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Sunami Gurung, APRN

Advanced Practice Registered Nurse

After working as a Family Nurse Practitioner in a community health center for over five years, I realized that there was a significant gap between the mental health needs of the community and the available access to mental health services. This realization motivated me to pursue a second career as a psychiatric-mental health nurse practitioner.

Throughout my nursing journey spanning over a decade, I have had the opportunity to care for elderly individuals suffering from dementia and Alzheimer’s disease in a nursing home. I have also worked in the medical/surgical unit of a critical access hospital and in the fast-paced emergency department of a level II trauma center.

I have provided healthcare to diverse populations of all ages, including LGBTQ individuals, BIPOC populations, refugees, immigrants, and low-income households. My experience has allowed me to provide holistic care to patients with acute and chronic illnesses. I am committed to providing evidence-based care that is effective and tailored to each individual. I believe in individual autonomy, accountability, and mutual discussion when making treatment decisions. I am enthusiastic about extending this level of care and dedication to mental health.

My Approaches and Values

I focus on providing evidence-based psychopharmacology and psychotherapy to enhance individuals’ mental well-being. I strongly believe that, in addition to medication and therapy, one’s daily habits and lifestyle play a crucial role in maintaining good mental health. Therefore, I am committed to partnering with clients and helping them find the right approach to achieve significant improvement in their mental health.

Although some psychiatric illnesses may require long-term medication, individuals can still develop coping skills and strategies to manage crisis situations and promote mental wellness. My goal is to understand clients’ objectives and help them succeed in their treatment.

My Experience

Primary Care Provider responsible for a panel of 1200 patients, ranging from newborns to the elderly – Amoskeag Health in Manchester, NH

Clinical Nurse, Emergency Department, Elliot Hospital, Manchester, NH

Clinical Nurse, Medical Surgical Unit, Lakes Regional Healthcare, Franklin, NH

Clinical Nurse Float, Skilled Nursing Unit, Memory Unit, and Long-term care Unit,

Hanover Hill Health Care Center, Manchester, NH

Graduate Assistant in Nursing Department, University of New Hampshire, Durham, NH

My Education

Rivier University, Nashua, NH – Post-Master Certificate Program in Nursing, Psychiatric Mental Health Nurse Practitioner – December 2024

University of New Hampshire, Durham, NH – Masters of Science in Nursing (MSN), Family Nurse Practitioner Program – May 2017

Rivier University, Nashua, NH – Bachelor of Science in Nursing (BSN) – May 2013

 

Juliana Pires, PMHNP-BC

Psychiatric Nurse Practitioner

Prior to becoming a nurse practitioner, I worked as a psychiatric registered nurse at McLean Hospital, where I collaborated with a multidisciplinary team in treating a diverse population of patients and psychiatric diagnosis.

I am wholly committed to providing personalized and comprehensive care.

My clinical practice focuses on consultation and treatment selection for a wide range of psychiatric illnesses. I believe individual freedom and responsibility play an important role in developing treatment choices, and I welcome your input.

My Approaches and Values

Hope and the belief that it’s possible to recover are the foundation of the work I do.  You deserve and can expect a full recovery.

Keep in mind that medications are not the only modality available to treat mental illness. Many don’t experience full remission of symptoms with the available psychopharmacological treatment alone.  However, there is empirical data that shows the efficacy of augmenting medication with psychotherapy and lifestyle changes.

Simple changes aid individuals in regaining a meaningful life, even when recovery stalls.  The goal is to gain control of your life back with emphasis on managing symptoms and building resilience.  It’s important to consider ways to move forward and get your life back on track by developing support systems and building skills to cope in periods of crisis.

My Experience

McLean Hospital, Belmont MA: Advanced Practice Psychiatric Nursing Fellow in the Schizophrenia and Bipolar Disorders Program

University of Massachusetts, Boston: Psychiatric Mental Health Clinical Adjunct Faculty

McLean Hospital, Belmont MA: Inpatient Staff Nurse, Schizophrenia and Bipolar Disorder Program and the Resource Team (Dissociative Disorders and Trauma, Geriatric Neuropsychiatry, Addiction Treatment, Depression and Anxiety Treatment).

My Education

McLean Hospital, Belmont MA: Advanced Practice Psychiatric Nursing Fellow in the Schizophrenia and Bipolar Disorders Program

University of Massachusetts, Boston: Psychiatric Mental Health Clinical Adjunct Faculty

McLean Hospital, Belmont MA: Inpatient Staff Nurse, Schizophrenia and Bipolar Disorder Program and the Resource Team (Dissociative Disorders and Trauma, Geriatric Neuropsychiatry, Addiction Treatment, Depression and Anxiety Treatment).