Bipolar disorder therapists & psychiatrists in Saint Augustine, FL

I believe effective mental health care starts with feeling heard, respected, and understood. I take a collaborative, non-judgmental approach and work closely with you to understand your goals, concerns, and life context—not just your symptoms.

I value clear communication and transparency, so I’ll explain diagnoses, treatment options, and medications in a way that’s easy to understand. My goal is to help you feel confident and informed about your care, not rushed or overwhelmed.

I provide evidence-based medication management while considering the whole person—mental, emotional, and physical health. I welcome questions and encourage active participation in treatment decisions so we can create a plan that truly fits your needs.

Whether you’re seeking care for anxiety, depression, ADHD, mood disorders, or ongoing medication management, I aim to create a supportive, safe space where progress feels achievable and care feels personal.

Feeling anxious, depressed, unfocused, or having difficulty sleeping? You are not alone. I work with adolescents (14+) and adults of all ages. I primarily support individuals navigating anxiety, depression, ADHD, OCD, PTSD, and insomnia, along with other challenges that can make everyday life feel overwhelming. Patients often describe me as calm, understanding, and easy to talk to, and my goal is to create a space where you feel comfortable, supported, and truly heard. I provide personalized psychiatric care, including medication management and practical strategies to help you regain focus, balance, and a sense of control.

Specialties include:

• Anxiety disorders
• Depression & mood disorders
• ADHD & focus challenges
• OCD
• Trauma & PTSD
• Stress, burnout, and sleep difficulties
• & More!

There was a time when I felt trapped by anxiety, depression, and overwhelm. I spent years feeling like I was constantly reacting to the world around me—easily overwhelmed, shutting down, and unsure how to move forward. I was living in a hypervigiliant state - always on edge, feeling unsafe in relationships and in my aloneness. This was also followed with depressive states followed by shame and guilt. Working with a Practitioner in Somatic Experiencing has transformed my emotional well being by helping my brain and body recognize safety and reducing my sensitivity to unpleasant sensations and arousal. I now feel more in control, I welcome unpleasant bodily sensations when they show up, and feel more safe in my body.

Hi, I’m Maikel Echemendia, a Psychiatric Mental Health Nurse Practitioner serving patients in Florida through both in-person and telehealth appointments. I specialize in helping adults who struggle with anxiety, depression, insomnia, panic symptoms, mood disorders, ADHD, trauma-related symptoms, and life stressors. My approach is warm, supportive, and practical. I believe patients should feel heard, respected, and understood—not judged. Many people come to treatment feeling overwhelmed, emotionally exhausted, anxious, or stuck, and my goal is to help them regain stability, clarity, and confidence in their daily lives.

There is nothing more profound and sacred than our physical, emotional, mental and spiritual wellbeing.

I am a Licensed Mental Health Counselor (LMHC), Master’s Level Certified Addiction Professional (MCAP), Certified Trauma Focused Cognitive Behavior Therapist (TF-CBT), and Qualified Supervisor (QS) for the state of Florida. I earned my Bachelor’s degree in 1997 from the University of Central Florida (UCF) in the field of Psychology. In 2001, I graduated with Honors from Webster University with my Master’s degree in Counseling.

I started my career in 1995 as a Behavior Specialist, working with children and their families. After 10 years of dedicating my time to this population, I ventured out into the unchartered territory of addiction; specifically substance abuse and eating disorder. Since 2014, when I am not providing therapy locally, I travel as a Military & Family Life Counselor (MFLC); serving our military families on military installations; in the US and abroad. In 2022, I became certified as a Yoga Teacher and Social Emotional Learning Facilitator.

I am a board-certified nurse practitioner specializing in mental health. I am dedicated to providing compassionate, evidence-based care. I work with individuals across the lifespan to address conditions such as anxiety, depression, and trauma. Using a patient-centered approach, my goal is to create a safe and supportive space where clients feel heard and empowered in their healing journey.

I am licensed in Florida with over 20 years of professional work experience. We all have experiences that have left us feeling unsafe, unloved, lost, confused, helpless, or unwell emotionally. I have experience working with individuals who have suffer with anxiety, trauma responses, mood disorders, parenting, and more. My hope is that I can help everyone build capacity to build good interpersonal skills, personal skills, and self love; thus creating opportunities to manage "yuk" when things do not go as expected or when someone does not feel important.

You are not alone. Life creates our experiences and the lens for which we see things. How we see anything, is how we see everything. Come join me in my office or through teletherapy. We can discover your lens and figure out how to change it's color through skills, perception, and self love. We got this! You got this!

Hi, I'm Connolly D'Souza. I’m a Licensed Clinical Social Worker, Certified Addictions Professional, and Certified Trauma Specialist. I support individuals navigating trauma, substance use, anxiety, depression, and life transitions. I offer a warm, nonjudgmental space where you can feel safe, heard, and supported.