ADHD therapists and psychiatrists in Saint Augustine, FL

Breaking Generational Cycles! Casey loves their family though some behaviors are toxic. They want to make sure the cycle stops with them. They aren't sure how. That's where therapy comes in. In therapy they have a private space that’s entirely theirs. They have someone who listens and doesn't interrupt or talk only about themselves. They don’t have to filter what they say, manage anyone else’s feelings, or worry about being “too much,” “too sensitive,” or “dramatic.” Together, we focus on what’s underneath the anxiety and repeating patterns, helping Casey understand themselves and approach relationships with greater clarity and intention. This ultimately stops the generational, toxic cycle. Hi, I'm Alicia. If this sounds like something you'd like to work on, let's talk about it. I've been in the field for over 15 years and have helped numerous clients with breaking cycles of all kinds. I especially enjoy working with young adults.

Life can feel overwhelming when you’re navigating anxiety, depression, low self-esteem, teen or family concerns, trauma, relationship or marriage challenges, conflict or divorce, grief and loss, life changes, or difficulties with communication, behavior, and coping. You don’t have to face these challenges—or questions about mood, healing, or hopelessness—alone. I offer a compassionate, nonjudgmental space where you can feel heard, understood, and supported. Using a humanistic, client-centered approach, I’ll help you explore your curiosity, intuition, creativity, and strengths as you discover the tools within you to flourish. When you’re ready, I warmly invite you to reach out and take the next step toward healing and hope.

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.

I’m Karina Smith, LCSW, founder of Bloom Haven Therapeutic Services❀. I specialize in working with young adults and adults navigating anxiety, depression, trauma, ADHD, and life transitions related to relationships, career shifts, and family dynamics. I also support individuals experiencing the lasting impact of trauma or feeling stuck in patterns that are difficult to break.

My work is grounded in EMDR, DBT-informed therapy, somatic approaches, CBT, and mindfulness-based practices. I’m also an advocate and serve on the PAIMI Council for Disability Rights Florida.

Hi! I am here to provide support through your journey. It can be scary, it can feel like it’s not worth it, but you deserve to have emotional peace. Together we can work on that!

Hi, I’m Dominique, a Licensed Professional Counselor and Substance Abuse Counselor. I've worked with adults navigating substance use concerns, anxiety, relationships, identity, and major life changes for almost a decade. My approach is real, compassionate, and culturally aware. I believe therapy should feel like a conversation that helps you grow, not a clinical checklist.

As a Licensed Mental Health Counselor, I am passionate about helping others find alignment within themselves and in the world around them. I specialize in working with children, teens, and young adults who are navigating anxiety, depression, and periods of feeling stuck or overwhelmed. Taking the first step toward change takes immense courage, and I’m truly glad you’re here.

I am a Licensed Clinical Social Worker with a variety of professional experiences. I have a unique competency and passion in working with young children and their caregivers (8 and under) as well as working with First Responder families.

I obtained my MSW from the University of Pittsburgh and my most recent jobs have included working as a child therapist and Early Childhood Mental Health consultant, I obtained my LSW in 2020 and my LCSW in 2024. I also am a Certified Clinical Trauma Professional, trained in EMDR.