Expert psychiatric care for adults and adolescents (13+) integrating therapy, medication management, Spravato (esketamine), GLP-1 weight loss, hormone therapy, addiction & substance use treatment, eating disorder care, anxiety, depression, PTSD, OCD, and certified gambling counseling (coming soon) — all under one roof.
Currently serving patients in
Unlike traditional practices, Family1st combines psychiatric expertise with primary wellness services — so your mental health, weight, hormones, and overall wellbeing are treated as one connected system.
FDA-approved intranasal esketamine for adults with treatment-resistant depression (TRD) or major depressive disorder with suicidal ideation. Administered by appointment with 2-hour monitored sessions. Insurance-billable — unlike IV ketamine.
Struggling with weight despite diet and exercise? Chronic weight challenges are often rooted in biology — not willpower. As a psychiatric NP, Kristin offers a truly integrated approach: GLP-1 receptor agonist therapy (including semaglutide and tirzepatide) combined with psychiatric support to address the emotional, behavioral, and neurological factors that drive weight gain — including depression, anxiety, ADHD, binge eating, and hormonal imbalance.
Unlike a standard weight loss clinic, we treat the whole picture — managing cravings, mood, metabolism, and motivation together so results last.
²Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM. 2021;384:989-1002. (STEP 1 trial) ·
³Jastreboff AM et al. Tirzepatide Once Weekly for the Treatment of Obesity. NEJM. 2022;387:205-216. (SURMOUNT-1 trial)
Results represent published clinical trial averages. Individual outcomes vary. These statistics are not a guarantee of results for any specific patient.
Have you been told your anxiety, depression, mood swings, brain fog, or exhaustion are "just stress" — when something deeper never quite got addressed? Your hormones and your mental health are not separate conversations. They never were. Estrogen, progesterone, testosterone, and thyroid hormones directly shape how your brain produces serotonin, dopamine, and norepinephrine — the very chemicals that regulate your mood, focus, sleep, and resilience. When those hormones shift, your mental health shifts with them. And too often, people spend years cycling through antidepressants when half the story was never told.
Here, we look at all of it together. If you're navigating perimenopause or menopause and suddenly don't feel like yourself — the irritability, the sleeplessness, the sadness that came out of nowhere — that's not weakness. That's biology, and we can help. If you're a man dealing with low testosterone and wondering why you feel flat, unmotivated, or anxious in ways you never did before — you're not imagining it. We see you too. Bioidentical and conventional HRT, integrated with your full psychiatric picture. Because treating half of you was never going to be enough.
You deserve more than a 10-minute prescription refill from someone who barely remembers your name. Here, we know you — your history, your wins, your setbacks, and what actually works for your life. Whether you're managing depression, anxiety, PTSD, OCD, ADHD, bipolar disorder, or something that hasn't had a label yet, we sit with you, listen first, and build a medication plan that fits you — not a textbook. We follow up, we adjust, and we stay in your corner. That's not just good medicine. That's family.
Evidence-based individual therapy using CBT, motivational interviewing, and trauma-informed approaches. Therapy and medication management may be bundled for a whole-person approach — rare in outpatient psychiatry.
Evidence-based treatment for problem gambling and gambling disorder, integrating psychiatric evaluation, medication management, CBT, and motivational interviewing — addressing the anxiety, depression, and impulse-control conditions that commonly co-occur.
Comprehensive psychiatric care for addiction including medication-assisted treatment (MAT) with buprenorphine/Suboxone for opioid use disorder, naltrexone for alcohol use disorder, and integrated behavioral health support for lasting recovery.
Evidence-based treatment for alcohol, stimulant, cannabis, and polysubstance use disorders. Combines psychiatric evaluation, medication management, motivational interviewing, and relapse prevention — addressing the mental health conditions that co-occur with SUD.
Psychiatric care for anorexia nervosa, bulimia nervosa, binge eating disorder (BED), and ARFID. Integrates medication management, therapy, and — uniquely — GLP-1 and nutritional support for patients where weight restoration intersects with mental health treatment.
Coverage note: "Insurance May Cover" badges indicate services commonly reimbursed by insurance. Actual coverage depends on your specific plan, diagnosis, deductible, and prior authorization requirements. We verify your benefits before your first appointment — there are no surprises.
From everyday anxiety to complex trauma, we provide evidence-based psychiatric care for adults and adolescents (ages 13+, where clinically appropriate) across all 14 of our licensed states — in person and via telehealth.
Generalized anxiety disorder, panic disorder, social anxiety, and phobias. Medication management plus CBT-based therapy for lasting relief without dependence.
Major depressive disorder through treatment-resistant depression. Conventional antidepressants, augmentation strategies, and Spravato for those who haven't responded to other treatments.
