ADHD therapists and psychiatrists in Bulverde, TX

You may be used to carrying everything on your own. From the outside, it can look like you're managing just fine, but internally you're exhausted from anxiety, past experiences that still affect your relationships, family conflict, or a struggle with substance use that's become harder to ignore. Asking for help isn't easy, but you don't have to figure everything out by yourself. I specialize in helping clients navigate substance use and addiction, trauma, men's issues, family issues, and relationship issues so they can build healthier relationships, regain confidence, and create lasting change. I work with adolescents, adults, and seniors, believing that meaningful progress begins with honest conversations, practical support, and a space where you feel respected, understood, and challenged to grow.

I help you make sense of the patterns that keep you feeling stuck and find practical strategies that actually fit your life. My style is warm, honest, and collaborative, with a balance of reflection and action. Together, we’ll get clear on what’s getting in the way and create a path forward that feels realistic, sustainable, and meaningful for you.

Hello, I’m Henrietta Pieh, MSN, APRN, PMHNP-BC, a Board-Certified Psychiatric Mental Health Nurse Practitioner. I provide compassionate, patient-centered care to individuals across the lifespan through comprehensive psychiatric evaluations, medication management, and supportive collaboration.

My background includes years of nursing experience in inpatient psychiatry, crisis stabilization, addiction recovery, and geriatric mental health. I believe in meeting clients where they are, building trust through empathy, and working together toward meaningful progress and emotional well-being.

Whether you are navigating stress, depression, anxiety, trauma, or other life challenges, my goal is to create a safe and supportive space where you feel heard, respected, and empowered in your healing journey.

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.

Sometimes life looks fine from the outside, while inside you're carrying far more than anyone realizes. You may be juggling work, relationships, parenting, or constant responsibilities while wondering why everything feels harder than it should. You don't have to keep carrying it all on your own.

Before becoming a counselor, I spent many years in education helping people recognize strengths they often couldn't see in themselves. That experience continues to shape the way I approach therapy today. I believe people are incredibly resilient. With the right support, meaningful change is possible. Whether you're feeling overwhelmed by anxiety, struggling to focus because of ADHD, navigating a difficult relationship, processing trauma, or adjusting to a major life transition, my goal is to help you feel heard, supported, and more like yourself again.

I know that seeking therapy can feel overwhelming — especially if you’re carrying a lot on your own. I believe deeply in the strength, warmth, and resilience that come from our cultura, and I bring that understanding into every session.

I work with clients who want support navigating anxiety, trauma, stress, and life transitions, particularly when cultural identity and family dynamics play an important role. My goal is to create a space where you feel seen, respected, and understood, while also using research-backed tools that truly help you move forward.

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.