Bipolar disorder therapists & psychiatrists in Saint Augustine, FL

Comprehensive Mental Health Care for Children, Teens, Adults, Couples and Seniors. "One Practice for The Whole Family throughout all Stages of Life". Starting at age 2.Whether you're a parent worried about your toddler, a teenager navigating something overwhelming or an adult carrying old grief or anxiety I can help. So, wherever you are in life there's a place for you here!

I've spent 30 years working across hospice, psychiatric crisis screening, in patient and out patient programs, medical settings and private practice. I am also EMDR certified, which means I'm trained in a research-backed approach specifically designed to help people heal from trauma, grief and PTSD. I am also the mother of a special needs child so I can relate. I bring all of that experience to our work together.

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.