Anxiety
Worry that stays on after its reason has passed brings many people to us about anxiety. We ask when it started, what sets it off, and where it shows up in your body and your week.
Psychiatric Conditions We Treat via Telehealth in NY, FL, & CA
Anxiety, low mood, and racing thoughts can take over your week. You came for the psychiatric conditions we treat via telehealth. You'll meet a psychiatric nurse practitioner while you're in New York, California, or Florida. Call us today so we can ease what you've been carrying.
PMHNP-BC · Ages 12+ · NY, CA, FL · Insurance accepted
Symptoms That Disrupt Sleep and Work
Anxiety that won't ease, a mood that stays low, or thoughts that race at night can reach into more than how you feel. They can change how you think, how you sleep, how you act around the people closest to you, and whether an ordinary workday feels possible.
In an evaluation, we go through your symptoms and history so you can see what they add up to. What we recommend depends on your circumstances, not on a standard script, and care may include medication management and follow-up visits.
SAMHSA's 2022 National Survey on Drug Use and Health, reported by NIMH, estimated a large share of adults had any mental illness. That figure was 59.3 million U.S. adults, or 23.1 percent. If you've wondered whether what you're feeling is common enough to bring to a clinician, those numbers say it is.
The same survey found that 30.0 million of those adults, 50.6 percent, received mental health treatment in the past year. Treatment in that count means inpatient care, outpatient care, or a prescribed medicine. About half of those adults didn't get that care, so you're not alone if you've waited. These national adult figures aren't an Albany rate and don't describe anyone under 18.
Conditions We Treat by Telehealth
These are the concerns that most often bring people to us. Read the one closest to your week and treat it as a starting point, not a verdict.
ADHD
Trouble holding attention, finishing tasks, or keeping up with deadlines can point us toward ADHD. We go through how those struggles show up at work, at school, and at home, and how long they've been there.
Depression
A low mood that lasts, along with lost interest, heavy tiredness, or changes in sleep and appetite, is what we look at for depression. We ask how long it's been going on and what you've already tried.
PTSD
Flashbacks, jumpiness, or avoiding reminders after a frightening event are part of what we assess under PTSD. We start with the symptoms you're living with in the current week.
Bipolar Disorder
Stretches of unusual energy and little need for sleep, followed by crashes, are what we explore with bipolar disorder. Both the highs and the lows matter, so we ask about the full span of months and years.
OCD
Thoughts that return uninvited, and rituals you feel you must do to quiet them, are what we ask about for OCD. We go through how much time they take and what they keep you from doing.
Panic Disorder
Waves of fear that arrive without warning, often with a pounding heart or trouble breathing, bring people to us about panic disorder. We ask how often they happen and whether you've started avoiding places because of them.
Insomnia
Lying awake, waking far too early, or dragging through the day on poor sleep is where we begin with insomnia. We review your sleep pattern, your medicines, and what's on your mind at night.
Trauma
Not every reaction to a painful past event fits the name PTSD. Trauma still covers nightmares, jumpiness, or feeling on edge when that name doesn't fit. We look at how the past is showing up in your present days.
Stress
Pressure that has piled up until your body and mood respond is what we mean by stress. We go through what's driving it and how it has changed your sleep, focus, and temper.
Burnout
Exhaustion, cynicism, and a drop in how well you work after a long stretch of overload bring people to us for burnout. We ask what your job or caregiving demands and how much recovery time you actually get.
Grief
Loss can leave you unable to sleep, eat, or concentrate long after others expect you to move on. Grief is a fair reason to ask for help when that happens. We start with who you lost and how the weeks since have gone.
Adjustment Disorder
Strong distress after a major change, like a move, a job loss, or the end of a relationship, is what we assess under adjustment disorder. We ask when the change happened and how your mood and routine have shifted since.
Ways Psychiatric Care Can Help
Once symptoms start affecting your sleep, focus, or relationships, it helps to have a clinician go through them with you in order. We begin with an evaluation, where we ask about your concerns, your history, and what you've already tried. When your history supports it, we name a working diagnosis, so you have words for what's happening.
