Addiction therapists & psychiatrists in Boerne, TX

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.

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.

I am CBT based with Solution Focused and Gestalt main ones I use.

Sandy Crisp, MS, LPC, CRC, LCDC, CCTS-II

When surviving isn't enough anymore.

Life can get complicated, painful, and downright exhausting. Sometimes the things you've survived become the very things keeping you stuck. You may be functioning, showing up for everyone else, and doing what needs to be done, but somewhere along the way, you've lost sight of yourself.

I'm Sandy Crisp, a Licensed Professional Counselor, Licensed Chemical Dependency Counselor, Certified Rehabilitation Counselor, and nationally certified trauma specialist. I bring more than 20 years of professional experience helping people navigate trauma, PTSD, anxiety, depression, addiction, chronic illness, disability, grief, and major life changes.

I work with people who are tired of feeling stuck, overwhelmed, or disconnected from themselves. Whether you're struggling with something that happened years ago or trying to make sense of what's happening right now, we'll work on understanding the patterns, emotions, and experiences affecting your life.

You don't need to have a diagnosis or know exactly what's wrong. We can figure that out together.

Life can look perfectly fine on the outside while feeling overwhelming underneath. You don't have to have everything figured out before starting therapy. Whether you're feeling stuck, constantly overthinking, burned out, or repeating patterns you can't seem to break, therapy can be a place to finally make sense of what's going on.

I bring curiosity, honesty, and practical insight into every session. Rather than giving generic advice or simply asking, "How does that make you feel?" we'll work together to understand what's keeping you stuck, identify what's actually changeable, and build strategies that fit your life. I'll challenge you when it's helpful, support you when it's needed, and create a space where you can be completely yourself without worrying about being judged or getting it "right."

I believe psychiatric care should feel like a real conversation, not a clinical interrogation. I believe in science, and I’m curious about what’s happening beneath the symptoms how brain chemistry, genetics, trauma, sleep, and physical health may be affecting the way you feel and function.

I’m solution focused. I want to understand what’s keeping you stuck, explain what I think is going on, and work with you on a wayI need initial intake documents to be completed so that we can spend more time during the visit. forward and treat the symptoms! I’ll be transparent about our progress, and I hope you’ll be honest with me, too. You can expect me to listen without judgment, challenge you when it’s helpful, and celebrate your wins alongside you.

I do require initial intake documents to be completed so we can spend more time in the visit.