time.

I am a psychotherapist that has been in the field for over 20 years. I'm specialized and trauma and believe in providing a space that feels safe an is client centered.

I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I specialize in treating clients with trauma, relationship issues, and borderline personality disorder.

I am a licensed clinical social worker with 28 years of experience partnering with adolescents, adults of all ages and families. I am bilingual so I offer therapy in english and spanish.

I am a CSWR with 15 years of clinical experience providing assessment and treatment to individuals, families, youth, and couples, and I have maintained a private practice since 2018.

My approach to mental health care is collaborative, compassionate, and evidence-based. I believe in treating the whole person — not just symptoms. Every patient receives individualized care tailored to their personal goals, medical history, and life circumstances.

Elizabeth Lerner received her Bachelor of Science Degree in Speech Communications and Sociology from the University of Miami in 1993 and earned her Master’s Degree in Social Work from Florida International University in 1995. She became licensed in 1998 and is a qualified supervisor for those seeking Florida licensure.

Whether this is your first time experience with therapy or you’re returning after some time away, my goal is to provide a warm, welcoming, and judgment-free space where you feel comfortable being yourself and sharing your story at your own pace. As a Licensed Mental Health Counselor with over a decade of experience supporting individuals through life’s challenges, I’ve had the privilege of working with individuals from diverse backgrounds facing anxiety, depression, ADHD, trauma, stress, relationship concerns, life transitions, and other emotional challenges.

Makenson is board certified psychiatric mental health nurse practitioner (PMHNP-BC), with a Master degree in nursing Practice (MSN). He is very passionate about providing high quality of comprehensive mental health services to adolescents and adults. Makenson possesses strong clinical skills which enables him to build rapport with patients and families. He follows evidence-based practices, combined with clinical experience, good intuition and observation. As a PHMNP, Makenson's role is versatile, including patient's advocate, psychotherapy and ,therapist.