Post-traumatic stress disorder from military service, abuse, accidents, or medical trauma. Evidence-based trauma therapy combined with medication support.
Obsessive-compulsive disorder treated with ERP (exposure and response prevention) therapy and medication management. Specialized OCD care rarely available in integrated settings.
ADHD evaluation, diagnosis, and medication management for adults and adolescents (13+). We also address the common intersection of ADHD with anxiety, depression, and weight management challenges.
Bipolar I and II, cyclothymia, and related mood disorders. Mood stabilizer management, lithium monitoring, and integrated therapy for stability and quality of life.
Chronic insomnia, sleep maintenance problems, and medication-related sleep issues. CBT-I (cognitive behavioral therapy for insomnia) and medication management.
Binge eating disorder, bulimia, anorexia, ARFID, and emotional eating. Psychiatric medication management, behavioral therapy, and integrated GLP-1 support where clinically appropriate.
Opioid use disorder (MAT/buprenorphine), alcohol use disorder (naltrexone), stimulant and polysubstance use. Medication-assisted treatment plus integrated behavioral health for dual diagnosis.
Simultaneous treatment of mental health and substance use disorders — the most effective evidence-based approach for lasting recovery and long-term psychiatric stability.
Psychiatric evaluation, medication management, and therapy for adolescents (ages 13–17) experiencing anxiety, depression, ADHD, OCD, trauma, eating disorders, and mood disorders. Parental consent required. A safe, judgment-free space where teens are heard — and families are included in the healing.
Adolescent care note: We provide psychiatric services for adolescents ages 13–17 where clinically appropriate and with parental or legal guardian consent. Not all services (including Spravato and GLP-1 therapy) are available for minors. Please contact us to discuss your teen's specific needs.
If you've tried two or more antidepressants without relief, Spravato may be worth exploring with your provider. As a REMS-certified provider, Family1st offers esketamine therapy by appointment — and unlike IV ketamine, Spravato is FDA-approved and often covered by insurance.
¹Daly EJ et al. Efficacy of Esketamine Nasal Spray Plus Oral Antidepressant Treatment. JAMA Psychiatry. 2019;76(9):893-903 (TRANSFORM-2); Popova V et al. Am J Psychiatry. 2019;176(6):428-438 (TRANSFORM-3). Response rates varied by trial (54–70%). Individual results vary. Spravato is not appropriate for all patients. Eligibility requires a comprehensive psychiatric evaluation.
Insurance Coverage
Addiction is a medical condition — not a moral failing. At Family1st, Kristin, PMHNP-BC combines medication-assisted treatment (MAT), psychiatric care, and behavioral therapy in a judgment-free, integrated model that treats the whole person, including the mental health conditions that so often co-occur with substance use.
"You don't have to hit rock bottom to ask for help. Reaching out is the bravest thing you can do — and we'll meet you exactly where you are."
— Kristin, MSN, APRN, PMHNP-BC
✓ Insurance May Cover — Many MAT medications and psychiatric visits are covered by Medicare, Medicaid, BCBS, Aetna, UHC, Cigna, and Tricare. Coverage varies by plan, diagnosis, and prior authorization requirements.
Coming Soon — Gambling disorder is a recognized psychiatric condition — and one of the most undertreated. As a certified gambling counselor and PMHNP-BC, Kristin provides integrated psychiatric and counseling care for problem gambling, addressing both the behavior and the underlying mental health conditions driving it.
Anyone struggling with problem gambling — whether sports betting, casino gambling, online gaming, or lottery — who wants to regain control. We treat gambling disorder with the same rigor and compassion as any other psychiatric condition.
Gambling disorder rarely exists alone. Depression, anxiety, ADHD, trauma, and substance use frequently co-occur. Our integrated PMHNP approach means we address both the gambling behavior and its psychiatric roots in one place.
Psychiatric intake · Gambling disorder assessment · Personalized treatment plan · CBT-based counseling · Medication evaluation if indicated · Ongoing follow-up · Telehealth-friendly across 14 states.
From first contact to your first appointment, we keep things simple, welcoming, and judgment-free.
Book a 15-minute call. We'll discuss your needs, verify your insurance, and match you to the right services.
Comprehensive psychiatric evaluation via telehealth or in-person. We review your history, symptoms, and goals.
A treatment plan built around you — combining therapy, medication, wellness services, and monitoring as needed.
Regular follow-ups, medication adjustments, and access to our full team. We grow with you.
At Family1st, we believe everyone deserves access to whole-person psychiatric care — no matter where home is. We hold full practice authority licenses in 14 states, allowing us to evaluate, diagnose, and prescribe independently. Whether you're in Las Vegas or Vermont, Seattle or Savannah, you can walk through our (virtual) door and be treated like family from day one.
