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Birch Grove Mental Health

Let us help you overcome challenges
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“You may not have full control of your symptoms, but you have control over your next step”
-Michelle Maros

Conditions we treat

Anxiety – Persistent, overwhelming worry

  • Excessive worry or fear​
  • Restlessness or feeling on edge, difficulty relaxing​
  • Fatigue or feeling easily tired despite adequate sleep​
  • Difficulty concentrating or remaining focused

Bipolar Disorder – Mood swings, irritable, impulsive

  • Manic episodes of high energy, grandiosity, risky behaviors
  • Hypomanic episodes of less severe mania & elevated activity
  • Depressive episodes characterized by sadness & apathy
  • Mixed episodes include both mania and depression

ADHD – Inattention, hyperactivity, impulsivity

  • Difficulty staying focused or on-tasks
  • Hyperactivity includes constant movement, fidgeting
  • Impulsively or hastily acting without thinking
  • Difficulty with detail resulting in careless mistakes

Depression - Sad, fatigued, unmotivated

  • Persistently low or depressed mood
  • Loss of interest or pleasure in activities once enjoyed
  • Significant changes in appetite or weight
  • Sleep disturbances such as too much or too little sleep

Trauma – Nightmares, hypervigilance, flashbacks

  • Intrusive, distressing flashbacks of the traumatic event
  • Avoid people & situations that remind you of the trauma
  • Persistent negative emotions, feeling detached from others​
  • Easily startled, feeling on edge, or difficulty sleeping

Thought Disorders – Disorganized, paranoid, delusional

  • Disorganized thinking, incoherent speech.
  • Loose associations by jumping between unrelated topics.
  • Tangentiality through inclusion of irrelevant information.
  • Incoherence (word salad), illogical word combinations

Obsessive Compulsive Disorder (OCD) – Checking, counting, germaphobic

  • Compulsive repetitive behaviors or rituals
  • Repeatedly intrusive disturbing or unwanted thoughts
  • Obsessive, recurrent urges or anxiety causing mental images
  • Avoid situations that trigger obsessions or compulsions

Panic Disorder – Intense, sudden fear

  • Panic attacks episodes of intense fear & discomfort
  • Symptoms include palpitations, sweating, trembling
  • Fear of future attacks creates worry of more attacks
  • Avoids places where previous attacks occurred

The stuff of life

  • Stress Management
  • Life Transitions
  • Relationship issues

What patients say about us…

My teen son has started seeing Sunami for several months. It’s been great to see and hear his trust in her grow. We are building a toolset that my son can practice and use. It takes a village; happy and relieved to have found Sunami for my son’s mental health journey.

Highly recommend! Virtual appointments are very easy and scheduling is always flexible. Highly knowledgeable and trustworthy. Medication refills are sent in timely.

This practice has been so helpful for my whole family.  They have been so flexible with appointments and are always responsive.  Our NP is very knowledgable and caring.  Highly recommend!

Meet The Team

Sunami Gurung

Sunami Gurung

CT, MA, NH, NY, RI, VT

Psychiatric Nurse Practitioner

Natasa Ristivojevic

Natasa Ristivojevic

MA, NH

Psychiatric Nurse Practitioner

Salma Trainor

Salma Trainor

MA, NH

Psychiatric Nurse Practitioner

James Quackenbush

James Quackenbush

MA, NH, NY

Psychiatric Nurse Practitioner

Juliana S Pires

Juliana S Pires

CO, CT, MA, NH, NY, OH, OR, RI, UT, VT

Psychiatric Nurse Practitioner

Erin Savage

Erin Savage

MA, NH

Psychiatric Nurse Practitioner

Insurance, payments, costs, locations

Costs
Evaluation $300
Follow-up $180

Payment Options
Zelle/Venmo
Major Credit Cards

Why Birch Grove Mental Health?

Our team of Psychiatric Nurse Practitioners are passionate about supporting individuals affected by mental illness

Through effective and practical medication management, we see victories every day

In Person Sessions

MA & NH

You-Centered

Prioritizing your Care, Progress, and Wellbeing

Your Goals

Personalized Treatment Plans

Telehealth

Flex to your schedule and life

Your Voice Matters

Collaborative Decision Making

You Have a Life

Flexible hours and ways to connect

FAQs

Benefits of Online Psychiatric Treatment?

  • Easy scheduling: Book appointments at your convenience without the need to commute.
  • Support when you need it: Access professional care from the comfort of your home.
  • Privacy and flexibility: Maintain confidentiality while receiving care tailored to your schedule.

How long does the appointment last?

  • Initial appointments are typically 60 minutes
  • Subsequent appointments are 30 minutes or more – durations vary based on need

How will I know where to start my online session?

Once we confirm your appointment date & time, the link to your session room will be forwarded via email.

What types of therapy do you offer?

We provide individual therapy for children, teens, adults, and older adults. Our approaches include Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Solution-Focused Brief Therapy (SFBT).

Where do you offer services?

We provide services in:

In-person & telehealth

  • Massachusetts
  • New Hampshire

Telehealth only

  • Rhode Island
  • Utah
  • Maine
  • Ohio
  • Vermont
  • New York
  • Colorado
  • Connecticut

What can Birch Grove psychiatric nurse practitioners diagnose and treat?

We provide care for a wide range of mental health concerns, including:  Anxiety, Depression, Bipolar Disorder, ADHD (Attention Deficit Hyperactivity Disorder), Stress management, Behavior Issues,  Mood Disorders, Medication Management, Thinking Disorders, and Weight Loss.

What meds do autonomous psychiatric nurse practitioners prescribe?

Autonomous psychiatric nurses, or advanced practice psychiatric nurses (APRNs), can prescribe a variety of medications to treat mental health conditions. These include:

  1. Antidepressants: For depression and anxiety disorders (e.g., fluoxetine, sertraline).
  2. Antipsychotics: For schizophrenia and bipolar disorder (e.g., risperidone, olanzapine).
  3. Mood stabilizers: For bipolar disorder (e.g., lithium carbonate).
  4. Anxiolytics: For anxiety disorders (e.g., alprazolam, lorazepam).
  5. Stimulants: For ADHD (e.g., methylphenidate, amphetamine/dextroamphetamine).

These medications help manage symptoms and improve the quality of life for individuals with mental health conditions.

What are your hours of operation?

Telehealth and in-person appointments hours are  
Mon-Fri, 6:30am – 6:30pm

What is the cancellation policy?

You can reschedule or cancel your appointment with at least 24 hours’ notice to avoid cancellation fees.

What should I expect from the scheduling process?

Our scheduling process involves a few simple steps:

  • Contact us via the Get Started button
  • Complete intake forms via our secure patient portal.
  • Add payment information: To confirm your appointment, you will need to add your payment information to the portal. This information is securely stored and only accessible to you via your personal login and password.
  • Submit insurance information: If applicable, we will need to verify your insurance information to ensure that we can process your payment and accept your coverage.
  • Choose your provider and appointment time: Once your forms and payment are completed, you can select your preferred provider, date, and time for the appointment.
  • Appointment confirmation: After all forms are filled out and payment is processed, we will confirm your appointment.

Are your providers licensed to prescribe medications?

Yes, all of our providers are fully licensed and able to prescribe both controlled and non-controlled medications as part of a comprehensive treatment plan.

How can a parent or guardian schedule an appointment for a minor?

Parents or guardians can schedule appointments for their children by contacting us through the Get Started link at the top of the page. Parental consent will be required before the first session.

Anxiety, depression, ADHD, OCD, Bipolar, panic, thought disorders, trauma

Birch Grove Mental Health