Book a therapist or psychiatrist in Spokane, WA covered by Cigna

I’m a board-certified psychiatric nurse practitioner passionate about supporting preteens, teens, and adults through ADHD, anxiety, mood disorders, and life transitions. I provide medication management with therapy woven into every visit.

Are you feeling overwhelmed, stuck, or emotionally drained? You're not alone—and you don't have to navigate it alone. With many years in the mental health field, I offer a compassionate and personalized approach to therapy, with a focus on helping individuals manage anxiety, depression and helping with self esteem issues. I began my career in community mental health, where I gained deep insight into the challenges people face and the strength it takes to seek help.

I’ve spent 10 years working with teens and families, and I care deeply about helping people feel understood. I create a space where you can be yourself and feel a sense of belonging, without judgment. I value both family connection and your privacy. Most of all, I believe real change starts with a genuine, comfortable relationship.

Over twenty years of experience providing mental health services to a wide range of clients - finding the unique nature of each individual.

You may be here because something in your life feels heavy, overwhelming, or out of balance. You deserve a space where you feel safe, supported, and truly seen. My holistic approach looks at the whole person—mind, body, emotions, and spirit—so we can understand what’s happening beneath the surface and help you move forward with more clarity and ease. In our work together, I’ll give you practical tools to navigate stress, anxiety, grief, or major life transitions. We’ll focus on reframing self-defeating thoughts, building self-esteem, and practicing mindful compassion so you can feel more grounded and empowered in your daily life.

With over 30 years as a Transformational Therapist, I draw from Breathwork, Guided Imagery, Stress-Release techniques, Centering practices, Energy Work, Therapeutic Movement, and Pattern Interrupts. For those open to it, I also offer Medicine Wheel work and Sacred Card readings for deeper insight.

Clients often say they feel comforted by my warm, intuitive style—maybe helped by the calm, steady presence I’ve learned from my beloved cats. If you’re ready for gentle, supportive, whole-person healing, I’d love to work with you. You can book time with my directly through my profile on Headway or give me a call.

Hi, I’m Asajnae Mercadel, a board-certified Psychiatric Mental Health Nurse Practitioner with over 10 years of experience in healthcare. My background in nursing has given me a strong foundation in understanding both the physical and emotional aspects of patient care. I specialize in treating anxiety, depression, mood disorders, ADHD, and sleep-related concerns. I’m passionate about creating a supportive, nonjudgmental space where you feel comfortable being open and honest. My goal is to help you feel heard, understood, and empowered in your mental health journey.

Many of my clients are students, young adults, and working professionals navigating the demands of school, careers, relationships, and life transitions. They’re often trying to balance everything while wondering why life feels harder than it should.

I believe treatment works best when you better understand yourself and your options. Whether you’re experiencing symptoms of ADHD, anxiety, depression, psychosis, or another mental health concern, my approach is practical, collaborative, and tailored to your individual needs.

As a board-certified Psychiatric Nurse Practitioner, my goal is to help you better understand what’s going on, feel confident in your treatment, and find an approach that fits your life.

I’m Stephanie Jairam, a Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner. I work with adults and adolescents navigating ADHD, anxiety, depression, stress, burnout, insomnia, PTSD, PMDD, OCD, and other mood-related concerns who are seeking supportive, effective treatment.

My background in healthcare gives me a well-rounded perspective. I take a holistic approach, recognizing the close connection between mental and physical health. I’m known for being collaborative, non-judgmental, and thorough, and I strive to create a space where you feel heard, understood, and supported throughout your care.

I provide compassionate, evidence-based psychiatric care for children, adolescents, and adults. I specialize in the evaluation, diagnosis, and medication management of ADHD, anxiety disorders, depression, mood disorders, trauma-related conditions. My goal is to create a supportive, judgment-free environment where you feel heard, understood, and empowered throughout your mental health journey.

I believe that every person's story is unique, so I take the time to understand your concerns, symptoms, lifestyle, and treatment goals before developing an individualized care plan. I incorporate medication management with supportive counseling and evidence-based therapeutic approaches, including Cognitive Behavioral Therapy (CBT) techniques and Motivational Interviewing, to help you build practical coping skills and achieve lasting improvement.

Whether you're struggling with difficulty focusing, persistent worry, overwhelming stress, low mood, emotional challenges, or life transitions, I work collaboratively with you to help you regain balance and improve your overall well-being. My focus is on delivering personalized, compassionate care that supports meaningful, long-term success in both your mental health and daily life.

Looking for expert telepsychiatry and online psychiatric medication management? Samz Mental Health provides compassionate, convenient, and confidential mental health care across Texas, New York, Maryland, Colorado, New Hampshire, New Mexico, Florida, Iowa, and Washington State. Our board-certified psychiatric providers specialize in treating anxiety, depression, bipolar disorder, and more—all through secure online appointments.

Serving major areas, including Austin, Texas, our behavioral health medication management clinic ensures you receive personalized care from the comfort of your home. Get started today with reliable and accessible mental health services!

📅 Book an appointment now! Same day appointment available, 9am to 9pm central time

Understanding Your Issues:

I understand that every individual is unique, and your concerns are as individual as you are. Whether you're grappling with anxiety, depression.

I’m a licensed therapist with over nine years of experience working in mental health, including inpatient, crisis, and community-based settings. I have a strong background in supporting individuals who are experiencing depression, anxiety, trauma, mood disorders, psychosis, and substance use challenges.