Addiction therapists & psychiatrists in Saint Augustine, FL

I am a Board-Certified Psychiatric Nurse Practitioner with 26 years of nursing experience in various capacities, including psychiatric mental health and addiction medicine for the last 8 years. My passion is to walk alongside my patients on their mental health journey, helping them navigate challenges, cultivate lasting wellness, and restore balance for a meaningful and fulfilling life.

I am a licensed mental health counselor and counselor educator in Florida. I have experience working with adults, children/adolescents, couples, and those in substance use recovery.

I get it. You’re tired of feeling stuck, exhausted, and like nothing’s really changing. You’ve been carrying a lot, and it’s starting to feel heavy. As a psychotherapist in practice for over 10 years, I’m passionate about walking alongside adults on their healing journey, especially those navigating trauma, anxiety, depression, and major life transitions. Whether you're a professional burning out, a veteran facing emotional pain, or a student trying to find your footing, I offer support rooted in compassion and real tools like EMDR and CBT. More importantly, I create a space where you can show up just as you are and feel truly seen, safe, and supported.

Welcome! I’m a Psychiatric Mental Health Nurse Practitioner dedicated to helping patients improve their mental health and overall well-being. I work with individuals experiencing depression, anxiety, stress, mood changes, and sleep difficulties. With many years of experience in behavioral health field, including leadership roles in psychiatric care, I bring a thoughtful and comprehensive approach to treatment. My goal is to create a safe and supportive space where you feel comfortable sharing your concerns. Together, we develop a personalized treatment plan focused on stability, emotional wellness, and improving quality of life.

With more than fifteen years of experience in behavioral health, my work is shaped by a deep commitment to helping individuals feel understood, supported, and empowered. My education and early training focused on counseling, addiction treatment, and behavioral health assessment, and I spent many years providing individual, group, and family therapy across detox, residential, and outpatient settings. I’ve worked closely with adults navigating substance use, trauma, anxiety, depression, anger or impulse concerns, ADHD, bipolar disorder, and relationship or family challenges. I’ve also supported LGBTQ+ clients, justice‐involved individuals, and those managing chronic mental illness or complex psychosocial stressors.

In addition to my clinical work, I’ve spent more than a decade in behavioral health utilization management, leading teams that ensure clients receive appropriate, timely, and effective care. This blend of direct therapeutic experience and system‐level leadership gives me a unique perspective: I understand both the personal and structural challenges people face when seeking help. Clients can expect a grounded, compassionate, and collaborative approach—one that honors their story, builds on their strengths, and supports meaningful, sustainable growth.

Hi, I’m Clarrissa Hazel. I’m Caribbean-born, a preacher’s kid, and someone who deeply values faith, family, culture, resilience, and personal growth. I work with individuals who are navigating life transitions, feeling overwhelmed, working through addiction, or trying to become a healthier version of themselves. I also enjoy helping couples strengthen communication, rebuild connection, and work through patterns that may be creating distance.

My goal is to create a space where you feel seen, supported, and encouraged — not judged. Whether you are carrying stress, trying to find balance, rebuilding after a difficult season, or simply wanting more clarity in your life, I would be honored to walk alongside you as you take your next step forward.

Hi, I'm Desiree. I'm bilingual and speak both English and Spanish. As an LMHC, I especially enjoy working with people who may feel apprehensive about starting counseling, as well as those navigating substance use, addiction, depression, family issues, and trauma who are motivated to make changes in their lives and become the best version of themselves. I hold a Bachelor of Science in Psychology from the University of Central Florida and a Master of Science in Clinical Mental Health Counseling from Nova Southeastern University. I was born and raised in New Jersey, and I love working with a diverse population.

It's difficult making the first phone call, booking an appointment and admitting you need help. Whether it's depression, anxiety, a mood disorder or trauma, it's frightening to admit that everything isn't how you want it to be and you don't have all the answers. If you're experiencing sadness, anxiety, mood swings, intrusive thoughts or images, flash backs, numbness or insomnia, there is hope and there is help. I'm going to teach you skills to manage you symptoms, emotions and relationships more effectively.

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.

Hello! I’m Carmen, I’ve been a therapist for over the past ten years. I have a masters degree in Social Work with a concentration in trauma and mental health. I also hold my license in clinical social work.