Mikel Josh Aviso

Locations: Telehealth

Maybe the low mood hasn't lifted in months. Maybe your thoughts race at night, or you can't hold focus long enough to finish what you started. You may be wondering whether medication would help, or whether what you're already taking is the right fit. Those are fair questions, and you shouldn't have to work through them on your own.

I'm a board-certified psychiatric mental health nurse practitioner, and I see adults by secure video. I start with your story: what you're dealing with, what you've tried already, and what you want your life to look like. From there we build a plan together, at a pace that works for you.

Before I moved into psychiatry, I spent several years as an intensive care nurse in the Philippines, the United Kingdom, and the United States, working in neurocritical care, trauma ICU, and cardiovascular ICU. I then spent close to two years in inpatient psychiatric care. Those years showed me how closely physical health, stress, and mental health are tied together, and that's still how I look at every person I meet.

I provide psychiatric evaluations and medication management for depression, anxiety, bipolar spectrum conditions, ADHD, trauma-related symptoms, and other mood or behavioral concerns. I also bring in tools from cognitive behavioral therapy and motivational interviewing, so our visits cover more than the prescription.

You're not defined by a diagnosis or by your hardest stretch. If this is your first time seeing a psychiatric provider, I'll keep things clear and take it at your pace. Reach out through the contact form and our team will get us connected.