ADHD therapists and psychiatrists in Lake Mary, FL

Nicolas received his B.A. in psychology from James Madison University in Virginia and his M.S. in Counselor Education-Clinical Mental Health Counseling Track, from Florida International University. He spent over 15 years working with youth and families in the Juvenile Justice Systems in Virginia and Florida before entering into private practice. During that time, he occupied positions in both residential and outpatient settings including serving as a clinical supervisor to multiple teams of therapists operating in Miami-Dade and Broward county.

I am Dr. Patrick Fisher, a licensed and nationally certified counselor with over 20 years of experience in counseling psychology, leadership, and clinical practice. I provide experienced, high-level therapeutic support for individuals and families across the lifespan.

I specialize in working with clients on issues from all aspects of life with expertise in Anxiety, Depression, and Stress, Obsessive Compulsive Disorder, Healing from Trauma and Crisis, Adolescents and Family Support, and Spiritual and Ethical Values.

I’ve spent years sitting with people at their lowest—through addiction, crisis, and the kind of pain that can make life feel unmanageable. That work taught me something I bring into every session now: nobody is “too much,” and no story is too messy. These days, I’m more focused on slower, steadier work. Whether you’re worn down by depression, gripping through stress, or finally ready to be honest about drinking or using, I’ll meet you where you are with steadiness, honesty, and compassion. You don’t need the right words yet; we’ll figure it out together.

I am a Licensed Mental Health Counselor in Florida with more than a decade of experience helping adults navigate life's challenges and find what works for them. Throughout my career, I have worked with individuals from diverse backgrounds in community mental health, providing individual, family, and group therapy to support healing, growth, and lasting change.

I believe that therapy is a collaborative process built on trust, compassion, and respect. My goal is to provide a safe, supportive, and nonjudgmental space where you can explore challenges, develop practical coping skills, and gain greater insight into yourself. Whether you're experiencing anxiety, depression, stress, relationship difficulties, life transitions, or simply feeling overwhelmed, I will work alongside you to help you build resilience and move toward the life you want.

I recognize that reaching out for therapy can feel like a big step, and I strive to make the experience welcoming and empowering. Together, we'll identify your strengths, address obstacles, and develop meaningful strategies that support your emotional well-being and personal growth.

You may be dealing with anxiety, depression, changes in mood, difficulty focusing, poor sleep, or simply feeling unlike yourself lately. Maybe you’ve tried treatment before and still have questions, or you’re considering psychiatric care for the first time and aren’t sure where to begin. At Harborline Psychiatry, we work with adults who want to better understand what they’re experiencing and take an active role in their care. We start by slowing things down, looking at the whole picture, and building a treatment plan that makes sense for you.

I provide psychiatric evaluations and medication management for patients throughout Florida. My approach is thoughtful and collaborative: we’ll consider your symptoms, history, concerns, and goals before deciding what treatment should look like. When medication is appropriate, I’ll explain the options and reasoning so we can make those decisions together.

Reaching out for psychiatric care can feel like a big step, especially if you’ve felt unheard or uncertain about treatment in the past. You don’t need to have everything figured out before we meet. If you’re looking for a thoughtful, collaborative approach to your mental health, I’d be glad to help you find a steadier way forward.