Obsessive-compulsive disorder therapists & psychiatrists in Saint Augustine, FL

I am aware that committing to therapy can seem frightening and intensely overwhelming, and frequently, the absolute hardest phase is making the choice to begin. Despite that, you are here today, effectively launching your vital journey to heal and revitalize. I sincerely welcome the chance to interact with you and explore exactly how I can help you. My clinical method is deeply warm, compassionate, and interactive.

I understand how heavy life can feel when you’re carrying more than your share. As a Psychiatric Mental Health Nurse Practitioner, I work with adults who find themselves stuck in cycles of overwhelming anxiety, depression, panic, and fear, or weighed down by the endless demands of responsibilities. Many of my patients describe feeling exhausted, unfocused, and unable to enjoy the life they’ve worked so hard for—yet they still struggle silently, unsure where to turn for help.

I am a Licensed Mental Health Counselor (LMHC) with over 15 years of experience providing compassionate, evidence based therapy. As a Cuban immigrant, I understand the unique challenges faced by ethnically and racially diverse clients. I offer therapy in English and Spanish for individuals, couples, and families across Florida via telehealth, helping you navigate eating disorders, trauma, anxiety, depression, and relationship concerns.

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.

Life can feel overwhelming when anxiety, depression, trauma, or difficult life transitions begin affecting your relationships, confidence, and ability to enjoy everyday life. You may feel emotionally exhausted, stuck in patterns that no longer serve you, or uncertain about how to move forward. You don't have to carry those struggles alone, and meaningful change is possible. I partner with individuals experiencing anxiety, depression, cultural and ethnic issues, women's issues, and trauma so they can build confidence, strengthen relationships, and create a greater sense of balance and emotional wellbeing. Working with adolescents and adults in both English and Spanish, I strive to create a welcoming, culturally responsive environment where you feel understood, respected, and empowered to grow.

With over 20 years of experience in the mental health field, I've had the privilege of working across a wide range of treatment settings, including acute care, non-acute care, residential treatment, and outpatient therapy. I work with adolescents and adults and have experience providing individual and couples therapy.

My primary areas of focus include relationship counseling using the Gottman Method, chronic pain and chronic illness through Pain Reprocessing Therapy (PRT), addiction treatment informed by the work of Dr. Carl Hart, and Borderline Personality Disorder using Dialectical Behavior Therapy (DBT).

In addition to these specialty areas, I frequently help clients navigate anxiety, panic attacks, depression, life transitions, adjustment disorders, parenting challenges, workplace stress, and the everyday demands that can leave us all feeling overwhelmed!