Trauma and PTSD therapists & psychiatrists in Saint Augustine, FL

I believe that prioritizing your mental health is a major key to a happy, fulfilling life. Seeking help can be one of the hardest parts, so congratulations on taking that step! I’ve been practicing for 5 years, but before I was a therapist I taught high school. Because of my background in education, I love working with young adult females who are struggling with identity, self-confidence, anxiety and depression.

In the words of Kawhi Leonard "I'm a fun guy". I take therapy very seriously but I'm also very chill and friendly.

Life has a way of piling on, and sometimes you need someone in your corner who isn't going to judge you or rush you. That's what I'm here for.

I'm a licensed mental health counselor based in Central Florida. I've spent my career working with teens, adults, and seniors through anxiety, depression, trauma, grief, stress, and the relationship struggles that wear a person down. Whatever you bring in, chances are I've sat with someone through something like it. My approach is flexible because every person arrives with a different story, different strengths, and their own definition of healing.

I’m Dr. Madeline Michel, a board-certified Psychiatric Mental Health Nurse Practitioner with nearly 20 years of nursing experience and more than 13 years of experience as a nurse practitioner. I earned my Doctor of Nursing Practice (DNP) degree from the Christine E. Lynn College of Nursing at Florida Atlantic University and hold three board certifications as a Psychiatric Mental Health Nurse Practitioner, Family Nurse Practitioner, and Gerontological Nurse Practitioner through the American Nurses Credentialing Center (ANCC).

Throughout my career, I have had the privilege of caring for individuals across the lifespan in a variety of clinical settings. My professional background includes psychiatry, substance use disorders, cognitive disorders, and neurology. I previously practiced as a neurology hospitalist nurse practitioner at several hospitals throughout South Florida and as a cognition-specialized Gerontological Nurse Practitioner at the Louis and Anne Green Memory Wellness Center, a state-designated Memory Disorder Clinic. These experiences have given me a broad understanding of the relationship between mental, cognitive, neurological, and physical health.

I'm a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a Doctorate in Nursing Practice. I've been a registered nurse since 2009 and a Nurse Practitioner since 2018, with extensive experience in inpatient mental health and addiction treatment settings.

I specialize in medication management for treating complex mental health conditions and substance use disorders, including experience in coordinating and administering long-acting injections to support long-term stability and recovery. I bring both clinical expertise and grounded compassion to every appointment. When we work together, we'll develop a treatment plan tailored to what matters most to you, because you're always the expert on your own life.

I use a solution focused approach which means I use modalities that suit your needs best. They include CBT, DBT, EMDR, and mindfulness practices.

During our initial therapy session, my priority is to create a safe space for you to share your story and understand how I can best support you. You can expect:

-Introductions & Overview: To discuss the framework for our work together and a chance for you to ask any initial questions about the process.

-Sharing Your Presenting Concerns: This is your opportunity to describe what brings you to therapy. We'll focus on the challenges and symptoms you are currently experiencing, giving me a clear understanding of your primary concerns.

-Brief History Taking: To provide comprehensive support, I'll ask some questions about your relevant personal history, including past experiences, family background, and any previous therapeutic experiences. This helps illuminate patterns and influences on your current situation.

-Collaborative Goal Setting: Together, we'll begin to identify what you hope to achieve through therapy. This isn't about having all the answers now; it's about forming initial goals that will guide our work and help you move towards the changes you desire.

By the end of our first session, my aim is for you to feel heard, understood, and have a clearer sense of how we can work together to support your journey towards healing and well-being. There will always be room for suggestions concerning our work together, including keeping each other accountable.

Hi! I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a graduate degree from Wilkes University. I have experience working with adults in multiple settings facing various complex mental health issues, including Bipolar Disorder, trauma, depression, and anxiety.

My approach is always affirming and collaborative. I work with late diagnosed, or suspected adults with autism spectrum disorder, ADHD, and giftedness, as well as LGBTQ+ community. I aim to treat each person with the respect and dignity they deserve and feel honored to meet you where you are & take this journey with you. I am a Licensed Mental Health Counselor in Florida & a Licensed Professional Clinical Counselor in Ohio. I completed my professional degree at Nova Southeastern University (FL)