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

⭐ I’m Shelly Lewin, LCSW/LICSW, a therapist with 31 years of experience helping adults navigate anxiety, depression, trauma, substance use, identity issues, and major life transitions. I provide virtual therapy across Arizona, Florida, Illinois, Kentucky, New Mexico, and West Virginia, offering accessible, evidence‐based care to clients seeking meaningful and lasting change. I have 30+ years of experience in private practice and leadership roles at organizations including:

• The Joint Commission
• Northwestern Memorial Hospital
• Kaiser Permanente
• Common Spirit
• Mount Sinai Health System

This background allows me to offer deep clinical expertise paired with practical, real‐world understanding of how people heal and grow. My approach is warm, collaborative, open‐minded, and affirming. If you're feeling overwhelmed, stuck, or ready for change, I’m here to walk beside you with steady support and clinically grounded guidance. I specialize in therapy for adults experiencing:

• Anxiety & panic disorders
• Depression & mood disorders
• PTSD and trauma recovery
• Substance use and addiction
• LGBTQIA+ affirmative care
• Men’s issues & identity exploration
• Life and career transitions
• Chronic illness & long-term stress

Additional areas of expertise include: Bipolar disorder, OCD, grief & loss, workplace stress, anger management, cultural/ethnic identity issues, expat adjustment, relationship issues, family challenges, and end-of-life concerns

If you’re feeling overwhelmed, stuck, or simply not like yourself, you’re not alone—and you don’t have to navigate it on your own. Whether you're dealing with stress, anxiety, life transitions, or emotional burnout, therapy can help you regain clarity and control. Together, we’ll focus on understanding your full experience—not just symptoms—so you can move toward lasting, meaningful change and feel more grounded in your daily life.

Hello, I'm Rejith Kumaran, APRN, PMHNP-BC, MSN, a board-certified Psychiatric-Mental Health Nurse Practitioner providing compassionate, evidence-based care for adolescents and adults. I treat ADHD, Anxiety, Depression, PTSD, OCD, Bipolar disorder, and other psychiatric conditions through personalized medication management and supportive therapy. I prescribe Stimulant/Non-Stimulant medications for appropriately diagnosed ADHD when clinically indicated. My practice focuses on general outpatient psychiatry, and I generally do not provide ongoing management of chronic benzodiazepines, opioid pain medications, methadone, buprenorphine (Suboxone), or other medication-assisted treatment (MAT) for opioid use disorder. My goal is to deliver safe, collaborative, patient-centered care that supports lasting mental wellness.

I am a dual board-certified Family Nurse Practitioner (FNP-BC) and Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with over 15 years of healthcare experience caring for children, adolescents, adults, and older adults. I earned my BSN from Nova Southeastern University, MSN-FNP from the University of South Alabama, Doctor of Nursing Practice (DNP) from the University of Florida, and Post-Master's PMHNP certificate from Wilkes University.

My background includes intensive care, family medicine, urgent care, oncology, thoracic surgery, correctional healthcare, and outpatient psychiatry. This diverse experience allows me to understand the connection between physical and mental health while providing compassionate, evidence-based care.

I specialize in evaluating and treating anxiety, depression, panic disorder, PTSD and trauma, ADHD, bipolar disorder, OCD, insomnia, stress and burnout, adjustment disorders, grief, relationship concerns, self-esteem issues, women's mental health, postpartum depression and anxiety, and life transitions. I also work with individuals experiencing emotional dysregulation, caregiver stress, and co-occurring mental health conditions.

My approach is collaborative, holistic, and individualized. I combine medication management with evidence-based therapy techniques, including Cognitive Behavioral Therapy (CBT), supportive therapy, motivational interviewing, solution-focused therapy, mindfulness, psychoeducation, and strengths-based interventions. I believe every person deserves to feel heard, respected, and empowered throughout their journey.

I strive to create a safe, supportive, and judgment-free environment where you can openly discuss your concerns and work toward meaningful, lasting change.

Provider with rich career progression spanning nursing, hospice care, and psychiatric care. Beginning her career as a registered nurse, Xiomara developed a deep understanding of patient care across diverse clinical settings before specializing in psychiatric mental health. Her experience in hospice care cultivated a profound appreciation for the emotional and psychological dimensions of health. As a psychiatric supervisor, she has mentored emerging clinicians while maintaining her own evidence-based clinical practice. Xiomara's approach combines clinical expertise with genuine empathy.

NOW ACCEPTING NEW PATIENTS – SAME DAY TELEHEALTH APPOINTMENTS AVAILABLE

Feeling overwhelmed, anxious, unfocused, or emotionally exhausted? I provide personalized psychiatric care for adults in Texas and Florida seeking support for ADHD, anxiety, depression, OCD, mood disorders, insomnia, and stress/burnout.

As a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I provide psychiatric evaluations and medication management for adults struggling with difficulty focusing, racing thoughts, excessive worry, low motivation, irritability, emotional overwhelm, executive dysfunction, and mood changes.

My patients include busy professionals, college students, parents, and adults who want practical, individualized mental health care without feeling rushed.

Together, we'll develop a treatment plan tailored to your goals using medication management, education, and practical strategies to help you function better at work, school, home, and in your relationships.

Same-day and evening telehealth appointments may be available. New patients welcome.

🚨 IMPORTANT BOOKING NOTE

Please email me before booking through Headway so I can help confirm the correct appointment type and availability.

📧 Email: [email protected]

📅 Calendar: https://calendar.app.google/mthW2bCyu8UjfChA9

Hi, I’m Dr. Deneice, DNP, MBA, MSN, APRN, PMHNP-BC. I am a doctoral-prepared, board-certified psychiatric mental health nurse practitioner and owner of Eden Total Care.

I provide concierge-style virtual psychiatric care for young-feeling adults at any age who are navigating anxiety, depression, insomnia, PTSD, PMDD, ADHD, autism-related concerns, mood symptoms, emotional overwhelm, burnout, and diagnostic uncertainty.

My primary role is psychiatric evaluation and medication management. I also incorporate supportive therapy, life coaching, and holistic guidance when appropriate. My goal is to help you feel heard, understood, and properly treated — not rushed, dismissed, or reduced to a diagnosis.

Appointment Guide:

• New clients: 40-minute initial assessment

• Returning clients: 20-minute follow-up

• Self-Pay clients: may request longer appointments

Please email or message me before booking an appointment to ensure availability. Limited appointment times are available, and emailing directly is the fastest way to get started.