Book a therapist or psychiatrist in Boerne, TX covered by Cigna

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.

Life can feel overwhelming when you're carrying more than anyone else realizes. Whether you're struggling with anxiety, grief, relationship challenges, parenting stress, trauma, or simply trying to navigate a difficult season of life, you don't have to face it alone. For more than 28 years, I've had the privilege of supporting individuals and families through life's challenges, first through education and counseling-related support, and now as a therapist. I work with children ages 6 and older, adolescents, adults, and seniors, helping each person build resilience, strengthen relationships, and develop the confidence and skills needed to move forward. My goal is to create a space where you feel genuinely heard, understood, and empowered to grow.

What truly sets me apart is my calm, compassionate, and nonjudgmental approach. I believe in meeting every individual exactly where they are, creating a safe and affirming space for open, honest communication. Together, we’ll build a collaborative relationship where goals, preferences, and values guide every step of your care. I am committed to providing stigma-free care; including those navigating challenges related to neurodivergence, substance use, trauma, identity or difficult past experiences. Everyone deserves to be seen, heard, and respected without fear of shame or judgment.

My style is warm and collaborative! I want my clients to feel heard and validated. I work with teenagers and adults who are experiencing anxiety, depression, grief, life transitions, relationship challenges, stress, and difficulties managing overwhelming emotions. Many of my clients come to therapy feeling stuck, exhausted, disconnected from themselves, or unsure how to cope with the challenges they are facing. I will help you with patterns of behavior that are no longer serving you.

I specialize in supporting clients (Spanish & English) navigating anxiety, trauma, depression, and cultural or ethnic identity-related concerns. I am passionate about my profession. I enjoy teaching social work and providing social work services. I believe that social work is a calling and therefore, I am being called to serve.

I obtained a bachelor's in Social Work at Prairie View A & M University and a Masters in Social Work at the University of Houston. I am a native Houstonian, and bilingual (Spanish/English.)

Hello! My name is My, and I am a dual-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP). With a strong foundation in both mental and physical health, I am passionate about providing holistic care that addresses all aspects of well-being. My goal is to support individuals not only through mental health challenges but also with their overall physical health, understanding that the two are deeply connected.

I believe that healing begins with feeling genuinely seen, heard, and understood. My own life experiences taught me the power of having someone who continues to show up with compassion, hope, and encouragement—even during life's most difficult moments. That experience inspired me to become a social worker and therapist, and it continues to shape how I care for every client I work with.

I have over 12 years of experience in mental health and social services and have been a Licensed Clinical Social Worker (LCSW) for the past three years, after practicing as a Licensed Master Social Worker (LMSW) for five years. Throughout my career, I've worked with children, adolescents, adults, couples, families, and individuals experiencing severe mental illness, trauma, homelessness, foster care involvement, school-related challenges, and major life transitions. My background includes school social work, crisis intervention, rehabilitation counseling, psychotherapy, case management, and program development, giving me a well-rounded understanding of the many factors that impact mental health.

I specialize in helping clients navigate anxiety, self-esteem, relationship concerns, family conflict, life transitions, stress, grief, trauma, communication difficulties, compassion fatigue, motivation, and coping with change. Whether you're facing a specific challenge or simply feeling overwhelmed, my goal is to provide a safe, supportive space where you can better understand yourself, build practical skills, and create meaningful, lasting change.

I believe that you are the expert on your own life. My role isn't to tell you what to do—it's to walk alongside you, helping you recognize your strengths, overcome obstacles, and build the life you want with confidence and resilience.

I am committed to providing compassionate, evidence-based psychiatric care. As a Doctor of Nursing Practice and Board-Certified Psychiatric–Mental Health Nurse Practitioner, I approach every patient with respect, empathy, and a focus on safety. My clinical decisions are grounded in current research, best practices, and your individual needs.

I believe in a collaborative and transparent treatment process. I value open communication. I want you to feel comfortable discussing your symptoms, concerns, and goals so we can work together to create a plan that truly supports your mental health.

If anxiety, trauma, grief, or constant stress have been weighing on you, therapy can be a place to breathe, feel understood, and start moving forward. You may be feeling overwhelmed, stuck in painful patterns, or carrying more than you can hold on your own. I work with adults who want relief, practical support, and a path toward healing. Together, we can address anxiety, depression, anger, burnout, and life’s harder moments with care that is tailored to you.