Obsessive-compulsive disorder therapists & psychiatrists in Carson City, NV

I understand how overwhelming anxiety, depression, or chronic pain can feel, especially when you're caught in a cycle of fear and avoidance. It’s tough, but you don’t have to go through it alone. We can work through your struggles, find understanding, and create a path toward healing. If you're ready for change, I’m here to listen and support you.

Do you feel buried under the heavy weight of depression, or find your days derailed by intense mood shifts you can’t seem to control? Living with trauma or bipolar disorder can feel like an exhausting, lonely battle, leaving you feeling disconnected from the people and life you love. You might be constantly managing anxiety, stress, or relationship strain, wondering if you'll ever find solid ground. You do not have to navigate this darkness alone. You deserve a space where your pain is met with deep understanding, and where your story is heard without judgment.

Every person experiences seasons of life that can feel overwhelming. Whether you're facing anxiety, depression, trauma, relationship challenges, substance use, grief, or major life transitions, my goal is to provide a safe, collaborative, and evidence-based therapeutic experience where meaningful, lasting change can occur.

For nearly two decades, I have had the privilege of serving individuals, couples, and families throughout Nevada as a Licensed Clinical Social Worker. In addition to direct clinical practice, I have served as a Clinical Director, executive leader, clinical supervisor, consultant, educator, and program developer, helping develop innovative behavioral healthcare programs and clinical services across Nevada. These diverse experiences have allowed me to work with individuals from virtually every walk of life while treating a broad range of complex behavioral health concerns.

My approach is individualized, practical, and grounded in research-supported treatment. I integrate evidence-based therapies, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, trauma-informed care, and person-centered therapy to develop treatment plans tailored to each client's unique strengths, needs, and goals.

I believe people are far more than the challenges that bring them to therapy. My commitment is to provide compassionate, clinically excellent care while helping clients build resilience, strengthen relationships, overcome obstacles, and create healthier, more meaningful lives.

Specializing in relationship issues, addiction, trauma, PTSD, and LGBTQ+

am a professional clinical counselor, licensed in Ohio, with over 29 years of experience working with adults, children, and families. I have worked with clients who have a wide range of concerns, such as depression, anxiety, relationship issues, gender issues, addictions, family systems, marital/relationship or career challenges, trauma, and ADHD. My approach combines CBT, cognitive-behavioral therapy, Gottman Therapy, DBT, and trauma-focused CBT interventions.

I am Joseph M. Tonui, PMHNP-BC, a Board-Certified Psychiatric and Mental Health Nurse Practitioner with over 15 years of experience in healthcare. I began my academic journey at Kean University, earning a Bachelor of Science in Medical Technology, and later completed a Bachelor of Science in Nursing at the University of Medicine and Dentistry of New Jersey. I went on to graduate with honors from Walden University with a Master of Science in Nursing, specializing in Psychiatric and Mental Health.

Most people don't come to therapy because life is perfect. They come because they're tired of living the same painful loop and wondering when something is finally going to change. That's where I come in. I'm Jared, and I work with individuals and couples of all ages across Nevada by telehealth. I help people who feel stuck in patterns rooted in trauma, including anxiety, depression, OCD, grief, and substance use. Whether you're a single parent juggling everything, a couple working to reconnect, or someone tired of carrying it alone, I would love to help.

Christine Ramos is a dual certified acute care nurse practitioner and psychiatric nurse practitioner who enjoys treating a patient population across the lifespan. Her approach to treatment is base upon patient centered-goals. No controlled substance schedule II (I.e. Xanax, Adderall ) prescriptive authority at this time.

Before I became a therapist, I was a high school English teacher, a

college professor, and a yoga instructor. That path wasn't random

— each role taught me something different about how people

grow, get stuck, and find their way back to themselves. I bring all

of that into my practice now.

I work with adults across Nevada via telehealth who are wrestling

with anxiety, depression, people-pleasing patterns, trauma, and self-worth.

I'm also a Level II Reiki practitioner and E-RYT-500+ advanced yoga

teacher — which means I understand that healing isn't just

cognitive. The body is part of this too, and I take that seriously.