Bipolar disorder therapists & psychiatrists in San Marcos, TX

I have been practicing since 2008 and bring over 17 years of experience helping people move through life’s difficult seasons with more clarity, strength, and self-trust. I grew up in Canada and later moved to Texas, where I completed my master’s in Counseling. Over the years, I have worked with clients navigating anxiety, depression, stress, trauma, grief, relationship issues, and life transitions. Many people come to therapy feeling overwhelmed, emotionally exhausted, stuck in painful patterns, or unsure how to move forward. My goal is to offer a space where you feel safe, understood, and supported as we begin making sense of what is weighing on you and what healing could look like.

I have my LPC-Licensed Professional Counselor and LMFT-Licensed Marriage and Family Counselor licenses. I have my Juris Doctorate and I am an expert in family law. My approach is collaborative, practical, and I make sure the client has something they can use to help themselves by the end of every session. I work with all types of clients, but mostly with adults, individually and as couples.

doing. I have been married, divorced, lived in other countries for several years and had a wide variety of life experiences that I draw on to help my clients.

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.

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 know that reaching out for help takes courage — and I want to make that process as simple and comfortable as possible. My practice focuses on anxiety, depression, and addiction, and I believe real progress happens when you feel heard and respected every step of the way. I take time to understand what's going on in your life before we talk about next steps, whether that's medication, therapy, or both. My goal is to give you clear information and practical support so you feel more in control of your mental health.

My ideal clients are seeking deeper connections but feeling held back by intimacy issues, relationship patterns, anxiety, depression, or trauma. You might feel disconnected from your partner, overwhelmed by intrusive thoughts, or stuck in cycles that no longer serves you. In our work together, you don't have to hide any part of who you are. I provide a grounded, entirely non-judgmental space centered on authentic human connection. Together, we explore what is keeping you stuck and build practical, compassionate paths toward relational understanding, emotional stability, and personal healing.

I am a Psychiatric Mental Health Nurse Practitioner who works with adults experiencing anxiety, depression, trauma-related symptoms, mood disorders, OCD, and substance use concerns. My background includes structured treatment settings supporting recovery, stabilization, and long-term mental health management.

I provide warm, practical, and judgment-free care where clients feel heard and supported. Many people come to treatment feeling overwhelmed or unsure where to begin, and my goal is to simplify the process and provide clear direction forward.

I focus on thoughtful medication management and practical strategies that support lasting stability and meaningful progress.