Trauma and PTSD therapists & psychiatrists in Panama City, FL

Welcome to Courageous Living Mental Health Consultants Psychiatric Services:

My name is Ian Dyer, MSN, APRN, PMHNP-BC, and I am a graduate of the University of South Alabama where I completed my Masters of Science in Nursing in the Psychiatric-Mental Health Nurse Practitioner program. I am licensed as an APRN in the State of Florida and board certified as a Psychiatric-Mental Health Nurse Practitioner. I currently have more than 5 years of experience in the field of psychiatric nursing in both the outpatient settings as well as in acute inpatient psychiatric services. At Courageous Living Mental Health Consultants, I provide caring, compassionate, individually based, and thoughtful evidenced-based treatment for a verity of mental health conditions in order to best promote my client’s ability to recover, flourish, and succeed.

I'm a licensed psychologist working with adolescents, adults, and seniors navigating anxiety, depression, grief, significant life changes, or challenges with attention and focus. My goal is to offer a safe, affirming space to explore your life, your story, and what matters most to you — your experiences, your values, and where you hope to go. You are a complex, whole person made up of many parts — and there is room here for all of them.

Marsel Kogan is a board-certified psychiatric-mental health and family nurse practitioner providing evidence-based care for adults. He specializes in psychiatric evaluation and medication management, with a collaborative, goal-focused approach. With experience in outpatient psychiatry, urgent care, and occupational medicine, he offers whole-person care. He is bilingual in Russian and English.

Whether you are carrying the weight of trauma, feeling worn down by anxiety or depression, or working through a painful loss or a strained relationship, you deserve a space where you feel understood and genuinely supported. I am Shanda, a Licensed Clinical Social Worker with 28 years of experience walking alongside adults, couples, and families through life's hardest seasons. My style is open-minded, empowering, and solution-oriented. I will meet you with warmth and without judgment, and I focus on real, practical steps forward. When you are ready, I would be honored to see if we are a good fit.

I believe therapy is a collaborative journey—not a quick fix. If you or your child are feeling overwhelmed, stuck, or weighed down by stress, anxiety, or past experiences, you don’t have to navigate it alone. I work with adults and children, bringing warmth, compassion, and a strengths-based approach to each session. My goal is to create a safe, nonjudgmental space where clients can explore challenges, reconnect with their strengths, and move toward a more fulfilling life. I integrate trauma-informed practices and, when it feels helpful, nature-based techniques to support grounding, perspective, and growth. I’m here to guide and empower you—while helping you take meaningful, practical steps forward.

Refined Beginnings Counseling takes the focus off of issues and highlights solutions. Refined Beginnings Counseling LLC supports an environment that is least restrictive, provides for confidentiality, and convenience by offering tele-mental health services in Florida and both tele-mental health and office visits to clients in Georgia.

I have a passion for creating a collaborative, supportive environment for personal growth and healing. I believe that seeking therapy is a profound act of self-respect and care, and my goal is to provide a space where you feel truly heard and valued. Together, we can navigate the challenges of life, uncovering clarity and direction in the midst of complexity. My approach is rooted in fostering a comfortable, nonjudgmental atmosphere where your story can unfold, and your goals can take center stage.