From there, we build a written treatment plan together, and we'll name the symptom we watch first. If medication fits, we handle medication management, including how you're responding and which side effects you notice. We keep checking those symptoms at the next visits, and we change the plan when they aren't easing.
Starting Without a Diagnosis
You may have symptoms without a name for them, and that's a common place to start. You don't need to decide whether it's anxiety, ADHD, or something else before you reach out. The first visit can be a psychiatric evaluation, where we go through what you're noticing, when it began, and how it affects your days.
Some people arrive with a diagnosis from years ago and want a fresh look. Others come with only a sense that something is off. Either way, you describe your week in your own words, and we work out the next step from there.
If you already take a medicine and want it reviewed, the first visit can focus on that instead. In a virtual medication review, we go over how the medicine is working, what you've noticed since starting it, and whether anything should change.
Psychiatric Evaluation From Concern to Plan
An evaluation starts with the concern that is bothering you most right now. You tell us what brought you in, and we ask how long it has been there. We also ask what has changed in your days since the problem began.
Next, we go through your symptom history, your medical background, the medicines you take now, and what you've tried before. After that, we put those pieces together in a clinical review. Then we tell you what we found, in plain words, and answer your questions. If a diagnosis fits your history, we explain it, and if one doesn't, we say so.
Last, we write a treatment plan you agree to, and it may include medication or a follow-up schedule. The plan comes from your history rather than from a template we reuse for everyone.
Online Psychiatric Care in Three States
Where you sit during the visit decides whether we can see you, not where you live. We provide care by telehealth only, so you join from a private spot. You use a secure video while you're physically in any of the three states below. If you're traveling outside them on the day of your visit, we can't see you for that visit.
Our practice is registered in Albany, NY, but that address isn't an office, and no one is seen there. That's how virtual psychiatry works here: your phone, tablet, or computer is the exam room.
New York
You can join from places like Poughkeepsie, New Rochelle, Kingston, Plattsburgh, Elmira, and Niagara Falls, or from anywhere else in the state.
California
People in Long Beach, Bakersfield, Santa Rosa, Berkeley, Anaheim, and Stockton meet us the same way.
Florida
From Fort Lauderdale and Cape Coral to Pensacola, Clearwater, Boca Raton, and Lakeland, a private room with a camera is all the visit needs.
Reasons People Choose Our Practice
If you've repeated your history to a new person at every visit, you know what that costs. At Mindful Healing Mental Health Services, you see one licensed clinician, so we don't ask you to start over. We build your plan around your symptoms, your history, and what matters to you, and we make decisions together instead of handing you a script.
We start each follow-up from the last visit's note, so we pick up where you left off. Visits are by telehealth, so you can join from home or another private place. You can keep the appointment more easily when travel, work, or school gets in the way.
Limits of This Psychiatric Visit
Your visits are with Astrude Charles, PMHNP-BC, a psychiatric nurse practitioner who sees people ages 12 and older. If you're under 18, a parent or guardian consents to the care. You still describe your own week, because you know how the symptoms feel.
Controlled substances aren't automatic, and nothing is promised before the visit. We consider them only after a full evaluation, a safety review, and a monitoring plan. We take that step only when federal and state rules allow it.
We don't provide ongoing talk therapy, inpatient care, or crisis care during this visit. A scheduled visit can't take the place of emergency help. The last question on this page says who to reach when you can't stay safe.
Insurance accepted
Insurance Plans Accepted for Telehealth Visits
Commercial plans
Government programs
Patient experiences
Experiences Shared by People in Three States
I stopped guessing what was wrong
“I'd lost months to sleepless nights and a racing mind, and I didn't know what to call it. The evaluation gave us a place to start, and the plan we built has made my evenings quieter.”
Each story reflects one person's experience, and your results can differ from theirs.
Questions About Psychiatric Conditions and Telehealth
You see a psychiatric nurse practitioner, not a psychiatrist, for this visit. Astrude Charles, PMHNP-BC, evaluates your symptoms, gives a working diagnosis when your history supports one, and manages medication when it fits.
When you're ready
Get Clarity on What You're Experiencing
If symptoms keep coming back and you're still guessing why, a first conversation can give you a plan to work from.
- Confidential inquiry
- No office visit needed
- Clear next steps
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