Anxiety and depression therapists and psychiatrists in Kissimmee, FL

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.

Born and raised in Central Florida, I attended UCF and Rollins College. I have spent time in youth ministry and have extensive experience in health care administration, business management and sales.

I'm married with 3 young kids and love outdoor activities, golf, coaching little league and spending time with friends and family.

I work with clients dealing with low self-worth or self-esteem, depression, anxiety, compulsive & addictive behaviors, unwanted sexual behaviors, social isolation & disconnection, spiritual & existential issues, couples & relational issues, and much more.

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.

̊+‧꒰ა ♡ ໒꒱ ‧+ ̊About Me ̊+‧꒰ა ♡ ໒꒱ ‧+ ̊

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 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.