Select Page

Psychiatric Nurse Practitioners

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

Our Commitment

At Birch Grove Mental Health, we understand that each patient has unique circumstances and goals.

 

Together, we’ll develop an effective medication management plan tailored to you, taking your perspective into account. ​

 

Our team of psychiatric nurse practitioners is committed to your well-being, appreciating your individual story, symptoms, and aspirations. Let’s address your concerns and discover the support and solutions that can aid in your recovery journey.​​

 

Remember, you’re not alone in this fight​ with the right help, transformation is within reach.

Conditions we diagnose & 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
Get Started

Client Testimonials

What Patients Say…

“I was lucky enough to find Juliana through the internet when my husband needed a therapist to help him with his medication. I was so impressed by her that I asked if she would also take me as a new client since my own therapist was retiring. She is caring and attentive. She gives me all the time I need. She listens attentively and is willing to discuss all my issues. She makes sure that my questions are answered. She is a joy to speak with at every appointment. I am grateful for her and recommend her highly.”
“When I first met Juliana, I was immediately impressed with her education and training. She also puts me at ease with her soft and gentle demeanor. During our appointments, I find her to be very thorough, asking all the right questions and checking all the boxes. Since the beginning of Covid she has never missed an appointment. I have found her to be available whenever I needed her. She has all of the qualifications necessary to be in her chosen line of work.”
“My favorite thing about Juliana is she listens careful and works toward my goals. She asks pertinent questions every appointment and makes sure I am making informed decisions about my medications. The journey to find the right meds and dosages for me has taken time, but it’s always been in the right direction with Juliana’s expertise. Even as I consider weaning off medications altogether, Juliana remains supportive and respectful of my decisions. I hope she doesn’t ever move or retire.”
“Juliana merges empath and direct feedback seamlessly. Her lck of judgement is apparent which makes it easy to open up to her. While she books up quickly, she tends to always try to make time for her patients and is accessible by phone/text with very efficient responses. The most important thing I’ve gained from my experience with Juliana is hopefulness. While mending mental health issues can be tough there has not bee a point where I’ve lot hope during this journey.”
“Juliana Pires has treated me for depression since my release from a day treatment program in 2020. She has always been responsive and accessible. She ahs been a stable and constant source of support throughout my journey forward. Whether it be treatment with medication, or by other means, it is very apparent that she knows her stuff and will always give you the best advice to lead you along your path.”
Read More Reviews Here

Meet The Team

Sunami Gurung

Sunami Gurung

APRN

Advanced Practice Registered Nurse
About Sunami
Natasa Ristivojevic

Natasa Ristivojevic

PMHNP - BC

Psychiatric Nurse Practitioner
About Natasa
Salma Trainor

Salma Trainor

PMHNP - BC

Psychiatric Nurse Practitioner
About Salma
James Quackenbush

James Quackenbush

PMHNP - BC

Psychiatric Nurse Practitioner
About James
Juliana S Pires

Juliana S Pires

PMHNP - BC

Psychiatric Nurse Practitioner
About Juliana

Insurance, Payment Options, & Costs

States served by Birch Grove Mental Health

Costs
Payment Options
Evaluation: $300
Zelle/Venmo
Follow-up: $180
Major Credit Cards

Why Birch Grove?

At Birch Grove, we create personalized treatment plans tailored to your specific objectives. ​

 

Our dedicated team of experienced psychiatric nurse practitioners shares a common mission: prioritizing your care, progress, and well-being. ​

 

With the convenience of online telehealth services and offices in Massachusetts and New Hampshire, we offer flexible meeting options that fit your schedule.

Birch Grove Mental Health

Ready to Move Forward...

Take the first step in working with Birch Grove Mental Health

1. Get Started

Click the Get Started button.

Work with Birch Grove Mental Health

2. Complete the paperwork

From there we will guide you through the paperwork and get you scheduled.

Feel better having worked with Birch Grove Mental Health

3. Find Relief

Start feeling like yourself again.

Get Started

Frequently Asked Questions

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 can I schedule an appointment?

Appointments may be scheduled online through the Get Started button on the top of our website.

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).

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.

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

How do I know if therapy is right for me?

Therapy can be beneficial for anyone seeking support with mental health, stress, or life challenges. During your first session, we’ll discuss your needs and goals.

Can I receive a prescription for medication during therapy sessions?

Yes, if deemed appropriate, your provider may prescribe medication as part of your treatment plan. This will be discussed during your sessions, and a collaborative decision will be made based on your needs and goals.

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

How do I submit my insurance information?

You can send your insurance details via our secure patient portal or by emailing a copy to info@birchgrovementalhealth.com.

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.

Schedule a session today

Get Started