Obsessive-compulsive disorder therapists & psychiatrists in North Miami Beach, FL

I'm Karina Astigarrabia Ferraz, PMHNP-BC — a Board-certified Psychiatric-Mental Health Nurse Practitioner practicing in Florida. Before specializing in psychiatry, I spent years as a Board certified nurse in cardiac intensive care, an experience that deepened my understanding of how the mind and body are inseparable. That background shapes the way I practice: I see mental health as rooted in biology, physiology, and lived experience — not just symptoms to be managed. I believe therapy is one of the most powerful and underutilized tools in mental health care. My work centers on evidence-based approaches — Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Interpersonal Therapy — integrated with a positive psychiatry framework that focuses on your strengths, resilience, and capacity to heal. When medication is appropriate, I incorporate it thoughtfully as part of a broader, individualized plan. Clients often describe me as warm, unhurried, and genuinely curious about their lives. I collaborate with Brain X Dynamics as an independent clinician, sharing a commitment to whole-person, holistic care — including attention to brain metabolism and the biological foundations of emotional well-being.

I graduated with honors from National Louis University with my Master’s in Clinical Mental Health Counseling. I received a bachelor’s degree in Special Education in 2013 from Walsh University in Ohio. I taught children with varying exceptionalities and learning differences for five years. I have over ten years of experience working with children and adults with autism, ADHD, and various learning disabilities.

I utilize interventions of various approaches to best assist my clients in accomplishing their individual goals. These approaches include Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, Solution Focused Therapy, Acceptance and Commitment Therapy, Mindfulness Based Therapy, Cognitive Processing Therapy and Narrative Therapy. I am also a certified yoga teacher.

Have you lost yourself in the demands of life or relationships? I offer support to women who feel drained, stuck, or invisible reconnect with their identity and reclaim their confidence.

I specialize in helping women who’ve lost their voice in trauma, toxic relationships, or life transitions reclaim their identity and rebuild confidence.

Feeling "stuck" is one of the most frustrating human experiences, but it’s often the starting point for meaningful change. Whether you are navigating a major life transition, managing the weight of anxiety and depression, or simply feeling like you’ve lost your way, you don’t have to figure it out alone.

I am a licensed clinical psychologist with over 17 years of experience. My career began in private practice in 2008, followed by years of dedicated service to active-duty military members and veterans. This background has given me a deep, specialized understanding of resilience, trauma, and the unique pressures faced by high-performing individuals.