Bipolar disorder therapists & psychiatrists in Nacogdoches, 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.

I’m a Licensed Clinical Social Worker (LCSW) and co-founder of The Pineheart Center, with nearly 20 years of experience supporting adults through trauma, attachment-related concerns, relationship challenges, and life transitions. My professional background spans nonprofit, clinical, and healthcare settings, which informs a grounded, compassionate, and relational approach to therapy.

I hold a Master’s degree in Social Work and am also a Licensed Child Placing Agency Administrator. In addition to traditional clinical training, I am a Certified Narrative Enneagram Practitioner, and I thoughtfully integrate this framework when helpful to support self-understanding, emotional awareness, and relational insight.

I primarily work with adults and young adults navigating anxiety, depression, complex trauma, identity exploration, relationship dynamics, and stress related to caregiving or high-responsibility roles. I value creating a space where clients feel seen as whole people—honoring both their struggles and their strengths.

Welcome!

My name is Anna, and I am a Licensed Clinical Social Worker in Texas. I understand that beginning therapy can feel intimidating, and I am committed to creating a warm, welcoming, and supportive environment where clients feel comfortable being themselves.

I have experience working with adults across the lifespan, including older adults and their caregivers.

Hi, I’m Macheda, a Licensed Clinical Social Worker (LCSW). I work with adults navigating anxiety, stress, grief, relationship challenges, and life transitions that can leave you feeling overwhelmed, emotionally exhausted, or uncertain about what comes next. Many of my clients are used to being strong for others but privately feel stretched thin, disconnected from themselves, or unsure how to keep carrying everything they’ve been holding. Therapy can be a space to pause, make sense of what you’re experiencing, and begin moving forward with greater clarity and self-understanding.

Through my experience in healthcare and individual settings, I’ve supported people and families during some of life’s most challenging and vulnerable moments. As an immigrant, I also understand how culture, identity, family expectations, and lived experiences can shape the way we see ourselves, relate to others, and navigate change. I recognize that emotional struggles do not happen in isolation, and I take care to understand the full context of your experiences rather than focusing only on symptoms.