INDIVIDUALS

Care That Takes Both Mind and Body Seriously

Anxiety and mood changes rarely happen in a vacuum. It helps to work with someone who can look at your whole picture — medical history, medications, sleep, hormones, life circumstances, and emotional life — rather than treating symptoms in isolation.

As a nurse practitioner with formal psychotherapy training, I offer diagnosis, counseling, and medication management under one roof, so the conversation about whether medication would help and the conversation about what is driving how you feel can happen in the same visit.

WHAT I TREAT

Concerns I Commonly Work With

  • Anxiety: worry, panic, rumination, and the physical symptoms that come with them

  • Depression and low mood: including depression that shows up alongside a medical illness or its treatment

  • Sleep disruption: insomnia and the cycle of poor sleep, low mood, and depleted resilience

  • Adjustment difficulties: coping with a new diagnosis, a major transition, or a loss

  • Mood changes connected to hormones: perimenopause, menopause, postpartum changes, and the aftermath of fertility or cancer-related hormonal treatment

  • Stress and burnout: including caregiver stress and the emotional weight of supporting a loved one through illness

  • Irritability, emotional reactivity, and feeling not quite like yourself

HOW CARE WORKS

Assessment, Counseling, and Medication — In One Place

We begin with an in-depth consultation: your history, your current situation, any lab results or medical care you already have in place, and what you are hoping will be different. From there, care may include:

  • Assessment and diagnosis

  • Discussing, prescribing, and managing medication when it would help, including mental health medications and treatment for related symptoms such as sleep disruption

  • Counseling that is medically informed, drawing from cognitive behavioral therapy, mindfulness-based approaches, and ACT and DBT-informed interventions

  • Practical guidance for sleep, stress, movement, and the habits that sustain wellbeing

  • Coordination and clear communication with your therapist or medical team when needed

Not everyone needs both medication and counseling. I’m glad to provide medication management on its own, working alongside the therapist you already have — and counseling on its own is equally welcome, even if you never want medication at all.

This practice complements your existing medical care, it does not replace it.

For Referring Physicians and Therapists

I welcome referrals for adults with anxiety, depression, sleep problems, or mood changes, including changes connected to hormones or medical conditions. I can provide medication management alongside a client’s current therapist, or integrated counseling and medication in one place, and I keep referring providers updated.

Learn more about how to refer a patient.

Ready to take the next step?

Request a free 15 minute consultation to get started

Nicole Barr, NP, LMFT

#102791 Licensed Marriage and Family Therapist

#13643 Nurse Practitioner, California Board of Registered Nursing

Disclaimer

This website is for informational purposes only and is not monitored for emergencies. If you are experiencing a medical or mental health emergency, call 911 or go to the nearest emergency room.

© 2026 Nicole Barr. All rights reserved.