Bipolar disorder therapists & psychiatrists in Framingham, MA

Miriam Fernandes, MSN, PMHNP-BC

I am a board-certified Psychiatric Mental Health Nurse Practitioner providing compassionate, evidence-based care to adults. I specialize in treating anxiety, depression, mood disorders, trauma-related conditions, and burnout. My professional background includes experience in both high-acuity and outpatient psychiatric settings, where I have worked with individuals facing complex emotional and behavioral health challenges.

I strive to create a safe, respectful space where clients feel heard and empowered. My goal is to partner with you in developing a treatment plan that supports long-term wellness and meaningful change.

Life can bring moments that feel heavy, confusing, or overwhelming—whether from anxiety, trauma, relationship strain, or loss of direction. You may feel stuck or unsure why certain patterns keep repeating. Therapy offers a safe and supportive space to explore what’s holding you back and create a path toward emotional clarity, healing, and growth. Together, we’ll uncover the “why” behind your challenges and help you move toward a calmer, more balanced, and empowered version of yourself.

I grew up in MA. I went to both public and catholic schools. I earned a 2nd degree black belt from Premier Martial Arts. I earned a BA in Psychology from UML. I worked at a group home for teenagers, then one for adult men with schizophrenia. I worked as a support and then a lead teacher at a day program for adults with developmental disabilities. There, I learned a lot about Behaviorism and ABA. I was then able to work as a clinician as I finished my graduate degree.

I earned my graduate degree at Fitchburg State University. I did my internship at the Community Health Center in Fitchburg. I worked in community mental health before venturing out on my own.

I am a Board Certified Advanced Practice Psychiatric Nurse with 20 years of experience. I treat a variety of mental health disorders such as Depression, Anxiety Disorders, Bipolar Disorder, Post Traumatic Stress Disorder, as well as others. I treat clients from ages 6 years old and aboves.

I am a board-certified Psychiatric Nurse Practitioner in Massachusetts. I offer comprehensive treatment combining medication with lifestyle and behavioral interventions. I help adult clients manage conditions such as depression, anxiety, OCD, bipolar disorder, psychotic disorders and substance use disorder. I also specialize in helping women navigate the peri and postpartum periods. I use evidence-based treatments that consider the client’s biological, psychological, spiritual, and social needs.

Four decades. That's how long I've been doing this work — and I mean that not as a resume line, but as a promise. Over forty years of sitting with people through the things that crack a life open: the identity shifts that come with midlife, the isolation that quietly builds, the grief of a body that's changed, the exhaustion of caregiving for someone else while your own needs go unmet. I bring deep expertise in depression, anxiety, relationship challenges, and the complex emotional terrain that emerges as life evolves through its stages. I specialize in working with adults — particularly women, caregivers, and individuals facing chronic health challenges or major life transformations — who are navigating chapters of life that often go unacknowledged and underserved. If you've ever felt like the world was moving too fast while you were standing still, wondering who you are now and what comes next — this is the practice that was built for you.