Las Vegas, Reno & statewide
✓ TelehealthSeattle, Spokane & statewide
✓ TelehealthPortland, Eugene & statewide
✓ TelehealthNYC, Buffalo & statewide
✓ TelehealthDistrict of Columbia
✓ TelehealthAtlanta, Savannah & statewide
✓ TelehealthPhoenix, Tucson & statewide
✓ TelehealthLos Angeles, San Francisco & statewide
✓ TelehealthWichita, Kansas City & statewide
✓ TelehealthManchester, Concord & statewide
✓ TelehealthAlbuquerque, Santa Fe & statewide
✓ TelehealthHouston, Dallas, Austin & statewide
✓ TelehealthHartford, New Haven & statewide
✓ TelehealthBurlington, Montpelier & statewide
✓ TelehealthNashville, Memphis & statewide
✓ TelehealthDon't see your state yet? Reach out anyway. We're always growing — and family waits for no one.
Reviews are shared with patient consent and anonymized to protect privacy in accordance with HIPAA.
"After trying four different antidepressants over two years with no improvement, Spravato changed my life within the first month. The team made me feel completely safe throughout the process."
"I came for weight loss medication but also got the therapy support I needed to address emotional eating. Having both in one place made all the difference — I've lost 38 lbs in 5 months."
"The VA denied my PTSD claim twice. The evaluation report from Family1st was thorough and clearly explained the service connection. My claim was approved on the first appeal."
"I was terrified to ask for help with my addiction. Kristin never made me feel judged — just supported. The Suboxone program gave me my life back and she treated my depression at the same time."
Ready to take the first step? Select a time that works for you using our live scheduler. New patients are always welcome — we're judgment-free and family-centered.
Select a date and time that works for you. Appointments are confirmed directly through our secure ChARM Health scheduling system.
⚠️ This scheduler is not monitored 24/7 and is not for emergencies.
If you are in crisis, experiencing suicidal thoughts, or in immediate danger, please:
Call or text 988 (Suicide & Crisis Lifeline, available 24/7) ·
Text HOME to 741741 (Crisis Text Line) ·
or call 911 immediately.
🔒 Powered by ChARM Health — HIPAA-compliant scheduling. We will never share your information.
Evidence-based articles written by Kristin, PMHNP-BC — helping you understand your mental health, your treatment options, and your path to wellness.
Both esketamine and IV ketamine are used for treatment-resistant depression, but they differ significantly in FDA approval, insurance coverage, and how they're administered. Here's what every patient should know before choosing.
Read article →Emerging research suggests GLP-1 receptor agonists like semaglutide may have effects beyond weight loss — including on mood, cognition, and inflammation. A psychiatric NP's perspective on the intersection of metabolic and mental health.
Read article →Nearly one-third of people with major depression don't respond adequately to standard antidepressants. This guide explains what TRD is, how it's diagnosed, and the full range of treatment options available in 2025 — including Spravato, augmentation strategies, and ketamine.
Read article →Problem gambling affects millions of adults and is closely linked to depression, anxiety, ADHD, and substance use. Learn how certified gambling counseling combined with psychiatric medication management offers a more effective path to recovery than counseling alone.
Read article →Buprenorphine (Suboxone) is the gold-standard treatment for opioid use disorder — and telehealth prescribing has made it more accessible than ever. This article explains how MAT works, what the first 30 days look like, and how treating co-occurring depression or anxiety dramatically improves recovery outcomes.
Read article →Mood changes during perimenopause, low T, or thyroid dysregulation are frequently misdiagnosed as anxiety or depression — and treated with antidepressants alone. Learn how comprehensive hormone evaluation can uncover and resolve the root cause of many psychiatric symptoms.
Read article →Restlessness, difficulty concentrating, sleep problems, and racing thoughts are symptoms of both anxiety and ADHD — but the treatments are different. A misdiagnosis leads to years of ineffective treatment. Here's how a psychiatric NP tells them apart — and what to do when you have both.
Read article →BED affects more adults than anorexia and bulimia combined — and is deeply tied to depression, anxiety, ADHD, and trauma. This article explains how integrated psychiatric care (not just dieting) is the evidence-based path to recovery, and what role GLP-1 therapy may play in treatment.
Read article →Telehealth for mental health is now permanent — no geographic restrictions, no in-person requirements for most services. But patients still wonder: is it really as good? This article reviews the evidence on telehealth effectiveness for depression, anxiety, PTSD, medication management, and MAT — and when in-person care is truly necessary.
Read article →New articles published monthly. Have a topic you'd like us to cover?
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