Bipolar disorder therapists & psychiatrists in West Chester, PA

I specialize in helping adults and young adults manage anxiety disorders, panic attacks, chronic stress, and burnout using Cognitive Behavioral Therapy (CBT) and other evidence-based approaches. I also support clients experiencing depression, trauma-related symptoms, and life transitions that feel overwhelming or hard to manage alone.

Many of the people I work with are functioning well but internally overwhelmed—dealing with constant worry, racing thoughts, physical symptoms of anxiety, or a persistent sense of being “on edge.” Others notice anxiety affecting their sleep, focus, relationships, or ability to relax and enjoy life.

am a board-certified Psychiatric Mental Health Nurse Practitioner with extensive experience providing compassionate, evidence-based psychiatric care to children, adolescents, and adults. I work with individuals experiencing ADHD, anxiety, depression, mood disorders, PTSD, substance use disorders, and other mental health concerns. I provide comprehensive psychiatric evaluations, medication management, and supportive, skills-based psychotherapy, with treatment tailored to each patient's age, circumstances, symptoms, and goals.

My clinical background includes extensive work in outpatient psychiatry, behavioral health systems, detoxification and dual-diagnosis programs, and community-based mental health organizations. This experience has allowed me to work with individuals across the lifespan and with a wide range of needs, from patients seeking help with anxiety, depression, or ADHD to those managing trauma, substance use, or more complex mental health conditions. I hold a Doctor of Nursing Practice degree with advanced training in psychiatric mental health. In addition to my direct clinical work, I have served as Chief Nurse Executive for a large behavioral health organization, where I oversaw integrated mental health, addiction treatment, and community-care programs. Working at both the patient and organizational levels has given me a broad perspective on mental health care and reinforced the importance of looking beyond a diagnosis to understand the medical, psychological, social, and environmental factors that can affect a person's well-being.

Each day, I provide mental health services with a holistic approach, general wellness (elevated blood pressure (hypertension), diabetes management, weight management, GLP-1 prescriptions, stress management, and nutrition), psychotherapy, talk therapy, medication management (per request), and strong advocacy for FMLA (continuous time off from work or reduced work schedule).

You may be used to being the strong one—the person others rely on—but lately you might feel overwhelmed, anxious, or just not like yourself. You may be dealing with depression, relationship challenges, or a life transition that’s left you feeling stuck. If you’re tired of just getting through the day and want to feel more like yourself again, therapy can help. I work with adults across all life stages who are navigating anxiety, depression, stress, relationship issues, and major life changes.

Hi, I’m Sarné (Shar-nay), a board-certified Psychiatric Mental Health Nurse Practitioner with over 15 years of nursing and psychiatric experience. I believe mental health care should feel supportive, collaborative, and free of judgment. I work with adults experiencing anxiety, depression, ADHD, bipolar disorder, stress, and life transitions.

As a professional, mother, and caregiver myself, I understand how overwhelming life can become. My goal is to create a safe, compassionate space where you feel heard, understood, and empowered to move toward lasting emotional wellness.

I am committed to lifelong learning and providing care grounded in the latest evidence. I have completed the Certified Integrative Mental Health Professional (CIMHP) training through the Nutritional and Integrative Medicine for Mental Health Professionals program. This advanced training has expanded my knowledge of nutrition, sleep, physical activity, stress management, gut health, and other evidence-informed lifestyle approaches that can complement traditional psychiatric treatment when appropriate. These strategies are thoughtfully integrated into care and are intended to support—not replace—evidence-based psychiatric treatment, including medication management, psychotherapy, and collaborative care.

Whether you’re seeking support for the first time or looking for a provider who takes a whole-person approach to mental health, I look forward to partnering with you on your journey toward healing, resilience, and lasting wellness.

Hello, I’m John Muscarnera. I provide individual therapy for adults seeking support with anxiety, depression, stress management, relationship challenges, and personal growth.