Addiction therapists & psychiatrists in Boerne, TX

Life can feel overwhelming when anxiety, trauma, relationship challenges, or major life transitions begin affecting every part of your life. You may be exhausted from trying to hold everything together, questioning your next step, or feeling like you've lost touch with the person you want to be. Change doesn't happen overnight, but it can begin with one conversation. I partner with individuals experiencing depression, grief and loss, relationship issues, identity issues, and trauma so they can rebuild confidence, strengthen their relationships, and create a life that feels more balanced, connected, and fulfilling. Working with adolescents, adults, couples, and families, I strive to create a compassionate, collaborative environment where you feel understood, respected, and empowered to grow.

I provide personalized mental health care for adults and adolescents struggling with anxiety, depression, ADHD, PTSD, OCD, bipolar disorder, and related concerns. My focus is helping you feel better, think more clearly, and regain control of your daily life.

I offer comprehensive evaluations and medication management through secure telehealth across Texas, with in-person availability in the Dallas–Fort Worth area. Treatment is tailored to your unique needs, with careful attention to effectiveness, side effects, and long-term stability.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a DNP (Doctor of Nursing Practice) degree from the University of Massachusetts Global. I have experience working with adolescents and adults in multiple settings facing various complex mental health issues, including OCD, depression, anxiety, ADHD and mood disorders.

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.

You have probably been carrying more than you let on, and somewhere along the way, just getting through the day became the goal. I work with children, teens, and adults navigating anxiety, trauma, family stress, and life transitions that feel bigger than expected. I also support parents who are looking for help for a child or teenager who is struggling to find their footing. Whatever brings you here, my goal is to make sure you feel genuinely heard from the very first conversation.

If you've been struggling with anxiety, depression, addiction, anger, or behaviors that keep getting in the way of the life you want, you don't have to figure it out alone. I'm a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC) with 18 years of experience helping people rebuild their lives through criminal reentry. Today, I work with children, teens, adults, and couples who are looking for real change. Over the years, I've learned that no one is defined by their past, and I believe every person is capable of growth when they're given the right support.

I am passionate about helping people feel seen, heard, and supported as they navigate life's challenges and discover their inner strengths. My approach is to create an authentic and individual relationship with my clients so they can explore their thoughts, feelings, and hopes without judgment.

If you're feeling overwhelmed by trauma, anxiety, depression, PTSD, or bipolar disorder, you do not have to carry it alone. Therapy can be a place to feel heard, understood, and supported while you make sense of what you've been through. Together, we'll focus on helping you feel safer, more grounded, and better equipped to move through life with confidence and hope.

I am dedicated to offering mental health services of the highest caliber. I am caring and provide comprehensive care to adolescents and adults. I bring strong clinical abilities along with a natural ability to connect with patients and their families. I follow recommendations grounded in evidence-based guidelines, clinical knowledge, and individual observation. As a PMHNP-BC, I serve in many roles, including public health educator and mental health advocate. My goal is to provide quality mental health care services to all.