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

I use a four- fold approach to treating beyond traditional psychotherapy to help you on your journey. I have PhD in Clinical psychology, two master's degree (one in community counseling, one in community psychology). I also have a degree in Addictions and one in business management. Having worked every level of care from an inpatient hospital setting, residential long-term care, in a jail, a prison, out-patient levels for intensive three times per week to one time per week and taught in two universities. I am working my favorite level of care on an out-patient setting. Training has been in addictions, mental health, couples and family systems. I have other specialties with chronic pain and nutrition/bariatrics and obesity and available to provide medical and court evaluations with limited testing. I see children from 12 and up and adults/geriatrics.

I have over 15 years of therapeutic services with individual, couples and family.

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!

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.

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!

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.

Dating, maintaining healthy relationships, and keeping it spicy in the bedroom can be challenging and feel overwhelming. Whether you are single or in a relationship, couple’s therapy can help.

My work with Couples focuses on issues of communication, intimacy, infidelity, trust and sexual difficulties. If you are single, and are looking to work through past or prospective relationships, we can work on helping identify the factors getting in the way of finding, or maintaining healthy relationships.

Experiencing a lack of sexual fulfillment during any stage your life can feel isolating, challenging and overwhelming. Whether you are single, dating, in an open relationship, or in a committed relationship. When “sex isn’t working”, it feels uncomfortable and frustrating, and can make you feel like there is something wrong with you.

We can work together in Sex Therapy, as an Individual or as a Couple to help you achieve the positive sex goals you want and deserve. I'm an English/Spanish speaking Psychotherapist. I specialize in Individuals, Couples and Sex Therapy. I would like to help you feel better and have success in all areas of your life. Give me a call for a free consultation.